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ANS-1 FINAL EXAM 370 QUESTIONS AND CORRECT ANSWERS 2024 LATEST UPDATE ALREADY GRADED A+
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ANS-1 FINAL EXAM 370 QUESTIONS AND CORRECT ANSWERS 2024 LATESTUPDATE ALREADY GRADED A+
In the RAAS, what substance is formed which causes vasoconstriction of the blood vessels?
A. Angiotensin converting enzyme
B. Renin
C. Aldosterone
D. Angiotenin II - answer-D
The RAAS system raises BP by 2 mechanisms. ID these mechanisms. SATA
A. Increased blood volume (aldosterone)
B. Decreased vascular resistance (renin)
C. Tachycardia (epinephrine)
D. Vasoconstriction (angiotensin II)
E. Hypovolemia (ADH) - answer-A, D
When you administer protein, such as albumin, intravenously, what effect does it have on fluid balance?
A. Draws water into the blood vessels, "water magnet"
B. Causes water to shift into the transcellular space
C. Lowers BP
D. Causes hypernatremia - answer-A
When the pituitary gland releases ADH, the nurse anticipates what effect on the body?
A. Results in hypovolemia
B. Results in renal retention of water
C. Raises serum sodium levels
D. Concentrate solutes in the serum - answer-B
Which electrolyte abnormality would prompt you to teach your patient to avoid salt substitutes?
A. Hypernatremia
,B. Hypomagnesemia
C. Hyperchloremia
D. Hyperkalemia - answer-D
Prior to administering IV potassium, the nurses priority is:
A. Orientation of the patient
B. Bowel sounds
C. Assessment of renal function
D. Assessment of pt balance - answer-C
You are caring for an elderly patient for whom you started an infusion of NS at 100mL/hr. An hour later
the patient calls for you, stating that she has suddenly become SOB. Upon auscultation, you hear
crackles. Her O2 saturation has dropped for 98% to 90% and she is tachypneic. What problem do you
suspect in this patient?
A. Hypovolemia
B. Hypercalcemia
C. Fluid volume excess
D. Noncompliance - answer-C
Your patients magnesium is elevated. What patient history would you suspect might have resulted in
this elevation?
A. AKI
B. Chronic anemia
C. Thrombocytopenia
D. HF - answer-A
Decreasing GFR leads to an increase in magnesium levels
You admitted a patient with esophageal cancer who has been unable to keep food down for a prolonged
time. You have orders to begin TPN. What electrolyte abnormality should you monitor for in your
patient once you begin TPN?
,A. Hyperkalemia
B. Hyperphosphatemia
C. Hypomagnesemia
D. Hypernatremia - answer-C
Your patient has hypocalcemia as a result of hypoparathyroidism. Expected clinical manifestations of
hypocalcemia include which of the following? SATA
A. Positive Chvostek's sign
B. Elevated BP
C. Bronchospasm
D. Larygneal spasm
E. EKG changes
F. Hyperphosphatemia
G. Tetany - answer-A, C, D, E, F, G
Your patient has had an excessive water gain and the serum sodium level has dropped to 130. Which of
the following neurological manifestations of this condition might you see? SATA A. Lethargy
B. Seizures
C. Increased serum osmolality
D. Muscle twitching
E. Increased sex drive - answer-A, B, D
Your patient has the following assessment findings: JVD, SOB, crackles.
What fluid imbalance do these findings suggest?
A. Hypervolemia
B. Transcellular overload
C. Cerebrospinal fluid overload
D. Dehydration - answer-A
, Which of the following are manifestations of hypovolemia? SATA
A. Bounding pulses
B. Decreased urine output
C. Decreased BP
D. Concentrated urine
E. Elevated serum osmolality
F. JVD
G. Drop in H+H - answer-B, C, D, E
Which of the following statements about osmolality is correct?
A. Osmolality is only measured in the urine
B. Osmolality is largely dependent on potassium concentration
C. Osmolality measures the solute concentration in blood and urine
D. Osmolality measures the difference in sodium and calcium concentrations - answer-C
Manifestations of third spacing would include which of the following? SATA
A. Decreased urine output
B. Decreased blood pressure
C. Edema
D. Bradycardia
E. Tachycardia - answer-B, C, E
The two primary body fluid compartments include which of the following? SATA
A. Intracellular
B. Transcellular
C. Interstitial
D. Extracellular
E. Intracorporeal - answer-A, D
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