ckassidy
Test por , creado hace más de 1 año

Quiz 4

540
0
0
ckassidy
Creado por ckassidy hace alrededor de 9 años
Cerrar

4

Pregunta 1 de 75

1

When describing the male urinary anatomy, which information should the nurse include? The portion of the male urethra that is closest to the bladder is the _____ portion.

Selecciona una de las siguientes respuestas posibles:

  • Vas Deferens

  • Cavernous

  • Prostatic

  • Membranous

Explicación

Pregunta 2 de 75

1

While planning care for a patient with urinary problems, the nurse recalls that the renin­angiotensin system will be activated by:

Selecciona una de las siguientes respuestas posibles:

  • Renal hypertension

  • Decreased blood pressure in the afferent arterioles

  • Elevated sodium concentrations

  • Increased blood volume

Explicación

Pregunta 3 de 75

1

When the nurse is discussing the functional unit of the kidney, what other term should the nurse use?

Selecciona una de las siguientes respuestas posibles:

  • Pyramid

  • Collecting duct

  • Calyx

  • Nephron

Explicación

Pregunta 4 de 75

1

A 35­year­old hypertensive male begins taking a diuretic. Which of the following common side effects of this medication should the nurse monitor?

Selecciona una de las siguientes respuestas posibles:

  • Hyponatremia

  • Increased Uric Acid Secretion

  • Hypokalemia

  • Hypermagnesemia

Explicación

Pregunta 5 de 75

1

When the nurse is discussing the sodium­sensing cells of the glomerulus, what term should the nurse use?

Selecciona una de las siguientes respuestas posibles:

  • Macula densa

  • Podocytes

  • Mesangial Cells

  • Loop of Henle

Explicación

Pregunta 6 de 75

1

A 28-­year-­old female presents with fever, chills, and flank pain. She is diagnosed with pyelonephritis. A nurse recalls the patient’s infection is located in the:

Selecciona una de las siguientes respuestas posibles:

  • Bladder

  • Glomerulus

  • Renal Tubules

  • Renal Pelvis

Explicación

Pregunta 7 de 75

1

A 42­year­old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by:

Selecciona una de las siguientes respuestas posibles:

  • Obstruction of the proximal tubule

  • Kidney stones

  • Immune complex deposition in the glomerulus

  • Inadequate renal blood flow

Explicación

Pregunta 8 de 75

1

A 60­year­old male is diagnosed with renal failure. While the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis?

Selecciona una de las siguientes respuestas posibles:

  • Increased urea clearance

  • Decreased plasma potassium level

  • Metabolic alkalosis

  • Elevated plasma creatinine level

Explicación

Pregunta 9 de 75

1

A 45­year­old female presents with hypertension, anorexia, nausea and vomiting, and anemia. She is diagnosed with chronic renal failure. When the patient asks what caused this anemia, how should the nurse respond? Your anemia is caused by:

Selecciona una de las siguientes respuestas posibles:

  • Red blood cells being lost in the urine

  • Inadequate production of erythropoietin

  • Red blood cells being injured as they pass through the glomerulus

  • Inadequate iron absorption in the gut

Explicación

Pregunta 10 de 75

1

A 42­year­old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting:

Selecciona una de las siguientes respuestas posibles:

  • Fats

  • Proteins

  • Sugars

  • Complex Carbohydrates

Explicación

Pregunta 11 de 75

1

When a patient asks what the most common type of renal stones is composed of, how should the nurse respond? The most common type of renal stone is composed of:

Selecciona una de las siguientes respuestas posibles:

  • Phosphate

  • Struvite

  • Calcium

  • Magnesium

Explicación

Pregunta 12 de 75

1

A 25­year­old female presents with burning urination. She was diagnosed with a urinary tract infection. When the nurse checks the culture results, which of the following organisms is most likely infecting her urinary tract?

Selecciona una de las siguientes respuestas posibles:

  • Chlamydia

  • Escherichia coli

  • Streptococcus

  • Candida albicans

Explicación

Pregunta 13 de 75

1

Upon examination of a male infant, it is determined that the urethral meatus is located on the undersurface of the penis. The nurse will document this condition as:

Selecciona una de las siguientes respuestas posibles:

  • Hypospadias

  • Cryptorchidism

  • Hydroureter

  • Epispadias

Explicación

Pregunta 14 de 75

1

Which of the following clusters of symptoms would make a clinician suspect a child has developed glomerulonephritis?

Selecciona una de las siguientes respuestas posibles:

  • Dysuria, urinary frequency, and abdominal tenderness

  • Proteinuria, hypotension, and ascites

  • Gross hematuria, flank pain, and hypertension

  • Pyuria, fever, and abdominal pain

Explicación

Pregunta 15 de 75

1

A 7­year­old male presents to his primary care provider for incontinence. His mother indicates that he has never been continent. Which of the following is the most likely diagnosis the nurse will observe on the chart?

Selecciona una de las siguientes respuestas posibles:

  • Diurnal enuresis

  • Secondary enuresis

  • Primary enuresis

  • Nocturnal enuresis

Explicación

Pregunta 16 de 75

1

A 15­year­old female presents with flank pain, irritability, malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond?

Selecciona una de las siguientes respuestas posibles:

  • Nephrotic syndrome

  • Potter syndrome

  • Nephropathy

  • Poststreptococcal infection

Explicación

Pregunta 17 de 75

1

Which information indicates the nurse has a good understanding of female anatomy? Having ejected a mature ovum, the ovarian follicle then develops into:

Selecciona una de las siguientes respuestas posibles:

  • A theca cell

  • Scar tissue

  • An atretic follicle

  • A corpus luteum

Explicación

Pregunta 18 de 75

1

Which information indicates the nurse has a good understanding of progesterone? Progesterone is primarily secreted by the:

Selecciona una de las siguientes respuestas posibles:

  • Granulose cells

  • Anterior pituitary

  • Follicle

  • Corpus luteum

Explicación

Pregunta 19 de 75

1

A clinician is preparing to teach about spermatogenesis. Which information should the clinician include? Spermatogenesis occurs in the:

Selecciona una de las siguientes respuestas posibles:

  • Inguinal canals

  • Seminiferous tubules

  • Vas deferens

  • Epididymis

Explicación

Pregunta 20 de 75

1

When a staff member asks the nurse what the thick middle layer of the uterine wall is called, what is the nurse’s best response? The:

Selecciona una de las siguientes respuestas posibles:

  • Endometrium

  • Epithelial layer

  • Perimetrium

  • Myometrium

Explicación

Pregunta 21 de 75

1

In the majority of cases delayed puberty is due to:

Selecciona una de las siguientes respuestas posibles:

  • A disruption of the pituitary

  • Slow maturation

  • A disruption in the hypothalamus

  • Ambiguity in sex determination

Explicación

Pregunta 22 de 75

1

A 21­year­old female is infected with human papillomavirus (HPV) following unprotected sexual intercourse with a male she recently met. She is now at higher risk of developing which of the following cancers?

Selecciona una de las siguientes respuestas posibles:

  • Ovarian

  • Endometrial

  • Vulvar

  • Cervical

Explicación

Pregunta 23 de 75

1

Cryptorchidism can be defined as:

Selecciona una de las siguientes respuestas posibles:

  • Problems with testicular descent

  • An abnormal state in which the testes are overdeveloped

  • Lack of a scrotum

  • A normal developmental state of the testes

Explicación

Pregunta 24 de 75

1

A middle­ aged male speaks to his physician about benign BPH. He reveals that his father was recently diagnosed with this condition, and he wants to know if he could have it. The physician tells him that a common complaint from men with mild to moderate BPH is:

Selecciona una de las siguientes respuestas posibles:

  • Infertility

  • Sexual Dysfunction

  • Decreased Urinary Stream

  • Prostatodynia

Explicación

Pregunta 25 de 75

1

The patient’s medication has a side effect of gynecomastia. The patient asks the nurse to define this term. The nurse would respond that gynecomastia is:

Selecciona una de las siguientes respuestas posibles:

  • Overdevelopment of breast tissue in males

  • A type of breast cancer

  • Inflammation of the mammary glands in lactating women

  • Lack of breast development in women

Explicación

Pregunta 26 de 75

1

A 25­year­old female presents with amenorrhea and hirsutism. She is diagnosed with PCOS. Lab testing will most likely reveal:

Selecciona una de las siguientes respuestas posibles:

  • Genetic cancerous mutations

  • Estrogen deficit

  • Cortisol excess

  • Hyperinsulinemia

Explicación

Pregunta 27 de 75

1

A 30­year­old female with newly diagnosed PCOS is being counseled by her OB­GYN. The physician indicates that this condition often results in:

Selecciona una de las siguientes respuestas posibles:

  • Early menopause

  • Infertility

  • Ovarian cancer

  • Pelvic inflammatory disease

Explicación

Pregunta 28 de 75

1

A 23­year­old sexually active female presents with white copious discharge and itch. She is diagnosed with yeast vaginitis caused by overgrowth of which microorganism?

Selecciona una de las siguientes respuestas posibles:

  • Candida albicans

  • Lactobacillus acidophilus

  • Neisseria gonorrhoeae

  • Escherichia coli

Explicación

Pregunta 29 de 75

1

The descent of the bladder and the anterior vaginal wall into the vaginal canal is called a:

Selecciona una de las siguientes respuestas posibles:

  • Varicocele

  • Urethrocele

  • Rectocele

  • Cystocele

Explicación

Pregunta 30 de 75

1

A 40­year­old female presents with cramping and excessive vaginal bleeding. Ultrasound reveals benign uterine tumors in the smooth muscle cells of the myometrium. These tumors are commonly called:

Selecciona una de las siguientes respuestas posibles:

  • Endometriosis

  • Adenomas

  • Adenomyosis

  • Leiomyomas

Explicación

Pregunta 31 de 75

1

Which sphincter prevents reflux of digested material from the colon into the small intestine?

Selecciona una de las siguientes respuestas posibles:

  • Lower esophageal

  • Pyloric

  • Ileocecal valve

  • Haustral

Explicación

Pregunta 32 de 75

1

The ileum and jejunum are suspended by folds of the peritoneum known as the _____ that contains an extensive vascular and nervous network.

Selecciona una de las siguientes respuestas posibles:

  • Mesentery

  • Meissner plexus

  • Myenteric plexus

  • Auerbach fold

Explicación

Pregunta 33 de 75

1

In the liver, free bilirubin moves from the plasma in the sinusoids into the hepatocytes, where it is converted into:

Selecciona una de las siguientes respuestas posibles:

  • Conjugated bilirubin

  • Urobilinogen

  • Unconjugated bilirubin

  • Biliverdin

Explicación

Pregunta 34 de 75

1

The exocrine portion of the pancreas contains:

Selecciona una de las siguientes respuestas posibles:

  • Beta cells

  • Islets of Langerhans

  • Ducts

  • Alpha Cells

Explicación

Pregunta 35 de 75

1

The nursing student is teaching a class to second graders. The student would correctly identify that food moves down the esophagus via the process termed:

Selecciona una de las siguientes respuestas posibles:

  • Haustral segmentation

  • Peristalsis

  • Retropulsion

  • Defecation

Explicación

Pregunta 36 de 75

1

A 10­month­old is brought to the pediatrician by the mother who states the baby has been experiencing colicky pain followed by vomiting, sweating, nausea, and irritability. Testing reveals a condition in which one part of the intestine telescopes into another. From which type of intestinal obstruction is he suffering?

Selecciona una de las siguientes respuestas posibles:

  • Ileus

  • Torsion

  • Hernia

  • Intussusception

Explicación

Pregunta 37 de 75

1

A 20­year­old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea.

Selecciona una de las siguientes respuestas posibles:

  • Hypotonic

  • Osmotic

  • Secretory

  • Motility

Explicación

Pregunta 38 de 75

1

Clinical manifestations of bile salt deficiencies are related to poor absorption of:

Selecciona una de las siguientes respuestas posibles:

  • Fats and fat­soluble vitamins

  • Minerals

  • Water­soluble vitamins

  • Proteins

Explicación

Pregunta 39 de 75

1

A 30­year­old obese female underwent gastric resection in an attempt to lose weight. Which of the following complications could the surgery cause?

Selecciona una de las siguientes respuestas posibles:

  • Hiccups

  • Constipation

  • Anemia

  • Acid Reflux Gastritis

Explicación

Pregunta 40 de 75

1

Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease?

Selecciona una de las siguientes respuestas posibles:

  • Diarrhea

  • Malabsorption

  • Pattern of remission/exacerbations

  • Abdominal Pain

Explicación

Pregunta 41 de 75

1

A 16­year­old female presents with abdominal pain in the right lower quadrant. Physical examination reveals rebound tenderness and a low­grade fever. A possible diagnosis would be:

Selecciona una de las siguientes respuestas posibles:

  • Pancreatitis

  • Hepatitis

  • Appendicitis

  • Colon cancer

Explicación

Pregunta 42 de 75

1

A 54­year­old male complains that he has been vomiting blood. Tests reveal portal hypertension. Which of the following is the most likely cause of his condition?

Selecciona una de las siguientes respuestas posibles:

  • Cirrhosis of the liver

  • Thrombosis in the spleen

  • Renal stenosis

  • Left ventricular failure

Explicación

Pregunta 43 de 75

1

Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:

Selecciona una de las siguientes respuestas posibles:

  • Decreased cerebral blood flow

  • Fluid and electrolyte imbalances

  • Hyperbilirubinemia and jaundice

  • Impaired ammonia metabolism

Explicación

Pregunta 44 de 75

1

An increase in the rate of red blood cell breakdown causes which form of jaundice?

Selecciona una de las siguientes respuestas posibles:

  • Hemolytic

  • Hepatocellular

  • Metabolic

  • Obstructive

Explicación

Pregunta 45 de 75

1

A 55­year­old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the

Selecciona una de las siguientes respuestas posibles:

  • Gallbladder

  • Common Bile Duct

  • Cystic Duct

  • Intrahepatic Bile canaliculi

Explicación

Pregunta 46 de 75

1

Reflux esophagitis is defined as a(n):

Selecciona una de las siguientes respuestas posibles:

  • Secretory response to hiatal hernia

  • Inflammatory response to gastroesophageal reflux

  • Congenital anomaly

  • Immune response to gastroesophageal reflux

Explicación

Pregunta 47 de 75

1

Which of the following gastrointestinal (GI) clinical manifestations is subjective? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Diarrhea

  • Retching

  • Nausea

  • Anorexia

  • Vomiting

Explicación

Pregunta 48 de 75

1

Prolonged diarrhea is more serious in children than adults because:

Selecciona una de las siguientes respuestas posibles:

  • Fluid reserves are lower in children

  • Children have lower adipose reserves.

  • Children are more resistant to antimicrobial therapy.

  • Children have a lower metabolic rate.

Explicación

Pregunta 49 de 75

1

Which condition should the nurse assess for in mothers carrying fetuses affected by esophageal malformations?

Selecciona una de las siguientes respuestas posibles:

  • Short umbilical cords

  • Enlarged placentas

  • Excessive amniotic fluid

  • Foul smelling vaginal discharge

Explicación

Pregunta 50 de 75

1

A mother brings her 2­week­old infant to the pediatrician because he vomits forcefully for no apparent reason and food sometimes is regurgitated as though undigested. The infant is most likely suffering from:

Selecciona una de las siguientes respuestas posibles:

  • Pyloric stenosis

  • Meconium ileus

  • Galactosemia

  • Esophageal atresia

Explicación

Pregunta 51 de 75

1

A 2­month­old female with Down syndrome is diagnosed with Hirschsprung disease following family complaints of chronic constipation. The most likely cause of these symptoms is:

Selecciona una de las siguientes respuestas posibles:

  • Absence of ganglia along the length of the colon

  • Excessive use of glycerin suppositories to promote bowel elimination

  • Additional ganglia throughout the length of the colon

  • The use of cow’s milk instead of formula

Explicación

Pregunta 52 de 75

1

When a staff member asks the nurse about the contractile unit of a muscle, how should the nurse reply? The contractile unit of a muscle cell is called the:

Selecciona una de las siguientes respuestas posibles:

  • Myofibril

  • Ribosome

  • Motor Unit

  • Basement membrane

Explicación

Pregunta 53 de 75

1

When the nurse is using the term “sarcopenia,” what is the nurse describing? It is the:

Selecciona una de las siguientes respuestas posibles:

  • Absence of muscle cells

  • Age­related loss in skeletal muscle

  • Muscles that are unable to contract

  • Fatigue of muscle cells

Explicación

Pregunta 54 de 75

1

While planning care for a patient with muscle problems, which information should the nurse remember? _____ ions directly control the contraction of muscles.

Selecciona una de las siguientes respuestas posibles:

  • Potassium

  • Sodium

  • Calcium

  • Magnesium

Explicación

Pregunta 55 de 75

1

The nurse observed the patient’s muscle contracted, but the limb did not move. How should the nurse chart this muscle contraction?

Selecciona una de las siguientes respuestas posibles:

  • Isotonic contraction

  • Concentric contraction

  • Eccentric contraction

  • Isometric contraction

Explicación

Pregunta 56 de 75

1

Which of the following clinical findings would be expected in the patient with rhabdomyolysis?

Selecciona una de las siguientes respuestas posibles:

  • Dark Urine

  • Sweating

  • Yellow Color to the Skin

  • Lower Extremity Swelling

Explicación

Pregunta 57 de 75

1

A 70­year­old female presents with a hip fracture. She is diagnosed with osteoporosis. One factor that most likely contributed to her condition is:

Selecciona una de las siguientes respuestas posibles:

  • Excessive dietary calcium

  • Strenuous exercise

  • Increased androgen levels

  • Decreased estrogen levels

Explicación

Pregunta 58 de 75

1

A disorder similar to osteomalacia that occurs in growing bones of children is termed:

Selecciona una de las siguientes respuestas posibles:

  • Osteomyelitis

  • Paget disease

  • Osteosarcoma

  • Rickets

Explicación

Pregunta 59 de 75

1

A 54­year­old female was recently diagnosed with degenerative joint disease. This condition is characterized by loss of:

Selecciona una de las siguientes respuestas posibles:

  • Synovial fluid

  • Articular cartilage

  • The epiphyses

  • The joint capsule

Explicación

Pregunta 60 de 75

1

Researchers now believe that RA is:

Selecciona una de las siguientes respuestas posibles:

  • Curable with antiviral agents

  • An autoimmune disease

  • A complication of rheumatic fever

  • Related superficial joint injury

Explicación

Pregunta 61 de 75

1

A 46­year­old male presents with severe pain, redness, and tenderness in the right big toe. He was diagnosed with gouty arthritis. The symptoms he experienced are caused by the crystallization of _____ within the synovial fluid.

Selecciona una de las siguientes respuestas posibles:

  • Uric acid

  • Pyrimidines

  • Acetic acid

  • Purines

Explicación

Pregunta 62 de 75

1

A 32­year­old male was injured in a motor vehicle accident and confined to bed for 3 weeks. During this time, the size and strength of muscle fibers decreased, a condition referred to as:

Selecciona una de las siguientes respuestas posibles:

  • Myodysplasia

  • Deconditioning hypoplasia

  • Ischemic Atrophy

  • Disuse Atrophy

Explicación

Pregunta 63 de 75

1

A 70­year­old female with osteoporosis fractures her leg at a location of preexisting abnormality. She reports that the fracture occurred following a minor fall. Which of the following best describes the fracture?

Selecciona una de las siguientes respuestas posibles:

  • Greenstick fracture

  • Fatigue fracture

  • Stress fracture

  • Pathologic fracture

Explicación

Pregunta 64 de 75

1

Fibromyalgia is a chronic musculoskeletal disorder characterized by:

Selecciona una de las siguientes respuestas posibles:

  • Diffuse pain, fatigue, and tender points

  • Neurologic pain in the skeletal muscles

  • Muscle pain in the back and gastrointestinal symptoms

  • Pain resulting from joint and muscle inflammation

Explicación

Pregunta 65 de 75

1

Ewing sarcoma originates from:

Selecciona una de las siguientes respuestas posibles:

  • The Spleen

  • Osteoblasts

  • The Bone Marrow

  • Epithelial Cells

Explicación

Pregunta 66 de 75

1

Children with OI suffer from frequent:

Selecciona una de las siguientes respuestas posibles:

  • Dislocations

  • Bone Infections

  • Bone Fractures

  • Joint Injuries

Explicación

Pregunta 67 de 75

1

Tinea corporis (ringworm) is a _____ infection of the skin.

Selecciona una de las siguientes respuestas posibles:

  • Nematode

  • Bacterial

  • Fungal

  • Viral

Explicación

Pregunta 68 de 75

1

A 20­year­old female presents with vaginal itch and thin­walled pustular lesions. She is diagnosed with candidiasis. This condition is caused by a:

Selecciona una de las siguientes respuestas posibles:

  • Virus

  • Bacterium

  • Yeast

  • Fungus

Explicación

Pregunta 69 de 75

1

When assessing a patient with scleroderma, which changes in the skin will be observed?

Selecciona una de las siguientes respuestas posibles:

  • Hardening

  • Thinning

  • Necrosis

  • Hyperpigmented

Explicación

Pregunta 70 de 75

1

A 40­year­old female is diagnosed with skin cancer. Her primary care provider explains that the most important risk factor for skin cancer is:

Selecciona una de las siguientes respuestas posibles:

  • Amount of sun exposure over age 50

  • Living in equatorial regions where the sun is most intense

  • Amount of direct sun exposure at a young age

  • Lifetime amount of sun exposure

Explicación

Pregunta 71 de 75

1

In burn injury patients, the rule of nines and the Lund and Browder chart are used to estimate:

Selecciona una de las siguientes respuestas posibles:

  • Degree of systemic involvement

  • Possibility of infection

  • Total body surface area burned

  • Depth of burn injury

Explicación

Pregunta 72 de 75

1

A 30­year­old male firefighter is badly burned and is admitted to the emergency department. Which of the following would be expected in the first 24 hours?

Selecciona una de las siguientes respuestas posibles:

  • Fluid Overload

  • Diuresis

  • Decreased Levels of Stress Hormones

  • Increased Capillary Permeability

Explicación

Pregunta 73 de 75

1

Rubella, rubeola, and roseola are common communicable diseases caused by _____ infection.

Selecciona una de las siguientes respuestas posibles:

  • Yeast

  • Fungal

  • Viral

  • Bacterial

Explicación

Pregunta 74 de 75

1

If a woman has a 28 day menstrual cycle, when will ovulation occur?

Selecciona una de las siguientes respuestas posibles:

  • Day 1

  • Last day

  • Day 14

  • Day 28

Explicación

Pregunta 75 de 75

1

A 40 year old patient is admitted to the hospital with a diagnosis of acute pancreatitis? What lab values would you expect to find?

Selecciona una de las siguientes respuestas posibles:

  • Elevated AST and ALT

  • Elevated amylase and lipase

  • Decreased bilirubin

  • Increased albumin

Explicación