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## Chapter 1: Foundations of Nursing
**1. A student nurse level one is caring a patient with ischemia condition. He/she asked
I charge nurse the meaning of ischemia. What would be the BEST response from in
charge nurse?**
**Answer : B. Restriction of blood supply to tissues**
**Feedback:** Ischemia is defined as a restriction in blood supply to tissues, causing a
shortage of oxygen and glucose needed for cellular metabolism. Option A (overflow of
blood) describes hyperemia, C describes venous insufficiency, and D describes
dysp nea.
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,**2. Which of the following MOSTLY confirming the values meet the diagnostic onset for
diabetes?**
**Answer : D. Fasting blood glucose ≥ 126 mg/dl**
**Feedback:** According to the American Diabetes Association, the diagnostic criteria
for diabetes include a fasting blood glucose ≥126 mg/dL (7.0 mmol/L). A random
glucose >200 mg/dL with symptoms, or a 2 - hour post - prandial glucose ≥200 mg/dL
also indicate diabetes.
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**3. "Ever since my divorce, my 5 - year - old has begun to wet the bed". This is an
example of what defense mechanism?**
**Answer : B. Regression**
**Feedback:** Regression is a defense mechanism in which an individual returns to an
earlier, more immature stage of development in response to stress or anxiety. The
child who was previously toilet trained begins wetting the bed after the stress of the
parents' divorce, demonstrating regression.
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**4. Which of the following statements is CORRECT?**
**Answer : C. "Prediabetes" is a condition characterized by an increased risk for the
future development of type 2 diabetes**
,**Feedback:** Prediabetes is a condition where blood glucose levels are higher than
normal but not high enough to be diagnosed as diabetes. It significantly increases the
risk for developing type 2 diabetes. Insulin does not mediate glucose uptake in the
brain (it does in muscle and adipose tissue), and the rise in insulin after meals is
reduced in both type 1 and type 2 diabetes.
---
**5. Human digestive system is composed of the following organs. Which of the
following organs is considered as primary ab sorptive organ?**
**Answer : B. Small intestine**
**Feedback:** The small intestine is the primary site for absorption of nutrients. Its
large surface area (due to villi and microvilli) allows for efficient absorption of
carbohydrates, proteins, fats, vitamins, and minerals. The large intestine primarily
absorbs water and electrolytes.
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**6. Insulin deficiency is associated with:**
**Answer : B. Increased ketogenesis**
**Feedback:** Insulin deficiency leads to increased lipolysis (fat breakdown), increased
ketogenesis (production of ketone bodies), increased gluconeogenesis, and increased
proteolysis. Insulin normally inhibits these processes.
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, **7. The risk factors for type 2 diabetes mellitus include:**
**Answer : D. All of the options listed are correct**
**Feedback:** Risk factors for type 2 diabetes include family history (genetic
predisposition), being overweight or obese (especially central obesity), high intake of
dietary fat, physical inactivity, age, and ethnicity.
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**8. Which of the following is NOT one of the Erikson's stages of psychosocial
development?**
**Answer :** This question is incomplete in the document (the options are missing).
Erikson's stages are:
1. Trust vs. Mistrust (Infancy)
2. Autonomy vs. Shame and Doubt (Toddler)
3. Initiative vs. Guilt (Preschool)
4. Industry vs. Inferiority (School - age)
5. Identity vs. Role Confusion (Adolescence)
6. Intimacy vs. Isolation (Young adulthood)
7. Generativity vs. Stagnation (Middle adulthood)
8. Ego Integrity vs. Despair (Late adulthood)
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