NUR 631 MIDTERM EXAM NEWEST 2024 ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

A student is preparing to irrigate a patient's wound and gathers supplies, including
hydrogen peroxide. What response by the healthcare professional is best? -
....ANSWER...Tell the student to get some normal saline instead.
A student asks why some vaccinations are given orally and some are given by
injection. What response by the professor is best? - ....ANSWER...Each route
stimulates a different lymphocyte-containing tissue, resulting in different types of
cellular and humoral immunity.
A patient is having an IgE-mediated hypersensitivity reaction. What action by the
healthcare professional is best? - ....ANSWER...Give the patient an antihistamine
A student asks about the mechanism that results in type II hypersensitivity reactions.
What description by the professor is best? - ....ANSWER...Antibodies bind to the
antigens on the cell surface
Which mother does the healthcare professional prepare to administer Rh immune
globulin (Rho-GAM) to? - ....ANSWER...Mother is Rh-negative and the fetus is Rhpositive
If you're assessing a kid & find cap refill 4 Seconds, what is your differential
diagnosis? - ....ANSWER...Shock
What is the main goal if treating a patient in shock? - ....ANSWER...Increase Supply,
Decrease Demand.
Increase supply of CO, O2, & Tissue Perfusion.
(Need a Better Supply Than Demand)
If you have a child that is a Burn patient, how do we know that they will have a higher
Morbidity and Mortality? - ....ANSWER...Less Body Surface Area Results in a Lack
of Glycogen Stores (less than adult has)
What are S/S of Shock in a Newborn? - ....ANSWER...Bradycardia
Hypoglycemia
Temperature Not Regulated
How do kids compensate for Cardiogenic Shock? List all - ....ANSWER...4 different
ways:
1. Adrenergic Response: Increases HR, Increases CO
2. Vasoconstriction: Increases BP
3. Spanchnic Arteries: Divert Blood away from extremities, give it to kidneys, heart, &
lungs
4. Renin Angiotensin Aldosterone System is stimulated
In a carcinoma, we see Abnormal Proliferation of which Tissue? -
....ANSWER...Epithelial Cells
What's it called when you can no longer show Differentiation at a cellular level? -
....ANSWER...Anaplasia
I have an H & H of 7.3 and 15. Give me some differential diagnosis: -
....ANSWER...chronic bleeding
malabsorption of iron
malnutrition
What are some ways you can avoid getting cancer> - ....ANSWER...Diet
Exercise
Avoid excessive Alcohol
Don't Smoke
Avoid Environmental Toxins
Avoid Occupational Hazards
What kind of CA do we see that is linked to a congenital malformation syndrome? -
....ANSWER...Wilm's Tumor
If you diagnose a child with AIDS,what are they at HIGH RISK for developing as
well? - ....ANSWER...Non-Hodgkins Lymphoma
Why do our Lymph Nodes Become Bigger & Tender when exposed to an Infection? -
....ANSWER...B Lymphocyte Proliferation
If we have never been exposed to an allergy, what cells go in and get rid of Tumor
for us? - ....ANSWER...Natural Killer Cells
Pt comes in with enlarged spleen & liver, bronze colored tan skin, & dysrhythmias on
monitor. What do you suspect? - ....ANSWER...Hemochromatosis
What is Polycythemia Vera? - ....ANSWER...Too many RBC's
Why will a patient with Polycythemia become Confused or Disoriented? -
....ANSWER...Increased Blood Viscosity (thickness)
You have 5 patients. Who are you worried @ developing DIC?
1. Heat Stroke
2. Severe Pancreatitis
3. Term Delivery
4. HELLP Syndrome
5. Snake Bite - ....ANSWER...Heat stroke, severe pancreatitis, HELLP Syndrome,
Snake Bite (All but Term Delivery)
What does the Collagen in the Clotting Process Do? - ....ANSWER...Activate
Platelets
How do you diagnose ALL (Acute Lymphocytic Leukemia) ? - ....ANSWER...30%
Lymphocytes in Blood or Bone Marrow
What virus is linked to Burkett's Lymphoma? - ....ANSWER...EBV (Epstein Barr?
What kind of Bleed do you suspect if pt has a + Keurnigs &
+ Bradinski's? - ...ANSWER...Subarachnoid
What Neurotransmitter do Schizophrenics Lack? - ...ANSWER...GABA
What Mood Disorder has DYSFN in Hypothalamic Pituitary Adrenal System? -
...ANSWER...Depression
What is the Somogyi effect? - ...ANSWER...Occurs in diabetics when blood glucose
levels drop too low in the middle of the night, the body tries to compensate by
rebounding into hyperglycemia despite not eating and having hypoglycemia
What does the Body use to Take something across A Cell Membrane? What does it
need to transport enzymes or electrons? - ...ANSWER...Proteases
What part of cell stops water soluble molecules from crossing over? -
...ANSWER...Phospholipid Bilayer (Not water permeable)
What does it mean when we talk about the Absolute Refractory Period in the Cardiac
Cycle? - ...ANSWER...Nothing can happen during the Absolute Refractory Period no
mater what stimulus is thrown at the heart.
Hypoglycemia, followed by rebound hyperglycemia, is observed in those with what? -
....ANSWER...Somogyi Effect
What organic compound facilitates transportation across cell membranes by acting
as receptors, transport channels for electrolytes, and enzymes to drive active
pumps? - ....ANSWER...Proteins
Which structure prevents water-soluble molecules from entering cells across the
plasma membrane? - ....ANSWER...Lipid bilayer
A student asks for an explanation of the absolute refractory period of the action
potential. What response by the professor is best? - ....ANSWER...No stimulus is
able to evoke another response at this time