1. What is a common sign of a urinary tract infection (UTI) in
older adults?
A. Fever and chills
B. Confusion and delirium
C. Painful urination
D. Excessive thirst
Answer: B) Confusion and delirium
Rationale: In older adults, UTIs may present with atypical
symptoms such as confusion, delirium, or agitation, rather than
the typical symptoms of fever and dysuria.
2. Which of the following would most likely cause a decrease in
blood pressure?
A. Activation of the sympathetic nervous system
B. Release of aldosterone
C. Release of antidiuretic hormone (ADH)
D. Decreased blood volume
Answer: D) Decreased blood volume
Rationale: Decreased blood volume reduces venous return, leading
to reduced cardiac output and a drop in blood pressure.
3. What is a classic symptom of Parkinson’s disease?
A. Muscle rigidity
B. Hypotension
C. Polyuria
D. Weight gain
Answer: A) Muscle rigidity
Rationale: Parkinson’s disease is characterized by symptoms such
as muscle rigidity, tremors, and bradykinesia due to a loss of
dopaminergic neurons in the brain.
,4. Which of the following lab findings is typically seen in a patient
with acute renal failure (ARF)?
A. Increased serum creatinine
B. Decreased serum potassium
C. Decreased blood urea nitrogen (BUN)
D. Decreased urine output (oliguria)
Answer: A) Increased serum creatinine
Rationale: In acute renal failure, the kidneys' ability to excrete
waste products diminishes, leading to an increase in serum
creatinine levels.
5. Which electrolyte imbalance is most commonly associated with
chronic alcoholism?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypomagnesemia
Answer: D) Hypomagnesemia
Rationale: Chronic alcoholism leads to malabsorption of nutrients,
including magnesium, resulting in hypomagnesemia.
6. Which of the following is the most likely cause of anaphylactic
shock?
A. Blood loss
B. Allergic reaction
C. Bacterial infection
D. Spinal cord injury
Answer: B) Allergic reaction
Rationale: Anaphylactic shock is a severe allergic reaction that
causes vasodilation and fluid leakage, leading to hypotension and
shock.
7. A patient is being treated for acute pancreatitis. What is a
, common complication of this condition?
A. Renal failure
B. Chronic diarrhea
C. Hyperglycemia
D. Gallstones
Answer: A) Renal failure
Rationale: Acute pancreatitis can lead to systemic complications,
including renal failure, due to inflammation and the release of
digestive enzymes into the bloodstream.
8. Which of the following is a common cause of hypoxemia?
A. Anemia
B. Asthma
C. Hypertension
D. Diabetes
Answer: B) Asthma
Rationale: Asthma causes bronchoconstriction and inflammation
in the airways, leading to decreased oxygen exchange and
resulting in hypoxemia.
9. In which condition would you expect to find a low white blood
cell (WBC) count?
A. Viral infection
B. Leukemia
C. Bacterial infection
D. Bone marrow suppression
Answer: D) Bone marrow suppression
Rationale: Bone marrow suppression, often caused by
chemotherapy or certain diseases, can result in low WBC counts
(leukopenia).
10. A patient presents with a chronic cough, wheezing, and
shortness of breath. Which condition should the nurse suspect?
older adults?
A. Fever and chills
B. Confusion and delirium
C. Painful urination
D. Excessive thirst
Answer: B) Confusion and delirium
Rationale: In older adults, UTIs may present with atypical
symptoms such as confusion, delirium, or agitation, rather than
the typical symptoms of fever and dysuria.
2. Which of the following would most likely cause a decrease in
blood pressure?
A. Activation of the sympathetic nervous system
B. Release of aldosterone
C. Release of antidiuretic hormone (ADH)
D. Decreased blood volume
Answer: D) Decreased blood volume
Rationale: Decreased blood volume reduces venous return, leading
to reduced cardiac output and a drop in blood pressure.
3. What is a classic symptom of Parkinson’s disease?
A. Muscle rigidity
B. Hypotension
C. Polyuria
D. Weight gain
Answer: A) Muscle rigidity
Rationale: Parkinson’s disease is characterized by symptoms such
as muscle rigidity, tremors, and bradykinesia due to a loss of
dopaminergic neurons in the brain.
,4. Which of the following lab findings is typically seen in a patient
with acute renal failure (ARF)?
A. Increased serum creatinine
B. Decreased serum potassium
C. Decreased blood urea nitrogen (BUN)
D. Decreased urine output (oliguria)
Answer: A) Increased serum creatinine
Rationale: In acute renal failure, the kidneys' ability to excrete
waste products diminishes, leading to an increase in serum
creatinine levels.
5. Which electrolyte imbalance is most commonly associated with
chronic alcoholism?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypomagnesemia
Answer: D) Hypomagnesemia
Rationale: Chronic alcoholism leads to malabsorption of nutrients,
including magnesium, resulting in hypomagnesemia.
6. Which of the following is the most likely cause of anaphylactic
shock?
A. Blood loss
B. Allergic reaction
C. Bacterial infection
D. Spinal cord injury
Answer: B) Allergic reaction
Rationale: Anaphylactic shock is a severe allergic reaction that
causes vasodilation and fluid leakage, leading to hypotension and
shock.
7. A patient is being treated for acute pancreatitis. What is a
, common complication of this condition?
A. Renal failure
B. Chronic diarrhea
C. Hyperglycemia
D. Gallstones
Answer: A) Renal failure
Rationale: Acute pancreatitis can lead to systemic complications,
including renal failure, due to inflammation and the release of
digestive enzymes into the bloodstream.
8. Which of the following is a common cause of hypoxemia?
A. Anemia
B. Asthma
C. Hypertension
D. Diabetes
Answer: B) Asthma
Rationale: Asthma causes bronchoconstriction and inflammation
in the airways, leading to decreased oxygen exchange and
resulting in hypoxemia.
9. In which condition would you expect to find a low white blood
cell (WBC) count?
A. Viral infection
B. Leukemia
C. Bacterial infection
D. Bone marrow suppression
Answer: D) Bone marrow suppression
Rationale: Bone marrow suppression, often caused by
chemotherapy or certain diseases, can result in low WBC counts
(leukopenia).
10. A patient presents with a chronic cough, wheezing, and
shortness of breath. Which condition should the nurse suspect?
