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CMSRN Practice Test 1 Questions And Accurate Answers
EKG P wave represents - ANSWER Depolarization of the Atria / Atrial Depolarization Positive Trousseau's sign Example - ANSWER hand/finger spasms w/ sustained bloodpressure cuff inflation
Progesterone is secreted by - ANSWER Corpus Luteum What does a Positive Trousseau's Sign indicate - ANSWER Hypocalcemia Type of Malignancy of plasma cells that leads to bone marrow failure - ANSWER MultipleMyeloma
Clinical manifestations of Tension Pneumothorax - ANSWER Hypotenstion, TrachealShift, Distended Neck Veins
V-Tach requires what? - ANSWER Defibrillation What is a protein made by the liver that keeps fluid from leaking out of blood vessels & isused for transportation? - ANSWER Albumin
Sodium Channel Blocker used for prevention of seizure activity - ANSWER Phenytoin Phenytoin level - ANSWER 10-20 mcg/mL Acute Coronary Syndrome is mainly caused by what - ANSWER Thrombus formation innarrowed Coronary arteries
Testing for Urine Ketones is mainly utilized for - ANSWER Type 1 Diabetes Largest Internal Organ - ANSWER Liver Peak Time affect for Benadryl - ANSWER 1 - 4 hours Increased cardiac wall pressure and stretching releases what chemical - ANSWER BNP Type 2 Diabetes affects what % of the population - ANSWER 90% Immunoglobulin that crosses the placenta and if the primary Immunoglobulin for Humanblood - ANSWER IgG
Abnormal buzzing sound caused by narrowing or bulging vessels - ANSWER Bruit Antidiuretic hormone (ADH) is synthesized where? - ANSWER hypothalamus Serum Creatinine measures what? - ANSWER End product of muscle metabolism What to look for in HX of a patient with aortic valve Stenosis - ANSWER Rheumatic fever What is the major role of the kidneys - ANSWER maintain a stable internal environmentfor optimal cell and tissue metabolism
Most Common Respiratory complication cuased by smoking - ANSWER COPD What is the normal range of ICP? - ANSWER 0-
What disease is intermittent Claudication hall mark of? - ANSWER Peripheral VascularDisease
Somogyi phenomenon consists of - ANS a sudden drop in blood glucose, followed by arebound hyperglycemia due to the gradual excessive administration of insulin.
If one has Hyperparathyroidism, one is susceptible to what? - ANS Fractures Bronchitis is characterized by - ANSWER hypertrophy of the mucous glands lining thebronchi and the production of increased amounts of mucus (sometimes thick and difficult to expectorate) that tend to narrow the airway and trap air distal to the mucus Schilling's Test - ANSWER Absorption of B 12 (can be measured through urine) Neuro changes related to Hyperthyroidism - ANSWER - Tremor
- Excessive sweating- Hyperreflexia
- Heat Intolerance Cushing's Syndrome - ANSWER Excessive adrenocortical hormones (cortisol) Onset, peak, and lasting effects of Lispro (Humalog) - ANSWER Onset: < 15 Minutes Peaks: 30mins - 1.5 hoursLasts: 4-6 Hours
Inefective Endocarditis occurs when infective agents in the bloodstream are depositedwhere? - ANSWER Valve Leaflets
On the left side of the heart, what separates the ventricle and the atrium? - ANSWERMitral Valve
Quick relief/rescue medications for asthma include - ANSWER - Methylxanthines
- anticholinergic drugs- short-acting bronchodilators
Long-term control medications for asthma include: - ANSWER - Anti-inflammatoryagents
- Long-acting bronchodilators- Leukotriene modifiers
Spinal Stenosis - ANSWER Narrow the spinal canal Scoliosis - ANSWER Lateral curvature of the spine with vertebral rotation Spondylolithesis - ANSWER forward slippage of one vertebra over another Spondylolysis - ANSWER defect or break in the pars inerarticularis. Most often occurs atL4-L5 or L5-S
DKA is caused by? - ANSWER Metabolic changes that happen when glucose is not ableto enter the cells.
Angiogenesis - ANSWER New vessel growth Maceration - ANSWER softening of tissue by soaking
Wound healing phases - ANSWER Hemostasis Inflammatory (2-6) days Proliferation (granization or epithelization)Maturation
Skin tears: Cat 1 - ANSWER Skin tear w/o tissue loss 1 ) Linear - epidermis and dermis pulled apart
- Flap - Epidermis flap covers the dermis Skin Tears: Cat 2 - ANSWER Skin tears w/ partial tissue loss Skin Tears: Cat 3 - ANSWER Skin Tears w/ Complete Loss Drusen - ANSWER small clusters of yellow debris beneath the retina 2 Types of Age-Related Macular Degeneration - ANSWER Dry - atrophic andnonexudative Wet - Neurovascular & Exudative Risk Factors of Age-Related Macular Degeneration - ANSWER Smoking, increased age,ethnicity, genetic factors
- AMD is most common cause of visual loss in > 60 Sign of Dry Type Age-Macular Degeneration - ANSWER Drusen can be seen beneath theretina / Atrophy of the retinal pigmentation epithelium
Wet-Type Age-Macular Degeneration- Signs Sub-Retinal Fluid, Pigment Ring Hazy or blind spots in central vision,
Cataracts Caused by gradual degradation of the optical quality of the crystalline lens 2 major forms of glaucoma Open-Angle- progresses slowly Angle-Closure- occurs suddenly, 48 to 72 hour vision loss Most common cause of world blindness Open-Angle Glaucoma Common risk for cataracts? - ANSWER Prolonged use of anti-inflammatory Otitis Externa - ANSWER Inflammation of the external auditory canalStaph & Pseudo is the most common type of bacteria
Signs and Symptoms of Acute Otitis - ANSWER Ear Canal IflammationOtalgia Ear itching Tenderness of tragus/pinnadiffuse Erythema Edema of the Canal Otitis Media - ANSWER inflammation of the middle ear - Poor functioning EustachianTubes
ABX for ear infection - ANSWER Amoxicillin Otosclerosis - ANSWER Hardening of the ear - most common cause of progressiveconductive hearing loss
Beneficence - promote good Nonmaleficence JusticeFidelity - faithfulness in keeping a promise Veracity - truthful with patients3 phases of perioperative nursing - ANSWER 1. Preoperative
- Intraoperative
- PostoperativeMost common respiratory post-op complication - ANSWER atelectasis Dehiscence - ANSWER Edges of wounds fail to join Evisceration - ANSWER viscera protrudes through the incision 4 Types of Basal Cell Carcinoma - ANSWER nodular, superficial, morpheaform,pigmented
Invasive Tumor from Keratinizing cells, possible metastasis - ANSWER Squamous cellcarcinoma
basal cell carcinoma - ANSWER Most common and least severe type of skin cancer;often characterized by light or pearly nodules. Caucasians, metastasis is rare
What percentage of burns is only a Local response set off? - ANSWER < 20% of TBSA What % of burns sets off a Local and Systemic response - ANSWER Burns > 20% Rule of Nines - ANSWER Head and Neck - 9% Arms - 9% Each Anterior Trunk - 18%
Posterior Trunk - 18% Legs - 18% Perineum - 1 % Most Burn related deaths are caused by? - ANSWER Burn Shock s/s of burn shock - ANSWER Decreased Urine, Tachycardia, Hypotension, Tachypnea,Restlessness
what is the chief concern for Stage 2 of burns? - ANSWER Circulatory overload(Diuresis)
What is the chief concern for Stage 3 of burns? - ANSWER Infection Risk What is the Chief concern of Stage 1 of Burns? - ANSWER Fluid and ElectrolyteImbalance
Autograft - ANSWER Obtaining graft from own body Homograft - ANSWER skin graft from another person or a cadaver Xenograft - ANSWER a graft from another species (pig or fish) Isograft - ANSWER use of identical twin's tissue Burn that is superficial, partial thickness - ANSWER First-Degree burn Second-Degree Burn - ANSWER Deep, Partial Thickness
Papules - ANSWER Firm, Palpable, raised up to 0.6 CM diameter
