MN 551 Week 3 Quiz (Question and Answers) Chamberlain College of Nursing

MN 551 Week 3 Quiz (Question and Answers) Chamberlain College of Nursing A patient is experiencing impaired circulation secondary to increased systemic arterial pressure. Which of the following statements is the most relevant phenomenon? Question options: Increased preload due to vascular resistance High afterload because of backpressure against the left ventricle Impaired contractility due to aortic resistance Systolic impairment because of arterial stenosis Question 2 A 54-year-old man with a long-standing diagnosis of essential hypertension is meeting with his nurse practitioner. The patient's nurse practitioner would anticipate that which of the following phenomena is most likely occurring? Question options: The conversion of angiotensin I to angiotensin II in his lungs causes increases in blood pressure and sodium reabsorption. Vasopressin is exerting an effect on his chemoreceptors and baroreceptors, resulting in vasoconstriction. Epinephrine from his adrenal gland is initiating the renin-angiotensin-aldosterone system. The patient's juxtaglomerular cells are releasing aldosterone as a result of sympathetic stimulation. Question 3 A patient in the intensive care unit has a blood pressure of 87/39 and has warm, flushed skin accompanying his sudden decline in level of consciousness. The patient also has arterial and venous dilation and a decrease in systemic vascular resistance. What is this patient's most likely diagnosis? Question options: Obstructive shock Neurogenic shock Septic shock Hypovolemic shock Question 4 A 55-year-old male who is beginning to take a statin drug for his hypercholesterolemia is discussing cholesterol and its role in health and illness with his nurse practitioner. Which of the following aspects of hyperlipidemia would the nurse practitioner most likely take into account when teaching the patient? Question options: Hyperlipidemia is a consequence of diet and lifestyle rather than genetics. HDL cholesterol is often characterized as being beneficial to health. Cholesterol is a metabolic waste product that the liver is responsible for clearing. The goal of medical treatment is to eliminate cholesterol from the vascular system. Question 5 Which of the following assessment findings in a newly admitted 30-year-old male patient would be most likely to cause his nurse practitioner to suspect polyarteritis nodosa? Question options: The man's temperature is 101.9°F and he is diaphoretic (heavily sweating). The man is acutely short of breath and his oxygen saturation is 87%. The man's blood pressure is 178/102 and he has abnormal liver function tests. The man's blood work indicates polycythemia (elevated red cells levels) and leukocytosis (elevated white cells). Question 6 In which of the following patient situations would a nurse practitioner be most justified in preliminarily ruling out pericarditis as a contributing pathology to the patient's health problems? Question options: A 60-year-old woman whose admission blood work indicates elevated white cells, erythrocyte sedimentation rate, and C-reactive protein levels A 56-year-old obese man who is complaining of chest pain that is exacerbated by deep inspiration and is radiating to his neck and scapular ridge A 77-year-old with diminished S3 and S4 sounds, an irregular heart rate, and a history of atrial fibrillation A 61-year-old man whose ECG was characterized by widespread T wave inversions on admission but whose T waves have recently no