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Quiz sobre Patho Quiz 2, criado por Crystal Thorn em 02-12-2014.

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Patho Quiz 2

Questão 1 de 75

1

A 19-year-old male college student reports to his primary care provider that he cannot stay awake in class regardless of how much sleep he gets. A drug that stimulates which of the following areas would best treat his problem?

Selecione uma das seguintes:

  • Reticular activating system

  • Cerebellum

  • Hypothalamus

  • Corpora quadrigemina

Explicação

Questão 2 de 75

1

A 32-year-old female suffers from severe brain damage following a motor vehicle accident. After rehabilitation she notices that her thought processes and goal-oriented behavior are impaired. Which area does the nurse suspect is damaged?

Selecione uma das seguintes:

  • Thalamus

  • Limbic

  • Occipital

  • Prefrontal

Explicação

Questão 3 de 75

1

A neurologist is teaching about the location of the primary visual cortex in the brain. Which area is the neurologist discussing?

Selecione uma das seguintes:

  • Parietal lobe

  • Frontal lobe

  • Occipital lobe

  • Temporal lobe

Explicação

Questão 4 de 75

1

A nurse is preparing to teach about functions to maintain homeostasis and instinctive behavioral patterns. Which area of the brain is the nurse discussing?

Selecione uma das seguintes:

  • Cerebellum

  • Medulla

  • Thalamus

  • Hypothalamus

Explicação

Questão 5 de 75

1

A student nurse asks the nurse what controls reflex activities concerned with heart rate and blood pressure. What is the nurse’s best response? These reflex activities are controlled by the:

Selecione uma das seguintes:

  • Pons

  • Cerebrum

  • Medulla oblongata

  • Midbrain

Explicação

Questão 6 de 75

1

What term should the nurse use when talking about the outermost membrane surrounding the brain?

Selecione uma das seguintes:

  • Dura mater

  • Pia mater

  • Falx cerebri

  • Arachnoid mater

Explicação

Questão 7 de 75

1

The _____ ensures collateral blood flow from blood vessels supplying the brain.

Selecione uma das seguintes:

  • Carotid arteries

  • Circle of Willis

  • Basal artery

  • Vertebral arteries

Explicação

Questão 8 de 75

1

An aide asks a nurse what neurotransmitters interact with. Which response is the nurse’s best answer? Neurotransmitters interact with the postsynaptic membrane by binding to a:

Selecione uma das seguintes:

  • Receptor

  • Nissl body

  • Neurofibril

  • Glial cell

Explicação

Questão 9 de 75

1

A patient asks the nurse where nociceptors can be found. How should the nurse respond? One location in which nociceptors can be found is the:

Selecione uma das seguintes:

  • Hypothalamus

  • Efferent pathways

  • Spinal cord

  • Skin

Explicação

Questão 10 de 75

1

Which finding indicates the patient is having complications from heat stroke?

Selecione uma das seguintes:

  • Cerebral edema and degeneration of the CNS

  • Alterations in calcium uptake

  • Mild elevation of core body temperatures

  • Spasmodic cramping in the abdomen and extremities

Explicação

Questão 11 de 75

1

A 50-year-old diabetic patient experiences visual disturbances and decides to visit his primary care provider. After examination, the primary care provider tells the patient that the cells that allow him to see are degenerated. Which of the following structures is most likely damaged?

Selecione uma das seguintes:

  • Lens

  • Pupil

  • Retina

  • Cornea

Explicação

Questão 12 de 75

1

When a neurologist explains how pricking a finger with a needle provides minimal pain while cutting the finger with a knife provides more severe pain, what theory is being described?

Selecione uma das seguintes:

  • Gate control theory

  • Specificity theory

  • Neuromodulation

  • Neuromatrix theory

Explicação

Questão 13 de 75

1

A patient has increased intraocular pressure. Which diagnosis will the nurse observe on the chart?

Selecione uma das seguintes:

  • Glaucoma

  • Diplopia

  • Nystagmus

  • Ocular degeneration

Explicação

Questão 14 de 75

1

Which group of people is most prone to red-green color blindness?

Selecione uma das seguintes:

  • Males

  • Elderly persons

  • Females

  • Children

Explicação

Questão 15 de 75

1

The nurse would expect the patient with an alteration in proprioception to experience vertigo which is manifested by:

Selecione uma das seguintes:

  • Loss of feeling in the lips

  • Headache

  • Light sensitivity

  • A sensation that the room is spinning

Explicação

Questão 16 de 75

1

When a patient has a peculiar sensation that immediately precedes a seizure, what term should the nurse use to describe this sensation?

Selecione uma das seguintes:

  • Spasm

  • Aura

  • Prodroma

  • Agnosia

Explicação

Questão 17 de 75

1

A patient has memory loss of events that occurred before a head injury. What cognitive disorder does the nurse suspect the patient is experiencing?

Selecione uma das seguintes:

  • Selective memory deficit

  • Executive memory deficit

  • Anterograde amnesia

  • Retrograde amnesia

Explicação

Questão 18 de 75

1

A 20-year-old male suffers a severe closed head injury in a motor vehicle accident. He remains in a vegetative state (VS) 1 month after the accident. Which of the following structures is most likely keeping him in a vegetative state?

Selecione uma das seguintes:

  • Cerebellum

  • Brainstem

  • Spinal cord

  • Cerebral cortex

Explicação

Questão 19 de 75

1

The patient is experiencing an increase in intracranial pressure. This increase results in:

Selecione uma das seguintes:

  • Ventricular swelling

  • Expansion of the cranial vault

  • Intracranial hypotension

  • Brain tissue hypoxia

Explicação

Questão 20 de 75

1

A 20-year-old male is brought to the emergency room (ER) for treatment of injuries received in a motor vehicle accident. A spinal cord injury is suspected. What two regions should the nurse assess as they are most likely to be damaged?

Selecione uma das seguintes:

  • Cervical and thoracic regions

  • Thoracic and lumbar regions

  • Cervical and lumbar regions

  • Lumbar and sacral regions

Explicação

Questão 21 de 75

1

A 33-year-old male is brought to the ER for treatment of injuries received in a motor vehicle accident. An MRI reveals an injury of the cervical cord. Cord swelling in this region may be life threatening because:

Selecione uma das seguintes:

  • Bladder emptying will not occur.

  • Diaphragm function may be impaired.

  • Reflexes will be disrupted.

  • Increased ICP may occur.

Explicação

Questão 22 de 75

1

Six weeks ago a female patient suffered a T6 spinal cord injury. She then developed a blood pressure of 200/120, a severe headache, blurred vision, and bradycardia. What does the nurse suspect the patient is experiencing?

Selecione uma das seguintes:

  • Extreme spinal shock

  • Autonomic hyperreflexia

  • Acute anxiety

  • Parasympathetic areflexia

Explicação

Questão 23 de 75

1

A 72-year-old male demonstrates left-sided weakness of upper and lower extremities. The symptoms lasted 4 hours and resolved with no evidence of infarction. The patient most likely experienced a(n):

Selecione uma das seguintes:

  • Stroke in evolution

  • Cerebral hemorrhage

  • Transient ischemic attack

  • Arteriovenous malformation

Explicação

Questão 24 de 75

1

A 25-year-old female presents to her primary care provider reporting fever, headache, nuchal rigidity, and decreased consciousness. She was previously treated for sinusitis. Which of the following is the most likely diagnosis?

Selecione uma das seguintes:

  • Nonpurulent meningitis

  • Fungal meningitis

  • Aseptic meningitis

  • Bacterial meningitis

Explicação

Questão 25 de 75

1

A 23-year-old female begins having problems with tiredness, weakness, and visual changes. Her diagnosis is multiple sclerosis (MS). What is occurring in the patient’s body?

Selecione uma das seguintes:

  • Reduced amounts of acetylcholine at the neuromuscular junction

  • Depletion of dopamine in the central nervous system (CNS)

  • Demyelination of nerve fibers in the CNS

  • The development of neurofibril webs in the CNS

Explicação

Questão 26 de 75

1

A patient is admitted with amyotrophic lateral sclerosis (ALS). Which classic assessment findings will support the diagnosis of ALS?

Selecione uma das seguintes:

  • Severe paresthesias

  • Progressive dementia

  • Muscle weakness and atrophy

  • Autonomic dysfunctions

Explicação

Questão 27 de 75

1

Which statement by a patient indicates teaching was successful regarding myasthenia gravis? Myasthenia gravis results from:

Selecione uma das seguintes:

  • Viral infection of skeletal muscle

  • Atrophy of motor neurons in the spinal cord

  • Autoimmune injury at the neuromuscular junction

  • Demyelination of skeletal motor neurons

Explicação

Questão 28 de 75

1

As a portion of the assessment of the patient with meningitis, the health care provider flexes the patient’s neck to the chest. The patient responds with flexion of the legs and thighs. The name for this response is:

Selecione uma das seguintes:

  • Decerebrate posturing

  • Decorticate posturing

  • Kernig’s sign

  • Brudzinski’s sign

Explicação

Questão 29 de 75

1

The patient reports generalized muscle weakness. The health care provider orders administration of the medication edrophonium chloride (Tensilon). This medication is used in the diagnosis of:

Selecione uma das seguintes:

  • Autonomic hyperreflexia

  • Amyotrophic lateral sclerosis

  • Myasthenia gravis

  • MS

Explicação

Questão 30 de 75

1

A 15-year-old male was struck by a motor vehicle and suffered a traumatic brain injury. Paramedics found him unconscious at the scene of the accident. During the ambulance ride, he regained consciousness and was able to maintain a conversation with the medical staff. Upon arrival to hospital, he was alert and oriented. Physical exam reveals confusion and impaired responsiveness. What is the probable nature of his brain injury based on this history?

Selecione uma das seguintes:

  • Subdural hematoma

  • Mild diffuse axonal injury

  • Extradural (epidural) hematoma

  • Mild concussion

Explicação

Questão 31 de 75

1

Which of the following diseases does the nurse screen for in all newborns?

Selecione uma das seguintes:

  • Tay-Sachs disease

  • Epilepsy

  • Pica

  • Phenylketonuria (PKU)

Explicação

Questão 32 de 75

1

A child presents to his primary care provider with disorientation, delirium, aggressiveness, and stupor. His parents report that he was recently ill with an upper respiratory infection, which they treated with aspirin. Which of the following is the most likely diagnosis?

Selecione uma das seguintes:

  • Epilepsy

  • Reye syndrome

  • PKU

  • Tay-Sachs

Explicação

Questão 33 de 75

1

What nutrient should the nurse encourage a woman in the early stages of pregnancy to consume to prevent neural tube defects?

Selecione uma das seguintes:

  • Folic acid

  • Iron

  • Protein

  • Vitamin D

Explicação

Questão 34 de 75

1

A newborn child has a herniation of brain and meninges through a defect in the occipital area of the skull. What will the pediatrician call this condition?

Selecione uma das seguintes:

  • Myelomeningocele

  • Encephalocele

  • Meningocele

  • Craniosynostosis

Explicação

Questão 35 de 75

1

A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find?

Selecione uma das seguintes:

  • Increased arterial vasoconstriction

  • Increased urine osmolality

  • Increased blood volume

  • Increased urine volume

Explicação

Questão 36 de 75

1

A 70-year-old female has brittle bones secondary to osteoporosis. Her primary care provider prescribes calcitonin to:

Selecione uma das seguintes:

  • Inhibit calcium resorption from bones

  • Stimulate osteoclastic activity

  • Promote thyroid hormone release

  • Activate vitamin D

Explicação

Questão 37 de 75

1

A nurse is reviewing lab results. Which of the following lab results would slow down the rate of parathyroid hormone secretion?

Selecione uma das seguintes:

  • Increased serum calcium levels

  • Decreased levels of TSH

  • Increased levels of TSH

  • Decreased serum calcium levels

Explicação

Questão 38 de 75

1

An endocrinologist is teaching about aldosterone secretion. Which information should the endocrinologist include? Aldosterone secretion is regulated by:

Selecione uma das seguintes:

  • ACTH feedback

  • Positive feedback

  • The renin-angiotension system

  • The sympathetic nervous system

Explicação

Questão 39 de 75

1

When catecholamines are released in a patient, what should the nurse assess for?

Selecione uma das seguintes:

  • Hypotension

  • Nutrient absorption

  • Fluid retention

  • Hyperglycemia

Explicação

Questão 40 de 75

1

When a patient asks about target cell receptors, which is the nurse’s best response? Target cell receptors for most water-soluble hormones are located in the:

Selecione uma das seguintes:

  • Endoplasmic reticulum

  • Cell membrane

  • Nucleus

  • Cytosol

Explicação

Questão 41 de 75

1

A nurse is discussing endocrine system dysfunction with a patient. Which statement indicates the patient understood? Endocrine system dysfunction can result from hyposecretion, hypersecretion, or from:

Selecione uma das seguintes:

  • Increased synthesis of second messengers

  • Extracellular electrolyte alterations

  • Abnormal receptor activity

  • Abnormal hormone levels

Explicação

Questão 42 de 75

1

What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?

Selecione uma das seguintes:

  • Confused states

  • Breathing abnormalities

  • Visual disturbances

  • Coma

Explicação

Questão 43 de 75

1

A 35-year-old female with Graves disease is admitted to a medical-surgical unit. Which of the following symptoms would the nurse expect to find before treatment?

Selecione uma das seguintes:

  • Slow heart rate, rash

  • Constipation, confusion

  • Skin hot and moist, rapid heart rate

  • Weight gain, cold intolerance

Explicação

Questão 44 de 75

1

A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?

Selecione uma das seguintes:

  • Primary hypothyroidism

  • Autoimmune hypothyroidism

  • Secondary hypothyroidism

  • Atypical hypothyroidism

Explicação

Questão 45 de 75

1

What problem should the nurse assess for in a patient with chronic hyperparathyroidism?

Selecione uma das seguintes:

  • Hyponatremia

  • Vitamin D malabsorption

  • Osteoporosis and pathologic fractures

  • Seizure disorders

Explicação

Questão 46 de 75

1

A 45-year-old female with Graves disease underwent surgical removal of her thyroid gland. During the postoperative period, her serum calcium was low. The most probable reason for her low serum calcium is:

Selecione uma das seguintes:

  • Myxedema secondary to surgery

  • Hypoparathyroidism caused by surgical injury to the parathyroid glands

  • Hypothyroidism resulting from lack of thyroid replacement

  • Hyperparathyroidism secondary to Graves disease

Explicação

Questão 47 de 75

1

A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response?

Selecione uma das seguintes:

  • A familial, autosomal dominant gene defect

  • Obesity and lack of exercise

  • Hyperglycemia from eating too many sweets

  • Immune destruction of the pancreas

Explicação

Questão 48 de 75

1

A nurse is reviewing lab results for glycosylated hemoglobin (hemoglobin A1c) levels. A nurse recalls the purpose of this test is to:

Selecione uma das seguintes:

  • Monitor long-term serum glucose control.

  • Measure fasting glucose levels.

  • Detect acute complications of diabetes.

  • Check for hyperlipidemia.

Explicação

Questão 49 de 75

1

A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?

Selecione uma das seguintes:

  • Insulin deficiency promotes lipid metabolism and ketone formation.

  • Low serum insulin promotes lipid storage and a corresponding release of ketones.

  • Increased insulin levels promote protein breakdown and ketone formation.

  • Her uncontrolled diabetes has led to renal failure.

Explicação

Questão 50 de 75

1

A 55-year-old female is admitted to the medical unit for complications of long-term, poorly controlled type 2 DM. Which of the following would the nurse expect to find in addition to elevated glucose?

Selecione uma das seguintes:

  • Elevated liver enzymes

  • Anemia

  • Metabolic alkalosis

  • Atherosclerosis

Explicação

Questão 51 de 75

1

A nurse checks lab results as both Cushing syndrome and Addison disease can manifest with elevated levels of:

Selecione uma das seguintes:

  • Aldosterone

  • Adrenocorticotropic hormone (ACTH)

  • ADH

  • Cortisol

Explicação

Questão 52 de 75

1

A 30-year-old female presents with hypertension, headache, tachycardia, impaired glucose tolerance, and weight loss. Which of the following diagnosis will the nurse see documented on the chart?

Selecione uma das seguintes:

  • Conn disease

  • Cushing disease

  • Pheochromocytoma

  • Addison disease

Explicação

Questão 53 de 75

1

A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate?

Selecione uma das seguintes:

  • Dilutional hyponatremia

  • Cardiac arrest from hyperkalemia

  • Dehydration from polyuria

  • Metabolic acidosis

Explicação

Questão 54 de 75

1

Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?

Selecione uma das seguintes:

  • Thirst

  • Vomiting and abdominal cramping

  • Polyuria

  • Edema

Explicação

Questão 55 de 75

1

A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?

Selecione uma das seguintes:

  • Psychogenic diabetes insipidus

  • Neurogenic diabetes insipidus

  • Nephrogenic diabetes insipidus

  • SIADH

Explicação

Questão 56 de 75

1

During an infection, the nurse assesses the lymph nodes. Lymph nodes enlarge and become tender because:

Selecione uma das seguintes:

  • Edema accumulates within the fibrous capsule.

  • Microorganisms are accumulating.

  • The nodes are not functioning properly.

  • Lymphocytes are rapidly dividing.

Explicação

Questão 57 de 75

1

A nurse is discussing a cell that can differentiate into any tissue type. Which term is the nurse describing?

Selecione uma das seguintes:

  • Pluripotent

  • Hematopoietic

  • Blastocyst

  • Progenitor

Explicação

Questão 58 de 75

1

Which condition will cause a patient to secrete erythropoietin?

Selecione uma das seguintes:

  • Inflammation

  • Hypoxia (oxygen deficient)

  • Hypercarbia

  • Low blood pressure

Explicação

Questão 59 de 75

1

After erythrocytes have circulated for about 120 days, they are removed by macrophages, which are mainly in the:

Selecione uma das seguintes:

  • Spleen

  • Liver

  • Appendix

  • Bone marrow

Explicação

Questão 60 de 75

1

A nurse is caring for a patient who cannot clot. Which end product of the clotting cascade is this patient unable to make?

Selecione uma das seguintes:

  • Fibrinogen

  • Thrombin

  • Fibrin

  • Collagen

Explicação

Questão 61 de 75

1

When a staff member asks how erythrocytes can carry oxygen, which of the following properties should the nurse describe that allow erythrocytes to function as gas carriers? (Select all that apply.)

Selecione uma das seguintes:

  • Biconcavity
    Reversible deformability

  • Presence of many mitochondria
    Undergoes mitotic division
    Presence of a nucleus

Explicação

Questão 62 de 75

1

Which of the following individuals should the nurse assess first for a vitamin B12 deficiency anemia?

Selecione uma das seguintes:

  • 3-year-old female who is a fussy eater

  • 26-year-old female in the second trimester of her first pregnancy

  • 64-year-old male with a history of duodenal ulcers and gastrointestinal bleeding

  • 47-year-old male who had a gastrectomy procedure (removal of the stomach)

Explicação

Questão 63 de 75

1

A 67-year-old female has chronic gastrointestinal bleeding. A nurse recalls the primary cause of her anemia is:

Selecione uma das seguintes:

  • Bone marrow failure

  • Folate deficiency

  • Iron deficiency

  • Vitamin B12 deficiency

Explicação

Questão 64 de 75

1

A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath. His skin and sclera appear to have a yellowish discoloration. These assessment findings are consistent with which type of anemia?

Selecione uma das seguintes:

  • Hemolytic anemia

  • Posthemorrhagic anemia

  • Iron deficiency anemia

  • Aplastic anemia

Explicação

Questão 65 de 75

1

A 45-year-old male is diagnosed with sideroblastic anemia. When he asks what the most likely cause of this disease is, what is the nurse’s best response?

Selecione uma das seguintes:

  • Misshapen erythrocytes with low hemoglobin

  • Premature erythrocyte destruction and erythropoietin deficiency

  • Decreased levels of tissue iron with megaloblastic erythrocytes

  • Ineffective iron uptake and abnormal hemoglobin production

Explicação

Questão 66 de 75

1

A 70-year-old male is brought to the emergency department, where he dies shortly thereafter. Autopsy reveals polycythemia vera (PV). His death was most likely the result of:

Selecione uma das seguintes:

  • Acute renal failure

  • Sepsis

  • Acute leukemia

  • Cerebral thrombosis

Explicação

Questão 67 de 75

1

A 30-year-old female presents with hematuria, menorrhagia, and bleeding gums. She is diagnosed with immune thrombocytic purpura (ITP). A nurse realizes the most likely cause is:

Selecione uma das seguintes:

  • An immune response to hypersplenism

  • T cell injury to megakaryocytes

  • Antibody destruction of platelets

  • Allergy-induced platelet lysis

Explicação

Questão 68 de 75

1

A nurse checks individuals with liver disease for clotting problems because:

Selecione uma das seguintes:

  • High levels of bilirubin interfere with the clotting system.

  • Treatment medications for liver failure cause fibrinolysis.

  • Clotting factors are produced in the liver.

  • The liver is often the site of platelet pooling.

Explicação

Questão 69 de 75

1

A 40-year-old female develops disseminated intravascular coagulation (DIC). Upon obtaining the history, which finding is the most likely cause of this condition?

Selecione uma das seguintes:

  • Sepsis

  • Immune thrombocytopenic purpura (ITP)

  • Snake bite

  • Blood transfusion

Explicação

Questão 70 de 75

1

A 15-year-old male is diagnosed with infectious mononucleosis. Which of the following assessment findings would he most likely demonstrate? (Select all that apply.)

Selecione uma das seguintes:

  • Lymph node enlargement.
    Fever and sore throat
    Enlargement of liver and spleen
    Fatigue

  • Rash on the trunk and extremities

Explicação

Questão 71 de 75

1

A 12-year-old male is diagnosed with sickle cell anemia. A blood smear reveals severely sickled cells. A nurse recalls the sickled cells will be removed from circulation mostly by the:

Selecione uma das seguintes:

  • Pancreas

  • Kidney

  • Liver

  • Spleen

Explicação

Questão 72 de 75

1

A geneticist is discussing thalassemias. Which information should be included? The alpha and beta thalassemias are inherited in an _____ fashion.

Selecione uma das seguintes:

  • X-linked recessive

  • Autosomal dominant

  • Autosomal recessive

  • X-linked dominant

Explicação

Questão 73 de 75

1

The mother of a 3-year-old child speaks to the pediatrician because the child took several hours to stop bleeding following a minor scrape. Testing reveals that the child has hemophilia A resulting from a deficiency in factor:

Selecione uma das seguintes:

  • VIII

  • IX

  • XIII

  • XII

Explicação

Questão 74 de 75

1

Which mother is at most risk for a maternal-fetal blood incompatibility?

Selecione uma das seguintes:

  • Mother is Rh-negative, and fetus is Rh-positive.

  • Mother has type A blood, and fetus has type O blood.

  • Mother has type AB, blood and fetus has type B blood.

  • Mother is Rh-positive, and fetus is Rh-negative.

Explicação

Questão 75 de 75

1

A 10-year-old male is diagnosed with sickle cell anemia. When the parents ask who is responsible for this disease, what is the nurse’s best response? He most likely inherited it from:

Selecione uma das seguintes:

  • His father

  • None of the above; sickle cell disease is not clearly an inherited disease.

  • His mother

  • Both his mother and father

Explicação