Advanced Med-Surg Principles Jersey College Final Exam Questions and Answers
Ch 13: What are exchanged for potassium ions during
alkalosis or acidosis? - Correct Answers ✅- hydrogen ions
(ie: metabolic acidosis results in hyperkalemia as H ions are
shifted into the ell to raise the pH and potassium leaves the cell and enters the bloodstream)
Ch 13: What is necessary for neuromuscular and
cardiovascular function? - Correct Answers ✅- potassium
Ch 13: What helps to regulate muscle contraction and
relaxation? - Correct Answers ✅- calcium
Ch 13: What affects threshold potential? - Correct Answers
✅- calcium
Ch 13: What contributes to muscle weakness and come? -
Correct Answers ✅- hypercalcemia
Ch 13: What contributes to muscle irritability and tetany? -
Correct Answers ✅- hypocalcemia
Ch 13: What helps with carb and protein metabolism, and
affects neuromuscular function and produces vasodilation? - Correct Answers ✅- magnesium 1 / 4
Advanced Med-Surg Principles Jersey College Final Exam Questions and Answers
Ch 13: What lowers the resting membrane potential and
makes cells less irritable which could result in an ileus? - Correct Answers ✅- hypokalemia
Ch 13: What may cause diarrhea, irritability, muscle
weakness, and EKG changes (such as tall tented T waves, absent P waves, prolonged PR interval and QRS duration)? - Correct Answers ✅- hyperkalemia
Ch 13: What may cause muscle weakness, EKG changes
(inverted T waves and ST depression), a weak irregular pulse, paralytic ileus, tachydysrhythmias (premature ventricular contractions (PVCs) and ventricular tachycardia (VT)), constipation, and U waves? - Correct Answers ✅- hypokalemia
Ch 13: What do pts with hypernatremia present with? -
Correct Answers ✅- thirst
- dry muscous membranes
- lethargy
- restlessness
- tachycardia
- HTN 2 / 4
Advanced Med-Surg Principles Jersey College Final Exam Questions and Answers
Ch 13: What are S/S of hypocalcemia? - Correct Answers
✅- tetany (a classic sign)
- muscle twitching
- bronchospasms
- laryngeal spasms
- seizures
- hyperirritability
Ch 13: What is a classic sign of low mag (hypomagnesemia)?
- Correct Answers ✅- tetany
Ch 13: What are the clinical manifestations of hyponatremia?
- Correct Answers ✅- constant headaches
- seizures
- lethargy
- tachycardia
- decreased BP
- thready pulse
- hyperactive bowel sounds
- abdominal cramps
Ch 13: What slows the depolarization of the cell membrane? -
Correct Answers ✅- hyponatremia 3 / 4
Advanced Med-Surg Principles Jersey College Final Exam Questions and Answers
Ch 13: What shifts fluid from the extracellular to the
intracellular compartment? - Correct Answers ✅- hyponatremia
Ch 13: What is lossed from the GI (vomiting, diarrhea,
suctioning), renal (diuretics, adrenal insufficiency, kidney disease), and integumentary systems (ascites, burns, peripheral edema)? - Correct Answers ✅- sodium
Ch 13: What happens in hyponatremia? - Correct Answers
✅- there is a reduction in intravascular volume so BP decreases
Ch 13: What should you do in the setting of hyponatremia
with fluid overload? - Correct Answers ✅- restrict fluids
Ch 13: What do you monitor in the setting of hyponatremia? -
Correct Answers ✅- LOC
- vital signs
- I's & O's
- weight
Ch 13: What can sever hyponatremia result in? - Correct
Answers ✅- seizures
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