front 1 Rheumatoid arthritis involves joint inflammation caused by | back 1 autoimmune injury. |
front 2 Calcitonin is produced by thyroid parafollicular cells and increases bone formation by | back 2 osteoblasts. |
front 3 A patient is diagnosed with heart failure with normal ejection fraction. This patient is most likely characterized by a(n) | back 3 elderly woman without a previous history of MI. |
front 4 In addition to E. coli, a risk factor for development of pyelonephritis is | back 4 urinary retention and reflux. |
front 5 A serious complication of deep vein thrombosis is | back 5 pulmonary embolus. |
front 6 Hypotension, distended neck veins, and muffled heart sounds are classic manifestations of | back 6 cardiac tamponade. |
front 7 When preparing for the admission of a client diagnosed with bronchiectasis, the nurse will | back 7 put a sputum cup and a box of tissues on the bedside table. |
front 8 Aortic regurgitation is associated with | back 8 diastolic murmur. |
front 9 In individuals who have asthma, exposure to an allergen to which they are sensitized leads to which pathophysiologic event? | back 9 Inflammation, mucosal edema, and bronchoconstriction |
front 10 In which stage of shock is a patient who has lost 1200 mL of blood, who has normal blood pressure when supine, but who experiences orthostatic hypotension upon standing? | back 10 Class II, Compensated Stage |
front 11 Clinical manifestations of moderate to severe hypokalemia include | back 11 muscle weakness and cardiac dysrhythmias. |
front 12 The physiologic mechanisms involved in the pain phenomenon are termed | back 12 nociception. |
front 13 ________ is the most powerful predictor of developing type 2 diabetes mellitus. | back 13 Obesity |
front 14 When a parent of a toddler recently diagnosed with pneumococcal pneumonia asks why their child is so much sicker than a classmate was when they were diagnosed with pneumonia, the nurse replies | back 14 “It sounds like your child has a case of bacterial pneumonia, while the classmate had viral pneumonia.” |
front 15 A person with acute hypoxemia may hyperventilate and develop | back 15 respiratory alkalosis. |
front 16 Respiratory acidosis may be caused by | back 16 hypoventilation. |
front 17 Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of | back 17 alcohol-induced injury. |
front 18 Individuals with end-stage chronic renal disease are at risk for renal osteodystrophy and spontaneous bone fractures, because | back 18 they are deficient in active vitamin D. |
front 19 Most muscle strains are caused by | back 19 abnormal muscle contraction. |
front 20 The most common cause of intrinsic kidney injury is _____ injury. | back 20 tubular |
front 21 A patient presenting with a severe, pounding headache accompanied by nausea and photophobia is likely experiencing a ________ headache. | back 21 migraine |
front 22 Hyperaldosteronism causes | back 22 ECV excess and hypokalemia. |
front 23 The primary source of erythropoietin is provided by the | back 23 kidney |
front 24 When a patient experiencing nephrotic syndrome asks, “What causes my urine to be so full of protein,” the nurse’s response is based on the knowledge that | back 24 the glomerular membrane has increased permeability. |
front 25 Assessment of an extremity six hours after surgical alignment and casting demonstrates pulselessness and pallor. The priority action to take is to | back 25 initiate action to have the cast split or removed. |
front 26 Chronic bronchitis often leads to cor pulmonale because of | back 26 increased pulmonary vascular resistance. |
front 27 Although skin manifestations may occur in numerous locations, the classic presentation of systemic lupus erythematosus (SLE) includes | back 27 a butterfly pattern rash on the face across the bridge of the nose. |
front 28 The gate control theory of pain transmission predicts that activity in touch receptors will | back 28 decrease pain signal transmission in the spinal cord. |
front 29 The process responsible for distribution of fluid between the interstitial and intracellular compartments is | back 29 osmosis |
front 30 Obstructive disorders are associated with | back 30 low expiratory flow rates. |
front 31 At his most recent clinic visit, a patient with end-stage renal disease is noted to have edema, congestive signs in the pulmonary system, and a pericardial friction rub. Appropriate therapy at this time would include | back 31 initiation of dialysis. |
front 32 Legionnaires disease is characterized by | back 32 presence of systemic illness. |
front 33 Pain that waxes and wanes and is exacerbated by physical exertion is likely related to | back 33 fibromyalgia syndrome. |
front 34 In contrast to osteoarthritis, rheumatoid arthritis may be associated with | back 34 systemic aching in the musculoskeletal system. |
front 35 A unique characteristic feature of fibromyalgia is the presence of | back 35 tender point pain. |
front 36 A major modifiable risk factor for nephrolithiasis is | back 36 dehydration |
front 37 The patient most at risk for postrenal acute kidney injury is a(n) | back 37 elderly patient with hypertrophy of the prostate. |
front 38 The arterial blood gas pH = 7.52, PaCO2 = 30 mm Hg, HCO3 – = 24 mEq/L demonstrates | back 38 respiratory alkalosis. |
front 39 Lusitropic impairment refers to | back 39 impaired diastolic relaxation. |
front 40 The most reliable indicator that a person is experiencing an acute myocardial infarction (MI) is | back 40 ST-segment elevation. |
front 41 High blood pressure increases the workload of the left ventricle, because it increases | back 41 afterload |
front 42 Emphysema results from destruction of alveolar walls and capillaries, which is because of | back 42 release of proteolytic enzymes from immune cells. |
front 43 Individuals who have chronic bronchitis most often have | back 43 a productive cough. |
front 44 Risk factors for atherosclerosis include | back 44 hyperlipidemia |
front 45 While hospitalized, an elderly patient with a history of myocardial infarction was noted to have high levels of low-density lipoproteins (LDLs). What is the significance of this finding? | back 45 Increased LDL levels are associated with increased risk of coronary artery disease. |
front 46 Myxedema coma is a severe condition associated with | back 46 hypothyroidism |
front 47 A potential risk factor for breast cancer includes | back 47 early menarche and late first pregnancy. |
front 48 Anticholinesterase inhibitors may be used to manage | back 48 myasthenia gravis. |
front 49 Ulcerative colitis is commonly associated with | back 49 bloody diarrhea. |
front 50 What laboratory data would support a diagnosis of hemochromatosis? | back 50 Elevated ferritin |
front 51 A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an example of | back 51 primary prevention. |
front 52 Chronic pancreatitis may lead to | back 52 diabetes mellitus. |
front 53 Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for | back 53 sphincter of Oddi dysfunction. |
front 54 The American Diabetes Association recommends a postprandial blood glucose level of ________ mg/dL for adults with diabetes. | back 54 less than 180 |
front 55 The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis. | back 55 hemolysis |
front 56 A laboratory test result that helps confirm the diagnosis of systemic lupus erythematosus (SLE) is | back 56 positive antinuclear antibodies. |
front 57 Rheumatic heart disease is most often a consequence of | back 57 β-hemolytic streptococcal infection. |
front 58 Which response to an injection of ACTH indicates a primary adrenal insufficiency? | back 58 No change in serum glucocorticoid level |
front 59 Lack of α-antitrypsin in emphysema causes | back 59 destruction of alveolar tissue. |
front 60 The prothrombin time (PT) and INR (international normalized ratio) measure the integrity of | back 60 extrinsic pathway. |
front 61 The classic manifestations of Parkinson disease include | back 61 rest tremor and skeletal muscle rigidity. |
front 62 Administration of which therapy is most appropriate for hypovolemic shock? | back 62 Crystalloids |
front 63 The most common cause of ischemic acute tubular necrosis (ATN) in the United States is | back 63 sepsis |
front 64 The most frequent initial symptom of bladder cancer is | back 64 hematuria |
front 65 A patient has a positive Chvostek sign. The nurse interprets this as a sign of | back 65 increased neuromuscular excitability. |
front 66 Hypertension is closely linked to | back 66 obstructive sleep apnea. |
front 67 Activation of parasympathetic nerves to the bladder will cause | back 67 bladder contraction. |
front 68 Which acid are the kidneys unable to excrete? | back 68 Carbonic |
front 69 Modulation of pain signals is thought to be mediated by the release of | back 69 endorphins |
front 70 Hepatic encephalopathy is associated with | back 70 increased blood ammonia levels. |
front 71 Hypotension associated with neurogenic and anaphylactic shock is because of | back 71 peripheral pooling of blood. |
front 72 Diarrhea and other lower intestinal fluid losses will contribute to | back 72 metabolic acidosis. |
front 73 A laboratory test that should be routinely monitored in patients receiving digitalis therapy is | back 73 serum potassium. |
front 74 The strength of the bond between oxygen and hemoglobin is known as the | back 74 oxygen-hemoglobin affinity. |
front 75 The pathophysiology of rheumatoid arthritis involves | back 75 immune cells accumulating in pannus and destroying articular cartilage. |
front 76 In general, with aging, organ size and function | back 76 decrease. |
front 77 Endometriosis is a condition in which | back 77 ectopic endometrial tissue is present. |
front 78 Which is indicative of a left tension pneumothorax? | back 78 Absent breath sounds on the left |
front 79 Which is not considered to be a risk factor for thrombus formation? | back 79 Thrombocytopenia |
front 80 A college student living in a dormitory reports a stiff neck and headache and is found to have a fever of 102°F. This information is most consistent with | back 80 meningitis |
front 81 Risk factors for hemorrhagic stroke include | back 81 acute hypertension. |
front 82 A malignant bone-forming tumor is referred to as a(n) | back 82 osteosarcoma. |
front 83 Gouty arthritis is a complication of | back 83 inadequate renal excretion of uric acid. |
front 84 _________ is a form of spina bifida in which a saclike cyst filled with CSF protrudes through the spinal defect but does not involve the spinal cord. | back 84 Meningocele |
front 85 A patient with flail chest will demonstrate | back 85 outward chest movement on expiration. |
front 86 The urinalysis finding most indicative of cystitis includes the presence of | back 86 nitrites |
front 87 Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high ________ rate. | back 87 mortality |
front 88 The ________ system compensates for metabolic acidosis and alkalosis. | back 88 respiratory |
front 89 What is the correct definition of complete remission (CR) of leukemia? | back 89 CR is less than 5% blasts in marrow and normal CBC values. |
front 90 Intracranial pressure normally ranges from ______ mm Hg. | back 90 0 to 15 |
front 91 The most commonly ordered diagnostic test for evaluation of the urinary system is | back 91 ultrasonography |
front 92 Which condition is caused by a genetic defect? | back 92 Polycystic kidney disease |
front 93 Patients with immunodeficiency disorders are usually first identified because they | back 93 develop recurrent infections. |
front 94 The hypermetabolic state leading to cachexia in terminal cancer is thought to be because of | back 94 tumor necrosis factor. |
front 95 Seizures that involve both hemispheres at the outset are termed | back 95 generalized |
front 96 Patients with immunodeficiency disorders are usually first identified because they | back 96 develop recurrent infections. |
front 97 A laboratory test result that helps confirm the diagnosis of systemic lupus erythematosus (SLE) is | back 97 positive antinuclear antibodies. |
front 98 Venous obstruction leads to edema because it ________ pressure. | back 98 increases capillary hydrostatic |
front 99 The condition characterized by oliguria and hematuria is | back 99 acute glomerulonephritis. |
front 100 Velocity of blood flow is measured in | back 100 centimeters per second. |
front 101 The most common source of osteomyelitis is | back 101 an infection that migrates via the bloodstream. |
front 102 A level of ____ on the Glasgow Coma Scale indicates likely fatal damage. | back 102 3 |
front 103 Metaplasia is | back 103 the replacement of one differentiated cell type with another. |
front 104 What type of seizure usually occurs in children and is characterized by brief staring spells? | back 104 Absence |
front 105 Mitral stenosis is associated with | back 105 a pressure gradient across the mitral valve. |
front 106 Retroviruses are associated with human cancers, including | back 106 Burkitt lymphoma. |
front 107 Myxedema coma is a severe condition associated with | back 107 hypothyroidism |
front 108 A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an example of | back 108 primary prevention. |
front 109 ________ is the most powerful predictor of developing type 2 diabetes mellitus. | back 109 Obesity |
front 110 The megakaryocyte is a precursor to | back 110 platelets. |
front 111 In which stage of shock is a patient who has lost 1200 mL of blood, who has normal blood pressure when supine, but who experiences orthostatic hypotension upon standing? | back 111 Class II, Compensated Stage |
front 112 Cor pulmonale refers to | back 112 right ventricular hypertrophy secondary to pulmonary hypertension. |
front 113 The defining characteristic of severe acute kidney injury is | back 113 oliguria |
front 114 The pain of nonarticular rheumatism (“growing pain”) is worse | back 114 during the night. |
front 115 The most common cause of mechanical bowel obstruction is | back 115 adhesions |
front 116 Which electrolyte imbalances cause increased neuromuscular excitability? | back 116 Hypocalcemia and hypomagnesemia |
front 117 Emesis causes | back 117 metabolic alkalosis. |
front 118 A patient with renal disease is at risk for developing uremia as the nephrons progressively deteriorate, because | back 118 GFR declines. |
front 119 A patient who has difficulty walking without assistance is incontinent of urine when help doesn’t get to her quickly enough. The term for this type of incontinence is | back 119 functional |
front 120 Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA) is | back 120 autoimmune hepatitis. |
front 121 Reperfusion injury to cells | back 121 involves formation of free radicals. |
front 122 A primary effector cell of the type I hypersensitivity response is | back 122 mast cells. |
front 123 An obese but otherwise healthy teen is given a prescription for a low-calorie diet and exercise program. This is an example of | back 123 secondary prevention. |
front 124 An increased urine bilirubin is associated with | back 124 hepatitis |
front 125 The pain that accompanies kidney disorders is called | back 125 nephralgia. |
front 126 Many of the responses to stress are attributed to activation of the sympathetic nervous system and are mediated by | back 126 norepinephrine. |
front 127 Which is not a manifestation of acute arterial obstruction? | back 127 Purpura |
front 128 An erroneously low blood pressure measurement may be caused by | back 128 positioning the arm above the heart level. |
front 129 A cause of thrombocytopenia includes | back 129 chemotherapy. |
front 130 Systemic disorders include | back 130 rheumatoid arthritis. |
front 131 The common denominator in all forms of heart failure is | back 131 reduced cardiac output. |
front 132 Celiac sprue is a malabsorptive disorder associated with | back 132 inflammatory reaction to gluten-containing foods. |
front 133 Angiotensin-converting enzyme (ACE) inhibitors block the | back 133 conversion of angiotensin I to angiotensin II. |
front 134 A diagnostic laboratory finding in myeloma is | back 134 Bence Jones proteins in the urine. |
front 135 Proto-oncogenes | back 135 are normal cellular genes that promote growth. |
front 136 When systemic vascular resistance is decreased, blood flow | back 136 decreases. |
front 137 What results when systemic blood pressure is increased? | back 137 Vasoconstriction |
front 138 A patient diagnosed with chronic compensated heart failure reports that, “My feet swell if I eat salt but I don’t understand why” The nurse’s best response is | back 138 “Salt holds water in your blood and makes more pressure against your blood vessels, so fluid leaks out into your tissues and makes them swell.” |
front 139 First-degree heart block is characterized by | back 139 prolonged PR interval. |
front 140 Which neurologic disorder is commonly referred to as Lou Gehrig disease? | back 140 Amyotrophic lateral sclerosis |
front 141 The main clinical manifestation of a kidney stone obstructing the ureter is | back 141 renal colic. |
front 142 It is true that gallstones are | back 142 more common in women. |
front 143 Individuals who have chronic bronchitis most often have | back 143 a productive cough. |
front 144 A patient with high blood pressure who is otherwise healthy is counseled to restrict sodium intake. This is an example of | back 144 secondary prevention. |
front 145 All the following stress-induced hormones increase blood glucose except | back 145 aldosterone. |
front 146 The displacement of two bones in which the articular surfaces partially lose contact with each other is called | back 146 subluxation. |
front 147 The person at highest risk for developing hypernatremia is a person who | back 147 receives tube feedings because he or she is comatose after a stroke. |
front 148 Paget’s disease is characterized by | back 148 excessive bone resorption followed by excessive formation of fragile bone. |
front 149 Dopamine precursors and anticholinergics are all used in the management of Parkinson disease, because they | back 149 increase dopamine activity in the basal ganglia. |
front 150 Which change in a patient’s assessment has the greatest urgency? | back 150 Serum potassium concentration is increasing; has developed cardiac dysrhythmias, but denies any difficulty breathing |
front 151 A patient presenting with a severe, pounding headache accompanied by nausea and photophobia is likely experiencing a ________ headache. | back 151 migraine |
front 152 Postrenal acute kidney injury may be caused by | back 152 bilateral kidney stones. |
front 153 A person who has hyperparathyroidism is likely to develop | back 153 hypercalcemia |
front 154 The effect of stress on the immune system | back 154 may involve enhancement or impairment the immune system. |
front 155 A patient being treated for acute tubular necrosis (ATN) develops mild polyuria. The nurse responds to questions about why this occurring by stating | back 155 “His renal tubules are recovering, so he is making more urine, but he is not able to concentrate urine well, because he is not fully recovered.” |
front 156 A patient diagnosed with diabetes, smokes a pack of cigarettes daily and eats very few green leafy vegetables. After experiencing a fractured toe, this patient is at risk for | back 156 delayed healing. |
front 157 An example of inappropriate treatment for head trauma would be | back 157 hypoventilation |
front 158 Pain with passive stretching of a muscle is indicative of | back 158 noncontractile tissue injury. |
front 159 What finding should prompt further diagnostic testing in a child presenting with diarrhea? | back 159 Blood and mucus in the stools |
front 160 Prerenal acute kidney injury may be caused by | back 160 severe hypotension. |
front 161 A patient, age 3, has vesicoureteral reflux. “Why does that make him have so many bladder infections?” asks his mother. The nurse’s best response is | back 161 “When he urinates, urine runs back toward his kidneys and then into the bladder again, making it easy for bacteria to grow if they reach the bladder.” |
front 162 The relationship of blood flow (Q), resistance (R), and pressure (P) in a vessel can be expressed by which equation? | back 162 Q = P/R |
front 163 Viral pneumonia is characterized by | back 163 a dry cough. |
front 164 Most gallstones are composed of | back 164 cholesterol. |
front 165 An increase in organ size and function caused by increased workload is termed | back 165 hypertrophy. |
front 166 Tumor necrosis factor α and interleukin-1 contribute to shock states because they induce production of | back 166 nitric oxide. |
front 167 A loud pansystolic murmur that radiates to the axilla is most likely a result of | back 167 mitral regurgitation. |
front 168 Which complication of asthma is life threatening? | back 168 Status asthmaticus |
front 169 It is true that growth hormone excess in adults | back 169 results in the condition of acromegaly. |
front 170 Barrett esophagus is a | back 170 preneoplastic lesion. |
front 171 Which disorder usually causes skeletal pain and involves significant bone demineralization from vitamin D deficiency? | back 171 Osteomalacia |
front 172 The formation of active vitamin D | back 172 is impaired in renal failure. |
front 173 The cause of the most common form of anemia is | back 173 iron deficiency. |
front 174 Effects of hypernatremia on the central nervous system typically include | back 174 confusion. |
front 175 Diabetes insipidus is a condition that | back 175 results from inadequate ADH secretion. |
front 176 Which dysrhythmia is thought to be associated with reentrant mechanisms? | back 176 Preexcitation syndrome tachycardia (Wolf-Parkinson-White syndrome) |
front 177 Critically ill patients may have parenterally administered vasoactive drugs that are adjusted according to their _____ pressure. | back 177 mean arterial |
front 178 Leakage of CSF from the nose or ears is commonly associated with | back 178 <strong>basilar skull fracture.</strong><strong> </strong> |
front 179 The most commonly ordered diagnostic test for evaluation of the urinary system is | back 179 ultrasonography. |
front 180 Uterine prolapse is caused by a relaxation of the | back 180 cardinal ligaments. |
front 181 The most appropriate treatment for secondary polycythemia is | back 181 measured to improve oxygenation. |
front 182 An example of an acyanotic heart defect is | back 182 ventricular septal defect. |
front 183 Clinical manifestations of extracellular fluid volume deficit include | back 183 weak pulse, low blood pressure, and increased heart rate. |
front 184 A patient presenting with muscle cramps, fatigue, anxiety, depression, and prolonged Q-T intervals on EKG may be showing symptoms of | back 184 hypoparathyroidism. |
front 185 “Please explain the pathophysiology of osteoarthritis to me,” says another nurse. “Is it just wear and tear so that the cartilage wears out?” Your best response is | back 185 “No; cells in bone, cartilage, and the synovial membrane all get activated and secrete inflammatory mediators that destroy cartilage and damage bone.” |
front 186 The microorganism that causes the vast majority of urinary tract infections is | back 186 Escherichia coli. |
front 187 It is true that Bell palsy is a | back 187 paralysis of the muscles innervated by the facial nerve. |
front 188 Accumulation of fluid in the pleural space is called | back 188 pleural effusion. |
front 189 The stage during which the patient functions normally, although the disease processes are well established, is referred to as | back 189 subclinical. |
front 190 The signs and symptoms of adrenocortical hormone excess may occur from either a primary or secondary disorder. A symptom associated with primary Cushing syndrome is | back 190 hyperglycemia |
front 191 Low cardiac output in association with high preload is characteristic of ________ shock. | back 191 cardiogenic |
front 192 A common characteristic of viral pneumonia is | back 192 dry cough. |
front 193 A patient has ureteral colic. The manifestation that requires immediate notification of the physician is | back 193 chills and fever. |
front 194 Treatment of a uterine prolapse may involve the insertion of a(n) ________ to hold the uterus in place. | back 194 pessary. |
front 195 A patient diagnosed with chronic compensated heart failure reports that, “My feet swell if I eat salt but I don’t understand why” The nurse’s best response is | back 195 “Salt holds water in your blood and makes more pressure against your blood vessels, so fluid leaks out into your tissues and makes them swell.” |
front 196 Individuals with end-stage chronic renal disease are at risk for renal osteodystrophy and spontaneous bone fractures, because | back 196 they are deficient in active vitamin D. |
front 197 Systemic disorders include | back 197 rheumatoid arthritis. |
front 198 Tachycardia is an early sign of low cardiac output that occurs because of | back 198 baroreceptor activity. |
front 199 A patient who has difficulty walking without assistance is incontinent of urine when help doesn’t get to her quickly enough. The term for this type of incontinence is | back 199 functional |
front 200 Detrusor muscle overactivity can be improved by administration of | back 200 botulinum toxin. |
front 201 Transfusion reactions involve RBC destruction caused by | back 201 recipient antibodies. |
front 202 A common component of renal calculi is | back 202 calcium |
front 203 A patient who was involved in a fall from a tree becomes short of breath. The lung sounds are absent on one side. This patient is experiencing ________ shock. | back 203 obstructive |
front 204 Which disorder is associated with a type III hypersensitivity mechanism of injury? | back 204 Systemic lupus erythematosus |
front 205 Accumulation of fluid in the pleural space is called | back 205 pleural effusion. |
front 206 “Please explain the pathophysiology of osteoarthritis to me,” says another nurse. “Is it just wear and tear so that the cartilage wears out?” Your best response is | back 206 “No; cells in bone, cartilage, and the synovial membrane all get activated and secrete inflammatory mediators that destroy cartilage and damage bone.” |
front 207 Autonomic dysreflexia is characterized by | back 207 hypertension and bradycardia. |
front 208 A deficiency of von Willebrand factor impairs | back 208 platelet adhesion to injured tissue. |
front 209 Overproduction of nitric oxide is an important aspect of the pathophysiologic process of what type of shock? | back 209 Septic |
front 210 When a parent asks how they will know if their 2-month-old baby, who is throwing up and has frequent diarrhea, is dehydrated, the nurse’s best response is | back 210 “If the soft spot on the top of his head feels sunken in and his mouth is dry between his cheek and his gums, then he is probably dehydrated.” |
front 211 Chronic pancreatitis may lead to | back 211 diabetes mellitus. |
front 212 A thyroid gland that grows larger than normal is known as | back 212 goiter |
front 213 How is a patient hospitalized with a malignant tumor that secretes parathyroid hormone–related peptide monitored for the resulting electrolyte imbalance? | back 213 Serum calcium, bowel function, level of consciousness |
front 214 Hypotension, distended neck veins, and muffled heart sounds are classic manifestations of | back 214 cardiac tamponade. |
front 215 The person at highest risk for developing hypernatremia is a person who | back 215 receives tube feedings because he or she is comatose after a stroke. |
front 216 The most common agent resulting in nephrotoxicity and subsequent acute tubular necrosis (ATN) in hospitalized patients is | back 216 contrast media. |
front 217 Aortic regurgitation is associated with | back 217 diastolic murmur. |
front 218 Hepatic encephalopathy is associated with | back 218 increased blood ammonia levels. |
front 219 A normal bleeding time in association with normal platelet count, and increased prothrombin time (PT) and INR, is indicative of | back 219 vitamin K deficiency. |
front 220 What is the effect on resistance if the radius of a vessel is halved? | back 220 Resistance increases by a factor of 16. |
front 221 Patients with structural evidence of heart failure who exhibit no signs or symptoms are classified into which New York Heart Association heart failure class? | back 221 Class I |
front 222 The oliguric phase of acute tubular necrosis is characterized by | back 222 fluid excess and electrolyte imbalance. |
front 223 What finding should prompt further diagnostic testing in a child presenting with diarrhea? | back 223 Blood and mucus in the stools |
front 224 Blood flow throughout the periphery is regulated by | back 224 the autonomic nervous system. |
front 225 The most common cause of intrinsic kidney injury is _____ injury. | back 225 tubular |
front 226 A patient with pancreatitis may experience muscle cramps secondary to | back 226 hypocalcemia. |
front 227 Which response to an injection of ACTH indicates a primary adrenal insufficiency? | back 227 No change in serum glucocorticoid level |
front 228 Steatohepatitis is caused by an accumulation of ________ in the liver cells. | back 228 fat |
front 229 It is true that Graves disease is | back 229 associated with autoantibodies to TSH receptors. |
front 230 Type 2 diabetes mellitus is often associated with | back 230 nonketotic hyperosmolality. |
front 231 The condition in which the urethra opens on the dorsal aspect of the penis is known as | back 231 epispadias. |
front 232 Administration of which therapy is most appropriate for hypovolemic shock? | back 232 Crystalloids |
front 233 Which treatment is helpful in neuropathic pain but not used for acute pain? | back 233 Anticonvulsants |
front 234 ________ edema occurs when ischemic tissue swells because of cellular energy failure. | back 234 Cytotoxic |
front 235 Which electrolyte imbalances cause increased neuromuscular excitability? | back 235 Hypocalcemia and hypomagnesemia |
front 236 A patient presents to the physician’s office with pinpoint hemorrhages on the skin. The patient is most likely between the ages of _____ years. | back 236 4 and 7 |
front 237 A loud pansystolic murmur that radiates to the axilla is most likely a result of | back 237 mitral regurgitation. |
front 238 Myxedema coma is a severe condition associated with | back 238 hypothyroidism |
front 239 Aldosterone secretion is regulated by the presence of ________ in the circulation. | back 239 angiotensin II |
front 240 The most appropriate treatment for secondary polycythemia is | back 240 measured to improve oxygenation. |
front 241 Indicators that an individual is experiencing high stress include all the following except | back 241 pupil constriction. |
front 242 Surgical removal of a gland may result in | back 242 hyposecretion |
front 243 Red blood cells obtain nearly all their energy from metabolism of | back 243 glucose |
front 244 An increase in organ size and function caused by increased workload is termed | back 244 hypertrophy |
front 245 The pain associated with chronic pancreatitis is generally described as ________ in nature. | back 245 steady and boring |
front 246 A bone disorder that results from insufficient vitamin D is referred to as | back 246 osteomalacia |
front 247 What is necessary for red blood cell production? | back 247 Iron |
front 248 Which pulmonary function test result is consistent with a diagnosis of asthma? | back 248 Reduced forced expiratory volume in 1 second (FEV1) |
front 249 Clinical manifestations of moderate to severe hypokalemia include | back 249 muscle weakness and cardiac dysrhythmias. |
front 250 An increase in ADH secretion occurs in response to | back 250 dehydration. |
front 251 A laboratory test finding helpful in confirming the diagnosis of iron-deficiency anemia is | back 251 elevated total iron-binding capacity. |
front 252 Excessive antidiuretic hormone (ADH) secretion can cause _____ concentration. | back 252 decreased serum sodium |
front 253 A 3-year-old boy who exhibits prolonged bleeding after minor trauma and a prolonged aPTT, but a normal platelet count, is likely to be diagnosed with | back 253 hemophilia |
front 254 ________ occurs when a brainstem impaired patient exhibits a persistent rhythmic or jerky movement in one or both eyes. | back 254 Nystagmus |
front 255 Pulse pressure is defined as | back 255 systolic pressure – diastolic pressure. |
front 256 A laboratory test that should be routinely monitored in patients receiving digitalis therapy is | back 256 serum potassium. |
front 257 Elevated serum lipase and amylase levels are indicative of | back 257 <strong>pancreatitis.</strong><strong> </strong> |
front 258 Improvement in a patient with septic shock is indicated by an increase in | back 258 systemic vascular resistance. |
front 259 Tumor necrosis factor α and interleukin-1 contribute to shock states because they induce production of | back 259 nitric oxide. |
front 260 Tophi are | back 260 deposits of urate crystals in tissues. |
front 261 Which complication of asthma is life threatening? | back 261 Status asthmaticus |
front 262 Which is not considered to be a risk factor for thrombus formation? | back 262 Thrombocytopenia |
front 263 Nephrotic syndrome does not usually cause | back 263 hematuria |
front 264 Lack of α-antitrypsin in emphysema causes | back 264 destruction of alveolar tissue. |
front 265 The normal post-void residual urine in the bladder is | back 265 less than 100 mL. |
front 266 Pathophysiologically, esophageal varices can be attributed to | back 266 portal hypertension. |
front 267 What problem is a patient likely to experience in end-stage renal disease? | back 267 Uremia |
front 268 Modulation of pain signals is thought to be mediated by the release of | back 268 endorphins |
front 269 First-degree heart block is characterized by | back 269 prolonged PR interval. |
front 270 A patient with a productive cough and parenchymal infiltrates on x-ray is demonstrating symptomology of | back 270 bacterial pneumonia. |
front 271 Which disorder usually causes skeletal pain and involves significant bone demineralization from vitamin D deficiency? | back 271 Osteomalacia |
front 272 Rupture of a cerebral aneurysm should be suspected if the patient reports | back 272 sudden, severe headache. |
front 273 The hypersensitivity reaction that does not involve antibody production is type | back 273 IV. |
front 274 In older women, osteoporosis is thought to be primarily because of | back 274 estrogen deficiency. |
front 275 The pain of nonarticular rheumatism (“growing pain”) is worse | back 275 during the night. |
front 276 The most frequent initial symptom of bladder cancer is | back 276 hematuria. |
front 277 The microorganism that causes the vast majority of urinary tract infections is | back 277 Escherichia coli. |
front 278 In addition to E. coli, a risk factor for development of pyelonephritis is | back 278 urinary retention and reflux. |
front 279 Which disorder is caused by inhalation of organic substances? | back 279 Hypersensitivity pneumonitis |
front 280 People who have osteoporosis are at risk for | back 280 bone fractures. |
front 281 The megakaryocyte is a precursor to | back 281 platelets |
front 282 Hyperlipidemia occurs in nephrotic syndrome because | back 282 hepatocytes synthesize excessive lipids. |
front 283 Inflammation of the sacs that overlie bony prominences is called | back 283 bursitis. |
front 284 Hepatitis B is usually transmitted by exposure to | back 284 blood or semen. |
front 285 Airway obstruction in chronic bronchitis is because of | back 285 thick mucus, fibrosis, and smooth muscle hypertrophy. |
front 286 The strength of the bond between oxygen and hemoglobin is known as the | back 286 oxygen-hemoglobin affinity. |
front 287 The cellular change that is considered preneoplastic is | back 287 dysplasia |
front 288 A unique characteristic feature of fibromyalgia is the presence of | back 288 tender point pain. |
front 289 The urinalysis finding most indicative of cystitis includes the presence of | back 289 nitrites |