NUR 426 Exam 2 Voit ASU Spring
UPDATED ACTUAL Exam Questions and
CORRECT Answers
You should know the significance of the following (why would it be high vs low), but do not
need to memorize know normal ranges - CORRECT ANSWER - Phosphorus→ (high)
foods like proteins, dairy, nuts, inc renal absorption; (low) vitamin D deficiency (calcitriol) →
kidney dysfunction (CKD), long term use of phosphate binders
Calcium→ (high) inc calcium intake, too much vitamin D; (low) CKD, vitamin D deficiency
Magnesium (in relationship to AKI/CKD)→ (high) CKD; (low) poor absorption, r/t hypokalemia
CMP (complete metabolic panel)- what electrolytes are included in a CMP? (answer: calcium,
sodium, potassium, bicarbonate, chloride)
Alanine transaminase (ALT) and Aspartate aminotransferase (AST) (liver enzymes)→ (high)
hepatitis, chronic alcohol use; (low) CKD
WBC→ (high) infection; (low) immunocompromised
BUN→ (high) kidney dysfunction, dehydration, corticosteroids, catabolism from infection,
fever, severe injury, GI bleed; (low) liver damage, very low protein diet
Hemoglobin→ (high) inc need of O2 carrying capacity→ COPD, HF; (low) hemorrhage
Hematocrit→ (high) dehydration; (low) hemorrhage
Platelets→ (high) platelet disorder; (low) hemorrhage
Creatinine→ (high) kidney dysfunction; (low) liver disease
Sodium→ (high) dehydration ; (low) fluid overload
Potassium→ (high) CKD/AKI, furosemide ; (low) potassium sparing diuretics, r/t
hypomagnesemia
Lactate→ (high) infection, kidney and liver disease; (low) N/A
Blood Glucose→ (high) uncontrolled diabetes; (low) hypoglycemia
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Potassium Chloride - CORRECT ANSWER - Indications→ potassium replacement
Side effects→ dysrhythmias
,Considerations→ not IVP, monitor K+ levels
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Erythropoietein - CORRECT ANSWER - Indications→ CKD
Side effects→ HTN, thrombosis at fistulas
Considerations→ monitor BP
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Renvela (Sevelamer) - CORRECT ANSWER - Indications→ phos binder for CKD
Side effects→ hypophosphatemia (long-term)
Considerations→ monitor bicarb and chloride levels
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Baclofen - CORRECT ANSWER - Indications→ muscle spasms
Side effects→ muscle relaxation, toxicity, drowsiness, sedation, diaphoresis
Considerations→PO, for larger does (severe spasm) needs a pumps (intrathecal catheter)
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Botulinum toxin A - CORRECT ANSWER - Indications→ muscle spasms, spastic CP
Side effects→ temporary weakness
Considerations→ inc need for botox over time, lasts 3-6 mo, peaks at 2 weeks
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Diazepam - CORRECT ANSWER - Indications→ seizures, anxiety
, Side effects→ CNS depression, drowsiness
Considerations→ monitor BP and RR, flumazenil reversal agent
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Furosemide - CORRECT ANSWER - Indications→ antihypertensive, edema, HF
Side effects→ voiding, hypokalemia
Considerations→ potassium supplements, monitor BP
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Insulin - CORRECT ANSWER - Indications→ hyperglycemia
Side effects→ hypoglycemia, hypokalemia
Considerations→ monitor potassium
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Dextrose - CORRECT ANSWER - Indications→ hypoglycemia, adjunct for DKA tx
Side effects→ raise blood glucose levels
Considerations→ monitor blood glucose
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Acetaminophen - CORRECT ANSWER - Indications→ mild pain, fever
Side effects→ drowsiness
Considerations→ liver damage
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
UPDATED ACTUAL Exam Questions and
CORRECT Answers
You should know the significance of the following (why would it be high vs low), but do not
need to memorize know normal ranges - CORRECT ANSWER - Phosphorus→ (high)
foods like proteins, dairy, nuts, inc renal absorption; (low) vitamin D deficiency (calcitriol) →
kidney dysfunction (CKD), long term use of phosphate binders
Calcium→ (high) inc calcium intake, too much vitamin D; (low) CKD, vitamin D deficiency
Magnesium (in relationship to AKI/CKD)→ (high) CKD; (low) poor absorption, r/t hypokalemia
CMP (complete metabolic panel)- what electrolytes are included in a CMP? (answer: calcium,
sodium, potassium, bicarbonate, chloride)
Alanine transaminase (ALT) and Aspartate aminotransferase (AST) (liver enzymes)→ (high)
hepatitis, chronic alcohol use; (low) CKD
WBC→ (high) infection; (low) immunocompromised
BUN→ (high) kidney dysfunction, dehydration, corticosteroids, catabolism from infection,
fever, severe injury, GI bleed; (low) liver damage, very low protein diet
Hemoglobin→ (high) inc need of O2 carrying capacity→ COPD, HF; (low) hemorrhage
Hematocrit→ (high) dehydration; (low) hemorrhage
Platelets→ (high) platelet disorder; (low) hemorrhage
Creatinine→ (high) kidney dysfunction; (low) liver disease
Sodium→ (high) dehydration ; (low) fluid overload
Potassium→ (high) CKD/AKI, furosemide ; (low) potassium sparing diuretics, r/t
hypomagnesemia
Lactate→ (high) infection, kidney and liver disease; (low) N/A
Blood Glucose→ (high) uncontrolled diabetes; (low) hypoglycemia
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Potassium Chloride - CORRECT ANSWER - Indications→ potassium replacement
Side effects→ dysrhythmias
,Considerations→ not IVP, monitor K+ levels
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Erythropoietein - CORRECT ANSWER - Indications→ CKD
Side effects→ HTN, thrombosis at fistulas
Considerations→ monitor BP
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Renvela (Sevelamer) - CORRECT ANSWER - Indications→ phos binder for CKD
Side effects→ hypophosphatemia (long-term)
Considerations→ monitor bicarb and chloride levels
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Baclofen - CORRECT ANSWER - Indications→ muscle spasms
Side effects→ muscle relaxation, toxicity, drowsiness, sedation, diaphoresis
Considerations→PO, for larger does (severe spasm) needs a pumps (intrathecal catheter)
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Botulinum toxin A - CORRECT ANSWER - Indications→ muscle spasms, spastic CP
Side effects→ temporary weakness
Considerations→ inc need for botox over time, lasts 3-6 mo, peaks at 2 weeks
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Diazepam - CORRECT ANSWER - Indications→ seizures, anxiety
, Side effects→ CNS depression, drowsiness
Considerations→ monitor BP and RR, flumazenil reversal agent
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Furosemide - CORRECT ANSWER - Indications→ antihypertensive, edema, HF
Side effects→ voiding, hypokalemia
Considerations→ potassium supplements, monitor BP
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Insulin - CORRECT ANSWER - Indications→ hyperglycemia
Side effects→ hypoglycemia, hypokalemia
Considerations→ monitor potassium
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Dextrose - CORRECT ANSWER - Indications→ hypoglycemia, adjunct for DKA tx
Side effects→ raise blood glucose levels
Considerations→ monitor blood glucose
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
Acetaminophen - CORRECT ANSWER - Indications→ mild pain, fever
Side effects→ drowsiness
Considerations→ liver damage
The following medications could be tested on this exam. You should know the medication's
indications, side effects, and nursing considerations when administering these:
