answers graded A+. 2026/2027
A patient has lost weight but swears she has been eating regularly. Which type of
assessment would you use before making a definitive diagnosis?
Nutrition.
NGASR.
Sleep.
Psychosocial. - correct answer:
Nutrition.
Poor body image may be related to a nutrition imbalance. There may also be other
factors that affect the imbalance. A nutrition assessment will help determine the patient's
attitude towards food.
Gastric parietal cells secrete which of the following?
mucous
hydrochloric acid
blood cells
lymphatic fluid - correct answer:
hydrochloric acid
Gastric parietal cells secrete hydrochloric acid. This is mediated by histamine2-receptor
sites.
,A cancer in which there is extensive local and regional spread is in which stage?
Stage I
Stage II
Stage III
Stage IV - correct answer:
Stage III
Staging classifies the clinical aspects of the cancer and the degree of metastasis at
diagnosis. A cancer with extensive local and regional spread is a Stage III cancer.
Which of the following do you NOT use to determine priorities?
Health concerns and strengths.
Self-actualization.
Maslow's hierarchy.
Moral and ethical issues. - correct answer:
Self-actualization.
Maslow's hierarchy of needs includes self actualization. Nurses use the other answer
choices to prioritize diagnosis and action.
Which potential diagnosis would you give a patient who wrings his or her hands during
the interview?
Ineffective coping.
Anxiety.
Disturbed personal identity.
,Infection risk. - correct answer:
Anxiety
The patient wringing his or her hands is an objective system. This signals anxiety even
if the patient does not mention feeling anxious. The diagnosis should be considered with
other symptoms.
Insensible fluid loss from fever in older adults is often associated with all but which of
the following?
dry oral mucosa
dry furrowed tongue
hyponatremia
serum sodium less than 150 mEq/L - correct answer:
hyponatremia
Insensible fluid loss from fever is associated with hypernatremia which presents with
thirst. Disorientation, seizures, and coma occur in severe hypernatremia.
Nurse Terri is assessing a female patient with red, itchy spots on various parts of the
body. Her chart shows she isn't allergic to anything but the patient admits to changing
her laundry detergent recently. Terri believes it is an allergic reaction due to what?
An external irritant.
A new medicine.
A interaction of current medicines.
Outdoor allergy. - correct answer:
An external irritant
When a patient present with an itchy rash or skin disorder, one of the first things to
consider is an allergy to a medicine or food. When no allergy is detected, one of the
, most common forms of dermatitis happens when a patient tries a new cosmetic or
laundry detergent. These types of disorders is often resolved once the product is
discontinued..
The type of shock associated with impaired tissue perfusion caused by damage to or
dysfunction of the sympathetic nervous system is which of the following?
obstructive shock
septic shock
neurogenic shock
hypovolemic shock - correct answer:
neurogenic shock
Neurogenic shock is rare and may be associated with trauma, anesthesia, or spinal
shock. In neurogenic shock, impaired tissue perfusion is caused by damage to or
dysfunction of the sympathetic nervous system.
Almost all lung cancers fall within one of four histologic categories. Which of the
following is NOT one of these categories?
malignant mesothelioma
small cell carcinoma
squamous cell carcinoma
adenocarcinoma - correct answer:
malignant mesothelioma