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1.During the body's inflammatory process, what causes edema? Vasodilation of blood
vessels
Emigration of neutrophils
Endothelial cell expansion
Increased capillary permeability - CORRECT ANSWER: Increased capillary
permeability. The increased flow and capillary permeability result in a leakage of plasma
from the vessels causing swelling (edema) in the surrounding tissue and is solely
responsible for inflammation induced edema
2.A 56-year-old diabetic patient has not taken his insulin in 4 days due to him "feeling
well without it". He is admitted to the ED with an elevated blood sugar. What electrolyte
should be assessed FIRST? - CORRECT ANSWER: Calcium
Sodium
Potassium
Chloride
CORRECT ANSWER: Potassium. Insulin facilitates the intracellular transport of
potassium, phosphate, and magnesium. Without insulin, potassium does not get
transported to the intracellular environment and the serum potassium will rise.
3.A 46-year-old women is considering having another child. The healthcare providers
are explaining to the woman that children born to women late in life have an increase
rate in having children with which condition. - CORRECT ANSWER: Kawasaki's disease
,Down syndrome
Down syndrome risk increases with Maternal age.
Klinefelter syndrome
Turner syndrome
4.A patient with several risk factors is concerned about developing type 2 diabetes. The
healthcare professional advises the patient to lose weight, explaining that obesity is an
important risk factor for type 2 diabetes mellitus because it causes what? - CORRECT
ANSWER: Reduced insulin production by the pancreas
Increased resistance to insulin in the cells
People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes this
resistance so their cells have difficulty using insulin. Obesity does not lead to reduced
insulin production, obstructed insulin outflow, or stimulation of glucose production.
Obstructed outflow of insulin from the pancreas
Stimulation of glucose production by the liver
5.When evaluating a patient for hypertensive target organ damage, the APRN looks for
evidence of: - CORRECT ANSWER: Lipid abnormality
Insulin resistance
Left ventricular hypertrophy
, Clotting disorders
6.On ultrasound a patient had 4-chamber dilation with an ejection fraction of 15% and a
pleural effusion on chest x-ray. Elevated liver function tests, hypokalemia, and
hypomagnesema are seen on lab results. Blood pressure is 115/60 and heart rate is 110
bpm with regular rate and rhythm, respiratory rate 30 bpm and O2 saturation is 88% on
room air. Initial therapy should include all of the following except: - CORRECT
ANSWER: Diuretic
ACE Inhibitor
Digoxin
Beta Blocker
7.A patient in the emergency department is suspected of having a myocardial infarction
(MI). The initial cardiac troponin 1 level was negative. What action by the healthcare
professional is best? - CORRECT ANSWER: Administer thrombolytic therapy.
Discharge the patient.
Schedule repeat troponin within a few hours.
Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI),
cTnI begins to rise within 2 to 4 hours after cardiac injury, so if the initial result is normal,
the test should be repeated within 6 to 9 hours and again at 12 to 24 hours. It is not
known yet if the patient has had an MI so treatment with thrombolytic therapy and/or