WorksheetsCourse Recap Ptho May25
Total questions: 67
Worksheet time: 33mins
A 62 year old with heart failure has edema and crackles in his lungs. The nurse suspects he is in a hypervolemic state. What lab finding would the nurse expect?
Decreased BNP
Decreased Sodium
Increased K+
Elevated Troponin Levels
What are complications of immobility? (Select all that apply)
Urinary Tract Infections
Clot Formation
Atelectasis
Osteoarthritis
What is a cause of osteoarthritis?
Infection
Autoimmune disorder
Excessive wear and tear
Spinal cord injury
What occurs in prolonged stress?
Increased immunity
Decreased BP
Vasoconstriction
Vasocilation
What is a cause of edema?
Increased capillary osmotic pressure
Increased capillary permiability
Decreased capillary permeability
decreased capillary hydro-static pressure
Which cause of edema is seen in patients with cirrhosis?
Low pressure in the portal veins
Increased production of plasma proteins
Increased production of bilirubin
Decrease production of plasma proteins (albumin)
After gardening a patient presents to the ED with a rash on their right leg that is suspected to be from poison oak. What type of hypersensitivity are they experiencing?
Environment
Type 1
Type 4
Skin
Which disorders are X-linked (select all that apply)
Hemophilia A
Clubfoot
Type II Diabetes
Duchenne Muscular Dystrophy
Cleft Lip/palate
What are triggers for autonomic dysreflexia? (Select all that apply)
Full distended bladder
Tight clothing
Constipation
Pressure Ulcer
What is an early sign of increased ICP?
Bilateral dilated pupils
Decreasing level of consciousness
Constipation
Hypertension
A person is unable to absorb B-12 Causing the to have low HGB levels. The nurse would suspect? (select all that apply)
Low levels of intrinsic factor
Pernicious Anemia
Vitamin Deficient Anemia
Bleeding
What is an example of artificial active immunity?
Passing of Antibodies through colostrum
Transfer of Immunoglobulin administration
Antibodies in response to illness
Vaccination
Which is an example of how a client develops passive artificial immunity?
Vaccine
Gamma Globulins
Placenta
Exposure to chickenpox
Which is not a sign of systemic infection?
Fatigue
Fever
Exudate
Malaise
A client who is hyperventilating will be in?
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
which of the following best describes the pathophysilogy of asthma?
Bronchspasm, decreased mucous secretions, atelectasis
bronchospasm, airway swelling, pulmonary edema
airway swelling, dry mucosa, pulmonary edema
airway swelling, increase mucous secretions, bronchospasm
Which are characteristics of a malignant tumor? (Select all that apply)
grow slowly
undifferentiated
metastasize
encapsulated
When cells adapt to meet changes in the environment (Respiratory tract of smokers) they are going through?
Metaplasia
Dysplasia
Evolution
Myosis
Diabetes insipidus occurs because of?
decrease production of thyroid hormone
increase secretion of adrenocorticotropic hormone (ACTH)
decreased insulin secretion
decreased production of anti-diuretic hormone (ADH)
What is the pathophysiology of osteoporosis?
degenerative joint disease
pannus formation
tear in tendon
bone resorption exceeds bone formation
What cardiovascular change is not expected in diabetes insipidus?
distended jugular vein
weak thready pulse
hypotension
tachycardia
NG tube suctioning will result in?
respiratory acidosis
respiratory alkalosis
metabolic alkalosis
metabolic acidosis
Obstruction of urine outflow may cause post-renal acute kidney injury and what king of incontinence?
Overflow
Functional
Urge
Age related
What can cause hypernatremia? (Select all that apply)
inadequate fluid intake
loss of water
increased ADH seretion
too much sodium intake
Which cause of hyperkalemia if stated by the student is incorrect?
renal failure
crush injuries
potassium sparring diuretics
malabsorption
A hospitalized patient with a urinary catheter placed in the ED has burning, frequency, cloudiness, and foul odor with urination. The nurse should suspect? (select all that apply)
Trauma with insertion related to inadequate lubrication
UTI
Nosocomial infection
Severe dehyration
A nurse is teaching about chronic complications of diabetes. Which complications if stated by the client indicate successful education? (Select all that apply)
nephropathy
retinopathy
hypoglycemia
neuropathy
Hypomagnesia will result in which manifestations?
kidney stones
lethargy
spontaneous fractures
hyperflexia
A client with hypercalcemia may exhibit which manifestation?
kidney stones
hyperreflexes
diarrhea
chvosteks sign
Chronic pain is?
easy to treat
sudden and short term
slow prolonged
treated effectively
What is chronic Bronchitis
form of COPD, causes people to cough up mucus from the lungs
from of COPD, causes barrel chest
genetic disorder causing thick mucus
airless alveoli
Hemoglobin A1C tests for
hemoglobin levels
total iron level in the blood
average glucose over 3 months
daily blood glucose
What manifestation will be seen in liver cirrhosis patients due to increased amonia levels
ascites
encephalopaty
portal hypertension
peripheral edema
Which is not a manifestation of SIADH?
Hypertentsion
Hyponatremia
Concentrated urine and low urine output
Hypernatremia
What are characteristics of rheumatoid arthritis? (Select all that apply)
systematic manifestations such as fatigue, fever, and malaise
stiffness is worse in the morning and gets better throughout the day
pain is words with movement and relieved with rest
pannus formation- tissue secrets enzymes that damage cartilage
All are signs of diabetes except?
polyuria
poydipsia
weight gain
polyphagia
What is diabetes type I?
high blood sugar in the placenta
when your immune system destroys beta cells in your pancrease
your body produces insulin, but your cells resist most of it
low blood sugar
What are manifestations of Cushings Disease? (Select all that apply)
hypertension and hyperglycemia
moon face and buffalo hump
large arms and legs with small abdomen
abdominal striae
A blood transfusion reaction is what type of hypersensitivity?
I
II
III
IV
Which manifestation of hypoparathyroidism stated by the student requires further teaching?
Tetany
spontaneous fractures
paresthesia
trousseau sign
Which are manifestations of hypoglycemia? (Select all that apply)
anxiety
slurred speech
bradycardia
diaphoresis
PH- 7.5, CO2- 32, HCO3- 23
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
Respiratory alkalosis
Redness occurs due to increased capillary permeability?
TRUE
FALSE
What are the symptoms of hypothyroidism?
intolerance to cold
pallor
increase appetite with weight loss
constipation
Symptoms of diabetic ketoacidosis (DKA) are? (Select all that apply)
fruity breath
ketonuria
hyperglycemia
metabolic alkalosis
Which statement describes atelectasis?
bronchoconstriction and inflamed airways
exocrine gland disorder
collapse of the lung/alveoli
stiffened alveolar walls
Select all risks for cancer
Hypertension
Smoking
HIV
Imoblity
What is seen in the prodromal stage of infection?
no signs and symptoms
general vague symptoms
declining signs and symptoms
most sever signs and symptoms
What are modifiable CAD risk factors? (Select all that apply)
obesity
poor diet
sedentary lifestyle
family history
A green stick fracture is a bone broken in many places?
TRUE
FALSE
Which risk factor for osteomyelitis stated by the student requires further teaching?
open fracture
stage IV pressure ulcer
pin infection
closed fracture
What labs will indicate chronic renal failure?
increased creatinine and GFR, Decreased urea
increased creatinine, BUN, and GFR
Increased creatinine & BUN, Decreased GFR
Decreased creatinine, urea and GFR
Decreased creatinine, GFR, and increased urea
Which are manifestations of a urinary tract infection? (Select all that apply)
dysuria
oliguria
frequency
urgency
After spending a hot day in the sun with limited water the nurse would expect to find. (Select all that apply)
Dry Mucous Membranes
Hypovolemia
Polydipsia
Jugular Vein Distention
What is the most common cause of chronic bronchitis
alcohol
genetics
viral infection
cigarette smoking
which are general manifestations of anemia?
tachycardia
dyspnea
pallor
glossitis
What best describes the pathophysiology of an autoimmune disorder
Chronic inflammation disease
partial loss of the immune system
total loss of the immune system
body can not tell self from non-self antigens
Cardiac output is?
the amount of blood ejected by the heart in 1 minute
the amount of blood ejected by the heart with each beat
the amount of blood ejected by the heart with each contraction
the amount of blood ejected from the heart in one hour
The respiratory tract in smokers results in that kind of cellular adaptation
dysplasia
atrophy
hyperplasia
metaplasia
Ischemia is a lack of oxygen in the tissues?
TRUE
FALSE
Which of the following is not a manifestation of fluid deficit?
dry mucous membrane
poor skin turgor
hypertension
decreased urine output
PH: 7.30, CO2: 40, HCO3: 20
Metabolic Acidosis
Respiratory Alkalosis
Metabolic alkalosis
Respiratory Acidosis
Hypernatremia is seen in fluid deficit
TRUE
FALSE
What labs are drawn in suspected infection? (Select all that apply)
BUN
Cultures
ESR
CRP
A young child has been riding his bike and fell off. They are complaining of wrist pain. A fracture has been ruled out. What acronym would the nurse use to guide care?
RICE
START
ACID
TTMS
LMNOP
What is the pathohysiology of a myocardial infarction
blood clot in the pulmonary artery
plaque formation causing narrowing of the arterial lumen
complete occlusion of the coronary artey
inability of the heart to meet metabolic demands of the body
What manifestations are present in down syndrome
large protruding tongue
single palmer crease
short stature
developmental delays
