NRNP 6531 Week 11 Final Exam 2024 - Updated
Questions and Answers
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic
hormone)? - answers Increased production of ADH (antidiuretic hormone),
hyponatremia, concentrated urine (from excess water resorption), elevated urine
osmolality, mental status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - answers Hypernatremia
Psychogenic polydipsia results in urine that is: - answers diluted with low osmolality
and hyponatremia
How would you determine the cause of a patient's AKI who presents with decreased
urine output, history of neurogenic bladder, chronic foley, dark urine, and Cr increase
from 1.3 to 2.1 over 3 months? - answers Flush the foley catheter to see if urine
comes out and assess the patency of the catheter. This action will unblock clogged
sediment or biofilm from chronic bacteriuria.
When a female patient presents to the ER after sexual assault, what medications
should be offered prior to discharge? - answers Ceftriaxone, azithromycin, Plan B,
and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - answers hypernatremia,
hypokalemia, and hypertension
What causes Cushing syndrome? - answers Increased levels of glucocorticoids, can
be exogenous (from therapy) or endogenous (from adenoma or neoplasm).
Manifestations of Cushing syndrome? - answers hypertension, truncal obesity,
osteoporosis, skin fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary
adrenocortical insufficiency? - answers Skin hyperpigmentation is present in primary
adrenocortical insufficiency
What is Trousseau's sign? - answers A carpal spasm elicited by compression of the
upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - answers A hemifacial tic that is induced by tapping the
facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign? - answers An upward response (extension) of the hallux
when the sole of the foot is stimulated with a blunt instrument. Can identify spinal
cord disease in adults.
What is Romberg's sign? - answers Loss of balance in standing when eyes are
closed. Usually indicating a loss of proprioception or lesion in the cerebellum.
What is Homan's sign? - answers pain on passive dorsiflexion of ankle, associated
with DVT.
, NRNP 6531 Week 11 Final Exam 2024 - Updated
Questions and Answers
What is the clinical presentation of Goodpasture's syndrome? - answers Urinalysis:
Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - answers Damage to alveolar and renal
glomerular basement membranes by cytotoxic antibody.
Initial treatment for Goodpasture's syndrome? - answers Hospitalization, pulse dose
of steroids, begin plasmapheresis and cyclophosphamide therapy.
Characteristics of Grave's disease - answers Ophthalmopathy (lid retraction, scleral
show, proptosis) and hyperthyroidism
What organism causes the formation of a staghorn calculus? - answers Proteus
mirabilus
What organism causes Toxic shock syndrome? - answers Staphylococcus aureus
What electrolyte disturbance is most likely to lead to tetany and neuromuscular
irritability? - answers Hypocalcemia
Features of hypercalcemia include? - answers "Stones, groans, moans, and bones."
Delerium and renal stones
When you see hypochloremia, the patient may have? - answers Metabolic Alkalosis
Hyperkalemia is associated with what cardiac abnormalities? - answers peaked T-
waves, wide QRS, and ventricular arrhythmias.
A patient presents with arcus cornea, LDL 285, TG 110, HDL 45, and father died of
an MI at age 45. What is his most likely diagnosis? - answers Heterozygous familial
hypercholesterolemia
A fasting blood glucose level of 130 mg/dL indicates: - answers Diabetes
What are risk factors for ectopic pregnancy? - answers smoking, previous tubal
surgery, previous ectopic pregnancy, exposure to diethylibestrol, current IUD, PID,
advanced maternal age, infertilitiy for more than 2 years.
What hormones are most critical to replace in a patient at risk for anterior pituitary
insufficiency? - answers Glucocorticoids, and thyroid hormone
What is diabetes insipidus? - answers a disorder caused by inadequate amounts of
ADH which causes excessive water loss
CKD Stage 1 - answers GFR >90 with evidence of renal damage, as indicated by
proteinuria.
Questions and Answers
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic
hormone)? - answers Increased production of ADH (antidiuretic hormone),
hyponatremia, concentrated urine (from excess water resorption), elevated urine
osmolality, mental status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - answers Hypernatremia
Psychogenic polydipsia results in urine that is: - answers diluted with low osmolality
and hyponatremia
How would you determine the cause of a patient's AKI who presents with decreased
urine output, history of neurogenic bladder, chronic foley, dark urine, and Cr increase
from 1.3 to 2.1 over 3 months? - answers Flush the foley catheter to see if urine
comes out and assess the patency of the catheter. This action will unblock clogged
sediment or biofilm from chronic bacteriuria.
When a female patient presents to the ER after sexual assault, what medications
should be offered prior to discharge? - answers Ceftriaxone, azithromycin, Plan B,
and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - answers hypernatremia,
hypokalemia, and hypertension
What causes Cushing syndrome? - answers Increased levels of glucocorticoids, can
be exogenous (from therapy) or endogenous (from adenoma or neoplasm).
Manifestations of Cushing syndrome? - answers hypertension, truncal obesity,
osteoporosis, skin fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary
adrenocortical insufficiency? - answers Skin hyperpigmentation is present in primary
adrenocortical insufficiency
What is Trousseau's sign? - answers A carpal spasm elicited by compression of the
upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - answers A hemifacial tic that is induced by tapping the
facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign? - answers An upward response (extension) of the hallux
when the sole of the foot is stimulated with a blunt instrument. Can identify spinal
cord disease in adults.
What is Romberg's sign? - answers Loss of balance in standing when eyes are
closed. Usually indicating a loss of proprioception or lesion in the cerebellum.
What is Homan's sign? - answers pain on passive dorsiflexion of ankle, associated
with DVT.
, NRNP 6531 Week 11 Final Exam 2024 - Updated
Questions and Answers
What is the clinical presentation of Goodpasture's syndrome? - answers Urinalysis:
Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - answers Damage to alveolar and renal
glomerular basement membranes by cytotoxic antibody.
Initial treatment for Goodpasture's syndrome? - answers Hospitalization, pulse dose
of steroids, begin plasmapheresis and cyclophosphamide therapy.
Characteristics of Grave's disease - answers Ophthalmopathy (lid retraction, scleral
show, proptosis) and hyperthyroidism
What organism causes the formation of a staghorn calculus? - answers Proteus
mirabilus
What organism causes Toxic shock syndrome? - answers Staphylococcus aureus
What electrolyte disturbance is most likely to lead to tetany and neuromuscular
irritability? - answers Hypocalcemia
Features of hypercalcemia include? - answers "Stones, groans, moans, and bones."
Delerium and renal stones
When you see hypochloremia, the patient may have? - answers Metabolic Alkalosis
Hyperkalemia is associated with what cardiac abnormalities? - answers peaked T-
waves, wide QRS, and ventricular arrhythmias.
A patient presents with arcus cornea, LDL 285, TG 110, HDL 45, and father died of
an MI at age 45. What is his most likely diagnosis? - answers Heterozygous familial
hypercholesterolemia
A fasting blood glucose level of 130 mg/dL indicates: - answers Diabetes
What are risk factors for ectopic pregnancy? - answers smoking, previous tubal
surgery, previous ectopic pregnancy, exposure to diethylibestrol, current IUD, PID,
advanced maternal age, infertilitiy for more than 2 years.
What hormones are most critical to replace in a patient at risk for anterior pituitary
insufficiency? - answers Glucocorticoids, and thyroid hormone
What is diabetes insipidus? - answers a disorder caused by inadequate amounts of
ADH which causes excessive water loss
CKD Stage 1 - answers GFR >90 with evidence of renal damage, as indicated by
proteinuria.
