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(Graded A+)- Sprott Shaw College
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PN4003 / PN 4003 Variations in Health Final Exam
1 of 206
Term
The nurse reinforces education for a client who is diagnosed with a
coagulopathy. Which client statement indicates a correct
understanding of the definition for this disorder?
A. "My diagnosis means that I am missing or lacking components
needed to control bleeding."
B. "My diagnosis is a bleeding disorder caused by a deficiency of
globulins in my blood."
,C. "My diagnosis is a bleeding disorder that involves red blood cells."
D. "My diagnosis means that I am at risk for developing blood clots."
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D B
C A
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2 of 206
Term
The nurse is caring for a client with head trauma. Which assessment
finding(s) would indicate an increasing intracranial pressure (ICP) in this
client? Select all that apply.
A. Stiff neck
B. Generalized pain
C. Glasgow Coma Scale of 15
D. Elevated systolic blood pressure
E. Brisk pupil response
F. Wide pulse pressure
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D A,C
, D,F B
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3 of 206
Definition
B
Rationale: A partial dislocation is referred to as a subluxation. A
Volkmann contracture is a claw like deformity that results from
compartment syndrome or obstructed arterial blood flow to the
forearm and hand. Compartment syndrome is a condition in which a
structure such as a tendon or nerve is constricted in a confined space
and affects nerve innervation, leading to subsequent palsy. A sprain is
injury to the ligaments surrounding the joint.
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A client comes to the emergency department complaining of localized pain and
swelling of the lower leg. Ecchymotic areas are noted. History reveals that the client
got hit in the leg with a baseball bat. What would the nurse suspect as most likely?
A. Fracture
B. Contusion
C. Sprain
D. Strain
A client comes to the emergency department and it is found that the client's
radial head is partially dislocated. What is this partially dislocated radial head
documented as?
A. Volkmann's contracture
, B. Subluxation
C. Compartment syndrome
D. Sprain
A client is diagnosed with polycystic kidney disease. Which symptom would the
nurse most likely assess?
A. Hypertension
B. Flank pain
C. Fever
D. Periorbital edema
The client with chronic kidney disease is exhibiting signs of anemia. Which is the best
nursing rationale for this symptom?
A. Azotemia
B. Diminished erythropoietin production
C. Impaired immunologic response
D. Electrolyte imbalances
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4 of 206
Term
An adolescent client diagnosed with infectious mononucleosis asks the
nurse if it is possible to keep getting the disease in the future. What is
the best response by the nurse?
A. "After having the disease, the virus dissipates and is gone forever."
B. "Once you get the virus, it will infect you when your immune system
is compromised."
C. "One episode produces immunity, but the virus remains for a
lifetime."