NRNP 6560 Final Exam Review Final Update 2022
General Pre and Post Op Care
• Hemoglobin in relation to surgery
• Predictors of increased morbidity and mortality post-operatively
• Risks factors for poor wound healing
• Medications the patient should take on the morning of surgery
• Positioning in the PACU
Head, Neck, Esophagus, and Diaphragm
• Sudden sensorineural hearing loss (SSHL) diagnosis and treatment
• Otitis Externa – secondary treatment
• Non-Hodgkin’s lymphoma- treatment related complications
• Achalasia risk factors
• Traumatic diaphragmatic hernia repair
Cardiology
• EKG interpretation of different types of MI according to the leads presenting
with signs of ischemia
• Society of Thoracic Surgeon’s statistics and synopsis regarding patient
outcomes after coronary artery bypass grafting and mortality
• INR management
• Mitral stenosis with catheter-based balloon mitral valvotomy and reduction
of the transvalvular pressure gradient
• Types of aortic aneurysms and immediate surgery
Pulmonary and Shock
• Fatty Lipoma
• Thymoma and autoimmune disorders
• Positive TB skin test and when treatment is needed
• Cardiac pressures related to shock and PE
• Treatment for neurogenic shock, distributive-septic shock, and cardiogenic
shock
, Acute Abdomen, Stomach/Duodenum, Appendix Disorders
• Abdominal pain and epigastric pain workup and presentation
• Symptoms of colicky pain
• Gas stoppage sign
• Pancreatitis labs
• ureteral colic s/s
• Perforated bowel s/s
• Rebound tenderness
• Diverticulitis s/s
• When is a pelvic exam indicated and when can it be deferred?
• Gastric resection and how vitamins absorption is affected
• Post-op care of abdominal surgery
• Gastroparesis
• perforated ulcer s/s and resection and hospital complications
• vagotomy
• gastrinoma s/s
• peptic ulcer disease s/s and management
• gastrectomy and bezoar formation
• Zollinger-Ellison syndrome
• Pyloric obstruction s/s
Liver/Biliary Track, Pancreas, Spleen
• Resection of the liver and regeneration- follow up monitoring
• pregnant women and spontaneous hepatic rupture s/s
• hepatic hemangiomas
• hepatic adenomas s/s
• portal hypertension with alcoholic liver disease s/s
• acutely bleeding varices treatment
• Budd-Chiari syndrome s/s
• Von Willebrand’s disease
• Paracentesis and subsequent analysis of the fluid
• ascites s/s and treatment
• chemical mediators of hepatic encephalopathy, protein intake
• Extrahepatic obstruction s/s
• Cholelithiasis s/s and treatment
• Biliary colic s/s
• acute pancreatitis s/s and causes
General Pre and Post Op Care
• Hemoglobin in relation to surgery
• Predictors of increased morbidity and mortality post-operatively
• Risks factors for poor wound healing
• Medications the patient should take on the morning of surgery
• Positioning in the PACU
Head, Neck, Esophagus, and Diaphragm
• Sudden sensorineural hearing loss (SSHL) diagnosis and treatment
• Otitis Externa – secondary treatment
• Non-Hodgkin’s lymphoma- treatment related complications
• Achalasia risk factors
• Traumatic diaphragmatic hernia repair
Cardiology
• EKG interpretation of different types of MI according to the leads presenting
with signs of ischemia
• Society of Thoracic Surgeon’s statistics and synopsis regarding patient
outcomes after coronary artery bypass grafting and mortality
• INR management
• Mitral stenosis with catheter-based balloon mitral valvotomy and reduction
of the transvalvular pressure gradient
• Types of aortic aneurysms and immediate surgery
Pulmonary and Shock
• Fatty Lipoma
• Thymoma and autoimmune disorders
• Positive TB skin test and when treatment is needed
• Cardiac pressures related to shock and PE
• Treatment for neurogenic shock, distributive-septic shock, and cardiogenic
shock
, Acute Abdomen, Stomach/Duodenum, Appendix Disorders
• Abdominal pain and epigastric pain workup and presentation
• Symptoms of colicky pain
• Gas stoppage sign
• Pancreatitis labs
• ureteral colic s/s
• Perforated bowel s/s
• Rebound tenderness
• Diverticulitis s/s
• When is a pelvic exam indicated and when can it be deferred?
• Gastric resection and how vitamins absorption is affected
• Post-op care of abdominal surgery
• Gastroparesis
• perforated ulcer s/s and resection and hospital complications
• vagotomy
• gastrinoma s/s
• peptic ulcer disease s/s and management
• gastrectomy and bezoar formation
• Zollinger-Ellison syndrome
• Pyloric obstruction s/s
Liver/Biliary Track, Pancreas, Spleen
• Resection of the liver and regeneration- follow up monitoring
• pregnant women and spontaneous hepatic rupture s/s
• hepatic hemangiomas
• hepatic adenomas s/s
• portal hypertension with alcoholic liver disease s/s
• acutely bleeding varices treatment
• Budd-Chiari syndrome s/s
• Von Willebrand’s disease
• Paracentesis and subsequent analysis of the fluid
• ascites s/s and treatment
• chemical mediators of hepatic encephalopathy, protein intake
• Extrahepatic obstruction s/s
• Cholelithiasis s/s and treatment
• Biliary colic s/s
• acute pancreatitis s/s and causes
