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NURS 8022 EXAM 3 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW!!|GUARANTEED PASS |LATEST UPDATE $20.49
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NURS 8022 EXAM 3 2024 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|GUARANTEED
PASS |LATEST UPDATE


A person has a lesion on the lower neuron that involves the sacral micturition center. Which condition is
the person experiencing?

Destrusor areflexia

Mechanisms that protect the urinary tract from infection include:
A. Monocytes in the urine.
B. Acidic urine
C. Decreased urine osmolality
D. Type I pili

B. Acidic urine

interstitial cystitis

Autoimmune reaction responsible for inflammatory response; mast cell activation, altered epithelial
permeability and increased sensory nerve sensitivity

AKI RIFLE

Risk
Injury
Failure
Loss
ESKD

Pre-renal

Inadequate perfusion:
-not enough blood at sufficient pressure to allow filtering

Intrarenal



1|Page

,Cellular damage/intrinsic:
-damage to the cells that makes filtering possible

Post-renal

Obstruction:
-urine unable to drain adequately

Individuals with chronic renal failure have: (pick 3)
A. Hypocalcemia
B. Macrocytic anemia
C. Decreased erythropoietin secretion
D. Metabolic acidosis

ACD

Hypoxic vasoconstriction

V/Q ratio is low
The pulmonary circulation auto-regulates. Blood vessels surrounding poorly ventilated alveoli constrict
so the blood flow goes to alveoli that are being ventilated.

Bronchoconstriction

V/Q ratio is high
Bronchi constrict to increase resistance and decrease ventilation to an ill perfused area.

Retaining too much carbon dioxide will cause a(n) _________ in respiratory rate/ventilatory rate

increase

Trasudative vs exudative vs empyema effusion

Transudative: watery and diffuses out of capillaries
Exudative: thicker and contains WBCs and plasma
Empyema: pus

Steps of atherosclerosis

Ulceration of vessel
Fatty streak
Fibrous plaque
Thrombosis
Thrombus to embolus

Pacemaker of the heart

SA node

A practitioner is looking at an ECG and is measuring the time interval from the onset of the atrial
electrical activity to the onset of ventricular electrical activity. What is the nurse measuring?
A. QRS complex

2|Page

,B. QT complex
C. PR interval
D. Width of the P wave

C. PR interval

Chronotropic

heart rate

Inotropic

force of contraction

Which finding will cause the resistance in blood vessels to be increase?
A. Short length of vessels
B. Increased radial lumen
C. Parallel vessel system
D. Increased blood viscosity

D. Increased blood viscosity

Clinical significance of preload

Represents fluid returning to the heart
Increase preload means increased myocardial oxygen consumption

Frank-Starling law of the heart

More stretch= increased force of contraction

Laplace's law

Smaller chambers and thicker walls= increased contraction force

What is happening physiologically when a heart rate is reduced?

Stimulation of the parasympathetic nervous system

Valvular stenosis

narrowing, stiffening, thickening, or blockage of one or more valves of the heart

Valvular regurgitation

One or more of the heart's valves does not close properly causing blood to leak in the wrong direction.
-leads to dilation and hypertrophy




3|Page

, Which of the following disorders can lead to a low V/Q mismatch?
A. Pulmonary edema
B. Pulmonary Embolism
C. Pulmonary Hypertension
D. Hypercapnia

A. Pulmonary edema

Nitric oxide, which is released by the glomerular endothelial cells, causes which physiological process to
occur?
A. Vasoconstriction
B. Vasodilation

B. Vasodilation

What would be a normal physiological response in regard to osmosis be in a patient with
hyperglycemia?

The patient's serum is hypertonic and the fluid will move out of the cell

How does the parasympathetic nervous system decrease heart rate?

Release of ACH from the parasympathetic system increases the permeability of K+ ions and leads to
hyperpolarization of the cell.

A patient is in renal failure. The patient reports a history of severe diarrhea for several days. They also
report they have not been able to eat or drink anything for the last 24 hours due to not feeling well. The
NP would suspect that this patient's renal failure is a (pre/intral/post renal) and is due to
(dehydration/ischemia/urinary obstruction).

Prerenal; dehydration

Which of the following cardiac alterations could lead to left sided hypertrophic cardiomyopathy?
A. Aortic stenosis
B. Pulmonary hypertension
C. Cardiac dilation
D. Amyloidosis

A. Aortic stenosis

Natriuretic peptides increase the _________ of sodium?

excretion

A patient presents with right sided heart failure, what is the most likely cause?

Left sided heart failure

If a patient's BP was 200/120 what would you expect to occur physiologically in the kidneys?


4|Page

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