{"id":117644,"date":"2023-08-29T16:10:30","date_gmt":"2023-08-29T16:10:30","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117644"},"modified":"2023-08-29T16:10:32","modified_gmt":"2023-08-29T16:10:32","slug":"nurs-5315-tests-bundle-set","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/29\/nurs-5315-tests-bundle-set\/","title":{"rendered":"NURS 5315 Tests Bundle Set"},"content":{"rendered":"\n<p>Nurs 5315 UTA exam 1 questions with correct<br>answers<br>Atrophy &#8211; Answer E. Cells decrease in size<br>P. Still functional<br>Physiologic: thymus gland in early childhood<br>Pathological: disuse<br>Hypertrophy &#8211; Answer E. Increase in cell size<br>P. Increased workload<br>Physiologic: weightlifting<br>Pathologic: cardiomegaly from HTN<br>Hyperplasia &#8211; Answer E. Increase in cell number<br>P. Increased cellular division<br>Physiologic: liver regeneration<br>Pathologic: endometrial- usually r\/t hormones<br>Dysplasia &#8211; Answer E. Cells change in size, shape, organization<br>P. AKA atypical hyperplasia, a disorderly proliferation<br>Physiologic: N\/A<br>Pathologic: squamous dysplasia of cervix from HPV<br>Metaplasia &#8211; Answer E. one cell type replaced with another<br>P. reprogramming of stem cells, reversible<br>Physiologic: N\/A<\/p>\n\n\n\n<p>Pathologic: stratified squamous cells in bronchial lining r\/t cigarette smoke<br>Hypoxia injury &#8211; Answer E. inadequate oxygenation of tissues<br>P. decrease in mitochondrial function, decreased production of ATP increases<br>anaerobic metabolism. eventual cell death.<br>C.M. hypoxia, cyanosis, cognitive impairment, lethargy<br>Free radical and ROS &#8211; Answer E. normal byproduct of ATP production, will<br>overwhelm the mitochondria- exhaust intracellular antioxidants<br>P. lipid peroxidation, damage proteins, fragment DNA<br>C.M. development in Alzheimer&#8217;s, heart disease, Parkinson&#8217;s disease, Amyotrophic<br>Lateral Sclerosis<br>Ethanol &#8211; Answer E. mood altering drug, long term effects on liver and nutritional<br>status<br>P. metabolized by liver, generates free radicals<br>C.M. CNS depression, nutrient deficiencies-Mag, Vit B6, thiamine, PO4,<br>inflammation and fatty infiltration of liver, hepatomegaly, leads to liver failure<br>irreversible<br>Oncosis &#8211; Answer Na and H2O enter cell and cause swelling. Organ increases in<br>weight, becomes distended and pale. Associated with high fever, hypocalcemia,<br>certain infections<br>Fatty Infiltration &#8211; Answer intracellular accumulation of lipids in the liver<br>liver fails to metabolize lipids. usually from ETOH or high fat diet. can lead to<br>cirrhosis<\/p>\n\n\n\n<p>Nurs 5315: Adv Patho Exam 1 questions with<br>correct answers<br>Atrophy &#8211; Answer E. Cells decrease in size<br>P. Still functional; imbalance between protein synthesis and degradation.<br>Essentially there is an increase in the catabolism of intracellular organelles,<br>reducing structural components of cell<br>Physiologic: thymus gland in early childhood<br>Pathological: disuse (muscle atrophy d\/ decrease workload, pressure, use, blood<br>supply, nutrition, hormonal stimulation, or nervous stimulation)<br>Hyperplasia &#8211; Answer E: cells increase in number, mitosis (cell division) must<br>occur, size of cell does not change<br>Phys: increased rate of division, increase in tissue mass after damage or partial<br>resection; may be compensatory, hormonal, or pathologic<br>Patho: abnormal proliferation of normal cells usually caused by increased<br>hormonal stimulation (endometrial). increase of production of local growth factors<br>Ex: removal of part of the liver lead to hyperplasia of hepatocytes. uterine or<br>mammary gland enlargement during pregnancy<br>Dysplasia &#8211; Answer E. Not true adaptation; Cells abnormal change in size, shape,<br>organization (classified as mild, moderate, severe)<br>P. caused by cell injury\/irritation, characterized by disordered cell growth. aka<br>atypical hyperplasia or pre-cancer, a disorderly proliferation<br>Physiologic: N\/A<br>Pathologic: squamous dysplasia of cervix from HPV shows up on pap smear,<br>breast cancer development; pap smears often show dysplastic cells of the cervix<br>that must undergo laser\/surgical tx<\/p>\n\n\n\n<p>Metaplasia &#8211; Answer E: reversible change, one type of cell changes to another<br>type for survival<br>P: reversible; results from exposure of the cells to chronic stressors, injury, or<br>irritation; Cancer can arise from this area, stimulus induces a reprogramming of<br>stem cells under the influence of cytokines and growth factors<br>Ex: Patho: Columnar cells change to squamous cells in lungs of smoker or normal<br>ciliated epithelial cells of the bronchial linings are replaced by stratified squamous<br>epithelial cells.; Phys: Barrett Esophagus- normal squamous cells change to<br>columnar epithelial cells in response to reflux, aka intestinal metaplasia<br>Hypoxia injury &#8211; Answer E. inadequate oxygenation of tissues<br>P. decrease in mitochondrial function, decreased production of ATP increases<br>anaerobic metabolism. eventual cell death.<br>C.M. hypoxia, cyanosis, cognitive impairment, lethargy<br>Free radical and ROS &#8211; Answer E. normal byproduct of ATP production, will<br>overwhelm the mitochondria- exhaust intracellular antioxidants<br>P. lipid peroxidation, damage proteins, fragment DNA<br>C.M. development in Alzheimer&#8217;s, heart disease, Parkinson&#8217;s disease, Amyotrophic<br>Lateral Sclerosis<br>Ethanol &#8211; Answer E. mood altering drug, long term effects on liver and nutritional<br>status<br>P. metabolized by liver, generates free radicals<br>C.M. CNS depression, nutrient deficiencies-Mag, Vit B6, thiamine, PO4,<br>inflammation and fatty infiltration of liver, hepatomegaly, leads to liver failure<br>irreversible<\/p>\n\n\n\n<p>Oncosis &#8211; Answer Na and H2O enter cell and cause swelling. Organ increases in<br>weight, becomes distended and pale. Associated with high fever, hypocalcemia,<br>certain infections<br>Fatty Infiltration &#8211; Answer intracellular accumulation of lipids in the liver<br>liver fails to metabolize lipids. usually from ETOH or high fat diet. can lead to<br>cirrhosis<br>dystrophic calcification &#8211; Answer accumulation of Ca in dead or dying tissues<br>calcium salt clump and harden- interfere with cellular structure and function<br>r\/t pulmonary TB, atherosclerosis, injured heart valves, chronic pancreatitis<br>metastatic calcification &#8211; Answer accumulation of Ca in normal tissue<br>result of hypercalcemia r\/t hyperparathyroidism, hyperthyroidism, toxic levels of<br>Vit D. Can also r\/t hyperphosphatemia in renal failure<br>urate accumulation &#8211; Answer sodium urate crystals are deposited in tissues- group<br>of disorders collectively called gout- acute arthritis, chronic gouty arthritis, tophus,<br>nephritis<br>Coagulative Necrosis &#8211; Answer kidneys, heart, adrenals- secondary to hypoxia<br>Liquefactive Necrosis &#8211; Answer nerve cells- brain- accumulation of pus<br>Caseous Necrosis &#8211; Answer lung disease- usually TB- tissue looks like clumped<br>cheese<br>Fat Necrosis &#8211; Answer breast, pancreas, abdominal structures- creates soaps<\/p>\n\n\n\n<p>Gangrenous Necrosis &#8211; Answer Dry- dark shriveled skin<br>Wet- internal organs- can lead to death<br>Gas- from clostridium- antitoxins and hyperbaric therapy<br>Gout &#8211; Answer E. disturbances in serum urate levels. uncommon for &lt; 30 years<br>old.<br>P. uric acid is deposited in the tissues of kidney, heart, earlobes, and joints.<br>C.M. inflammation, painful joints. result of diuretic use or diet high in cream<br>sauces, red wine, or red meat<br>Rhabdomyolysis &#8211; Answer E. cell hypoxia caused by severe muscle trauma,<br>hyperthermia, crush injuries, or severe dehydration<br>P. hypoxia to cell causes failure of the Na-K pump, causing accumulation of<br>intracellular sodium, oncosis, and eventual cell death. Cell death releases enzymes<br>such as CK, uric acid, LDH, AST, etc.<br>C.M. Causes: trauma, hyperthermia, crush injuries, severe dehydration; s\/s: CK is<br>5x upper normal limit, muscle pain, weakness, dark, reddish-brown urine,<br>hypercalcemia, renal failure<br>Alpha Fetoprotein Origin &#8211; Answer Liver and germ cell tumors<br>Carcinoembryonic Antigen &#8211; Answer GI, pancreas, lung, breast tumors<br>Prostate Specific Antigen &#8211; Answer prostate tumors<br>Carcino- &#8211; Answer from epithelial tissue- renal cell carcinoma<\/p>\n\n\n\n<p>NURS 5315 UTA Exam 2 questions with<br>correct answers<br>HIV EIA (3rd generation immunoassay) &#8211; Answer can use urine, saliva, or serum<br>(most accurate), need to wait until 12 weeks post exposure to see antibodies, &gt;99%<br>accurate<br>4th generation immunoassay- &#8220;gold standard&#8221;<br>measures P24 antigen<br>can test 10 days post exposure<br>Mast cell &#8211; Answer Cellular bags of granules located in loose connective tisssue<br>close to blood vessels. Activation initiates inflammatory process.<br>Histamine &#8211; Answer Causes vasodilation, increases vascular permeability,<br>increases blood flow to the site of injury- causes erythema and swelling.<br>Cytokines &#8211; Answer Soluble factors that contribute to the regulation of innate or<br>adaptive resistance by affecting other neighboring cells. Can be pro-inflammatory<br>or anti-inflammatory. Can react quickly or be more delayed.<br>Leukotrines &#8211; Answer Released when mast cells degranulate, prolong the<br>inflammatory process. Cause vasodilation, attract neutrophils, monocytes, and<br>eosinophils.target of inhibition for singular.<br>Prostaglandins &#8211; Answer Released when mast cells degranulate, are produced by<br>the arachidonic pathway. Cause vasodilation, platelet aggregation at site of injury,<br>pain, and fever.<\/p>\n\n\n\n<p>Chemotactic factors &#8211; Answer Biochemical substance that attracts leukocyte to<br>the site of inflammation<br>Neutrophils &#8211; Answer Predominant leukocyte at work during the early stages of<br>acute inflammation<br>Monocytes &#8211; Answer Become macrophages when entering the tissue, responsible<br>for presenting antigens to the CD4 cell which triggers T-cell immunity and B-cell<br>immunity.<br>Releases additional cytokines IL1, IL6, TNF.<br>Cytokine IL1 function &#8211; Answer Causes fever, activates phagocytes &amp;<br>lymphocytes and also increases the release of IL6a<br>Cytokine IL6 function &#8211; Answer Stimulates production of acute phase reactants<br>and promotes growth and stimulation of RBCs<br>Cytokine TNF function &#8211; Answer Causes fever, increases synthesis of<br>proinflammatory proteins by liver, causes muscle wasting, induces thrombosis<br>Cytokine growth factor function &#8211; Answer Promotes production and maturation of<br>neutrophils<br>Complement &#8211; Answer Functions include bacterial lysis, vasodilation and<br>increased vascular permeability, triggers mast cell degranulation, chemotaxis, and<br>opsonization.<br>Kinin &#8211; Answer Converted to bradykinin which is responsible for pain and<br>chemotaxis, and it increases vascular permeability and vasodilation.<\/p>\n\n\n\n<p>Coagulation cascade &#8211; Answer Factor XII activates kinin. Function is to form<br>fibrin mesh to stop bleeding and trap micro organisms.<br>COX1 &#8211; Answer Prostaglandin of arachidonic pathway. Provides<br>gastroprotection, platelet aggregation, fluid\/electrolyte balance<br>COX2 &#8211; Answer Prostaglandin of arachidonic pathway. Responsible for pain,<br>fever, renal protection, tissue repair, reproduction development.<br>COX2 inhibitors- clinical implications &#8211; Answer Protect gastric mucosa- prevent<br>ulcers and bleeding. Removed from market r\/t cardiac events except for Celebrex.<br>Can impair renal function , monitor labs.<br>Arachidonic pathway purpose &#8211; Answer Synthesis of prostaglandins<br>Non-selective NSAIDS &#8211; Answer Inhibit COX1 and COX2, risk for gastric<br>ulceration, GI bleeds, edema, renal impairment<br>ASA &#8211; Answer Blocks COX1 and COX2, also inhibits Thromboxane A2 and<br>prostaglandins<br>Corticosteroids &#8211; Answer Inhibit phospholipase A2, preventing formation of<br>prostaglandins, thromboxane A2, prostacyclin, and leukotrines<br>Thromboxane &#8211; Answer Vasoconstriction, platelet aggregation<br>Prostacyclin &#8211; Answer Vasodilation, platelet aggregation (most effective one)<\/p>\n\n\n\n<p>UTA NURS 5315 Test 1 questions with correct<br>answers<br>byproduct of aerobic metabolism &#8211; Answer carbon dioxide (CO2)<br>what enzyme converts CO2 to Carbonic acid H2CO3 &#8211; Answer carbonic<br>anhydrase<br><strong><em>is a byproduct of anaerobic metabolism of glucose &#8211; Answer lactic<br>acid<br>end product of oxidation of sulfur containing amino acids &#8211; Answer sulfuric acid<br>end product of metabolism of phosphoproteins and ribonucleotides which are used<br>as an energy source &#8211; Answer phosphoric acid<br><strong><em>_<\/em><\/strong><\/em><\/strong> binds with 40% of calcium &#8211; Answer albumin<br>charge of albumin &#8211; Answer negative<br>what happens with albumin and calcium in acidotic states &#8211; Answer There is an<br>increased amount of H ions which causes albumin to bind to more H ions and less<br>calcium ions causing calcium ions to become displaced leading to a higher level of<br>free calcium<br>what happens with albumin and calcium in alkalotic states &#8211; Answer There is a<br>decreased amount of H ions causing a insufficient amount of H ions to bind with<br>albumin. This causes albumin to bind with more calcium (due to H depletion) and<br>causes a decreased amount of free calcium<\/p>\n\n\n\n<p>When the extracellular fluid volume is expanded it <strong><em><strong><em>_<\/em><\/strong><\/em><\/strong><em> the reabsorption<br>of HCO3 in the <strong><em><strong>_<\/strong><\/em><\/strong><\/em> <em>&#8211; Answer inhibits; proximal tubule<br>A deficit in ECF volume results in a <strong><em>___<\/em><\/strong><\/em> in the reabsorption of HCO3 &#8211;<br>Answer increase<br>What hormone does ECF volume deficit stimulate &#8211; Answer RAAS<br>How does RAAS affect bicarb &#8211; Answer Angiotension II stimulates the Na-H<br>exchanger in the proximal tubule &#8211;&gt; increases HCO3 reabsorption<br>Angiotension II stimulates the Na-H exchanger in the proximal tubule &#8211;&gt; increases<br>HCO3 reabsorption &#8211;&gt; what does this cause? &#8211; Answer metabolic alkalosis<br>(contraction alkalosis) secondary to volume depletion- can occur with use of<br>loop\/thiazide diuretics<br>Where does the renal excretion of hydrogen occur? &#8211; Answer distal tubule and<br>collecting ducts<br>What 2 active transport system are used to secrete H &#8211; Answer H-ATPase and HK-ATPase<br>How do the 2 transport systems move H to be excreted &#8211; Answer move H into the<br>lumen and move potassium from the lumen into the cells<br>once H is in the lumen what does it bind with? &#8211; Answer monohydrogen<br>phosphate (HPO4)<\/p>\n\n\n\n<p>what does mono hydrogen phosphate produce &#8211; Answer H2PO4 &#8211;> dihydrogen<br>phosphate<br>once H2P04 is created what can happen with it? &#8211; Answer it can be excreted<br>what happens to the cell cycle when cancer develops? &#8211; Answer cell life cycle is<br>unregulated and the cells grow and proliferate. cancer cellular division is<br>unregulated and malignant cells can invade local or distant tissues<br>Are cancer cells specialized? &#8211; Answer No, only normal cells are specialized<br>Are cancer tumors encapsulated? &#8211; Answer No, only benign tumors are<br>encapsulated.<br>-oma &#8211; Answer benign tumor<br>Loss of cellular differentiation &#8211; Answer anaplasia<br>tumors involving epithelial tissues &#8211; Answer -carcinoma<br>glandular epithelial tissue &#8211; Answer -adeno<br>preinvasive carcinoma &#8211; Answer carcinoma in situ<br>tumors of connective tissue &#8211; Answer -sarcoma<\/p>\n\n\n\n<p>UTA Nurs 5315 Mod 6 questions with correct<br>answers<br>Minute Ventilation is a <em>&#8211; Answer Measure of how effective<br>ventilation is<br>RR x volume of air per breath<br>Alveolar ventilation an only be assessed by measuring a <strong><em><strong>_<\/strong><\/em><\/strong><\/em><strong> &#8211; Answer<br>PaCO2<br>The<\/strong> and the <strong><em><strong><em>_<\/em><\/strong><\/em><\/strong> are located in the medulla and are<br>responsible for controlling breathing patterns &#8211; Answer Dorsal respiratory group<br>(DRG)<br>Ventral respiratory group (VRG)<br>Where are the peripheral chemoreceptors located that monitor ? &#8211; Answer aorta<br>and carotid arteries<br>pH and PaO2 levels<br>What is compliance used to describe? &#8211; Answer how easily the lungs and chest<br>wall can be stretched<br><strong>compliance means that the lungs and chest wall are difficult to inflate &#8211;<br>Answer decreased<br>Compliance <em>__<\/em><\/strong> with COPD &#8211; Answer increases<\/p>\n\n\n\n<p>What are 4 things in which you would see decreased compliance? &#8211; Answer &#8211;<br>acute respiratory distress syndrome<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>pneumonia<\/li>\n\n\n\n<li>pulmonary edema<\/li>\n\n\n\n<li>pulmonary fibrosis<br>In normal physiology, the airway resistance is normally very <strong><em>_ &#8211; Answer Low bronchoconstriction naturally <strong><em>___________<\/em><\/strong><\/em><\/strong> &#8211; Answer increases airway<br>resistance<br>caused by smooth muscles of PNS<br><strong><em>_ distribution of ventilation and perfusion is required for effective gas exchange &#8211; Answer Equal The bases of the lungs are better perfused when in the <strong>_________<\/strong><\/em><\/strong>. &#8211;<br>Answer upright position<br>Ventilation is greater than perfusion in the <strong><em>_ &#8211; Answer apices (very top) Perfusion is greater than ventilation in the _<\/em><\/strong> &#8211; Answer bases of the lungs<br>What is the ventilation perfusion ratio? &#8211; Answer the relationship between<br>ventilation and perfusion<br>-normal ratio is 0.8=amount by which perfusion exceeds ventilation<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p>NURS 5315 Advanced Pathophysiology questions<br>with correct answers<br>Ovarian cancer site of metastasis? &#8211; Answer Peritoneal surfaces, omentum (fold<br>of peritoneum connecting the stomach with other abdominal organs), <em>liver<\/em><br>The increased NADH\/NAD+ ratio in the liver from ethanol causes: &#8211; Answer 1.<br>Pyruvate &#8211;&gt; lactic acid, causing lactic acidosis<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Oxaloacetate &#8211;&gt; malate. This prevents gluconeogenesis and leads to<br>hypoglycemia<\/li>\n\n\n\n<li>Glyceraldehyde-3-phosphate &#8211;&gt; glycerol 3- phosphate and combines with fatty<br>acids to form triglycerides in the liver, known as hepatosteatosis<\/li>\n\n\n\n<li>Decreases citric acid cycle production of NADH and leads to using Acetyl-CoA<br>for ketogenesis and lipogenesis<br>What can Reactive Oxygen Species cause? &#8211; Answer Heart disease, Alzheimers,<br>Parkinsons, Amyotrophic Lateral Sclerosis (ALS), CV disease, HTN, HLD, DM,<br>ischemic heart disease, HF, OSA. Lipid perioxidation, damage proteins, fragment<br>DNA, less <em>protein synthesis<\/em>, chromatin destruction, damage mitochondria<br>What is the body&#8217;s defense against ROS? &#8211; Answer Antioxidants (Vitamin E,<br>Vitamin C, cysteine, glutathione, albumin, ceruloplasmin, transferrin)<br>How are free radicals produced? &#8211; Answer 1. Normal cellular respiration<\/li>\n\n\n\n<li>Absorption of extreme energy sources (radiation, UV light)<\/li>\n\n\n\n<li>Metabolism of exogenous chemicals, drugs, and pesticides<\/li>\n\n\n\n<li>Transition of metals<\/li>\n\n\n\n<li>Nitric oxide acting like a chemical mediator and a free radical<\/li>\n<\/ol>\n\n\n\n<p>action potential &#8211; Answer Process of conducting an impulse. Activates the neuron<br>&#8211;&gt; the neuron depolarizes &#8211;&gt; then repolarizes<br>Threshold potential &#8211; Answer Point at which depolarization must reach in order to<br>initiate an action potential<br>Hypokalemia and action potentials &#8211; Answer HYPERpolarized (more negative,<br>ex. -100). Less excitable. Decreased neuromuscular excitability: weakness, smooth<br>muscle atony, paresthesia, cardiac dysrhythmias<br>Hyperkalemia and action potentials &#8211; Answer HYPOpolarized (more positive, ex:<br>closer to 0). More excitable. Peaked T waves.<br>When resting membrane potential=threshold potential, it is BAD = cardiac<br>standstill, paresthesia, paralysis<br>Hypocalcemia and action potentials &#8211; Answer Increased permeability to Na+.<br>More excitable. Tetany, hyperreflexia, circumoral paresthesia, seizures,<br>dysrhythmias.<br>Hypercalcemia and action potentials &#8211; Answer Decreased permeability to Na+.<br>Less excitable. Weakness, hyporeflexia, fatigue, lethargy, confusion,<br>encephalopathy, depressed T waves<br>Atrophy &#8211; Answer Occurs as a result of decrease in work load, pressure, use,<br>blood supply, nutrition, hormonal stimulation, or nervous stimulation. Once the<br>cell has decreased in size, it has now compensated for decreased blood supply,<br>nerve supply, nutrient supply, hormonal supply, and has achieved new<br>homeostasis. Cells are alive but have diminished function and may lead to cellular<br>death.<\/p>\n\n\n\n<p>Atrophy examples &#8211; Answer Physiologic atrophy- shrinking of the thymus gland<br>during childhood.<br>Disuse atrophy- someone that ends up being paralyzed<br>Hypertrophy &#8211; Answer Increase in SIZE of cells, which will lead to increase in<br>size of organ. Caused by hormonal stimulation or increased functional demand.<br>Hypertrophy examples &#8211; Answer physiologic hypertrophy- skeletal hypertrophy<br>when a person does heavy work or weight lifting \/ when a kidney is surgically<br>removed, the other kidney increases in size<br>pathologic hypertrophy- cardiomegaly results from an increased workload in<br>hypertensive patients \/ <em>left ventricular hypertrophy<\/em><br>Hyperplasia &#8211; Answer Increase in NUMBER of cells. Results from increased rate<br>of mitosis. Can ONLY happen in cells that are capable of mitosis (cell division).<br>Hyperplasia examples &#8211; Answer 1. Thickening of skin because of hyperplasia of<br>epidermal cells.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Hormonal hyperplasia- occurs in estrogen dependent organs like uterus and<br>breast.<\/li>\n\n\n\n<li>Compensatory hyperplasia- liver regenerates, callus on skin<\/li>\n\n\n\n<li>Pathologic hyperplasia- estrogen is unopposed by progesterone and the<br>endometrial lining undergoes hyperplasia and increased risk for endometrial cancer<br>Dysplasia &#8211; Answer abnormal changes in the size, shape, and organization of<br>mature cells due to persistent, severe cell injury or irritation<br>Dysplasia examples &#8211; Answer Pre cancer pap smears often show dysplastic cells<br>of the cervix that must undergo treatment.<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p>NURS 5315 Final questions with correct answers<br>A patient in respiratory distress and is breathing 33 breaths per minute. Which<br>ABG value is consistent with the clinical scenario?<br>PCO2 15<br>pH 7.30<br>pH 7.45<br>O2 sat 100%<br>A patient who is breathing 33 breaths per minute is hyperventilating and blowing<br>off CO2; therefore the PCO2 level will be low. The patient will most likely<br>experience a respiratory alkalosis and the two pH values provided are not<br>consistent with this diagnosis.<br>A patient has a sodium level of 115 mEq\/L and is disoriented and lethargic. Which<br>pathological process best explains this patient&#8217;s symptoms?<br>a. The action potential has become hyperpolarized.<br>b. Water has shifted into the neurons and caused them to swell.<br>c. Water has shifted into the vascular space and dehydrated the neurons.<\/p>\n\n\n\n<p>d. The action potential has become hypopolarized.<br>b. The cause of neurologic symptoms associated with a sodium imbalance is<br>directly related to fluid shifting into or out of the neurons of the brain. With a<br>serum sodium of 115 mEq\/L, water shifts into the neurons and causes them to<br>swell. Hypernatremia causes water to shift out of the cell into the intravascular<br>space and causes the neurons to become dehydrated. An alteration in the action<br>potential is not seen with sodium imbalances.<br>A patient experiencing dehydration should be monitored for which electrolyte<br>imbalance?<br>a. Hyperkalemia<br>b. Hypocalcemia<br>c. Hypercalcemia<br>d. Hyponatermia<br>a. Serum osmolality is increased during times of dehydration. An elevated serum<br>osmolality will pull potassium into the intravascular space from the intracellular<br>space and cause a rise in serum potassium.<br>A married couple presents to your office for genetic counseling. The husband has<br>an autosomal recessive disease and his wife has a heterozygous genotype for the<\/p>\n\n\n\n<p>disease. They ask you, What is the chance that our baby will have the disease?<br>Which of the following answers is correct?<br>25%<br>50%<br>75%<br>100%<br>A chromosome is a package of material located inside the cell nucleus which is<br>made of proteins and a single molecule of DNA. There are 23 pairs of<br>chromosomes in each human cell for a total of 46 chromosomes. Chromosomes are<br>separated into two identical sets during mitosis or meiosis. This provides a set of<br>chromosomes to each daughter cell which results from cell division. This process<br>is responsible for the transfer of genetic information to the daughter cells. The first<br>22 pairs of chromosomes are known as autosomes. The 23rd pair of chromosomes<br>is the pair which contains the genetic information for gender. This pair contains the<br>genetic information which delineates between the male and female genders.<br>Females have two X chromosomes (XX) and males have an XY chromosome pair.<br>Autosomal chromosomes are said to be autologous. This means they do not carry<br>genetic information pertaining to gender. Autosomal genetic diseases are carried<br>on the first 22 pairs of chromosomes. Sex-linked diseases are only carried on the<br>23rd pair of chromosomes. The autosomal chromosomes are nearly identical to one<br>another and are considered homologous to one another. Each autosomal<br>chromosome in a pair carries identical genes. These two genes are known as<br>alleles. The alleles occupy the same site on each partner of the chromosome pair<br>and code for the same genetic trait or physiologic function. Alleles can be<br>dominant or recessive. One allele may be dominant and the other recessive, or they<br>both may be dominant or both recessive. The dominant alleles\u2019 genetic code will<br>always manifest in the individual\u2019s phenotype. The information in the recessive<\/p>\n\n\n\n<p>allele is typically not expressed in the phenotype unless both alleles are recessive.<br>For the purpose of clarity in use, the dominant gene is assigned a capital letter and<br>the recessive gene is assigned a lower case letter. Any letter is okay to use but<br>make sure you use the same letter for the genotype \u2013 for example, \u201cBb or aa.\u201d The<br>term homozygous refers to a pair of alleles which are either both dominant or<br>recessive. For example, \u201cBB or bb\u201d are said to be homozygous because the alleles<br>are either both dominant or recessive. An allele pair in which one is dominant and<br>one is recessive is said to be heterozygous. In autosomal recessive disorders both<br>alleles on the chromosome are affected by the genetic aberration. If only one<br>recessive gene is affected by the genetic aberration then the person is said to be a<br>carrier and will not have the phenotypic expression of the disease. The healthy,<br>recessive allele will compensate for the allele which is affected by the genetic<br>aberration. The carrier can pass the trait but does not have the genetic disease. In<br>an autosomal dominant disorder the dominant gene is the only gene that has to be<br>affected by the genetic aberration in order to have the phenotypic expression of the<br>disease. A healthy recessive allele cannot compensate for a diseased dominant<br>allele. In order to answer this question one must understand the above information<br>and draw a Punnett Square.<br>The husband has an autosomal recessive disease which means his genotype must<br>be aa. The wife has a heterozygous genotype for the disease which means her<br>genotype is Aa. The capital A reflects a healthy gene so she is merely a carrier and<br>does not express the disease phenotype. The father\u2019s genotype is written across the<br>top line and the mother\u2019s genotype is written in the boxes to the left. The four<br>boxes in the middle are the possible genotypes of their offspring. Each box<br>represents a 25% chance for the offspring to have that particular genotype. The<br>question asks you to determine the chances the offspring will have the autosomal<br>recessive disease or in other words, express the phenotype for the disease. The<br>genotype which will result in the disease is \u201caa.\u201d Therefore, there is a 50% chance<br>that their offspring will have the autosomal recessive disease.<\/p>\n\n\n\n<p>UTA Nurs 5315 Exam 2 questions with correct<br>answers<br>Name 5 types of immunity &#8211; Answer Natural Immunity, Acquired Immunity,<br>Passive acquired immunity, Humoral immunity, Cell-Mediated immunity<br>Macrocytic Anemias &#8211; Answer Pernicious anemia, Folate Deficiency Anemia,<br>Microcytic Anemias &#8211; Answer Iron Deficiency Anemia<br>Neonate Platelets &#8211; Answer Are equal to adult levels and remain so through<br>childhood<br>During childhood the functioning bone marrow is limited to the vertebrae, ribs,<br>sternum, pelvis, scapulae, skull and proximal ends of the femur and humerus. &#8211;<br>Answer A degree of hematopoiesis occurs in the liver and spleen in children.<br>Fetal hemoglobin has a greater affinity for oxygen than adult hemoglobin.<br>Hemolytic Disease of the Fetus and Newborn &#8211; Answer This is an anemia which<br>occurs in a newborn secondary to an immune destruction of the RBCs from the<br>mother&#8217;s antibodies<br>Sickle Cell Disease &#8211; Answer &#8211; presence of the abnormal hgb, Hgb S.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hemoglobin S is formed because of a genetic mutation which results in the<br>replacement of glutamate amino acid with a valine amino acid in the \u03b2-globin<br>hemoglobin chain.<\/li>\n\n\n\n<li>This is a genetic disorder which is autosomal recessive disorder<\/li>\n\n\n\n<li>increase risk of infections secondary to streptococcal infections.<\/li>\n<\/ul>\n\n\n\n<p>Disorders of the GI System NURS 5315 Test<br>4 questions with correct answers<br>Primary manifestations of SRMD &#8211; Answer GI bleeding<br>Cushing Ulcers &#8211; Answer Stress ulcers that occur as a result of TBI or brain<br>surgery<br>Upper GI bleed &#8211; Answer any source of bleeding which occurs in the esophagus,<br>stomach or the duodenum.<br>Upper GI bleed is characterized by\u2026 &#8211; Answer frank, bright red or &#8220;coffee<br>ground&#8221; emesis<br>Upper GI bleed causes &#8211; Answer bleeding varices (varicose veins) in the<br>esophagus or stomach<br>peptic ulcers<br>gastritis<br>Mallory-Weiss tear (tearing of the esophagus from the stomach)<br>Lower GI bleed is found in the \u2026 &#8211; Answer jejunum, ileum, colon, or rectum<br>Lower GI bleed causes &#8211; Answer inflammatory bowel disease, cancer, diverticula<br>or hemorrhoids<br>Type of bleed commonly associated with colon cancer &#8211; Answer occult GI bleed<\/p>\n\n\n\n<p>Blood loss of 1000ml or greater will cause\u2026 &#8211; Answer hypotension, tachycardia<br>and if severe enough may lead to hypovolemic shock<br>Indicator of an upper GI bleed &#8211; Answer Hematemesis<br>Hematemesis &#8211; Answer bright red, bloody emesis<br>Coffee ground emesis &#8211; Answer indicator of upper GI bleed but is not necessarily<br>emergent<br>Hematochezia &#8211; Answer presence of bright red blood in the stools<br>Presence of hematochezia &#8211; Answer suggests that the bleed is in the lower GI<br>tract, usually in the rectum, sigmoid colon or the descending colon<br>Diarrhea is characterized by\u2026 &#8211; Answer loose, watery stools<br>Acute diarrhea &#8211; Answer presence of 3 loose stools that develops within 24 hours<br>and lasts no longer than 14 days<br>persistent diarrhea &#8211; Answer Diarrhea which lasts 14-30 days<br>Chronic diarrhea &#8211; Answer present for longer than 30 days<br>Osmotic diarrhea &#8211; Answer caused by the presence of a nonabsorbable substance<br>in the intestines<\/p>\n\n\n\n<p>how the laxatives mag citrate, lactulose and MiraLAX work &#8211; Answer pulls water<br>by osmosis into the intestinal lumen and results in large volume diarrhea<br>causes of osmotic diarrhea &#8211; Answer tube feedings, dumping syndrome,<br>malabsorption, pancreatic enzyme deficiency, bile salt deficiency, small intestine<br>bacterial overgrowth, or celiac disease.<br>Secretory diarrhea &#8211; Answer large volume losses secondary to infectious causes<br>such as the rotavirus, bacterial enterotoxins, or C-diff<br>These infections trigger enteroendocrine cells to secrete 5HT and the activation of<br>afferent neurons that stimulate submucosal secretomotor neurons and alter sodium<br>chloride transport resulting in decreased water 2 absorption &#8211; Answer How does<br>Secretory diarrhea result in large volume losses secondary to infectious causes<br>Motility diarrhea &#8211; Answer AKA as short bowel syndrome and results from the<br>resection of the small intestine or a surgical bypass of the small intestine or a<br>portion of it, IBS, diabetic neuropathy, hyperthyroidism, and laxative abuse<br>Complications of diarrhea &#8211; Answer dehydration, electrolyte imbalances,<br>metabolic acidosis, weight loss, and malabsorption<br>Chronic diarrhea &#8211; Answer Fever, cramping and bloody stools; caused by<br>inflammatory bowel disease and dysentry<br>AST (aspartate aminotransferase) &#8211; Answer intracellular protein which regulates<br>metabolism. It is a marker of hepatic injury. When it is elevated it indicates that<br>there is hepatocellular injury occurring. It does not tell you what is causing the<br>injury, only that the injury is happening.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nurs 5315 UTA exam 1 questions with correctanswersAtrophy &#8211; Answer E. Cells decrease in sizeP. Still functionalPhysiologic: thymus gland in early childhoodPathological: disuseHypertrophy &#8211; Answer E. Increase in cell sizeP. Increased workloadPhysiologic: weightliftingPathologic: cardiomegaly from HTNHyperplasia &#8211; Answer E. Increase in cell numberP. Increased cellular divisionPhysiologic: liver regenerationPathologic: endometrial- usually r\/t hormonesDysplasia &#8211; Answer E. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117644","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117644","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117644"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117644\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117644"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117644"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117644"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}