Latest Update 2025-2026 Exam 450 Questions
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- CORRECT ANSWER: level of consciousness (alert, lethargic, ) and mental status
(orientation to person, place, time)
_____ and _____ contribute to an insensible(non-visible) water loss and contribute to
dehydration - CORRECT ANSWER: fever and burns
______ deficiency interferes with the digestion and absorption of nutrients and leads to
nutritional deficits. - CORRECT ANSWER: enzyme
______ primarily produce pain relief by preventing prostaglandin formation. -
CORRECT ANSWER: NSAIDS
________ is always a risk of angiography and procedures ending in -oscopy. -
CORRECT ANSWER: Bleeding
________ should not be given to patients with a head injury. - CORRECT ANSWER:
dextrose
__________ or __________ could indicate hypoxia. - CORRECT ANSWER:
restlessness or a change in mental status
___________ decreases with hemmorhage. - CORRECT ANSWER: urinary output
___________ lowers the resting membrane potential and makes cells less irritable
which could result in a(n)_____. - CORRECT ANSWER: hypokalemia
,ileus
_____________ does not have anti-inflammatory properties. - CORRECT ANSWER:
Acetaminophen
_____________ is more likely with hyperkalemia. - CORRECT ANSWER: cardiac arrest
______________ are released from the adrenal medulla while _______________ are
released from from the adrenal cortex. - CORRECT ANSWER: catecholamines
steroid hormones (cortisol and aldosterone)
______________ stimulates the inflammatory response and puts the patient at risk for
pain. - CORRECT ANSWER: tissue damage
________________ could lead to allodynia. - CORRECT ANSWER: nerve route injury
________________ pulls fluid from the interstitial compartment into the intravascular
compartment to maintain volume. - CORRECT ANSWER: oncotic pressure
___________________ results in Type 1 diabetes and _______________ results in
Type 2 diabetes. - CORRECT ANSWER: destruction of beta cells
insulin resistance
10cm line that represents no pain to worst pain on each end of the line and the patient
places a mark somewhere between the two ends depending on the severity of pain -
CORRECT ANSWER: visual analog scale
A 45-year-old client is diagnosed with high-renin hypertension. What type of drug would
the nurse expect the physician to order?
ACE inhibitors
,Beta-blockers
Diuretics
Calcium channel blockers - CORRECT ANSWER: Beta-adrenergic blockers are the
drugs of first choice for clients younger than 50 years of age who have high-renin
hypertension, tachycardia, angina pectoris, myocardial infarction, or left ventricular
hypertrophy.
A decrease in tactile fremitus suggests that lung tissue density is __________ or that
there is air or fluid in the _______ spaces, which can be caused by diseases such as
_________ or __________. - CORRECT ANSWER: decreasing
pleural
COPD or Asthma
A drop in _________ and __________ could result in bleeding or hemodilution. -
CORRECT ANSWER: hemoglobin and hematocrit
A G tube tract can take up to _________ to form. - CORRECT ANSWER: 3 months
A positive Mantoux test suggests what? - CORRECT ANSWER: TB exposure, but not
necessarily disease
A positive Murphy sign may indicate _____________. - CORRECT ANSWER:
cholecystitis
A residual volume of _____ increases the risk for aspiration in the patient with a GI tube.
- CORRECT ANSWER: 200mL or higher
A weight gain of __pounds is equivalent to a liter of fluid retention. - CORRECT
ANSWER: 2.2 pounds
, Absorption of topical corticosteroids is increased when applied to skin that is ____ or
_____ or when __________________________________ is applied. - CORRECT
ANSWER: when applied to skin that is thin or moist, or when an occlusive dressing is
applied
Accidental parathyroid gland removal may result in what electrolyte imbalance? -
CORRECT ANSWER: hypocalcemia
Accidental removal of the endotracheal tube could cause laryngeal swelling. -
CORRECT ANSWER: laryngeal swelling
Addisonian crisis could result in what? - CORRECT ANSWER: circulatory collapse,
shock, and death
adjuvant medications used to manage neuropathic pain - CORRECT ANSWER:
antidepressants or anticonvulsants
Adrenocortical hormone excess is diagnosed as what disease? - CORRECT ANSWER:
Cushing's disease
Adventitious breath sign that is indicative of lower airway narrowing. - CORRECT
ANSWER: Wheezing
Adventitious breath sound that is continuous and heard during partial airway
obstruction. - CORRECT ANSWER: Rhonchi
After using a corticosteroid inhaler, the patient should do what to prevent thrush? -
CORRECT ANSWER: rinse the mouth
Aid in the digestion of fats, carbohydrates, and proteins. - CORRECT ANSWER:
pancreatic enzymes (lipase, amylase, and trypsin)