State Exam Practice #9

Question 1

Which patient is at highest risk for pulmonary embolus

a) A 25 year old man with a history of alcohol abuse recuperating from a gastric ulcer
b) A 36 year old woman on a liquid diet beginning an exercise programme
c) A 40 year old, obese, pregnant woman place on bed rest
d) A 90 year old man with no identified health problems

Answer 1

c) A 40 year old, obese, pregnant woman place on bed rest

Question 2

Uraemia is a clinical syndrome associated with

a) Retention of urea and other nitrogenous wastes
b) The presence of urine in the blood
c) The presence of blood in the urine
d) High ammonia excretion

Answer 2

a) Retention of urea and other nitrogenous wastes

Question 3

The nurse should assess carefully for hypervolaemia, (fluid volume excess) when working with the client with

a) Nausea and vomiting
b) Kidney failure
c) Decreased fluid intake
d) Blood loss

Answer 3

b) Kidney failure

Question 4

Clinical manifestations of hypovolaemic shock include all except

a) A fall in blood pressure
b) A decreased urinary output
c) A weak, rapid, thread pulse
d) Warm, moist skin

Answer 4

d) Warm, moist skin

Question 5

Several screening tests are performed on clients preoperatively. Which test demonstrates the presence of bleeding or anaemia

a) An elevated white blood cell count
b) Decreased haemoglobin and hematocrit
c) Elevated blood urea nitrogen
d) Hypokalemia

Answer 5

b) Decreased haemoglobin and hematocrit

Question 6

A common problem after open cholecystectomy is shallow breathing. This is mainly due to

a) The site of the incision making breathing painful
b) Damage to the phrenic nerves during surgery
c) The obese state of most patients pre operatively
d) Inadequate pre operative instruction

Answer 6

a) The site of the incision making breathing painful

Question 7

Mrs S is scheduled for a cholecystectomy and asks you how she will manage without a gallbladder. Your best reply is

a) Dilute bile will still pass into your digestive tract but will be less efficient at digesting fat
b) Your liver will no longer produce bile now so you must stay strictly off fatty foods
c) Your gallbladder was not a very important organ and you will not miss it
d) You can take a bile supplement in your diet to compensate

Answer 7

a) Dilute bile will still pass into your digestive tract but will be less efficient at digesting fat