Exam 2026-2027 Actual Complete Real Exam Questions
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Which HC practice is most important for the nurse to teach a
postmenapausal
client? - ANSWER -consume adequate foods
rich in Ca+
While the nurse obtains a male client's hx, review of systems,
and physical exam, the client tells the nurse that his breast
drains fluid secretions from the nipple. The nurse should seek
further eval of which endocrine land fxn? - ANSWER -
Hypothalamus and anterior pituitary
Breast fluid and milk production are induced by the presence of
prolactin secreted from the anterior pituitary gland, which is
regulated by the hypothalmus' secretion of prolactin-inhibiting
hormone in both men and women.
further eval of the hypothalamus and anterior pituitary gland
should provide additional info about the secretions or lactation
,The nurse is assessing the lab results for a client who is
admitted w/ renal failure and osteodystrophy. Which findings
are consistent w/ the client's clinical picture? - ANSWER -K+ 5.5
mEq and total Ca+ 6 mg/dL
In renal failure, normal serum electrolyte balance is altered
because the kidneys fail to acitvate vitamin D, Ca+ absorption
is impaired, and serum Ca+ decreases, which stimulates the
release of PTH causing resorption of Ca+ and phosphate from
the bone. A decreased tubular excretion and a decreased
glomerular filtration rate results in hypocalcemia,
hyperphosphatemia, and hyperkalemia
A mid-aged male client asks the nurse what findings from his
digital rectal exam prompted the HCP to prescribe a repeat
serum prostatic surface antigen (PSA) level. What info should
the nurse provide? - ANSWER -stony, irregular nodules
palpated on the prostate should be further evaluated
Which condition is associated w/ an over-secretion of
renin? - ANSWER -
Hypertension
renin is an enzyme synthesized and secreted by the
juxtaglomerular cells of the
kidney in response to renal artery blood volume and pressure
chgs. Low renal
, perfusion stimulates the release of renin, which is
converted by
angiotensinogen into angiotensin 1, which causes the secretion
of aldosterone,
resulting in renal reabsorption of sodium, water, and
subsequently increases BP
What info should the nurse include in a teaching plan
about the onset of
menopause? - ANSWER -a.
Smoking
b. Oophorectomy w/
hysterectomy
c. Early
menarche
d. Genetic
influence
e. Chemotherapy
exposure
A client is brought to the ER after a snow skiing accident. Which
intervention is
most important for the nurse to implement? - ANSWER -
Review the ECG
tracing
Airway, Breathing, and Circulation are priorities in client
assessment and tx. Continuous cardiac monitoring is indicated