Exam (elaborations)
NURS 5315 Final Exam Questions and Answers
NURS 5315 Final Exam Questions and Answers
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NURS 5315 Final Exam Questions and
Answers
A iipatient iiin iirespiratory iidistress iiand iiis iibreathing ii33 iibreaths iiper iiminute. iiWhich
iiABG iivalue iiis iiconsistent iiwith iithe iiclinical iiscenario?
PCO2 ii15
pH ii7.30
pH ii7.45
O2 iisat ii100% ii- iiAnswers ii-A iipatient iiwho iiis iibreathing ii33 iibreaths iiper iiminute iiis
iihyperventilating iiand iiblowing iioff iiCO2; iitherefore iithe iiPCO2 iilevel iiwill iibe iilow. iiThe
iipatient iiwill iimost iilikely iiexperience iia iirespiratory iialkalosis iiand iithe iitwo iipH iivalues
iiprovided iiare iinot iiconsistent iiwith iithis iidiagnosis.
A iipatient iihas iia iisodium iilevel iiof ii115 iimEq/L iiand iiis iidisoriented iiand iilethargic.
iiWhich iipathological iiprocess iibest iiexplains iithis iipatient's iisymptoms?
a. iiThe iiaction iipotential iihas iibecome iihyperpolarized.
b. iiWater iihas iishifted iiinto iithe iineurons iiand iicaused iithem iito iiswell.
c. iiWater iihas iishifted iiinto iithe iivascular iispace iiand iidehydrated iithe iineurons.
d. iiThe iiaction iipotential iihas iibecome iihypopolarized. ii- iiAnswers ii-b. iiThe iicause iiof
iineurologic iisymptoms iiassociated iiwith iia iisodium iiimbalance iiis iidirectly iirelated iito
iifluid iishifting iiinto iior iiout iiof iithe iineurons iiof iithe iibrain. iiWith iia iiserum iisodium iiof ii115
iimEq/L, iiwater iishifts iiinto iithe iineurons iiand iicauses iithem iito iiswell. iiHypernatremia
iicauses iiwater iito iishift iiout iiof iithe iicell iiinto iithe iiintravascular iispace iiand iicauses iithe
iineurons iito iibecome iidehydrated. iiAn iialteration iiin iithe iiaction iipotential iiis iinot iiseen
iiwith iisodium iiimbalances.
A iipatient iiexperiencing iidehydration iishould iibe iimonitored iifor iiwhich iielectrolyte
iiimbalance?
a. iiHyperkalemia
b. iiHypocalcemia
c. iiHypercalcemia
d. iiHyponatermia ii- iiAnswers ii-a. iiSerum iiosmolality iiis iiincreased iiduring iitimes iiof
iidehydration. iiAn iielevated iiserum iiosmolality iiwill iipull iipotassium iiinto iithe
iiintravascular iispace iifrom iithe iiintracellular iispace iiand iicause iia iirise iiin iiserum
iipotassium.
A iimarried iicouple iipresents iito iiyour iioffice iifor iigenetic iicounseling. iiThe iihusband iihas
iian iiautosomal iirecessive iidisease iiand iihis iiwife iihas iia iiheterozygous iigenotype iifor
iithe iidisease. iiThey iiask iiyou, iiWhat iiis iithe iichance iithat iiour iibaby iiwill iihave iithe
iidisease? iiWhich iiof iithe iifollowing iianswers iiis iicorrect?
25%
, 50%
75%
100% ii- iiAnswers ii-A iichromosome iiis iia iipackage iiof iimaterial iilocated iiinside iithe iicell
iinucleus iiwhich iiis iimade iiof iiproteins iiand iia iisingle iimolecule iiof iiDNA. iiThere iiare ii23
iipairs iiof iichromosomes iiin iieach iihuman iicell iifor iia iitotal iiof ii46 iichromosomes.
iiChromosomes iiare iiseparated iiinto iitwo iiidentical iisets iiduring iimitosis iior iimeiosis. iiThis
iiprovides iia iiset iiof iichromosomes iito iieach iidaughter iicell iiwhich iiresults iifrom iicell
iidivision. iiThis iiprocess iiis iiresponsible iifor iithe iitransfer iiof iigenetic iiinformation iito iithe
iidaughter iicells. iiThe iifirst ii22 iipairs iiof iichromosomes iiare iiknown iias iiautosomes. iiThe
ii23rd iipair iiof iichromosomes iiis iithe iipair iiwhich iicontains iithe iigenetic iiinformation iifor
iigender. iiThis iipair iicontains iithe iigenetic iiinformation iiwhich iidelineates iibetween iithe
iimale iiand iifemale iigenders. iiFemales iihave iitwo iiX iichromosomes ii(XX) iiand iimales
iihave iian iiXY iichromosome iipair. iiAutosomal iichromosomes iiare iisaid iito iibe
iiautologous. iiThis iimeans iithey iido iinot iicarry iigenetic iiinformation iipertaining iito
iigender. iiAutosomal iigenetic iidiseases iiare iicarried iion iithe iifirst ii22 iipairs iiof
iichromosomes. iiSex-linked iidiseases iiare iionly iicarried iion iithe ii23rd iipair iiof
iichromosomes. iiThe iiautosomal iichromosomes iiare iinearly iiidentical iito iione iianother
iiand iiare iiconsidered iihomologous iito iione iianother. iiEach iiautosomal iichromosome iiin
iia iipair iicarries iiidentical iigenes. iiThese iitwo iigenes iiare iiknown iias iialleles. iiThe iialleles
iioccupy iithe iisame iisite iion iieach iipartner iiof iithe iichromosome iipair iiand iicode iifor iithe
iisame iigenetic iitrait iior iiphysiologic iifunction. iiAlleles iican iibe iidominant iior iirecessive.
iiOne iiallele iimay iibe iidominant iiand iithe iiother iirecessive, iior iithey iiboth iimay iibe
iidominant iior iiboth iirecessive. iiThe iidominant iialleles' iigenetic iicode iiwill iialways
iimanifest iiin iithe iiindividual's iiphenotype. iiThe iiinformation iiin iithe iirecessive iiallele iiis
iitypically iinot iiexpressed iiin iithe iiphenotype iiunless iiboth iialleles iiare iirecessive. iiFor iithe
iipurpose iiof iiclarity iiin iiuse, iithe iidominant iigene iiis iiassigned iia iicapital iiletter iiand iithe
iirecessive iigene iiis iia
A iichild iiis iidiagnosed iiwith iihemophilia. iiThis iiis iian iiexample iiof iiwhich iigenetic
iiconcept?
Phenotype
Genotype
Autosomal iitransmission iiof iithe iidisease
Transcription ii- iiAnswers ii-The iiexpression iiof iia iigenetic iidisease iiis iian iiexample iiof iia
iiphenotype. iiA iigenotype iiis iia iigene's iiprogramming. iiHemophilia iiis iitransmitted iion iithe
iix-chromosome iiand iiis iinot iitransmitted iivia iithe iiautosomes. iiThis iiis iinot iian iiexample
iiof iitranscription.
Dehydration iitriggers iiwhich iiphysiologic iiresponse?
Increased iisecretion iiof iirenin.
Increase iisecretion iiof iinatriuretic iipeptides.
Decreased iisecretion iiof iiantidiuretic iihormone.
Decreased iiserum iiosmolality. ii- iiAnswers ii-Dehydration iiwill iitrigger iithe iirelease iiof
iirenin iiwhen iirenal iiperfusion iiis iiimpaired. iiThe iiother iianswers iiare iiseen iiduring iitimes
iiof iifluid iivolume iioverload.