NURS 4020 COMPLETE FINAL EXAM QUESTIONS
WITH 100% CORRECT ANSWERS
Hypocalcemia - CORRECT ANSWER-less than 8.5
causes: hypoparathyroidism, malabsorption, renal failure, pancreatitis
s/sx: tachy, hypotension, bone pain cramps, parasthesias, tetany, chvostek,
diarrhea, trousseau
tx: ca supplements, increased ca intake
Hypercalcemia - CORRECT ANSWER-greater than 10.5
causes: hyperparathyroidism, excessive ca supplementation, thiazide diuretic
s/sx: HTN, lethargy, polyuria, polydipsia, decreased DTR, constipation, confusion,
muscle weakness
Tx: dialysis, limit Ca intake, increase fiber
Hypomagnesemia - CORRECT ANSWER-less than 1.5
causes: prolonged gastric suctioning, uncontrolled DM
NURS 4020 Complete Final Exam questions with 100% correct answers
,S/Sx: weakness, dysrhythmias, HTN, increased DTR, respiratory depression,
tetany, trousseaus, chvostek, parasthesias
Tx: oral Mg, increase oral intake
hypermanesemia - CORRECT ANSWER-more than 2.5
causes: renal insufficiency, excess consumption or IV intake
s/sx: hypotension, bradycardia, CNS depression, coma, respiratory distress,
flushing, decreased DTR
Tx: dialysis, restrict Mg in diet, loop diuretics
Hypophosphatemia - CORRECT ANSWER-less than 2.5
reverse symptoms of calcium
s/sx: confusion, weakness, decreased DTRs
Hyperphosphatemia - CORRECT ANSWER-greater than 4.5
s/sx: tetany, chvostek, trousseau
Hypokalemia - CORRECT ANSWER-less that 3.5
NURS 4020 Complete Final Exam questions with 100% correct answers
,causes: potassium wasting diuretics, vomiting and diarrhea, strenous activity
s/sx: confusion, hypoactive bowel, lethargy, weakness, limp, polyuria,
constipation, cramps, bradycardia, hypotension, PVCs, dysrhythmias
tx: increase in diet, oral potassium, parenteral
NEVER IV BOLUS POTASSIUM
Hyperkalemia - CORRECT ANSWER-greater than 5
causes: excessive intake, potassium-sparing diuretics, kidney failure
s/sx: muscle twitching, bradycardia, hypotension, PVCs, dysrhythmias, irritability,
paresthesias, oliguria, diarrhea, fatigue, cramping,
tx: IV dextrose with regular insuling, lasix, calcium gluconate kayexalate
hypervolemia - CORRECT ANSWER-HTN
bounding pulse
JVD
oliguria
confusion
fatigue
NURS 4020 Complete Final Exam questions with 100% correct answers
, dyspnea
edema
hypovolemia - CORRECT ANSWER-hypotension
weak, rapid pulse
flattened neck veins
n/v
confusion
lethargy
HA
dizziness
muscle cramps/ weakness
twitching
Hyponatremia - CORRECT ANSWER-less than 135
causes: burns, high ADH, excessive dilution with IV fluids
s/sx: seizures, abdominal distress (n/v, cramping), hypotension, tachycardia,
hypothermia, confusion, weak, lethargy
tx: treat underlying cause, loop diuretics, NaCl
Hypernatremia - CORRECT ANSWER-greater than 145
NURS 4020 Complete Final Exam questions with 100% correct answers