Exam Review
- A client received midazolam 2 mg and morphine sulfate 4 mg for a liver biopsy. After the procedure, the nurse positions the client on the right side and monitors the vital signs. Which is the physiological reason for the nurse's intervention?A)Provide pressure over the biopsy site.B)Keep the client from aspirating.C)Lessen the amount of post procedure painD)Facilitate pulmonary expansion
- A male client with type 1 diabetes mellitus (DM) develops a gangrenous toe and is admitted for possible amputation. Which pathophysiological consequence of DM has contributed to this client's complication?A)Chronic kidney disease.B)Diabetic retinopathy.C)Peripheral neuropathy.D)Hypertension.
- An older male reports to the clinic nurse that he sometimes feels chest pressure and becomes breathless. He further describes an event where he had to sit for about one hour before he felt better. He is asymptomatic at rest, but is concerned that he has had a heart attack. This clinical picture is consistent with which cardiac ischemic event?A)Myocardial infarction.B)Unstable angina.C)Stable angina.D)Prinz metal angina.
- A postmenopausal client presenting to the clinic with describing abdominal pain and an episode of unexplained vaginal Nearing receives a Pap smear (Papanicolaou test). Which medical history information should the nurse expect places the client at most risk for developing cervical cancer,A)Herpes simplex virus.B)Vulvovaginitis.C)Human papillomavirus (HPV).D)Chronic yeast infections.
Exam Review
- Two days after admission for an exacerbation of chronic obstructive pulmonary disease (COPD), an older client's arterial blood gas (ABC) indicate an acid base imbalance. The client's laboratory results reveal a low hemoglobin level, an elevated creatinine clearance, and decreased urine specific gravity. Which is the most likely cause for the acid base imbalance?A)Myocardial infarction one year ago.B)Occasional use of antacids.C)Chronic renal insufficiency.D)Shortness of breath with exertion.
- A client is being treated for a gastric ulcer caused by Heliobacter pylori. The nurse should prepare the client for long term follow-up to which associated problem?A)Gastric carcinoma.B)Hypokalemia.C)Kidney stones.D)Celiac disease.
- The nurse is caring for a client with stage 4 chronic kidney disease. Which interpretation should the nurse make about the client's glomerular filtration rate (GFR)?A)Severely decreased GFR.B)Mildly decreased GFR.C)Kidney damage with increased GFR.D)Moderately decreased GFR.
- Which statement is true regarding myocardial functioning in the normal heart, based upon the Frank Starling law?A)An increase in afterload results in decreased systolic pressure, which creates a decreased cardiac output.B)A decrease in afterload causes the cardiac muscles to hypertrophy, resulting in increased diastolic volume.C)An increase in preload results in greater shortening of myocardial fibers, thereby increasing contractility.D)A decrease in preload results in increasing diastolic muscle fiber length, which impedes contractility.
Exam Review
- Which statement is true regarding myocardial functioning in the normal heart, based upon the Frank Starling law?A)An increase in afterload results in decreased systolic pressure, which creates a decreased cardiac output.B)A decrease in afterload causes the cardiac muscles to hypertrophy, resulting in increased diastolic volume.C)An increase in preload results in greater shortening of myocardial fibers, thereby increasing contractility.D)A decrease in preload results in increasing diastolic muscle fiber length, which impedes contractility.
- The nurse is caring for a young adult who reports uncontrolled acne vulgaris. Which pathological findings should the nurse observe on inspection of skin areas commonly affected in acne vulgaris?A)Small, skin-colored, pedunculated papules in areas of skin folds and on other areas as skin tagsB)Hyperpigmented areas that vary in form and color and are slightly elevated from the skin.C)Hyperactive sebaceous areas forming comedones, papules, pustules on the face, neck, and upper back.D)Sharply demarcated silvery scaling plaques with underlying redness on the elbows and knees.
- The nurse is caring for a client who experienced multiple invasive trauma from a motor vehicle collision and has developed systemic inflammatory response syndrome (SIRS). Which pathophysiological process is most likely associated with the development of SIRS in this client?A)Multiple organ dysfunction.B)Acute kidney injury.C)Intestinal obstruction.D)Sepsis.
- A client's ankle is edematous after an ankle sprain. Which physiological mechanism is responsible for the swelling?A)Histamine-mediated vascular permeability leading to fluid transudation.B)Bradykinin cascade resulting in the accumulation of substance P.C)Thromboxane A activation of chemical mediators.D)Neutrophil migration secondary to chemotaxis.
Exam Review
- The nurse is preparing a female client with Addison's disease for self-care afi.4 discharge. Which is the pathophysiological basis to support the need for the client to carry a cortisol kit at all times?A)The drug may be needed to treat a sudden systemic allergic reaction.B)Hypertensive crisis requires immediate treatment to prevent a stroke.C)Hyperglycemia may require cortisol to lower the blood glucose level.D)Stress increases the body's need for additional replacement hormone.
- After the nurse obtains a blood sample from a client's right radial arterial client reports a sudden onset of pain at the arterial line insertion site. The nurse recognizes which physiological effect may be inducing the sudden pain?A)Elevation in blood pressure.B)Vasospasm at insertion site.C)Clot in the arterial catheter.D)Air lock in the transducer.
- The nurse assesses the wound of a client who received sutures for a laceration of the hand two days ago. Which finding is a normal inflammatory response?A)Shivering.B)Purulent drainage.C)Temperature of 102° F (37.8° C).D)Redness and localized heat.
- The nurse is triaging a client with type 1 diabetes mellitus who presented to the emergency department with increased lethargy and Kussmaul respirations. A blood glucose test reveals a level of 525 mg/dL (28 mmol/L). Which laboratory results are consistent with diabetic ketoacidosis (DKA)? Reference Ranges Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] pH [7.35 to 7.45] HCO3- [21 to 28 mEq/L (21 to 28 mmol/L)]A)Arterial blood pH 7.5 and bicarbonate level 32 mEq/L (32 mmol/L).B)Arterial blood pH 7.42 and bicarbonate level 18 mEq/L (18 mmol/L).C)Arterial blood pH 7.25 and bicarbonate level 10 mEq/L (10 mmol/L).D)Arterial blood pH 7.38 and bicarbonate level 29 mEq/L (29 mmol/L).
Exam Review
- In caring for an infant after circumcision, the nurse observes continued bleeding from the site and suspects hemophilia. Which hematological components are insufficient causing bleeding if hemophilia is present?A)Deficiency of factors VIII or IX.B)Diminished amount of vitamin K.C)Decreased amount of platelets.D)Missing factors V and VII.
- The development of atherosclerosis is a process of sequential events. Arrange the pathophysiological events in order of occurrence. Place the first event on top, and the last on the bottom.A)Arterial endothelium injury causes Inflammation.B)Vessel narrowing results in ischemia.C)Foam cells release growth factors for smooth muscle cells.D)Macrophages consume low-density lipoprotein (LDL), creating foam cells.E)Smooth muscle grows over fatty streaks creating fibrous plaques.
- A male client with a massive pulmonary embolus is tachycardic, hypotensive, and has audible bilateral pulmonary crackles. His arterial blood gas (ABG) results are: pH 7.0: PaCO, 66 mm Fig; HCO3- 24 mEq/L (24 mmol/L); PaO, 60 mm Hg. Based on these findings, this client is at greatest risk for which pathophysiological condition? Reference Ranges: pH [7.35 to 7.45] PaCO, [35 to 45 mm Hg] HCO3- [21 to 28 mEq/L (21 to 28 mmol/L)] PaO, [80 to 100 mm Hg]A)Embolic migration.B)Massive atelectasisC)Respiratory failure.D)Pulmonary infarction.
- During an interview with a male client who has Parkinson's disease (PD), the nurse notices that he is drooling and mumbling. Which pathophysiological factor contributes to the client's inability to express himself?A)Damage to Broca's area in temporal lobe of brain.B)Degeneration of dopaminergic neurons of the basal ganglia.C)Brain atrophy with diffuse amyloid plaques disposition.D)Paralysis of the pharyngeal and epiglottal area.
Exam Review
- Following 2 motor vehicle collision, an adult client is brought to the emergency department with a blood pressure of 72/50 mm Hg and a blood volume loss of approximately 40%. The nurse should plan care for this client based on which expected response to hemorrhaging?A)Increased preload that results in generalized peripheral edema.B)The lowered blood pressure results in a reduction of the heart rate.C)Decreased preload that can lead to decreased cardiac output.D)Increased peripheral resistance resulting from poor renal perfusion.
- A client reports experiencing blurry central vision that has recently worsened. Which pathological process supports the client's subjective report?A)Blockage of retinal capillaries causing ischemic damage of the central macular area.B)Opaque spoke-like lines developing in the periphery of the lens to the center.C)Tears in the retina that detach from the lining of the posterior eyeball.D)An increase in intraocular pressure with loss of peripheral vision.
- How are Type IV hypersensitivity reactions different from all other types (I, II, or III) of hypersentivity reactions?A)The usual types of reactions are mediated by antibodies.B)B-lymphocytes produce the offending substances.C)They typically occur with the first exposure to an antigen.D)Delayed reactions are characterized by cytokine release.
- A large tree fell across the thighs of a man who works as a logger, producing a crushing injury. The muddy ground cushioned the impact and x-rays revealed no broken bones. His thighs are bruised and swollen with pedal pulses present, but the left is stronger than the right. It is most important for the nurse to include in this client's plan of care assessment for signs of which pathophysiological condition?A)Peripheral neuropathy.B)Osteomyelitis.C)Fat embolism.D)Compartment syndrome.