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NURS 5315 Final Exam Latest 2025/2026 COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH COMPLETE SOLUTION /GET IT 100% ACCURATE!(Graded A+) $10.49
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NURS 5315 Final Exam Latest 2025/2026 COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH COMPLETE SOLUTION /GET IT 100% ACCURATE!(Graded A+)

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NURS 5315 Final Exam Latest 2025/2026 COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH COMPLETE SOLUTION /GET IT 100% ACCURATE!(Graded A+) NURS 5315 Final Exam Latest 2025/2026 COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH COMPLETE SOLUTION /GET IT 100% ACCURATE!(Graded A+) NURS 5315 Final Exam L...

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  • January 18, 2025
  • 47
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Solutionsguide
NURS 5315 Final
Questions and Answers
Updated Latest (Verified Answers)




1. A patient in respiratory distress and is breathing 33 breaths per minute. W
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hich ABG value is consistent with the clinical scenario?
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PCO2 15 g




pH 7.30 g




pH 7.45 g




O2 sat 100%
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Answer A patient who is breathing 33 breaths per minute is hyperventilating and blowi
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ng off CO2; therefore the PCO2 level will be low. The patient will most likely experience a r
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espiratory alkalosis and the two pH values provided are not consistent with this diagnosi
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s.

2. A patient has a sodium level of 115 mEq/L and is disoriented and lethargic. Whi
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ch pathological process best explains this patient's symptoms?
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a. The action potential has become hyperpolarized.
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b. Water has shifted into the neurons and caused them to swell.
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,c. Water has shifted into the vascular space and dehydrated the neurons.
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d. The action potential has become hypopolarized.
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Answer b. The cause of neurologic symptoms associated with a sodium imbalance is dir
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ectly related to fluid shifting into or out of the neurons of the brain. With a serum sodiu
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m of 115 mEq/L, water shifts into the neurons and causes them to swell. Hypernatremi
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a causes water to shift out of the cell into the intravascular space and causes the neuron
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s to become dehydrated. An alteration in the action potential is not seen with sodium imb
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alances.

3. A patient experiencing dehydration should be monitored for which elec-
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g trolyte imbalance? g




a. Hyperkalemia

b. Hypocalcemia

c. Hypercalcemia

d. Hyponatermia

Answer a. Serum osmolality is increased during times of dehydration. An elevated seru
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m osmolality will pull potassium into the intravascular space from the intracellular spa
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ce and cause a rise in serum potassium.
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4. A married couple presents to your office for genetic counseling. The hus-
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g band has an autosomal recessive disease and his wife has a heterozygous genoty
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2g/g47

,pe for the disease.They ask you, What is the chance that our baby will have the dis
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ease? Which of the following answers is correct?
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25%

50%

75%

100%

Answer A chromosome is a package of material located inside the cell nucleus which is
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made of proteins and a single molecule of DNA. There are 23 pairs of chromosomes in e
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ach human cell for a total of 46 chromosomes. Chromosomes are separated into two ide
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ntical sets during mitosis or meiosis. This provides a set
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3g/g47

, of chromosomes to each daughter cell which results from cell division.This process is res
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ponsible for the transfer of genetic information to the daughter cells. The first 22 pairs o
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f chromosomes are known as autosomes.The 23rd pair of chromosomes is the pair whic
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h contains the genetic information for gender. This pair contains
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the genetic information which delineates between the male and female genders. Femal
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es have two X chromosomes (XX) and males have an XY chromosome pair. Autosomal ch
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romosomes are said to be autologous. This means they do not carry genetic information
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g pertaining to gender. Autosomal genetic diseases are carried on the first 22 pairs of chr
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omosomes. Sex-linked diseases are only carried on g g g g g g




the 23rd pair of chromosomes. The autosomal chromosomes are nearly identical to one
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g another and are considered homologous to one another. Each autosomal chromosome i
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n a pair carries identical genes.These two genes are known as alleles. The alleles occupy th
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e same site on each partner of the chromosome pair and code for the same genetic trait
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or physiologic function. Alleles can be dominant or recessive. One allele may be dominan
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t and the other recessive, or they both may be dominant or both recessive.The dominant a
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lleles' genetic code will always manifest in the individual's phenotype. The information i
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n the recessive allele is typically not expressed in the phenotype unless both alleles are
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recessive. For the purpose of clarity in use, the dominant gene is assigned a capital letter
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and the recessive gene is assigned a lower case letter. Any letter is okay to use but make
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4g/g47

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