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Patho Exam 4 Practice Questions (pt. 3)
Human Pathophysiology (NUR 252)
Creighton University
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Patho Exam 4 Practice Questions (Part Three)
- A 62-year-old client presents to his primary care physician with chief complaints of fatigue, shortness of breath, and difficulty with exertion. The physician orders two laboratory tests: a complete blood count and iron studies. The results show a decreased RBC count and low serum iron levels, but all other lab values are within normal range. What anemia does this most likely indicate? a. Pernicious anemia b. Sickle cell disease c. Polycythemia vera d. Iron deficiency anemia
- What are the risk factors for primary hypertension? a. Intake of potassium and aging b. Family history and renal disease c. Obesity and type 2 diabetes mellitus d. Excessive sodium intake and sedentary lifestyle
- A nurse is a preceptor to a nursing student who wants to know about the renin-angiotensin-aldosterone system (RAAS) and the control of blood pressure. How does aldosterone influence blood pressure? a. Decreases sodium and water reabsorption by the kidney tubules b. Induces vasoconstriction and increases blood pressure c. Causes vasodilation and decreases blood pressure d. Increases sodium and water reabsorption by the kidney tubules
- Which statement made by a pregnant woman requires follow-up? a. “I should stay away from people who are smoking.” b. “Small amounts of alcohol are safe after the first trimester.” c. “Breastfeeding is good for my baby’s development.” d. “My nutrition affects my baby’s health.”
- An 87-year-old female with incontinence was recently admitted to the hospital with a new onset of confusion. The most likely explanation for her confusion is: a. Dementia b. membranous glomerulonephritis c. UTI d. postinfectious glomerulonephritis.
- A 62-year-old Caucasian male with a past medical history of renal calculi is seen in the office with complaints of mild right-sided flank pain that started suddenly today and nausea without vomiting. The nurse knows that acute management in the clinic involves: a. scheduling a CT scan. b. scheduling an ultrasound and plain X-ray films.
c. having the client drink fluids, take pain medication, and strain the urine. d. sending the client to the emergency department. 7. Enlargement of the prostate can cause constriction of what part of the reproductive system? a. Ureters b. Bladder c. Urethra d. Penis 8. A patient has a chest tube present secondary to a large left-sided pneumothorax after sustaining multiple fractured ribs in a motor vehicle accident. What does the nurse expect to find on assessment of this client? a. Absent left-sided breath sounds in the left lower lobe of the lung b. Absent right-sided breath sounds in the right lower lobe of the lung c. Normal breath sounds throughout both lungs d. Equal movement of the chest with inspiration 9. What is the primary reason for airway obstruction early in an allergic asthma attack? a. Severe bronchoconstriction b. Infiltration of the bronchi with inflammatory white blood cells c. Dilation and collapse of respiratory bronchioles d. Excessive mucous secretion 10 healthcare provider working in a clinic setting is providing teaching for a nursing student about COPD. Which of the following statement is appropriate to include? a. Clients with chronic COPD commonly develop colonization causing chronic illnesses. b. Clients should be instructed to perform purse lipped breathing to prolong inspiration. c. Corticosteroids are contraindicated in advanced COPD. d. There is an increased risk for developing a deep vein thrombosis from the increased red blood cell production. 11 nurse is discussing the clotting process with a student nurse. Which explanation is correct in explaining the vascular phase? a. “In the vascular phase, injury to a blood vessel causes a reactive constriction or spasm of the blood vessel, and then platelets are activated and travel to the site of injury.” b. “In the vascular phase, no injury to the blood vessel is present, but constriction or spasm occurs, and then platelets are activated.” c. “In the vascular phase, the platelets begin to clump together to form a dam or plug, and then platelets are deactivated that travel to the site.”
c. Indigestion d. Flu-like symptoms 18 of the following describes stroke volume? a. The measurement of the percentage of blood ejected from the left ventricle with each contraction b. The amount of blood pumped out of the heart with each beat in milliliters c. A low-pressure system d. A high-pressure system 19 stage of shock is considered progressive or intermediate? a. Stage I b. Stage II c. Stage III d. Stage IV 20 organ dysfunction syndrome is most commonly caused by what type of shock? a. Anaphylactic b. Cardiogenic c. Septic d. Distributive 21 is the most common type of distributive shock? a. Septic shock b. Cardiogenic shock c. Obstructive shock d. Distributive shock 22 what kind of shock does the treatment include fluid resuscitation to restore filling pressure? a. Hemorrhagic b. Cardiogenic c. Anaphylactic d. Hypovolemic 23 type of shock is manifested by the triad of systolic hypotension, bradycardia, and hypothermia? a. Distributive b. Neurogenic c. Septic d. Anaphylactic 24. The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. No P waves or QRS complexes are seen; instead, the monitor screen shows an irregular wavy line. The nurse interprets that the client is experiencing which rhythm?
a. Sinus tachycardia b. Ventricular fibrillation c. Ventricular tachycardia d. Premature ventricular contractions (PVCs) 25 45-year-old client has been diagnosed with hypertension. Which modifiable risk factor would the nurse assess? a. Family History b. Age c. Stress d. Sex
Patho Exam 4 Practice Questions (pt. 3)
Course: Human Pathophysiology (NUR 252)
University: Creighton University
