E1 Q1 Bank Flashcards
A patient has a body fluid of 300 mOsm/kg. This lab result is measuring:
A. Osmotic Pressure
B. Osmolality
C. Osmolarity
D. Oncotic pressure
B. Osmolality
Some cancer drugs work during the cell cycle phase where nuclear and cytoplasmic divisions occur. What is this cell cycle phase called?
A.M
B.G1
C. G2
D. S
D. S
What genetic disorder is the result of an individual possessing an XXY chromosome configuration?
Turner
Fragile X
Klinefelter
Down Syndrome
Klinefelter
A 20-year-old pregnant female gives birth to a stillborn child. Autopsy reveals that the fetus has 92 chromosomes. What term may be on the autopsy report to describe this condition?
Tetraploidy
Aneuploidy
Biploidy
Triploidy
A. Tetraploidy
Screening tools that are epigenetically based have shown promise in diagnosing what types of cancer? (Select all that apply)
Breast
Prostate
Bladder
Colon
Skin
A. Breast
B. Prostate
C. Bladder
D. Colon
Which embryonic stem cell characteristic is referred to as totipotent?
Ability to differentiate into any type of somatic cell
A 50-year-old female became infected with Clostridium bacteria and died a week later. Examination of her red blood cells revealed lysis of membranes. Which of the following was the most likely cause of her death?
Gas gangrene
Fat necrosis
Gangrenous necrosis
Wet gangrene
A. Gas Gangrene
An 86-year-old female patient has the wasting syndrome of aging, making her vulnerable to falls, functional decline, disease, and death. The nurse knows this patient is experiencing:
Frailty
Cellular aging
Somatic death
sarcopenia
A. Frailty
A 60-year-old male with a 30-year history of smoking is diagnosed with a hormone-secreting lung tumor. Further testing indicates the tumor secretes ADH. Which of the following assessment findings should the nurse expect? (Select all the apply)
Muscle twitching
Confusion
Weakness
Nausea
Weight loss
A. Muscle twitching
B. Confusion
C. Weakness
D. Nausea
When planning care for a dehydrated patient, the nurse remembers that the principle of water balance is closely related to the balance of:
Sodium
A medical student is discussing the movement of fluid across the arterial end of capillary membranes into the interstitial fluid surrounding the capillary. Which process of fluid movement is the medical student describing?
Hydrostatic pressure
Osmosis
Active transport
Diffusion
A. Hydrostatic Pressure
Which of the following can remove proteins attached to the cell’s bilayer by dissolving the layer itself?
Integral Membrane Proteins
A patient wants to know the risk factors for Down syndrome. What is the physician’s best response?
Pregnancy in women over age 35
Family history of Down syndrome
Fetal exposure to mutagens in the uterus
Increased paternal age
A. Pregnancy in women over age 35
An aide asks the nurse why people who have neurofibromatosis will show varying degrees of the disease. Which genetic principle should the nurse explain to the aide?
Expressivity
Recessiveness
Dominance
Penetrance
A. Expressivity
What comorbid condition does an individual diagnosed with Beckwith-Wiedeman syndrome have an increased risk of developing?
Cancer
Food allergies
Diabetes
Depression
A. Cancer
A 35-year-old female is diagnosed with multiple myeloma. Biopsy of the tumor reveals Russell bodies, and the laboratory testing reveals kidney dysfunction. Which substance should the nurse monitor as it is accumulating in the patient’s body?
Protein
Glycogen
Melanin
Pigment
A. Protein
A 50-year-old male sustained a closed head injury as a result of a motor vehicle accident. CT scan revealed a collection of blood between the inner surface of the dura mater and the surface of the brain. Which type of injury will the nurse be caring for?
Subdural hematoma
Abrasion
Epidural hematoma
contusion
A. Subdural Hematoma
An OT recalls that regulation of acid-balance through removal or retention of volatile acids is accomplished by the?
Lungs
A 25-year old male is diagnosed with a hormone-secreting tumor of the adrenal cortex. Which finding would the nurse expect to see in the lab results>
A. Decreased blood K+ levels
A faculty member asks a student to identify the appropriate term for the movement of a solute from an area of greater to lesser concentration. Which answer indicates the nursing student understood the teaching?
Diffusion
Osmosis
Hydrostatic pressure
Active transport
A. Diffusion
A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would reveal which of the following?
XY
XX
XYY
XXY
D. XXY
An OT recalls the basic components of DNA are:
Adenine, guanine, and purine
Pentose sugars and four phosphate bases
A phosphate molecule, deoxyribose, and four nitrogenous bases
codons , oxygen, and cytosine
C. A phosphate molecule, deoxyribose, and four nitrogenous bases
During which stage of human development does the role of epigenetics have the greatest impact on the development of epigenetic abnormalities?
Puberty
Infancy
In utero
Middle age
C. In utero
A 15-year-old female presents to the ER following a physical assault. She has internal damage to the neck with deep bruising. X-ray reveals fractures of the hyoid bone and tracheal and cricoid cartilage. Which of the following most likely caused her injuries?
Chemical asphyxiation
Ligature strangulation
Manual strangulation
Choking asphyxiation
C. Manual strangulation
A 30-year-old female presents with a gunshot wound to the head. The wound has seared edges and a deep penetration of smoke and gunpowder fragments. This wound would be documented as a(n):
Indeterminate range entrance
Exit
Contact range entrance
Intermediate range entrance
C. Contact range entrance
A 70-year-old male with chronic renal failure presents with edema. Which of the following is the most likely cause of this condition?
Increased capillary oncotic pressure
Increased capillary hydrostatic pressure
Decreased interstitial oncotic pressure
Increased interstitial hydrostatic pressure
B. Increased capillary hydrostatic pressure
A 10-year-old male is brought to the emergency room (ER) incoherent and semiconscious. CT scan reveals that he is suffering from cerebral edema. This type of edema is referred to as:
Pitting edema
Generalized edema
Localized edema
Lymphedema
C. Localized edema
A nurse is reviewing a report from a patient with metastatic cancer. What alternation in the extracellular matrix would support the diagnosis of metastatic cancer?
a). Increased collagen
b). Increased glycoproteins
c). Decreased elastin
d). Decreased fibronectin
D. Decreased fibronectin
Which of the following can bind to plasma membrane receptors?
a). Amphipathic lipids
b). Oxygen
c). Ligands
d). Ribosomes
C. Ligands
What is the result of homologous chromosomes failing to separate during meiosis?
a). Neurofibromatosis
b). Conjoined twins
c). Polyploidy
d). Nondisjunction
D. Nondisjunction
A patient demonstrates severe cognitive disability caused by a deletion of part of chromosome What genetic disorder will the nurse see documented in the chart?
a). Trisomy X
b). Prader-Willi Syndrome
c). Down Syndrome
d). Cri du chat syndrome
D. Cri du chat syndrome
5-Azacytidine has demonstrated promise in the treatment of which form of cancer?
a). Pancreatic
b). Gallbladder
c). Liver
d). Colon
A. Pancreatic
The early dilation (swelling) of the cell’s endoplasmic reticulum results in:
a). Failure of DNA
b). Reduced protein synthesis
c). Increased Na+ K+ pump function
d). Increased aerobic mechanisms
B. Reduced protein synthesis
When planning care for a cardiac patient, the nurse knows that in response to an increased workload, cardiac myocardial cells will experience hypertrophy which is an:
a). Decrease in number
b). Increase in excitability
c). Decrease in length
d). Increase in size
D. Increase in size
A patient has been searching on the Internet about natriuretic hormones. When the patient asks the nurse what these hormones do, how should the nurse respond? Natriuretic hormones affect the balance of:
a). Sodium
b). Magnesium
c). Calcium
d). Potassium
A. Sodium
How are potassium and sodium transported across plasma membranes?
By adenosine triphosphate enzyme (ATPase)
By coupled channels
By passive electrolyte channels
By diffusion
A. By adenosine triphosphate enzyme (ATPase)
The base components of DNA are:
X, XX, XY, and YY.
P, G, C, and T.
A, G, C, and T.
A, G, C, and U.
C. A, G, C, and T
Research has provided support for the theory that epigenetic modifications can result from deficient in utero nutrition causing which chronic disease? (Select all that apply)
Asthma
Crohn’s disease
Diabetes (Type II)
Obesity
Cardiovascular disease
C. Diabetes (Type II)
D. Obesity
E. Cardiovascular Disease
When a nurse observes muscle stiffening occurring within 6–14 hours after death, the nurse should document this finding as the presence of
rigor mortis.
livor mortis.
algor mortis.
gangrene.
A. Rigor mortis
A common pathway of irreversible cell injury involves increased intracellular:
sodium.
calcium.
potassium.
magnesium.
B. Calcium
A 5-year-old male presents to the ER with delirium and sunken eyes. After diagnosing him with severe dehydration, the primary care provider orders fluid replacement. The nurse administers a hypertonic intravenous solution. Which of the following would be expected?
Symptoms subside quickly
Intracellular dehydration
Increased ICF volume
Decreased ECF volume
B. Intracellular dehydration
For a patient with respiratory acidosis, chronic compensation by the body will include:
kidney excretion of HCO3.
prolonged exhalations to blow off CO2.
protein buffering.
kidney excretion of H+.
D. Kidney excretion of H+
A PA recalls that the basic types of tissues are: (Select all that apply.)
Nerve
Mucosal
Muscle
D. Skeletal
E. Connective
F. Epithelial
A. Nerve
C. Muscle
E. Connective
F. Epithelial
What is the most common cause of Down Syndrome
Maternal translocations
Paternal translocations
Maternal nondisjunction
Paternal nondisjunction
C. Maternal nondisjuction