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NUR 242 MED SURG EXAM 3 LATEST ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+||GALEN COLLEGE OF NURSING$16.99
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NURS 242 Exam 3
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1. When BJP is present in the urine, what does it indicate or monitor?: It detects
and monitors multiple myeloma.
2. What is the normal for Bence Jones Protein?: To find none in the urine
specimen.
3. What can cause false positives for BJP?: Penicillin, Aspirin, RA
4. Which markers are used to detect bladder cancer?: Bladder Tumor Antigen
Nuclear Matrix Protein 22
Survivin
5. What are the normals for the Bladder Cancer markers?: BTA: <14 units/mL
NMP22: <10 units/ mL
Surviving: not detectable
6. What are some causes of false positives in the Bladder Cancer Markers?: -
Renal Calculi
STIs
7. Nuclear scans are contraindicated in what patients?: Pregnant or lactating
patients.
8. CA 15-3 Normal: <31 units/mL
9. CA 27.29 Normal: <38 units/mL
10. What is the purpose of Cancer Markers CA 15-3 and CA 27.29?: They help
stage metastatic breast cancer and monitoring of the treatment.
11. CA 19-9 Normal: <37 units/mL
12. What is the purpose of Cancer Marker CA 19-9?: It is the tumor marker
for diagnosis, evaluation of pancreatic or hepatobiliary cancers. It also monitors
response to and surveillance of treatment.
13. CA 125 Normal: <35 units/mL
14. What is the purpose of Cancer Marker CA 125?: It is an indicator for ovarian
tumors.
15. What can cause some false + for CA 125?: Pregnancy
STIs
Menstrual Cycle
PID
16. CEA Normal: <5 ng/mL
17. BRCA 1 susceptibility: 55% Breast
39% Ovarian
18. BRCA 2 susceptibility: 65% Breast
17% Ovarian
19. Normal Population's Risk for Breast and Ovarian Cancers: 12% Breast
1.4% Ovarian
20. What is the purpose of Broca's area?: Voluntary speech/ language production
, NURS 242 Exam 3
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21. Damage to Broca's area results in...?: Broca's Aphasia- inability to speak or
understand language
22. What neurotransmitter is released by the frontal cortex to inhibit negative
actions?: GABA
23. What medication boosts GABA; best for anxiety, psychosis, or a seizure
disorder?: Benzodiazepines; Long Acting vs. Short Acting
24. Cranial Nerve I: Olfactory
25. Loss of smell; damage to CN I: anosmia
26. A patient presents with repetitive swallowing or chewing motions. You
know this to be called?: Automatisms
27. What is the purpose of Wernicke's Area: Reception of language; interpretation
of speech and sounds
28. Damage to Wernicke's area results in...?: Wernicke's aphasia- inability to
speak clearly "I'm going to kredistant to get a freebie- want one?"
29. Testing of recent memory tests function of which area of the brain?: The
Hippocampus
30. Testing of tactile sensations through writing numbers or letters in the pts
palm for interpretation.: Graphesthesia
31. Testing of tactile sensations through placing familiar objects within the pts
hands for interpretation.: Stereognosis
32. What are some personal/ social hx r/t neurological symptoms?: Environ-
ment/ Occupational Hazards
Hand, Eye, Foot dominance
Ability to care for oneself
Sleeping/ eating patterns
Use of drugs/ alcohol
Head injuries/trauma
Birth trauma
33. What are some family hx r/t neurological symptoms?: Hereditary disease
Medical/ metabolic disorder
Alcoholism
Intellectual disabilities
Epilepsy or seizure disorder/ headaches
Alzheimer disease/ dementia
Learning disorder- dyslexia, reading delay
34. What are some specific notes of hx for older adults in relation to neurolog-
ical disorders?: Increased stumbling/ falls
Decreased agility
Safety modification at home
, NURS 242 Exam 3
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Interfere with performance of ADLs
Sensory deficits (hearing, vision, smell)
Tremors
Fecal/ urinary incontinence
Transient neurologic deficits
35. What are some specific notes of hx for those with seizures?: Sequence of
events
Character of Symptoms
Aura
Level of Consciousness
Automatism
Muscle tone/rigidity
Postictal Behavior
Relationship of seizure to other events
Frequency of seizures
Medication
36. What are some specific notes of hx for pain r/t neurological disorders?: -
Onset
Location
Quality
Associated symptoms
Efforts to treat
Medications
37. What are some specific notes of hx for pts with paresthesia? What is
paresthesia?: An abnormal sensation w/o known or visible cause.
Onset, Location, Duration, Character
Past med Hx
Associated symptoms
Concurrent chronic illness (HIV, nutritional/ vit def.)
Medications
38. What are some specific notes of hx for pts with headaches?: Onset, Loca-
tion, Duration, Character
Associated symptoms
Visuals
Patterns
Treatment
Severity
Treatment
Food intolerance
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