Questions3

Question 1

Which of the following are true regarding struvite stones?

Answer 1

1. They grow large branch stage like configurations
2. Struvite stones are closely associated with UTIs
3. More common in women than in men

Question 2

Most common type or renal calculi’s:

Answer 2

Calcium oxalate

Question 3

Which nursing intervention …

Answer 3

Strain all the urine

Question 4

A client is admitted to the hospital with dx of renal calculi, and experiencing severe flank pain. His temp is 99.4. Which of the following would be a priority outcome?

Answer 4

Alleviate the pain

Question 5

When speaking to a senior citizen about Osteoarthritis, which of the following facts are accurate to share:

Answer 5

+ By the time youre in you 70s about 85% adults will have some kind of OA
+ Obesity has been correlated to having OA in the knees

Question 6

JIA is a form of arthritis in children, the nurse recognizes that JIA is a:

Answer 6

Autoimmune D/O

Question 7

When instructing a 60 y/o women about osteoporosis for menopause. Which statement determines the clients needs further instruction:

Answer 7

Women who are of African decent are at greatest risk for Osteoporosis

Question 8

A client is complaining of severe shortness of breath and … of heart failure. The nurse observes a significant decrease in oxygen saturation

Answer 8

Pulse Ox (?)

Question 9

The clients skin color turns to grey and she is coughing up large amounts of pink frothy sputum. What is the first action?

Answer 9

Administer oxygen

Question 10

JVD is most common in:

Answer 10

Right sided heart failure

Question 11

A nurse is providing care for a female pt who is dx with heart failure which is primarily right sided. Which of the following statements best describes the presentation the nurse should anticipate?

Answer 11

Client has pitting edema in the ankles and feet bilaterally, decreased activity tolerance, and occasional RUQ pain

Question 12

The nurse is caring for a client who is dx with left sided heart failure, the nurse knows that this is a serious complication of left sided heart failure:

Answer 12

Pulmonary edema

Question 13

A client with left sided heart failure is to remain on bedrest. What is the rationale to keep the client on bedrest:

Answer 13

To reduce the workload of the heart

Question 14

Upon physical examination the nurse detects abdominal tenderness and detects abdominal distension. What dx test would confirm this?

Answer 14

Colonoscopy

Question 15

Graves-disease develops from:

Answer 15

Thyroid stimulating immunoglobulin that caused over production of thyroid hormones

Question 16

What is the characteristics related to Hashimoto’s:

Answer 16

Chronic autoimmune thyroiditis and antibody

disruption of the thyroid tissue

Question 17

Celiac Disease:

Answer 17

Damage to the intestinal villi

Question 18

Which of the following is NOT a S/S of Addison’s disease:

Answer 18

Hypernatremia

Question 19

Which of the following endocrine d/o is likely to cause hypertension:

Answer 19

neoCromalpsytoma

Question 20

Which of the following is an appropriate nursing intervention for a pt with hyperparathyroidism?

Answer 20

Connect them to a cardiac monitor

Question 21

The person has purple striae/ a moon face has truncal obesity. Which of the following manifestations are indicative of this endocrine d/o?

Answer 21

Cushing Syndrome

Question 22

A pt is admitted to the hospital with adrenal crisis 5 months after a dx of Addison’s disease. The nurse knows that which of the following clinical manifestations would support the dx:

Answer 22

Syncope and profound hypotension

Question 23

The client returns from surgery after having a TURP due to benign prostatic hypertrophy. The client has an indwelling catheter in place. What type of drainage should the nurse expect to see during the immediate post operative period:

Answer 23

Bloody urinary drainage

Question 24

Which of the following applies to BPH:

Answer 24

Nocturia
Dribbling
Urgency
Frequency

Question 25

Why does frequent urination occur with BPH:

Answer 25

Incomplete emptying of the bladder

Question 26

Which statements are true regarding prostatic cancer?

Answer 26

Family history
Dietary habits play a role
African American men are at increased risk
Being over 65 of age

Question 27

A nurse encourages an older adult male to be screened for prostatic cancer the client is apprehensive and asks the nurse about methods used to detect prostate cancer, the nurse explains the detection process is a:

Answer 27

Digital Rectal Exam (DRE) and a PSA test to evaluate the prostate

Question 28

A pt is recovering from cholycystiasis and is being discharged home. Which menu option is the best:

Answer 28

Salmon and steamed broccoli/ brown rice

Question 29

A pt dx with … becomes .. and confused

Answer 29

Hepatic encephalopathy and serum ammonia levels

Question 30

A nurse is … pt who has just been dx with chronic pancreatitis needs teaching regarding diet includes which information?

Answer 30

Avoid foods high in fat
Include high protein lean meats
Avoid alcohol

Question 31

The px with asities has the following nursing dx. What is the highest priority?

Answer 31

Effective breathing

Question 32

Which esophageal d/o is commonly precancerous changes associated with GERD?

Answer 32

Barret’s Esophagus

Question 33

Client has hypertension for 20 years, forms renal insufficiency, and chronic kidney disease. Which pathophysiology is most least likely to occur in the adult with CKD

Answer 33

Adequate production of erythropoietin

Question 34

Which of the following problems is likely to occur in pts with CKD?

Answer 34

Fluid overload

Question 35

A pt is admitted to the hospital for worsening of their condition. What dietary modification should the nurse expect?

Answer 35

Restrictive protein diet

Question 36

What is priorities for hypocalcemia developing during CKD?

Answer 36

Deficit of activated vitamin D and hyperphosphatemia

Question 37

Acute kidney injury secondary to ureteral stones would be classified as:

Answer 37

Post renal

Question 38

A pt is rx a med for toxic medication and has damage to the proximal tubule epithelial cells. What type of acute kidney injury has occurred:

Answer 38

Intra renal

Question 39

A pt is suspected of having nephrotic syndrome due to a health history of lupus. A nurse you know that the substances would occur in the urine to confirm this dx:

Answer 39

Massive protein

Question 40

A client with acute kidney injury has a serum potassium of 6.8 the nurse would plan which of the following priority action:

Answer 40

Put them on a cardiac monitor

Question 41

Reduced urine output resulting from inflammation and necrosis of the renal tubule is called:

Answer 41

Oliguria

Question 42

Pre renal causes of acute kidney injury is can be prevented by.. post op:

Answer 42

Maintaining adequate hydration

Question 43

Which of the following explains the following abnormal body movements occurring in a pt disease process of Parkinson’s:

Answer 43

Decreased availability of …

Question 44

Multiple sclerosis and (?) syndrome:

Answer 44

Both result from demyelination of the … by immune reactions

Question 45

Assessing a pt for dysphagia which of the following should the pt maintain..

Answer 45

Pt with a we gurgley vocal quality

Question 46

Priority nursing dx for a pt with ALS:

Answer 46

Ineffective breathing pattern

Question 47

Which assessment is most important for the nurse to make for a pt with myo gravis:

Answer 47

Respiratory ..