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NUR 176 EXAM 3 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION HONDROS

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NUR 176 EXAM 3 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION HONDROS 1. What is renal failure? - ANSWER A condition that decreases the kidney's ability to function normally. 2. What are the two types of renal failure? - ANSWER Acute and Chronic. 3. What are the causes of Acute Kidney Injury (AKI)? - ANSWER Prerenal (decreased blood flow), Intrarenal (nephrotoxic medications, infections), and Postrenal (obstructions). 4. What is the goal of medical management for AKI? - ANSWER To prevent further damage to the kidney. 5. What supportive measures are included in AKI management? - ANSWER Fluid restrictions, diet restrictions, restore electrolyte balance, and possible dialysis. 6. What laboratory results indicate a decrease in renal function? - ANSWER Elevated serum creatinine level and elevated blood urea nitrogen (BUN) level. 7. What is Chronic Kidney Disease (CKD)? - ANSWER Progressive destruction of the nephrons of both kidneys, developing slowly and described in stages (1-5). 8. What are common causes of Chronic Kidney Disease? - ANSWER Hypertension, diabetes mellitus, chronic renal infections, and all causes of AKI. 9. What is the primary treatment for renal failure? - ANSWER Dialysis. 10. What are the goals of dialysis? - ANSWER Remove end products of protein metabolism, maintain safe serum electrolyte concentrations, correct acidosis, and remove excess fluids. 11. What is hemodialysis? - ANSWER A treatment for patients with acute or irreversible renal failure that requires access to the circulatory system to route blood through a dialyzer. 12. What are the advantages of hemodialysis? - ANSWER Useful in emergent situations and allows rapid removal of waste, electrolytes, and fluid. 13. What are the disadvantages of hemodialysis? - ANSWER Requires vascular access, uses anticoagulants, and has potential for complications like hemorrhage and anemia. 14. What is hemophilia? - ANSWER A genetic disease where a person lacks blood clotting factors, commonly factor VIII (Hemophilia A) or factor IX (Hemophilia B), and is usually carried on the X chromosome. 15. What are the diagnostic tests for hemophilia? - ANSWER Testing for factor VIII or IX deficiency, CBC (showing normal platelets), and PT/INR PTT. 16. What is peripheral artery disease (PAD)? - ANSWER A condition affecting 12% to 20% of Americans over 60, characterized by pathological changes in the arteries due to atherosclerotic plaque. 17. What are the clinical manifestations of PAD? - ANSWER Intermittent claudication, numbness or tingling in the toes, cool/cold affected extremities, muscle atrophy, and lack of hair growth in the extremity. 18. What are the risk factors for chronic venous insufficiency? - ANSWER History of deep vein thrombosis, pregnancy, prolonged sitting or standing, and obesity. 19. What are the symptoms of chronic venous insufficiency? - ANSWER Edema around the lower legs, pain and cramping, brownish skin discoloration, and stasis ulcers. 20. What is venous thrombosis? - ANSWER Thrombus formation in the presence of phlebitis, which can be superficial (SVT) or deep (DVT). 21. What is a pulmonary embolus? - ANSWER A complication of venous thrombosis that can also be caused by fat, air, tumors, bone marrow, amniotic fluid, or bacteria. 22. What are classic symptoms of a pulmonary embolus? - ANSWER Dyspnea, chest pain, hemoptysis, orthopnea, and cough. 23. What is the goal of treatment for venous thrombosis? - ANSWER To prevent thrombus extension and pulmonary emboli, typically using anticoagulant therapy. 24. What does decreased LOC indicate in relation to the brain? - ANSWER It suggests impaired perfusion to the brain. 25. The nurse is assisting in implementing care plan for a patient with dementia. Which interventions would you expect to see? (SATA) - ANSWER Keep a large clock and calendar in view, reduce distractions during meal times, reduce exposure to over-stimulating situations, and monitor weight regularly for changes. 26. Nurse is caring for a patient with type 1 diabetes. Which indicates need for further assessment? - ANSWER "My dad and his dad had pancreatic cancer" 27. Which of the following indicates that teaching on meningitis is understood? (SATA) - ANSWER It is important that we vaccinate our son at the proper times, meningitis is contagious if exposed to the bodily fluids from another infected child, and if our child contracts bacterial meningitis, he will need antibiotic treatment immediately. 28. The nurse is caring for a patient with alzheimer's who is stumbling in the hall frequently. The nurse will do which of the following to protect the client? (SATA) - ANSWER Offer social or physical activity to promote safety, encourage staff or family supervision for safety, and maintain a cal environment for the patient. 29. The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching should the LPN provide? (SATA) - ANSWER Effects of illness and stress on the glucose level, S&S of hypoglycemia, and effects of exercise on the glucose level 30. The nurse is caring for a patient with type II diabetes. What statement requires further teaching by the nurse? (SATA) - ANSWER "I am having difficulty with my wife in bed", "My wife and I love to walk barefoot in the sand", and "My heart Dr. put me on a new pill". 31. Your patient is experiencing a new onset myoclonic (muscle-jerking) seizures. The nurse knows which one of the following statements are true about the seizure characteristics? - ANSWER Sudden excessive jerking of the body or extremities. 32. Nurse is caring for a patient with diabetes who is concerned about developing long-term complications. Which interventions would the nurse assist the patient with for this? (SATA) - ANSWER Daily foot exams, annual renal function tests, and maintain LDL under 150mg/dL 33. The nurse is caring for a patient with type II Diabetes. Which statement would indicate a need for further assessment by the nurse? (SATA) - ANSWER I mix my glargine insulin with my Humalog, I am on prednisone for poison ivy, and I have dry skin on my heel that keeps cracking. 34. Patient in ER with symptoms of a stroke. The nurse knows prompt medication attention is needed within 3 hours to reduce permanent disability or death. Which interventions would nurse anticipate for patient? (SATA) - ANSWER Administering tissue plasminogen activator (TPA), CT scan or MRI to rule out hemorrhagic stroke, Neuro assessment using NIH stroke scale, and Review any history of bleeding disorders.

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NUR 176 EXAM 3 STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
HONDROS


1. What is renal failure? - ANSWER ✔ A condition that decreases the
kidney's ability to function normally.

2. What are the two types of renal failure? - ANSWER ✔ Acute and Chronic.

3. What are the causes of Acute Kidney Injury (AKI)? - ANSWER ✔
Prerenal (decreased blood flow), Intrarenal (nephrotoxic medications,
infections), and Postrenal (obstructions).

4. What is the goal of medical management for AKI? - ANSWER ✔ To
prevent further damage to the kidney.

5. What supportive measures are included in AKI management? - ANSWER
✔ Fluid restrictions, diet restrictions, restore electrolyte balance, and
possible dialysis.

6. What laboratory results indicate a decrease in renal function? - ANSWER
✔ Elevated serum creatinine level and elevated blood urea nitrogen (BUN)
level.

7. What is Chronic Kidney Disease (CKD)? - ANSWER ✔ Progressive
destruction of the nephrons of both kidneys, developing slowly and
described in stages (1-5).

,8. What are common causes of Chronic Kidney Disease? - ANSWER ✔
Hypertension, diabetes mellitus, chronic renal infections, and all causes of
AKI.

9. What is the primary treatment for renal failure? - ANSWER ✔ Dialysis.

10.What are the goals of dialysis? - ANSWER ✔ Remove end products of
protein metabolism, maintain safe serum electrolyte concentrations, correct
acidosis, and remove excess fluids.

11.What is hemodialysis? - ANSWER ✔ A treatment for patients with acute
or irreversible renal failure that requires access to the circulatory system to
route blood through a dialyzer.

12.What are the advantages of hemodialysis? - ANSWER ✔ Useful in
emergent situations and allows rapid removal of waste, electrolytes, and
fluid.

13.What are the disadvantages of hemodialysis? - ANSWER ✔ Requires
vascular access, uses anticoagulants, and has potential for complications like
hemorrhage and anemia.

14.What is hemophilia? - ANSWER ✔ A genetic disease where a person lacks
blood clotting factors, commonly factor VIII (Hemophilia A) or factor IX
(Hemophilia B), and is usually carried on the X chromosome.

15.What are the diagnostic tests for hemophilia? - ANSWER ✔ Testing for
factor VIII or IX deficiency, CBC (showing normal platelets), and PT/INR
PTT.

16.What is peripheral artery disease (PAD)? - ANSWER ✔ A condition
affecting 12% to 20% of Americans over 60, characterized by pathological
changes in the arteries due to atherosclerotic plaque.

17.What are the clinical manifestations of PAD? - ANSWER ✔ Intermittent
claudication, numbness or tingling in the toes, cool/cold affected extremities,
muscle atrophy, and lack of hair growth in the extremity.

,18.What are the risk factors for chronic venous insufficiency? - ANSWER ✔
History of deep vein thrombosis, pregnancy, prolonged sitting or standing,
and obesity.

19.What are the symptoms of chronic venous insufficiency? - ANSWER ✔
Edema around the lower legs, pain and cramping, brownish skin
discoloration, and stasis ulcers.

20.What is venous thrombosis? - ANSWER ✔ Thrombus formation in the
presence of phlebitis, which can be superficial (SVT) or deep (DVT).

21.What is a pulmonary embolus? - ANSWER ✔ A complication of venous
thrombosis that can also be caused by fat, air, tumors, bone marrow,
amniotic fluid, or bacteria.

22.What are classic symptoms of a pulmonary embolus? - ANSWER ✔
Dyspnea, chest pain, hemoptysis, orthopnea, and cough.

23.What is the goal of treatment for venous thrombosis? - ANSWER ✔ To
prevent thrombus extension and pulmonary emboli, typically using
anticoagulant therapy.

24.What does decreased LOC indicate in relation to the brain? - ANSWER ✔
It suggests impaired perfusion to the brain.

25.The nurse is assisting in implementing care plan for a patient with dementia.
Which interventions would you expect to see? (SATA) - ANSWER ✔
Keep a large clock and calendar in view, reduce distractions during meal
times, reduce exposure to over-stimulating situations, and monitor weight
regularly for changes.

26.Nurse is caring for a patient with type 1 diabetes. Which indicates need for
further assessment? - ANSWER ✔ "My dad and his dad had pancreatic
cancer"

27.Which of the following indicates that teaching on meningitis is understood?
(SATA) - ANSWER ✔ It is important that we vaccinate our son at the
proper times, meningitis is contagious if exposed to the bodily fluids from

, another infected child, and if our child contracts bacterial meningitis, he will
need antibiotic treatment immediately.

28.The nurse is caring for a patient with alzheimer's who is stumbling in the
hall frequently. The nurse will do which of the following to protect the
client? (SATA) - ANSWER ✔ Offer social or physical activity to promote
safety, encourage staff or family supervision for safety, and maintain a cal
environment for the patient.

29.The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching
should the LPN provide? (SATA) - ANSWER ✔ Effects of illness and
stress on the glucose level, S&S of hypoglycemia, and effects of exercise on
the glucose level

30.The nurse is caring for a patient with type II diabetes. What statement
requires further teaching by the nurse? (SATA) - ANSWER ✔ "I am
having difficulty with my wife in bed", "My wife and I love to walk barefoot
in the sand", and "My heart Dr. put me on a new pill".

31.Your patient is experiencing a new onset myoclonic (muscle-jerking)
seizures. The nurse knows which one of the following statements are true
about the seizure characteristics? - ANSWER ✔ Sudden excessive jerking
of the body or extremities.

32.Nurse is caring for a patient with diabetes who is concerned about
developing long-term complications. Which interventions would the nurse
assist the patient with for this? (SATA) - ANSWER ✔ Daily foot exams,
annual renal function tests, and maintain LDL under 150mg/dL

33.The nurse is caring for a patient with type II Diabetes. Which statement
would indicate a need for further assessment by the nurse? (SATA) -
ANSWER ✔ I mix my glargine insulin with my Humalog, I am on
prednisone for poison ivy, and I have dry skin on my heel that keeps
cracking.

34.Patient in ER with symptoms of a stroke. The nurse knows prompt
medication attention is needed within 3 hours to reduce permanent disability
or death. Which interventions would nurse anticipate for patient? (SATA) -
ANSWER ✔ Administering tissue plasminogen activator (TPA), CT scan

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