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1.The nurse practitioner anticipates which of the following clients would be most at risk to
develop hyperkalemia? The client:
A. Just diagnosed with cirrhosis.
B. Who has had diarrhea for the last four days.
C. With chronic renal failure.
D. With intestinal and nasogastric suctioning. - CORRECT ANSWERS-C. With chronic
renal failure.
1The nurse understands that a client with albuminuria has edema caused by a:
A. Fall in plasma colloidal osmotic pressure
B. Fall in tissue hydrostatic pressure
C. Rise in tissue colloidal osmotic pressure
D. Rise in plasma hydrostatic pressure - CORRECT ANSWERS-A. Fall in plasma colloidal
osmotic pressure
A 10-year-old male is brought to the ER with prolonged bronchospasm and severe
hypoxemia. The most likely diagnosis on the chart is:
A. Exercise-induced asthma
B. Chronic obstructive pulmonary disease (COPD)
C. Status asthmaticus
D. Bronchiectasis - CORRECT ANSWERS-C. Status asthmaticus
A 25-year-old male presents with chronic bronchitis of 5 months' duration. When obtaining
the patient's history, which of the following findings is most likely to cause this condition?
A. Chronic asthma
B. Air pollution
C. Cigarette smoke
D. Recurrent pneumonias - CORRECT ANSWERS-C. Cigarette smoke
A 30-year-old male is involved in a motor vehicle accident and sustains trauma to the lungs
and chest wall. He experiences respiratory failure. Which of the following lab values would
the nurse expect?
, A. Electrolyte imbalances
B. Elevated PaCO2
C. Low hematocrit
D. Elevated pH - CORRECT ANSWERS-B. Elevated PaCO2
A 35-year-old female is diagnosed with vitamin B12 deficiency anemia (pernicious
anemia). The most likely cause is a decrease in:
A. Ferritin
B. Gastric enzymes
C. Intrinsic factor
D. Erythropoietin - CORRECT ANSWERS-C. Intrinsic factor
A 42-year-old female presents with raised red lesions with a brownish scale. She was
diagnosed with discoid lupus erythematosus. A clinician recalls this disorder is related to:
A. Infection
B. Trauma
C. Autoimmunity
D. Cancer - CORRECT ANSWERS-C. Autoimmunity
A 45-year-old female was recently diagnosed with cervical cancer. She reports a sexual
history that includes 43 partners. Which of the following is the most likely cause of her
cancer?
A. Herpes virus
B. Rubella virus
C. Human papillomavirus (HPV)
D. Hepatitis B virus - CORRECT ANSWERS-C. Human papillomavirus (HPV)
A 49-year-old male presents to his primary care provider reporting chest pain. EKG reveals
ST elevation. He is diagnosed with myocardial ischemia. Which of the following
interventions would be most beneficial?
A. Administer a diuretic to decrease volume.
B. Apply oxygen to increase myocardial oxygen supply.
C. Encourage exercise to increase heart rate.
D. Give an antibiotic to decrease infection. - CORRECT ANSWERS-B. Apply oxygen to
increase myocardial oxygen supply.
A 50-year-old female develops skin cancer on her head and neck following years of
sunbathing. Which of the following cancers is the most likely?
A. Lymphoma
B. Adenoma
C. Basal cell carcinoma