NUR 235 Exam 2 Review

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Questions and Answers

What effect does severe vomiting have on electrolyte levels in the body?

  • It does not affect electrolyte levels.
  • It can lead to hyperkalemia.
  • It can increase sodium levels.
  • It can result in hypokalemia. (correct)

Which condition is characterized by an excess of fluid in the body?

  • Hypovolemia
  • Hypervolemia (correct)
  • Edema
  • Dehydration

What is a potential consequence of maintaining a hormonal imbalance affecting calcium levels?

  • Hypocalcemia may result in prolonged muscle relaxation.
  • Hypocalcemia can lead to muscle contractions. (correct)
  • Hypercalcemia can cause arrhythmias. (correct)
  • Hypercalcemia can improve muscle function.

Which buffer system helps maintain physiological pH by utilizing bicarbonate?

<p>Bicarbonate buffer system (B)</p> Signup and view all the answers

What happens to cells when the pH of their environment deviates from the normal physiological range?

<p>Cellular functions can be compromised or halted. (A)</p> Signup and view all the answers

What should you do if you finish the test early?

<p>Quietly sit and occupy yourself or excuse yourself from the room. (B)</p> Signup and view all the answers

How many questions will the test include?

<p>40 questions (A)</p> Signup and view all the answers

What does the academic integrity policy prohibit?

<p>Discussing test questions with students who have not yet taken the test (B)</p> Signup and view all the answers

What is advised to avoid delays on test day?

<p>Ensuring that your software is updated (B)</p> Signup and view all the answers

What happens after everyone has completed the test?

<p>Testing analysis will be conducted and a breakdown of class performance will be provided. (D)</p> Signup and view all the answers

What is the potential consequence of impaired ventilation-perfusion matching?

<p>Hypoxemia (C)</p> Signup and view all the answers

Which condition is characterized by both impaired ventilation and diffusion?

<p>Cystic fibrosis (A)</p> Signup and view all the answers

Which of the following is an indicator of altered perfusion?

<p>Myocardial infarction (A)</p> Signup and view all the answers

What measurement is critical for assessing impaired ventilation and diffusion?

<p>Blood gas analysis (D)</p> Signup and view all the answers

In the context of respiratory conditions, what does COPD primarily include?

<p>Emphysema and chronic bronchitis (D)</p> Signup and view all the answers

Which factor is primarily responsible for neural control of heart and blood pressure?

<p>Electrical impulses (D)</p> Signup and view all the answers

What is a typical manifestation of impaired circulation?

<p>Cold extremities (B)</p> Signup and view all the answers

What is a recommended approach to studying effectively for exam content covered in class?

<p>Incorporate diverse study resources (C)</p> Signup and view all the answers

What is the recommended strategy for studying powerpoints effectively?

<p>Use readings and class discussions to supplement the slides. (C)</p> Signup and view all the answers

Why is it important to understand the WHY behind diseases and treatments?

<p>It prepares you for questions that require critical thinking. (A)</p> Signup and view all the answers

When preparing for exam questions, what type of thinking should students expect to use?

<p>Critical thinking to apply learned concepts to scenarios. (D)</p> Signup and view all the answers

What should students avoid when studying for the exam?

<p>Memorizing material without understanding the concepts. (B)</p> Signup and view all the answers

Which of the following is an example of a learning strategy that might NOT be effective for understanding material?

<p>Focusing solely on textbook content without class discussions. (C)</p> Signup and view all the answers

What is necessary for students to do before the exam in terms of their materials?

<p>Charge their computers and know where outlets are. (A)</p> Signup and view all the answers

What is one of the main focuses of class discussions that supports exam preparation?

<p>Exploring the pathophysiology of various diagnoses. (A)</p> Signup and view all the answers

What is the approach to take when faced with an exam question you find confusing?

<p>Break down the question to understand what it is really asking. (C)</p> Signup and view all the answers

Flashcards

Academic Integrity

Talking about exam questions with others, especially those who haven't taken the test, is a violation of academic integrity.

Purpose of the exam

The exam is designed to assess your understanding of the material, not to trick you. Don't stress too much about the questions, focus on understanding the content.

Starting the test

Everyone must complete the pre-test procedures before the test can officially begin. Be patient and understanding if there are delays.

Post-test behavior

Refrain from making noise or gathering in the hallway right after the test. Allow students still taking the test to focus.

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Test format

The test includes approximately 40 questions, and you'll have one hour to complete them.

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Ventilation

The process of moving air in and out of the lungs. It involves inspiration (breathing in) and expiration (breathing out).

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Diffusion

The movement of gases (like oxygen and carbon dioxide) across a membrane, from an area of high concentration to an area of low concentration. Essential for gas exchange in the lungs.

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Physiological pH

The normal pH range of blood is 7.35-7.45. Maintaining this pH is crucial for optimal cellular function and enzyme activity.

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Metabolic Acidosis

When the body's pH becomes too acidic (below 7.35). This can be caused by various factors like kidney failure or increased acid production.

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Homeostasis

The process of maintaining a stable internal environment in the body, including pH balance. This involves multiple systems like buffer systems, the respiratory system, and the kidneys.

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Pathophysiology

The study of the body's response to disease, including how the body functions abnormally.

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Tissue repair

The process by which the body repairs damaged tissues, involving inflammation, cell regeneration, and scar formation.

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Immune response

The body's natural defense system that identifies and eliminates harmful substances like bacteria, viruses, and toxins.

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Infection

The process by which microorganisms enter the body and cause infection.

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Inflammation

Inflammation is the body's response to injury or infection, characterized by redness, swelling, heat, and pain.

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Diagnosis example

A clinical scenario presenting symptoms related to a specific disease, often used to assess understanding of pathophysiology.

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Critical thinking in healthcare

Applying critical thinking to scenarios to analyze underlying concepts, using clinical knowledge to draw conclusions and make informed decisions.

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Conceptual Understanding

The ability to understand complex concepts beyond memorization, recognizing the underlying principles and applying them to different situations.

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Ventilation-Perfusion Mismatch

A condition where the amount of air reaching the alveoli does not match the amount of blood flowing through the capillaries, leading to inefficient gas exchange.

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Impaired Diffusion

A type of ventilation-perfusion mismatch where gas exchange is impaired due to thickened or damaged alveolar membranes, reducing oxygen and carbon dioxide transfer.

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Altered Cardiac Output

A condition where the heart is unable to pump blood effectively, leading to reduced blood flow throughout the body.

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Impaired Circulation

A state of inadequate tissue perfusion, resulting in insufficient oxygen and nutrient delivery to cells.

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Chronic Obstructive Pulmonary Disease (COPD)

A group of respiratory conditions characterized by airflow obstruction, chronic inflammation, and mucus hypersecretion, leading to impaired breathing and oxygen exchange.

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Chronic Bronchitis

A type of chronic bronchitis characterized by persistent inflammation and excess mucus production in the bronchi, leading to recurrent cough and airway obstruction.

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Emphysema

A type of COPD characterized by destruction of the alveolar walls, leading to air trapping and reduced gas exchange.

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Asthma

A chronic inflammatory disease of the airways characterized by recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, triggered by allergens, irritants, or other factors.

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Study Notes

Exam 2 Review - NUR 235 Fall 2024

  • Exam covers chapters 8, 9, 15, and 16 of the Applied Pathophysiology textbook (Nath, Fourth edition).

  • Chapter 8: Altered Fluid and Electrolyte Balance:

    • Understand expected (normal) electrolyte values (Figure 8.1).
    • Know electrolyte functions in the body and consequences of imbalances (Table 8.1).
    • Learn causes of imbalances (e.g., vomiting, diarrhea, diuretic use, renal failure).
    • Understand fluid movement in and out of cells, tissues, and circulation (vessels, nephrons).
    • Review fluid balance regulation.
    • Define and differentiate between isotonic, hypertonic, and hypotonic fluids.
    • Review conditions related to fluid imbalance (hypovolemia, hemorrhage, dehydration, water intoxication, hypervolemia, edema).
  • Chapter 9: Altered Acid-Base Balance:

    • Importance of maintaining physiologic pH and its impact on cells and tissues.
    • Understand the 3 buffer systems in the body and their function.
  • Chapter 15: Altered Ventilation and Diffusion:

    • Explain the mechanisms of ventilation and diffusion.
    • Discuss the consequences of impaired ventilation and diffusion processes (hypoxemia, hypoxia, hypercapnia).
    • Understand impairment in ventilation – perfusion and impaired diffusion.
    • Detail treatment options for impaired ventilation and diffusion.
  • Chapter 16: Altered Perfusion:

    • Understand the pathway from ventilation to perfusion.
    • Review the circulatory system's role in perfusion (pulmonary and systemic).
  • General Study Advice:

    • Utilize a variety of resources: textbook, notes, pre-lecture materials, Brightspace videos, and class discussions.
    • Supplement powerpoints with readings and class discussions.
    • Focus on foundational concepts: cellular response to stress, inflammation, tissue repair, immune responses, and infection.
    • Understand pathophysiology of diseases, not just memorizing facts. Understand why diseases occur, what the signs/symptoms represent and why we test or treat certain conditions.
    • Utilize real-world examples provided in the text and class to reinforce understanding.
    • Practice critical thinking skills related to patient scenarios.
    • Follow specified testing policies (ATI, Lockdown, academic integrity, etc.).
  • Exam specifics:

    • Exam format approximately 40 questions.
    • Time limit of 1 hour (unless accommodations).
    • Do not congregate in hallways after the exam.
    • Electronic devices (phones, watches) must be placed in front of the room.

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