NURSING 6501 FINAL EXAM Questions and Answers (VERIFIED)

Question 1 1 out of 1 points What is the link between major depression and cortisol secretion? Selected Answer: Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression.  Question 2 1 out of 1 points A patient has chronic anemia associated with chronic renal failure. What substance does the healthcare professional tell the patient is needed to treat this anemia? Selected Answer: Erythropoietin  Question 3 1 out of 1 points What is the first indication of nephrotic syndrome in children? . Selected Answer: Periorbital edema  Question 4 1 out of 1 points A patient is in the Emergency Department with heat stroke. What finding does the healthcare provider associate with this condition? Selected Answer: Absence of sweating despite a high core temperature  Question 5 0 out of 1 points Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis? Selected Answer: Polycystic ovary syndrome  Question 6 1 out of 1 points The health care professional is caring for a person who has a pathologic fracture. The patient asks the professional to explain the condition. What response by the professional is best? Selected Answer: A fracture that happens at the site of an abnormality already in that bone.  Question 7 1 out of 1 points A patient has a temporary displacement of two bones in a joint causing the bone surfaces to partially lose contact with each other. What treatment does the health care professional prepare the patient for? Selected Answer: Reduction and immobilization  Question 8 1 out of 1 points Cystic fibrosis is characterized by which symptom? Selected Answer: Excessive mucus production  Question 9 1 out of 1 points An infant has gluten-sensitive enteropathy and the parents ask the healthcare professional to explain why the baby bruises so easily. The professional explains that the baby has which deficit? Selected Answer: Vitamin K deficiency from fat malabsorption  Question 10 1 out of 1 points A healthcare professional advises a pregnant woman to add supplements of which nutrient to her diet to prevent birth defects? Selected Answer: Folat e  Question 11 1 out of 1 points A mother reports that her young teens have voracious appetites. The healthcare professional would explain that which hormone is linked to an increase in appetite during puberty? Selected Answer: Lepti n  Question 12 1 out of 1 points Why is nasal congestion a serious threat to young infants? Selected Answer: Infants are obligatory nose breathers.  Question 13 1 out of 1 points A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best? Selected Answer: An area of devascularized and devitalized bone  Question 14 1 out of 1 points Which statement by the healthcare professional accurately describes childhood asthma? Selected Answer: An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation  Question 15 1 out of 1 points A patient has a spinal cord injury at C4. What should the healthcare professional assess as the priority in this patient? Selected Answer: Respirations  Question 16 1 out of 1 points Which cells function to maintain bone matrix? Selected Answer: Osteocytes  Question 17 1 out of 1 points To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority? Selected Answer: Level of consciousness  Question 18 1 out of 1 points What is the effect of low plasma albumin? Selected Answer: Osmotic pressure decreases; thus water moves from the capillaries to the interstitium.  Question 19 1 out of 1 points Which immunoglobulin (Ig) is present in childhood asthma? Selected Answer: IgE  Question 20 1 out of 1 points Which mother does the healthcare professional prepare to administer Rh immune globulin (Rho-GAM) to? Selected Answer: Is Rh-negative and the fetus is Rhpositive  Question 21 1 out of 1 points A parent brings a 10-year-old child to the clinic and reports a mottled appearance to the skin and legs cramps when the child is in physical education class. Physical assessment positive for upper extremity hypertension. What diagnostic testing or treatment does the healthcare professional prepare the family for? Selected Answer: An echocardiogram  Question 22 1 out of 1 points In order to help prevent a preadolescent girl from developing later cervical cancer, which virus does the healthcare professional recommend vaccination against to the parent? Selected Answer: Human papillomavirus (HPV)  Question 23 1 out of 1 points Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain? Selected Answer: Gate control theory (GCT)  Question 24 1 out of 1 points A newborn baby displays jaundice 20 hours after birth. What action by the healthcare professional is most appropriate? Selected Answer: Draw blood to measure total bilirubin.  Question 25 0 out of 1 points What causes the vasomotor flushes (hot flashes) that are associated with declining ovarian function with age? Selected Answer: Decreased estrogen levels  Question 26 1 out of 1 points In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss? Selected Answer: Peripheral vasoconstriction  Question 27 1 out of 1 points How does the epididymis become infected? Selected Answer: The pathogenic microorganisms ascend the vasa deferentia from an already infected urethra or bladder.  Question 28 1 out of 1 points What are the clinical manifestations of testicular cancer? Selected Answer: Firm, nontender testicular mass  Question 29 1 out of 1 points A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk? Selected Answer: IgA  Question 30 1 out of 1 points The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism? Selected Answer: Staphylococcus aureus  Question 31 0 out of 1 points A patient has been exposed to prolonged high environmental temperatures and now shows signs of dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia. What treatment does the healthcare professional prepare to administer to this patient? Selected Answer: Administer salty beverages to the patient.  Question 32 1 out of 1 points A woman who is positive for hepatitis B is in labor. What action by the healthcare professional is most appropriate? Selected Immunize the newborn within 12 Answer: hours.  Question 33 1 out of 1 points A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority? Selected Answer: Hypertension  Question 34 1 out of 1 points A pregnant woman is seen for the first time at 6 months' gestation and has not taken prenatal vitamins. The healthcare professional educates the woman on the need for a blood test specifically to assess what substance? Selected Answer: a-Fetoprotein  Question 35 0 out of 1 points A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess? Selected Answer: Maternal depression  Question 36 1 out of 1 points What congenital malformation is commonly linked to acute leukemia in children? Selected Answer: Down syndrome  Question 37 0 out of 1 points Parents bring their 1-year-old child to the emergency department, reporting that the child has been irritable and pounding on her head, has projectile vomiting, and seems very sleepy for most of the last 3 days. What diagnostic testing does the healthcare professional prepare the child and parents for as the priority? Selected Answer: Lumbar puncture with CSF cultures  Question 38 0 out of 1 points A patient in the hospital has been receiving heparin injections. The platelet count on admission was 222,000/mm 3 and four days later is 113,000/mm 3 . What action by the healthcare professional is best? Selected Answer: Prepare to transfuse the patient with platelets.  Question 39 0 out of 1 points A healthcare professional works with recent refugees. A mother brings in her children who have been diagnosed with iron deficiency anemia. What action by the professional is most appropriate? Selected Answer: Educate the mother on an ironrich diet.  Question 40 1 out of 1 points Which patient finding would lead the health care professional to assess the patient for inflammatory joint disease? Selected Answer: Systemic symptoms of inflammation  Question 41 1 out of 1 points A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate? Selected Answer: Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells  Question 42 1 out of 1 point