Quizlet Final P.Q.'s

Question 1

Which of the following is not a cause of hyperfunction of a gland?

a. ) Excessive stimulation of the gland by antibodies
b. ) Tumor of the gland
c. ) Ectopic tumors that produce hormones elsewhere in the body
d. ) Atrophy of the gland

Answer 1

d.) Atrophy of the gland

Question 2

Your patient has high levels of cortisol in her blood. Her lab values reveal that she also has high levels of ACTH. Is her hyperfunction a result of a primary problem or a secondary problem?

a. ) Primary
b. ) Secondary

Answer 2

b.) Secondary

Question 3

Your patient arrives with hyponatremia and appears weak, lethargic, and tired. She has poor tolerance for stress and blotchy patches on her skin. You suspect that she may have which of the following problems:

a. ) Cushing’s
b. ) Addison’s
c. ) Hyperaldosteronism
d. ) Grave’s Disease

Answer 3

b.) Addison’s

Question 4

Upon assessment you find that your patient has trunkal obesity, back pain, skinny arms and legs, with a hump on the back of her neck. You suspect that she may be having problems with which gland?

Answer 4

adrenal cortex

Question 5

True or False: ADH causes both vasoconstriction and water retention.

Answer 5

true

Question 6

Which person is at greatest risk for isotonic fluid volume excess?

a. ) An elderly man suffering from a coma
b. ) A diabetic who cannot tell whether she is thirsty or not
c. ) A child on diuretic therapy
d. ) A man diagnosed with congestive heart failure

Answer 6

d.) A man diagnosed with congestive heart failure

Question 7

In which person would you expect to see and order for a potassium supplement?

a. ) A patient diagnoses with chronic renal failure
b. ) A patient receiving excessive aldosterone therapy
c. ) A patient receiving a K+ -sparing diuretic
d. ) A patient brought into the ER for a broken femur

Answer 7

b.) A patient receiving excessive aldosterone therapy

Question 8

Which person is at greatest risk for hypocalcemia?

a. ) A patient receiving Vitamin D supplements
b. ) An elderly patient who has been immobile for 6 weeks
c. ) A patient suffering from hypoparathyroidism
d. ) A patient with liver failure

Answer 8

c.) A patient suffering from hypoparathyroidism

Question 9

Which is an example of how the body compensates for metabolic acidosis?

a. ) The body concentrates urine with more H+ ions
b. ) The body will excrete more bicarbonate through the urine
c. ) The body will increase the rate and depth of respirations
d. ) The body will decrease the rate and depth of respirations

Answer 9

c.) The body will increase the rate and depth of respirations

Question 10

A patient has been diagnosed with anemia r/t chronic blood loss. Which of the following would you not expect to be related to a possible cause?

a. ) Positive Guiac test
b. ) Coffee-grounds vomit
c. ) GERD
d. ) Melena

Answer 10

c.) GERD

Question 11

A patient had abdominal surgery 3 days ago to repair a ruptured appendix. He is now complaining of abdominal pain. Assessment findings are: BP, 90/ 43, P 90, R 18 and shallow, T 99.5, and a rigid abdomen. Which of the following conditions do you suspect?

a. ) GI bleed
b. ) Peritonitis
c. ) Ulcerative colitis
d. ) Appendicitis

Answer 11

b.) Peritonitis

Question 12

Which of the following patients is at the lowest risk for fluid and electrolyte imbalance?

a. ) Mr P, who has severe diarrhea
b. ) Mr. Q, who has been vomiting for the last 48 hours
c. ) Mr. R, who has CHF, and is on multiple diuretics
d. ) Mr. T, who has a broken leg.

Answer 12

d.) Mr. T, who has a broken leg.

Question 13

Your patient has been diagnosed with acute pancreatitis. Which of the following orders would you question?

a. ) Tylenol 650mg PO q 4h prn pain
b. ) Insertion of an NG tube
c. ) Check blood glucose q6h
d. ) Morphine IV q2h prn pain

Answer 13

a.) Tylenol 650mg PO q 4h prn pain

Question 14

which of the following gastric secretions is not a regulatory hormone of the GI tract?

a. ) CCK
b. ) Hydrochloric acid (HCl)
c. ) Gastrin
d. ) Secretin

Answer 14

b.) Hydrochloric acid (HCl)

Question 15

A patient is complaining of a “gnawing” stomach pain that comes on several hours after eating, and in the middle of the night. She has a history of ETOH abuse, and takes Advil on a daily basis for pain in her knee. Which of the following conditions would you suspect?

a. ) Gastric ulcers
b. ) peritonitis
c. ) Duodenal ulcers
d. ) A or C

Answer 15

d.) A or C

Question 16

A patient has history of chronic diarrhea, UTIs and bowel obstructions. Her Dr. recommends an endoscopy to learn more about the possible cause. Findings include a fistula between her bowel and bladder, a “cobblestone” appearance of inflamed tissue alternating with normal tissue, and multiple abscesses. Which of the following is the probable diagnosis?

a. ) Ulcerative colitis
b. ) Irritable Bowel syndrome
c. ) Crohn’s Disease
d. ) not enough information to determine

Answer 16

c.) Crohn’s Disease

Question 17

Which of the following is not a difference between ulcerative colitis, and Crohn’s disease?

a. ) Ulcerative colitis typically involves diarrhea, while Crohn’s’ does not
b. ) Crohn’s disease primarily affects the submucosal layer of the intestine, while ulcerative colitis is usually just the mucosal layer
c. ) Crohn’s affect s the small intestine most frequently, while ulcerative colitis is seen in the large intestine.
d. ) ulcerative colitis usually damages much larger areas than Crohn’s

Answer 17

a.) Ulcerative colitis typically involves diarrhea, while Crohn’s’ does not

they both have diarrhea

Question 18

Which of the following is not part of the liver’s circulatory system?

a. ) Portal Artery
b. ) Portal Vein
c. ) Hepatic Artery
d. ) Hepatic Vein

Answer 18

a.) Portal Artery

Question 19

If the liver enzymes involved in drug metabolism increase, which of the following would you expect to see?

A.) higher circulating drug levels

B.) diarrhea

C.) lower circulating drug levels

D.) jaundice

Answer 19

C.) lower circulating drug levels

Question 20

Which of the following individuals is at the highest risk for hepatitis A?

A.) Mrs. E, who has had multiple blood transfusions since 1970

B.) Mr. A, whose wife has been having affairs

C.) Mrs. L, who ate salads while traveling through South America

D.) Mr. B, who is on hemodialysis for renal failure

Answer 20

C.) Mrs. L, who ate salads while traveling through South America