QuestionAnswered step-by-stepQ1: what is the main etiological factor contributing to vitamin B12…Q1: what is the main etiological factor contributing to vitamin B12 deficiency anemia in most clients?a) bone marrow suppressionb) Autoimune processessc) Intrinsic factor excessd) Dietary Vitamin B12 deficiency Q2: what is the goal of hyperthyroidism treatment?a) To replace deficient thyroid hormoneb) To restore metabolism to normal levelsc) To increase iodide absorption by the thyroidd) to remove excess hormone from circulationQ3: what lab results are expected for a client experiencing hypothyroidism?a) decrease TSH, decrease T3/4b) decrease TSH, Increase T3/4c) Increase TSH, decreased T3/4d) Increase TSH, Increase T3/4Q4: what manifestation helps distinguish neurogenic shock from other types of shock?a)Tachycardiab)Paralysisc) Hypertensiond) BradycardiaQ5): what is the primary effect of hypoxia on the cells of a client experiencing shock?a) fluid moves out of cellsb) cells become acidoticc) organelles are damagedd) increased energy consumptionQ6:) what is occurring during the window phase of HIV infection?a) The client will show manifestations of infection and test positive for antibodiesb) HIV is slowly reproducing , and the antibody test will be positivec) HIV is rapidly reproducing and antibody test are negatived)The client’s T-cells and Viral load will be stable and they will have minimal symptomsQ7:) what complication may occur in clients with hyperthyroidism?a) Atcontentsclerosisb) Hypotensionc) Renal Failured) HypertensionQ8:) A patient with C6 complete intraplegia has the following vital signs T 36, 1C, HR 48, BP 196/98, RR 20, O2 Sat 95% on room air. how would the practical nursea) These suggest autonomic dysreflexia may be occurringb) These are consistent with a client who has spinal shockc)These are normal for a client with complete tetraplegiad) these indicate the client is experiencing neurogenic shockQ9: which manifestation of hypothyroidism typically lead a client to seek care?a) Decreased appetite, constipationb) weight loss, diarrheac) palpation, nervousnessd) Decreased energy, weight gainQ 10: what is the pathophysiology of Grave’s disease?a) Antibodies destroy the thyroid and decrease hormonesb) Antibodies stimulate the thyroid to release hormonesc) excess thyroid tissue overproduces thyroid hormoned) lack of TSH causes decreased thyroid hormone releaseQ11: a client with severe burns experiencing decreased cardiac output and increased systemic resistance. what type of shock is he likely experience?a) hypovolemicb) septicc) cardiogenicd) obstructiveQ12: What would the practical nurse know about secondary spinal cord injury?a) the risk is highest between 4-6 hours after the initial injuryb) it occurs when the client is incorrectly moved and re injuredc) it is difficult to avoid this type of injury because the cord is smalld) this is when an incomplete injury becomes a complete injury Q13: a client is suspected of having brown-sequard syndrome. what manifestations suggest this has occurred?a) complete loss of motor, all sensation , bowel/bladder function and reflexes below level of injuryb) ipsilateral motor loss, contralateral loss of temperature and painc) contralateral motor loss, ipsilateral loss of pain and temperatured) complete loss of motor , pain and temperature intact, vibration an position sense below injuryQ14: what is the role of protease in HIV replication?a) it facilitates transformation of Viral RNA into DNAb) it accelerates the creation of new HIV virionsc) it breaks large proteins into smaller onesd) it enables viral DNA entry into the host cell nucleusQ 15: which tests can confirm the presence of HIV infection?a)T- cell count and blood culturesb) ELISA test and T-cell countc) Westernblot and PCRd) ELISA and Western BlotQ16: why do some clients experiencing autonomic dysreflexia complain of headache?a) significant increase in blood pressureb) Excess sympathetic nervous stimulationc) Impaired oxygen delivery to the braind) Vasodilation of cerebral vesselsQ17: what is the pathophysiology of sickle cell anemia?a) a few beta chains and excess alpha chains are made which interferes with cell maturationb) few alpha chains and excess beta chains are made which weakens cell membranesc) beta chains are defective due to amino acid substitution which weakens cell membranesd) aplha chains link together causing the cell to alter its genetic program and die earlyQ18: what occurs during the integration phase of HIV replication?a) The viral DNA is inserted in the host cells DNAb) The HIV DNA is integrated into HIV virions being madec) The viral DNA is integrated into the host cell cytoplasmd) The HIV virus attaches and enters the host cellQ19: What is the main method of infection leading to HIV diagnosis in an infant?a) infection acquired through breastfeedingb) infection from contaminated blood productsc) Infection acquired during labour and deliveryd) infection occurring while in-uteroQ 20: Zayne 6 year old is experiencing anaphylactic shock from accidental ingestion of a food that he has a severe allergy to whicha) increased cardiac output decreased systemic resistance, tachycardia hypertensionb) decreased cardiac output, decreased systemic resistance, tachycardia, hypotensionc) increased cardiac output , increased systemic resistance, bradycardia, hypotensiond) decreased cardiac output, increased systemic resistance, bradycardia, hypotensionQ21: a client has a spinal cord injury at C4/5. what complication is he at risk for?a) he will be unable to breathe and need a ventilatorb) he is at risk of developing autonomic dysreflexiac) he will be tetraplegic an unable to move on his ownd) he is at risk of developing chronic neuropathic painQ 22: what factor contributes to the physiological changes found in septic shock?a) sympathetic nervous system interruptionb) impaired cardiac contractilityc) cytokine released) histamine releaseQ23: what is the common ethology of aplastic anemia?a) Recessive inheritanceb) Exposure to chemicalc) unknown caused) congenitalQ24: what presentation is consistent with the latent Phase of HIV infection?a) clients may be asymptomaticb) clients will have flu-like symptomsc) clients will have opportunistic infectionsd) clients will have recent weight lossQ25: why do some clients with cardiogenic shock experience angina?a) increased systemic resistanceb) decreased coronary artery fillingc) increased oxygen extractiond) impaired cardiac contractilityQ26: what manifestation would occur if the posterior Spinothalamic tract is injured ?a) loss of pain sensation and position senseb) loss of position sense and vibrationc) loss of voluntary movement and reflexesd) loss of hot/cold sensation and light touch Q27: which lab result is consistent with the expected findings for a client with vitamin B 12 deficiency anemia?a) decreased MCV, decreased MCHCb) increased MCV, normal MCHCc) Normal MCV, increased MCHCd) Decreased MCV, increased MCHCQ28: which type of anemia might involve a bone marrow transplant as a treatment?a) Vitamin B12 deficiency anemiab) Iron deficiency anemiac) sickle cell anemiad) aplastic anemiaQ 29: The practical nurse is caring for a young patient with sickle cell anemia. The patient is experiencing severe pain . what pathophysiology is contributing to this?a) iron deposits in organsb) RBC destructionc) Dehydrationd) Ischemia of tissuesQ30: what is the primary role of aldosterone release in clients with shock as a compensation mechanism?a) increase cardiac contractilityb) increases blood volumec) decrease systemic resistanced) increase blood pressureQ31: what is the most common ethology of hypothyroidism?a) decreased T3/4b) congenitalc) Autoimuned) Iodide excessQ 32: a client’s lab results show that her erythrocytes have a low MVC and how MCHC. what additional testing isa) bone marrow aspirationb) Femitin levelc) schillings testd) serum B12 levels Q33: A Client with a pulmonary embolism has developed obstructive shock. which manifestation is consistent with this type of shock?a) bulging carotid arteriesb) peripheral edemac) distended juglar veind) pulmonary edemaQ34: what is the main factor leading to spinal cord injuries?a) direct cord injuryb) motor and sensory lossc) degenerative spine diseased) extreme movementsQ35: what makes a thyroid storm life-threatening?a) substantial loss of circulating thyroid hormoneb) express sympathetic nervous system activationc) myedema affecting major organ functiond) significant fluid excess and electrolyte imbalancesHealth ScienceScienceNursingShare Question
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