DES MOINES AREA COMMUNITY COLLEGE

NURSING PROGRAM – CARROLL CAMPUS

ASDN 228 Adult Med Surg

 

TEST PLAN – EXAM #1

 

Test Date :  March 3, 2004

 

Multiple Choice – approximately 50 questions – Unit ! content

 

Distribution of questions:

            Diabetes – approximately 16

            Thyroid – approximately 10

            Cirrhosis/portal hypertension – 13

            Cancer of the GI system and accessory organs – 11

 

REVIEW MATERIAL

 

DIABETES:

            Health Promotion

                        Diet

                        Exercise

                        Maintenance of blood sugar levels

            S&S of Hypo and hyperglycemia

            Lab tests

Potential  systemic complications of diabetes

Diabetic ketoacidosis

            Signs and symptoms

            nursing care

Insulin

            Insulin peaks/actions  - review worksheet

            Significant drug interactions

Terminology

            DKA

            Dawn Phoenomenon

            Somogyi phenomena

Diabetic neuropathies

THYROID

            Causes of hypo and hyperthyroid conditions

Signs and symptoms of hypothyroid  and hyperthyroid

Grave’s Disease and Myxedema – causes, signs and symptoms. Priority complications

            Changes in lab values for hypo and hyperthyroid

            Priority nursing assessments

            Treatment  and nursing Care

            Home care and teaching

           

CIRRHOSIS/PORTAL HYPERTENSION

            Assessments

            Complication and systemic changes due to cirrhosis

            Cause of and treatment for

                        Ascites

                        Esophageal varices

                        hepatic encephalopathy

                        Bleeding disorders

            TPN

                        Reasons for administration

                        Nursing care

 

CANCER OF THE GI SYSTEM AND ACCESSORY ORGANS

            Health promotion and illness prevention

                        Diet

                        Risk factors

            Medications for GI system – handout and syllabus

            Diagnostic tests

            Treatment options

                        Nursing diagnosis

                        Nursing care