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NURS 5315 Final Exam – Questions & Complete Solutions

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NURS 5315 Final Exam – Questions & Complete Solutions

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A patient in respiratory A patient who is breathing 33 breaths per minute is
distress and is breathing hyperventilating and blowing off CO2; therefore the
33 breaths per minute. PCO2 level will be low. The patient will most likely
Which ABG value is experience a respiratory alkalosis and the two pH
consistent with the values provided are not consistent with this
clinical scenario? diagnosis.
PCO2 15
pH 7.30
pH 7.45
O2 sat 100%

A patient has a sodium b. The cause of neurologic symptoms associated
level of 115 mEq/L and is with a sodium imbalance is directly related to fluid
disoriented and lethargic. shifting into or out of the neurons of the brain. With
Which pathological a serum sodium of 115 mEq/L, water shifts into the
process best explains this neurons and causes them to swell. Hypernatremia
patient's symptoms? causes water to shift out of the cell into the
a. The action potential intravascular space and causes the neurons to
has become become dehydrated. An alteration in the action
hyperpolarized. potential is not seen with sodium imbalances.
b. Water has shifted into
the neurons and caused
them to swell.
c. Water has shifted into
the vascular space and
dehydrated the neurons.
d. The action potential
has become
hypopolarized.

,A patient experiencing a. Serum osmolality is increased during times of
dehydration should be dehydration. An elevated serum osmolality will pull
monitored for which potassium into the intravascular space from the
electrolyte imbalance? intracellular space and cause a rise in serum
a. Hyperkalemia potassium.
b. Hypocalcemia
c. Hypercalcemia
d. Hyponatermia

, A chromosome is a package of material located
inside the cell nucleus which is made of proteins
and a single molecule of DNA. There are 23 pairs of
chromosomes in each human cell for a total of 46
chromosomes. Chromosomes are separated into
two identical sets during mitosis or meiosis. This
provides a set of chromosomes to each daughter
cell which results from cell division. This process is
responsible for the transfer of genetic information to
the daughter cells. The first 22 pairs of
chromosomes are known as autosomes. The 23rd
A married couple
pair of chromosomes is the pair which contains the
presents to your office
genetic information for gender. This pair contains
for genetic counseling.
the genetic information which delineates between
The husband has an
the male and female genders. Females have two X
autosomal recessive
chromosomes (XX) and males have an XY
disease and his wife has a
chromosome pair. Autosomal chromosomes are said
heterozygous genotype
to be autologous. This means they do not carry
for the disease. They ask
genetic information pertaining to gender.
you, What is the chance
Autosomal genetic diseases are carried on the first
that our baby will have
22 pairs of chromosomes. Sex-linked diseases are
the disease? Which of the
only carried on the 23rd pair of chromosomes. The
following answers is
autosomal chromosomes are nearly identical to one
correct?
another and are considered homologous to one
25%
another. Each autosomal chromosome in a pair
50%
carries identical genes. These two genes are known
75%
as alleles. The alleles occupy the same site on each
100%
partner of the chromosome pair and code for the
same genetic trait or physiologic function. Alleles
can be dominant or recessive. One allele may be
dominant and the other recessive, or they both may
be dominant or both recessive. The dominant alleles'
genetic code will always manifest in the individual's
phenotype. The information in the recessive allele is
typically not expressed in the phenotype unless
both alleles are recessive. For the purpose of clarity
in use, the dominant gene is assigned a capital letter
and the recessive gene is a

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