1. Which of the following is a primary complication of untreated
hypertension?
A. Diabetes
B. Stroke
C. Asthma
D. Hyperthyroidism
Answer: B) Stroke
Rationale: Untreated hypertension can cause damage to blood
vessels, increasing the risk of a stroke due to the development of
atherosclerosis or rupture of a weakened vessel.
2. What is the most common cause of peptic ulcers?
A. Stress
B. Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Helicobacter pylori infection
D. Excessive alcohol consumption
Answer: C) Helicobacter pylori infection
Rationale: H. pylori infection is the leading cause of peptic ulcers
due to its ability to disrupt the mucosal lining of the stomach.
3. A patient with a diagnosis of systemic lupus erythematosus
(SLE) is at increased risk for which of the following?
A. Infection
B. Weight loss
C. Hyperthyroidism
D. Stroke
Answer: A) Infection
Rationale: SLE is an autoimmune disorder that affects the immune
system, leaving the patient at higher risk for infections due to
immunosuppressive therapy and the disease itself.
,4. 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.
5. A patient with acute blood loss from a traumatic injury may
experience which of the following?
A. Decreased heart rate
B. Decreased respiratory rate
C. Increased blood pressure
D. Increased heart rate
Answer: D) Increased heart rate
Rationale: Acute blood loss leads to a decrease in circulating
blood volume, which triggers compensatory tachycardia
(increased heart rate) to maintain cardiac output.
6. A nurse is assessing a client with a suspected myocardial
infarction (MI). Which finding would be most indicative of an MI?
A. Severe sharp chest pain that radiates to the left shoulder
B. Shortness of breath with a productive cough
C. Gradual onset of bilateral lower leg edema
D. Sudden dizziness with no associated chest pain
Answer: A) Severe sharp chest pain that radiates to the left
shoulder
Rationale: A common symptom of myocardial infarction is chest
pain that radiates to the left shoulder or arm. This is due to
ischemia affecting the heart muscle.
, 7. What is the primary cause of osteoarthritis?
A. Autoimmune reaction
B. Wear and tear on the joints
C. Bacterial infection
D. Vitamin D deficiency
Answer: B) Wear and tear on the joints
Rationale: Osteoarthritis is primarily caused by the degeneration
of cartilage due to repetitive use or aging, leading to joint pain
and stiffness.
8. A patient has been diagnosed with tuberculosis (TB). Which of
the following is the most common symptom?
A. Night sweats
B. Joint pain
C. Hematuria
D. Abdominal pain
Answer: A) Night sweats
Rationale: Night sweats are a classic symptom of tuberculosis,
along with cough and weight loss.
9. A patient with diabetes mellitus presents with polyuria,
polydipsia, and weight loss. What condition might these
symptoms indicate?
A. Diabetic ketoacidosis (DKA)
B. Hyperosmolar hyperglycemic state (HHS)
C. Hypoglycemia
D. Hypertension
Answer: A) Diabetic ketoacidosis (DKA)
Rationale: DKA occurs when insulin deficiency causes increased
glucose production and fat breakdown, leading to ketosis and
elevated blood glucose levels, which cause symptoms like
polyuria, polydipsia, and weight loss.
hypertension?
A. Diabetes
B. Stroke
C. Asthma
D. Hyperthyroidism
Answer: B) Stroke
Rationale: Untreated hypertension can cause damage to blood
vessels, increasing the risk of a stroke due to the development of
atherosclerosis or rupture of a weakened vessel.
2. What is the most common cause of peptic ulcers?
A. Stress
B. Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Helicobacter pylori infection
D. Excessive alcohol consumption
Answer: C) Helicobacter pylori infection
Rationale: H. pylori infection is the leading cause of peptic ulcers
due to its ability to disrupt the mucosal lining of the stomach.
3. A patient with a diagnosis of systemic lupus erythematosus
(SLE) is at increased risk for which of the following?
A. Infection
B. Weight loss
C. Hyperthyroidism
D. Stroke
Answer: A) Infection
Rationale: SLE is an autoimmune disorder that affects the immune
system, leaving the patient at higher risk for infections due to
immunosuppressive therapy and the disease itself.
,4. 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.
5. A patient with acute blood loss from a traumatic injury may
experience which of the following?
A. Decreased heart rate
B. Decreased respiratory rate
C. Increased blood pressure
D. Increased heart rate
Answer: D) Increased heart rate
Rationale: Acute blood loss leads to a decrease in circulating
blood volume, which triggers compensatory tachycardia
(increased heart rate) to maintain cardiac output.
6. A nurse is assessing a client with a suspected myocardial
infarction (MI). Which finding would be most indicative of an MI?
A. Severe sharp chest pain that radiates to the left shoulder
B. Shortness of breath with a productive cough
C. Gradual onset of bilateral lower leg edema
D. Sudden dizziness with no associated chest pain
Answer: A) Severe sharp chest pain that radiates to the left
shoulder
Rationale: A common symptom of myocardial infarction is chest
pain that radiates to the left shoulder or arm. This is due to
ischemia affecting the heart muscle.
, 7. What is the primary cause of osteoarthritis?
A. Autoimmune reaction
B. Wear and tear on the joints
C. Bacterial infection
D. Vitamin D deficiency
Answer: B) Wear and tear on the joints
Rationale: Osteoarthritis is primarily caused by the degeneration
of cartilage due to repetitive use or aging, leading to joint pain
and stiffness.
8. A patient has been diagnosed with tuberculosis (TB). Which of
the following is the most common symptom?
A. Night sweats
B. Joint pain
C. Hematuria
D. Abdominal pain
Answer: A) Night sweats
Rationale: Night sweats are a classic symptom of tuberculosis,
along with cough and weight loss.
9. A patient with diabetes mellitus presents with polyuria,
polydipsia, and weight loss. What condition might these
symptoms indicate?
A. Diabetic ketoacidosis (DKA)
B. Hyperosmolar hyperglycemic state (HHS)
C. Hypoglycemia
D. Hypertension
Answer: A) Diabetic ketoacidosis (DKA)
Rationale: DKA occurs when insulin deficiency causes increased
glucose production and fat breakdown, leading to ketosis and
elevated blood glucose levels, which cause symptoms like
polyuria, polydipsia, and weight loss.
