ANP-650 Midterm Study
1.A baby is identified with intense allergic rhinitis. Which of the subsequent manifestations
might the nurse maximum likely determine in this patron?
1. Edematous neck glands
2. Reduced listening to
three. Pruritis
4. Frequent wiping of the nose with the palm of the hand - ANS-ANS: four
Frequent wiping of the nose with the palm of the hand is one symptom visible inside the
consumer diagnosed with severe allergic rhinitis. Edematous neck glands, decreased
hearing, and pruritis are not manifestations of extreme allergic rhinitis.
1.A consumer is recognized with a headache from a secondary reason. The nurse realizes
this kind of headache can be because of:
1. A tumor.
2. Anxiety.
Three. A migraine.
4. Cluster - ANS-ANS: 1
Primary headaches are recognized while no organic motive may be determined. A tumor
headache is as a result of a tumor and is classed as a secondary headache.
1.A customer is identified with strabismus. Which of the following will the client most
probable experience with this sickness?
1. Nystagmus
2. Diplopia
three. Aphakic imaginative and prescient
4. Ptosis - ANS-ANS: 2
Diplopia, or double imaginative and prescient, is the primary symptom of strabismus.
Nystagmus is a disease that reasons involuntarily rhythmic actions in the eye. Aphakic
imaginative and prescient takes place when the lens of the attention is removed. Ptosis is
drooping of the eyelid.
1.A customer is identified with tonic-clonic seizures. Which are the traits of those forms of
seizures? (Select all that practice.)
1. Progressing through all the seizure stages
2. Beginning before age five
3. Lasting 2 to 3 mins
four. Causing harm to the consumer
5. Occurring at any time, day or night time
6. Being incredibly variable - ANS-ANS: 1, 3, 4, five, 6
Tonic-clonic seizures are the most commonplace kind of generalized seizure. The seizure
will development thru all the seizure stages and closing 2 to three minutes. Because these
seizures begin suddenly, there's an accelerated incidence of harm related to them. These
seizures can occur any time of the day or night, whether or not the consumer is conscious or
not. Seizure frequency is relatively variable.
,1.A client is not able to efficaciously skip the whisper test. Which of the following would be
indicated for this client?
1. Head CT scan
2. Audiometry
3. MRI of the brain
four. Electroencephalogram - ANS-ANS: 2
Failure to bypass the whisper test might suggest the need for formal audiometry trying out.
The client could now not need a head CT or MRI at this time. An electroencephalogram isn't
important.
1.A purchaser tells the nurse that he does no longer want to develop macular degeneration
like his mom. Which of the subsequent must the nurse train the purchaser as being chance
factors for the improvement of this sickness? (Select all that apply.)
1. There is extra chance as humans age.
2. Women are at extra hazard than men.
Three. African Americans are at extra threat than Caucasians.
Four. Family history of macular degeneration increases risk.
5. Smoking does not growth danger.
6. Alcohol prevents the onset of this disease. - ANS-ANS: 1, 2, 4
Recent information show that macular degeneration is age related and that women are at
greater threat than guys. Family history and smoking also are considerable danger
elements. Caucasians are at extra chance than African Americans. Alcohol does not prevent
the onset of this disorder.
1.A patron, being tested for a stroke, isn't a candidate for tPA. Which of the subsequent
could be contraindicated for the usage of tPA? (Select all that apply.)
1. Minor ischemic stroke inside 30 days
2. Glucose degree a hundred and twenty mg/dL
3. Blood strain a hundred ninety/one hundred twenty mmHg
four. Lumbar puncture 2 days in the past
five. Stroke onset five hours in the past
6. INR 1.0 - ANS-ANS: 1, 3, 4, 5
Contraindications of tPA to deal with an embolic stroke consist of minor ischemic stroke in
the ultimate 30 days, blood pressure extra an 185 mmHg systolic or more than a hundred
and ten mmHg diastolic, lumbar puncture inside the final 3 days, and onset of stroke extra
than 3 hours. Glucose level of 120 mg/dL and INR of 1.0 could not be contraindications for
tPA therapy.
1.A male patron is identified with hyperprolactinemia. The nurse realizes that which of the
following medical manifestations happens less frequently in men?
1. A lower in testosterone
2. Erectile dysfunction
3. Gynecomastia
4. Infertility - ANS-ANS: three
In guys, hyperprolactinemia reasons a decrease in testosterone secondary to an inhibition of
gonadotropin secretion, main to reduced facial and frame hair, erectile disorder, decreased
libido, small testicles, and infertility. Gynecomastia takes place less frequently in men.
,1.Blood paintings of a woman client suggests an increase inside the production of estradiol.
The nurse realizes that this hormone is managed by means of:
1. Fine comments.
2. Bad comments.
3. Worried comments.
Four. Opposite comments. - ANS-ANS: 1
Even even though most of the hormones within the endocrine gadget are beneath a poor
remarks mechanism, estradiol isn't always one of those hormones. Estradiol is controlled
with the aid of a nice remarks
WWW.TESTBANKTANK.COM
mechanism in that after it will increase, there could be in an growth inside the production of
folliclestimulating hormone by means of the anterior pituitary.
1.For the consumer who is at chance for stroke, the most critical guideline the nurse need to
train is to:
1. Increase beverages with caffeine.
2. Reveal blood pressure.
Three. Increase amounts of sodium within the food plan.
4. Reveal weight and pastime. - ANS-ANS: 2
Monitoring weight and activity is important, however the maximum priority is monitoring the
blood strain. This is a modifiable chance thing that, when controlled, will decrease the risk of
stroke.
1.The nurse is educating a consumer recognized with otitis media on control all through the
intense segment. Which of the following ought to the nurse encompass inside the teaching?
(Select all that practice.)
1. Take the antibiotics as ordered.
2. Take over the counter analgesics for moderate pain as endorsed.
3. It is ok to go swimming.
4. It is k to move on vacation and trips that require flying.
Five. If excruciating pain develops, are seeking for hospital therapy.
6. Limit fluids. - ANS-ANS: 1, 2, 5
Clients ought to whole the medication as ordered to kill the infection. Mild analgesics for
ache are frequently wished. If excruciating ear pain develops, the customer have to are
seeking for medical care to rule out perforation of the eardrum. It is vital to maintain the ear
dry, so the consumer ought to not swim at the moment. Flying is not recommended at the
moment. Limiting fluids isn't necessary with otitis media.
1.What are the 2 divisions of the frightened gadget?
A. Somatic and the autonomic
b. Cerebellum and the brainstem
c. Medulla oblongata and the diencephalon
d. Central and the peripheral - ANS-ANS: D
The crucial and the peripheral are the two divisions of the anxious device. The autonomic
and the somatic are the division of the peripheral worried device.
, 1.Which of the subsequent signs and symptoms would endorse to the nurse that a
purchaser is experiencing signs and symptoms of pheochromocytoma? (Select all that
follow.)
1. Severe headache
2. Decreased urine output
three. Palpitations
four. Diarrhea
5. Profuse sweating
6. Weight benefit - ANS-ANS: 1, 3, five
Severe headache, palpitations, and profuse sweating are the most commonplace symptoms
of pheochromocytoma. Decreased urine output, diarrhea, and weight benefit are not related
to this sickness.
10.A patron is experiencing a lack of primary imaginative and prescient but no longer a loss
of peripheral imaginative and prescient. The nurse realizes the consumer must be evaluated
for:
1. Indifferent retina syndrome.
2. Nystagmus.
3. Macular degeneration.
4. Conjunctivitis. - ANS-ANS: 3
Macular degeneration is a deterioration of part of the retina, causing lack of relevant vision
but not affecting peripheral vision. The loss of relevant imaginative and prescient isn't
normally visible in a indifferent retina, nystagmus, or conjunctivitis.
10.A client is experiencing epistaxis. Which of the following interventions could the nurse
entire?
1. Call the medical doctor.
2. Check laboratory take a look at consequences.
3. Obtain an emesis basin.
Four. Show the patient the way to pinch the nose. - ANS-ANS: four
The initial intervention for a consumer with epistaxis is to reveal the purchaser how to lean
forward and pinch the nose against the nasal septum for approximately five to ten mins
constantly. The different interventions aren't necessary at this time.
10.A customer tells the nurse that he's so thirsty that he has already fed on 4 pitchers of
water. The clients urine output is 3500 mL in an eight-hour period. The purchaser is
convalescing from surgical treatment at the pituitary gland. What endocrine disease is the
client maximum likely experiencing?
1. Diabetes insipidus
2. Diabetes mellitus
three. Myxedema
four. Syndrome of beside the point antidiuretic hormone secretion - ANS-ANS: 1
Diabetes insipidus and diabetes mellitus both purpose improved urine output, however
diabetes insipidus is associated with a problem with antidiuretic hormone; diabetes mellitus
is a problem with glucose. Myxedema is as a result of a thyroid hormone imbalance.
Syndrome of inappropriate antidiuretic hormone secretion reasons fluid retention.
10.After a mastoidectomy, the most crucial problem for the nurse to assess for is:
1.A baby is identified with intense allergic rhinitis. Which of the subsequent manifestations
might the nurse maximum likely determine in this patron?
1. Edematous neck glands
2. Reduced listening to
three. Pruritis
4. Frequent wiping of the nose with the palm of the hand - ANS-ANS: four
Frequent wiping of the nose with the palm of the hand is one symptom visible inside the
consumer diagnosed with severe allergic rhinitis. Edematous neck glands, decreased
hearing, and pruritis are not manifestations of extreme allergic rhinitis.
1.A consumer is recognized with a headache from a secondary reason. The nurse realizes
this kind of headache can be because of:
1. A tumor.
2. Anxiety.
Three. A migraine.
4. Cluster - ANS-ANS: 1
Primary headaches are recognized while no organic motive may be determined. A tumor
headache is as a result of a tumor and is classed as a secondary headache.
1.A customer is identified with strabismus. Which of the following will the client most
probable experience with this sickness?
1. Nystagmus
2. Diplopia
three. Aphakic imaginative and prescient
4. Ptosis - ANS-ANS: 2
Diplopia, or double imaginative and prescient, is the primary symptom of strabismus.
Nystagmus is a disease that reasons involuntarily rhythmic actions in the eye. Aphakic
imaginative and prescient takes place when the lens of the attention is removed. Ptosis is
drooping of the eyelid.
1.A customer is identified with tonic-clonic seizures. Which are the traits of those forms of
seizures? (Select all that practice.)
1. Progressing through all the seizure stages
2. Beginning before age five
3. Lasting 2 to 3 mins
four. Causing harm to the consumer
5. Occurring at any time, day or night time
6. Being incredibly variable - ANS-ANS: 1, 3, 4, five, 6
Tonic-clonic seizures are the most commonplace kind of generalized seizure. The seizure
will development thru all the seizure stages and closing 2 to three minutes. Because these
seizures begin suddenly, there's an accelerated incidence of harm related to them. These
seizures can occur any time of the day or night, whether or not the consumer is conscious or
not. Seizure frequency is relatively variable.
,1.A client is not able to efficaciously skip the whisper test. Which of the following would be
indicated for this client?
1. Head CT scan
2. Audiometry
3. MRI of the brain
four. Electroencephalogram - ANS-ANS: 2
Failure to bypass the whisper test might suggest the need for formal audiometry trying out.
The client could now not need a head CT or MRI at this time. An electroencephalogram isn't
important.
1.A purchaser tells the nurse that he does no longer want to develop macular degeneration
like his mom. Which of the subsequent must the nurse train the purchaser as being chance
factors for the improvement of this sickness? (Select all that apply.)
1. There is extra chance as humans age.
2. Women are at extra hazard than men.
Three. African Americans are at extra threat than Caucasians.
Four. Family history of macular degeneration increases risk.
5. Smoking does not growth danger.
6. Alcohol prevents the onset of this disease. - ANS-ANS: 1, 2, 4
Recent information show that macular degeneration is age related and that women are at
greater threat than guys. Family history and smoking also are considerable danger
elements. Caucasians are at extra chance than African Americans. Alcohol does not prevent
the onset of this disorder.
1.A patron, being tested for a stroke, isn't a candidate for tPA. Which of the subsequent
could be contraindicated for the usage of tPA? (Select all that apply.)
1. Minor ischemic stroke inside 30 days
2. Glucose degree a hundred and twenty mg/dL
3. Blood strain a hundred ninety/one hundred twenty mmHg
four. Lumbar puncture 2 days in the past
five. Stroke onset five hours in the past
6. INR 1.0 - ANS-ANS: 1, 3, 4, 5
Contraindications of tPA to deal with an embolic stroke consist of minor ischemic stroke in
the ultimate 30 days, blood pressure extra an 185 mmHg systolic or more than a hundred
and ten mmHg diastolic, lumbar puncture inside the final 3 days, and onset of stroke extra
than 3 hours. Glucose level of 120 mg/dL and INR of 1.0 could not be contraindications for
tPA therapy.
1.A male patron is identified with hyperprolactinemia. The nurse realizes that which of the
following medical manifestations happens less frequently in men?
1. A lower in testosterone
2. Erectile dysfunction
3. Gynecomastia
4. Infertility - ANS-ANS: three
In guys, hyperprolactinemia reasons a decrease in testosterone secondary to an inhibition of
gonadotropin secretion, main to reduced facial and frame hair, erectile disorder, decreased
libido, small testicles, and infertility. Gynecomastia takes place less frequently in men.
,1.Blood paintings of a woman client suggests an increase inside the production of estradiol.
The nurse realizes that this hormone is managed by means of:
1. Fine comments.
2. Bad comments.
3. Worried comments.
Four. Opposite comments. - ANS-ANS: 1
Even even though most of the hormones within the endocrine gadget are beneath a poor
remarks mechanism, estradiol isn't always one of those hormones. Estradiol is controlled
with the aid of a nice remarks
WWW.TESTBANKTANK.COM
mechanism in that after it will increase, there could be in an growth inside the production of
folliclestimulating hormone by means of the anterior pituitary.
1.For the consumer who is at chance for stroke, the most critical guideline the nurse need to
train is to:
1. Increase beverages with caffeine.
2. Reveal blood pressure.
Three. Increase amounts of sodium within the food plan.
4. Reveal weight and pastime. - ANS-ANS: 2
Monitoring weight and activity is important, however the maximum priority is monitoring the
blood strain. This is a modifiable chance thing that, when controlled, will decrease the risk of
stroke.
1.The nurse is educating a consumer recognized with otitis media on control all through the
intense segment. Which of the following ought to the nurse encompass inside the teaching?
(Select all that practice.)
1. Take the antibiotics as ordered.
2. Take over the counter analgesics for moderate pain as endorsed.
3. It is ok to go swimming.
4. It is k to move on vacation and trips that require flying.
Five. If excruciating pain develops, are seeking for hospital therapy.
6. Limit fluids. - ANS-ANS: 1, 2, 5
Clients ought to whole the medication as ordered to kill the infection. Mild analgesics for
ache are frequently wished. If excruciating ear pain develops, the customer have to are
seeking for medical care to rule out perforation of the eardrum. It is vital to maintain the ear
dry, so the consumer ought to not swim at the moment. Flying is not recommended at the
moment. Limiting fluids isn't necessary with otitis media.
1.What are the 2 divisions of the frightened gadget?
A. Somatic and the autonomic
b. Cerebellum and the brainstem
c. Medulla oblongata and the diencephalon
d. Central and the peripheral - ANS-ANS: D
The crucial and the peripheral are the two divisions of the anxious device. The autonomic
and the somatic are the division of the peripheral worried device.
, 1.Which of the subsequent signs and symptoms would endorse to the nurse that a
purchaser is experiencing signs and symptoms of pheochromocytoma? (Select all that
follow.)
1. Severe headache
2. Decreased urine output
three. Palpitations
four. Diarrhea
5. Profuse sweating
6. Weight benefit - ANS-ANS: 1, 3, five
Severe headache, palpitations, and profuse sweating are the most commonplace symptoms
of pheochromocytoma. Decreased urine output, diarrhea, and weight benefit are not related
to this sickness.
10.A patron is experiencing a lack of primary imaginative and prescient but no longer a loss
of peripheral imaginative and prescient. The nurse realizes the consumer must be evaluated
for:
1. Indifferent retina syndrome.
2. Nystagmus.
3. Macular degeneration.
4. Conjunctivitis. - ANS-ANS: 3
Macular degeneration is a deterioration of part of the retina, causing lack of relevant vision
but not affecting peripheral vision. The loss of relevant imaginative and prescient isn't
normally visible in a indifferent retina, nystagmus, or conjunctivitis.
10.A client is experiencing epistaxis. Which of the following interventions could the nurse
entire?
1. Call the medical doctor.
2. Check laboratory take a look at consequences.
3. Obtain an emesis basin.
Four. Show the patient the way to pinch the nose. - ANS-ANS: four
The initial intervention for a consumer with epistaxis is to reveal the purchaser how to lean
forward and pinch the nose against the nasal septum for approximately five to ten mins
constantly. The different interventions aren't necessary at this time.
10.A customer tells the nurse that he's so thirsty that he has already fed on 4 pitchers of
water. The clients urine output is 3500 mL in an eight-hour period. The purchaser is
convalescing from surgical treatment at the pituitary gland. What endocrine disease is the
client maximum likely experiencing?
1. Diabetes insipidus
2. Diabetes mellitus
three. Myxedema
four. Syndrome of beside the point antidiuretic hormone secretion - ANS-ANS: 1
Diabetes insipidus and diabetes mellitus both purpose improved urine output, however
diabetes insipidus is associated with a problem with antidiuretic hormone; diabetes mellitus
is a problem with glucose. Myxedema is as a result of a thyroid hormone imbalance.
Syndrome of inappropriate antidiuretic hormone secretion reasons fluid retention.
10.After a mastoidectomy, the most crucial problem for the nurse to assess for is:
