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Chapter 3- Test Bank Questions with Verified Answers

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Chapter 3- Test Bank Questions with Verified Answers 1. Incorrect choices: A toxic reaction is an adverse drug reaction that is an extension of the pharmacologic effect of the drug. Side effects are dose related effects on nontarget organs. Drug allergy refers to the interaction of the immune system with the drug. None of these incorrect choices are limited to describing abnormal or genetically related responses. 2. Incorrect choices: X means never use if someone might get pregnant. A means best or least teratogenic. B means that no demonstrated risk to the fetus in laboratory animals has been found or that animal studies show a risk that cannot be substantiated by studies in pregnant women. Of the following situations, which one would be an example of a maladaptive cellular change? - ANSWER A 44-year-old male with a 60 pack per year smoking history who was diagnosed with a histological grade 3 lung cancer. 3. A client is experiencing muscle atrophy following two weeks and traction after a motor vehicle accident. Which of the following factors has most likely contributed to the atrophy of the clients muscle cells? - ANSWER A reduction of skeletal muscle use secondary To the traction treatment. 4. The nurse is teaching new nursing assistant on the unit about the phenomenon of muscle hyper trophy. Which of the following clients on the unit is most likely to experience muscle hyper trophy? A client with - ANSWER Hypertension, obesity, and decreased activity tolerance. 5. Which of the following clients is at a higher risk for developing dilated cardiomyopathy? - ANSWER A 44-year-old noncompliant female who forgets to take her hypertensive medications. 6. Which of the following statements by a student demonstrates a sound understanding of the cellular processes of hyper trophy and hyperplasia? - ANSWER I know that sells like neurons have little capacity for hyper plastic growth. Because they do not normally divide, neurons do not undergo hyperplasia. 7. The community healthcare nurse is teaching a group of female high school students about the importance of regular Pap smears. The nurse recognizes that white sack underlies the rationale for this teaching? - ANSWER Cancer of the uterus cervix develops incrementally at a cellular level. -Cervical cancer is indicative by incremental epithelial changes, beginning with dysplasia. 8. A home health nurse is making a visit to a family with an eight-month-old infant with severe motor deterioration. The physician has diagnosed the infant with Tay-Sachs disease. The parents are asking the nurse why this happened. The nurse will base her answer knowing the root cause of Tay Sachs is - ANSWER An enzyme deficit causing a normal lipid accumulation in the brain. Tay-Sachs is a genetic disorder resulting from the enzyme defect that results in a normal lipid accumulation in the brain and other tissues. 9. Is 68-year-old male client with aortic stenosis secondary to calcification of the aortic valve is receiving care. Which of the following statements best captures an aspect of this clients condition? - ANSWER The client has possibly undergone damage as a result of calcification following cellular injury. 10. A nurse in the emergency department admits a mail client who has experienced severe frostbite to his hands and toes after becoming lost on a ski hill. The nurse recognizes that which of the following phenomena have contributed to this tissue damage? - ANSWER Decreased blood flow has induced hypoxia. Trying to do it I can memorize the test bank questions and then study in between 11. REF: pp. 28-29 12. A drug effect that is neither predictable nor dose related is called a: a. Therapeutic effect b. Toxic reaction c. Side effect d. Drug allergy e. Both b and d - ANSWER ANS: d Correct: Unlike other adverse reactions, allergic reactions are neither predictable nor dose related. Incorrect choices: Approved pharmaceuticals are available for use because they produce a predictable and dose-related therapeutic response. Toxic reactions and side effects are dose-related effects, the former on the target organ and the latter on nontarget organs. They might be surprising when they arise, for instance, in patients who are especially sensitive to a drug's effects. However, they are predictable based on the drug's dose-response relationship. 13. Which of the following statements is true about the Blueprint for Action for Community Health Nursing in Canada (CHNC, 2011)? A It incorporates the voices of government officials about public health B It is a point of reference for ongoing dialogue about community health nursing practice C It is a landmark document about primary health care in Canada D It provides a framework for intersectoral collaboration - ANSWER B 14. Which of the following documents outlines six areas of action, one of them being supporting nursing leadership development? A The Ottawa Charter B The Declaration of Alma Ata C The Blueprint for Action for Community Health Nursing in Canada D The Lalonde Report - ANSWER C 15. Before World War II, what percentage of nurses were working in the community? A 25% B 45% C 60% D 70% - ANSWER C

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Chapter 3
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Chapter 3- Test Bank Questions with
Verified Answers


1. Incorrect choices: A toxic reaction is an adverse drug reaction that is an
extension of the pharmacologic effect of the drug. Side effects are dose-
related effects on nontarget organs. Drug allergy refers to the interaction of
the immune system with the drug. None of these incorrect choices are
limited to describing abnormal or genetically related responses.

2. Incorrect choices: X means never use if someone might get pregnant. A
means best or least teratogenic. B means that no demonstrated risk to the
fetus in laboratory animals has been found or that animal studies show a risk
that cannot be substantiated by studies in pregnant women. Of the following
situations, which one would be an example of a maladaptive cellular
change? - ANSWER A 44-year-old male with a 60 pack per year smoking
history who was diagnosed with a histological grade 3 lung cancer.


3. A client is experiencing muscle atrophy following two weeks and traction
after a motor vehicle accident. Which of the following factors has most
likely contributed to the atrophy of the clients muscle cells? - ANSWER A
reduction of skeletal muscle use secondary To the traction treatment.


4. The nurse is teaching new nursing assistant on the unit about the
phenomenon of muscle hyper trophy. Which of the following clients on the
unit is most likely to experience muscle hyper trophy? A client with -
ANSWER Hypertension, obesity, and decreased activity tolerance.


5. Which of the following clients is at a higher risk for developing dilated
cardiomyopathy? - ANSWER A 44-year-old noncompliant female who
forgets to take her hypertensive medications.

,6. Which of the following statements by a student demonstrates a sound
understanding of the cellular processes of hyper trophy and hyperplasia? -
ANSWER I know that sells like neurons have little capacity for hyper plastic
growth. Because they do not normally divide, neurons do not undergo
hyperplasia.


7. The community healthcare nurse is teaching a group of female high school
students about the importance of regular Pap smears. The nurse recognizes
that white sack underlies the rationale for this teaching? - ANSWER Cancer
of the uterus cervix develops incrementally at a cellular level. -Cervical
cancer is indicative by incremental epithelial changes, beginning with
dysplasia.


8. A home health nurse is making a visit to a family with an eight-month-old
infant with severe motor deterioration. The physician has diagnosed the
infant with Tay-Sachs disease. The parents are asking the nurse why this
happened. The nurse will base her answer knowing the root cause of Tay-
Sachs is - ANSWER An enzyme deficit causing a normal lipid
accumulation in the brain. Tay-Sachs is a genetic disorder resulting from the
enzyme defect that results in a normal lipid accumulation in the brain and
other tissues.


9. Is 68-year-old male client with aortic stenosis secondary to calcification of
the aortic valve is receiving care. Which of the following statements best
captures an aspect of this clients condition? - ANSWER The client has
possibly undergone damage as a result of calcification following cellular
injury.


10.A nurse in the emergency department admits a mail client who has
experienced severe frostbite to his hands and toes after becoming lost on a
ski hill. The nurse recognizes that which of the following phenomena have
contributed to this tissue damage? - ANSWER Decreased blood flow has

, induced hypoxia. Trying to do it I can memorize the test bank questions and
then study in between


11.REF: pp. 28-29


12.A drug effect that is neither predictable nor dose related is called a:


a. Therapeutic effect
b. Toxic reaction
c. Side effect
d. Drug allergy
e. Both b and d - ANSWER ANS: d
Correct: Unlike other adverse reactions, allergic reactions are neither
predictable nor dose related.
Incorrect choices: Approved pharmaceuticals are available for use because they
produce a predictable and dose-related therapeutic response. Toxic reactions
and side effects are dose-related effects, the former on the target organ and the
latter on nontarget organs. They might be surprising when they arise, for
instance, in patients who are especially sensitive to a drug's effects. However,
they are predictable based on the drug's dose-response relationship.


13.Which of the following statements is true about the Blueprint for Action for
Community Health Nursing in Canada (CHNC, 2011)?
A
It incorporates the voices of government officials about public health
B
It is a point of reference for ongoing dialogue about community health nursing
practice
C
It is a landmark document about primary health care in Canada

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