This BUNDLE comprises of three (3) sets of different Final Exam Review for NR325 / NR 325 Adult Health II – Chamberlain
NR-325 Adult Health II
Final Exam – NR325
Which are manifestations of increased ICP?
A. Projectile vomiting
B. Lethargy
C. Fixed & pinpoint pupils
D. Decreased LOC
Manifestations: Headache, confusion, restlessness,
lethargy->decreased level of consciousness, projectile vomiting, papilledema,
unilateral fixed & dilated pupil
A nurse is caring for a client s/p TURP. What should be included in the plan of care?
A. Increase rate of CBI if client reports pain because it is a clot
B. Check the catheter for kinks if no urine output
C. Monitor urine for bright red or burgundy urine
D. Slow rate of CBI if client reports pain
Urine should be pink, if no urine output-check catheter for kinks, clots in system,
slow rate if client c/o pain
Which are causes of prerenal AKI?
A. BPH
B. Hypotension
C. Nephrotoxins
D. Hemorrhage
Cause-decreased perfusion to the kidneys-shock, HF, hemorrhage, hypotension, MI
A nurse is caring for a client with cholecystitis. What manifestations should the
nurse expect to see?
A. Grey Turner’s sign
B. Dark stool
C. Murphy’s sign
D. Steatorrhea
C. Murphy’s sign
Steatorrhea-decrease fat in diet, clay-colored stool, Murphy’s sign
Decorticate posturing includes which below?
A. Legs are flexed
B. Flexion of the elbows & wrists
C. Extension of legs
D. Extension of the elbows & wrists
Flexed elbows & wrists-towards “Core”, extended legs
What is the priority for a client with BPH with urinary retention & worsening renal
function?
A. Insert urinary catheter
B. Obtain a PSA
C. Prepare client for a TURP
D. Perform a rectal exam
Patient has already been diagnosed with BPH-needs bladder emptying-urinary
catheter
A nurse is educating a client on the complications of HPV. Which statement by the
nurse is correct?
A. It causes genital warts
B. It causes endometriosis
C. You are at risk for cervical cancer
D. It causes infertility
HPV-can cause genital warts & increases risk for cervical cancer
When assessing the risk factors for STIs with a client. What assessment data is
most important to determine high risk?
A. Present STIs
B. Client practices abstinence
C. Past STIs
D. Client uses only oral contraceptives
Clients who have been exposed to STIs in the past or have present STIs are high
risk for future infections
NR-325 Adult Health II
Adult Health II Final Exam Review
Parkinson’s drug of choice:
Carbidopa Levodopa (Sinemet)
Who shouldn’t be taking carbidopa levodopa?
Glaucoma patients
Carbidopa Levodopa diet
High fiber & increased fluid intake
S/S of Parkinson’s:
- Pill-rolling tremor
- Shuffling gait
- Drooling
- Slow down
Alzheimer’s patients - Cognitive changes will be seen
- We want them to be maintaining a routine (do the same things at the same times
every day)
Moderate/middle stage of Alzheimer’s:
- Longest stage
- Can take years to worsen
- Difficulty recognizing/remembering family members, events, and history
- Difficulty finding commonly used items
Late stage of Alzheimer’s: - Difficulty talking and reading
- Communication ability will go down
- Will become total care
- Case management will be involved
Multiple Sclerosis - A debilitating disorder
- The myelin sheath begins deteriorating which causes nerve damage.
One of the definitive diagnosis of MS is:
Diffuse patchy areas of plaque in the white matter of the CNS
Complementary and alternative therapies - Music can distract patients and alleviate pain
- Can help express emotions
- Can help facilitate movement
- Can relax & calm
- Can lower basal metabolic rate
NR-325 Adult Health II
Adult Health II Final Exam Review
OSA 3S’s (s/s)
Sleepiness, snoring, significant other reports stopped breathing
Empyema
Fluid due to infection around the lung
S/S of empyema
Cyanosis, fever, tachycardia, cough, pleural pain
S/S of pneumothorax
Asymmetric movement, SOB, inc. RR, low pulse O2
Tension pneumothorax
Too much air (sucking chest wound)
COPD
Post infection, lung tissue turns into scar tissue
S/S of COPD
Coughing, SOB, wheezing, edema, excess mucus production
Medications for COPD
SABA, anticholinergics, corticosteroids, fluticasone (dries drainage)
Asthma
Narrowing of airway > impaired O2
S/S of asthma exacerbation
Airway constriction, SOB, difficulty breathing, mucus production
Treatment for asthma
SABA, anticholinergics, corticosteroids, fluticasone
S/S of TB
Night sweats, fever, bloody sputum
Treatment for TB
Antibiotics (9 months), breathing treatments
Pulmonary embolism (PE)
Starts as DVT > clot gets thrown into lungs > obstruction
S/S of PE
Pain on deep breath
Treatment for PE
Heparin drip, anticoag, O2
Diagnostics for PE
CT chest w/ contrast, positive d-dimer (+.50) and VQ scan
Atelectasis
Caused by lack of motion post surgically (partial collapse)
Diagnostics for pneumonia
Chest x-ray, sputum culture
Medications for pneumonia
Albuterol, mucolytic, antibiotics, antipyretic
S/S of COVID-19
Chills, body aches, SOB, cough, runny nose
Diagnostic for COVID-19
Ground glass opacity
Acute coronary syndrome (ACS)
Unstable angina, NSTEMI, STEMI (MI)
Coronary artery disease (CAD)
Characterized by atherosclerosis (plaque)
Stable angina
Stable plaque, vessel is unable to dilate
(Inadequate blood flow)
NR-325 Adult Health II
NR325 Final Exam Review
Cirrhosis of the liver and has a perception for bumetanide: What is a lunch item
that is contraindicated for this patient?
Low Sodium Diet,
Ham/Meat sandwich
Herpes simplex One: Which area is it in?
Oral/Mouth
Cirrhosis of the liver Diet/food administration interventions:
Low sodium diet,
Give them Lasix,
Measure abdominal girth
JP drain: How do you use the suction?
Squeeze the ball
What is PSA (prostate specific antigen) used for?
To indicate if someone has prostate cancer
Stoke that involves the left hemisphere effects the:
Speech
Dilantin: When is peak drawn?
4 hours after the drug is given
Intercranial Pressure (ICP): Norm
0-15 mmHg`
Intercranial Pressure 16-20 or going up: What should you do first?
Check ABC’S
Spinal cord injury of the T5: What is the complication
Autonomic dysreflexia
Patient with a stoke in evolution: what should the nurse do?
Call the doctor immediately
Patient with cholelithiasis: What is the lab value that needs to be checked?
Direct Bilirubin
Total number for direct bilirubin
2.1 Norm
Anything higher = The patient has cholelithiasis
Patient has cirrhosis of the liver: What do we expect for their PTT level?
Prolonged PTT
Cholecystitis: What food is high in fat?
Brownie with nuts