Physiological Adaptation: Managing acute and chronic illnesses and emergencies11–17%
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Question 1 of 20
1. The nurse observes Cushing's triad (increased , widened pulse pressure, and ) in a client with a head injury. This is considered what type of sign related to increased intracranial pressure ?
Early sign
Compensatory mechanism
Very late sign
Prodromal sign
Question 2 of 20
2. The nurse is caring for a client with severe hypermagnesemia. Which of the following medications is used as an emergency treatment to protect the client's heart?
potassium chloride
IV calcium gluconate
normal saline
magnesium oxide
Question 3 of 20
3. The nurse is assessing a client diagnosed with severe anemia. Which of the following symptoms is characteristic of severe anemia?
Headache and polyuria
Mild palpitations
Profound weakness
Decreased sensitivity to cold
Question 4 of 20
4. The nurse is caring for a client experiencing a vaso-occlusive (pain) crisis due to Sickle Cell Disease. Which of the following interventions is the priority treatment during this crisis?
supplementation
IV fluids and analgesics
High-altitude exposure
Blood transfusion only
Question 5 of 20
5. The nurse is reviewing laboratory results for a client suspected of having (Syndrome of Inappropriate Antidiuretic Hormone Secretion). Which of the following findings is characteristic of ?
High serum sodium
Decreased serum sodium
Decreased urine specific gravity
High plasma osmolality
Question 6 of 20
6. The nurse is identifying the primary pathophysiology of cardiogenic shock. Which of the following is the primary cause of cardiogenic shock?
Loss of fluid from circulation
Inadequate vascular tone
Decreased cardiac output
Excessive use of diuretics
Question 7 of 20
7. The nurse is caring for a client recovering from severe burns. When does the physiological phase of typically begin in this client?
First
36 to 48 hours after the burn
after the burn
When grafting is completed
Question 8 of 20
8. The nurse is providing dietary education to a client diagnosed with . Which of the following dietary restrictions is recommended for this client?
High-protein diet
Low-fat diet
New Choice
Low-sodium diet
High-tyramine diet
Question 9 of 20
9. The nurse is assessing a conscious client who suddenly experiences an upper airway obstruction. Which of the following is an early sign of upper airway obstruction?
Collapse
Cyanosis
Inability to breathe or speak
Seizure activity
Question 10 of 20
10. The nurse is reviewing the lab results of a client with a serum potassium level of . A serum potassium level above is a risk factor for which of the following fatal complications?
Hypoglycemia
Cardiac arrest
Hyponatremia
Renal stones
Question 11 of 20
11. The nurse is caring for a pregnant client diagnosed with Syndrome. Syndrome involves which three primary components?
High blood pressure, low edema, low pain
Hemolysis, elevated liver enzymes, low platelet count
High erythrocyte count, low , low liver enzymes
Hemorrhage, extreme pain, low urinary output
Question 12 of 20
12. The nurse is caring for a pregnant client who has just experienced a spontaneous abortion. Which of the following is identified as the most common complication following a spontaneous abortion?
Infertility
Infection
Hemorrhage
Cervical dilation
Question 13 of 20
13. The nurse is assessing a client diagnosed with . Which of the following characteristic skin changes is associated with this disease?
Spider angiomas
Jaundice
Hyperpigmentation
Moon face
Question 14 of 20
14. The nurse is assessing a client with (a tumor secreting catecholamines). Which of the following symptoms is associated with this condition?
Bradycardia
Polyuria
Weight gain
Question 15 of 20
15. The nurse is reviewing the diagnostic findings for a client diagnosed with (decreased ). Which of the following is a key diagnostic finding associated with this disorder?
Low urine specific gravity
High urinary osmolality
Increased circulating blood volume
Question 16 of 20
16. The nurse is assessing a client diagnosed with . The motor losses characteristic of this syndrome typically begin symmetrically in which of the following areas?
Upper extremities
Cranial nerves
Trunk
Lower extremities
Question 17 of 20
17. The nurse is performing a physical assessment on a client suspected of having . Which clinical sign involves restriction and pain upon complete extension of the knee when the hip is flexed to ?
rigidity
sign
position
Kernig’s sign
Question 18 of 20
18. The nurse is caring for a client with who is undergoing . This therapeutic procedure aims to achieve which of the following actions?
Suppress the inflammatory response
Provide mechanical ventilation
Remove circulating antibodies
Stimulate nerve conduction
Question 19 of 20
19. The nurse is assisting with an amniocentesis procedure at gestation. The ratio is assessed to determine which of the following?
Genetic disorder detection
Placental position
Fetal lung maturity
tube defects
Question 20 of 20
20. The nurse is assessing a client experiencing pain associated with . The characteristic pain is often described as radiating to which of the following areas?
Lower abdomen
Left arm
Right knee
Upper back only