NSG 3280
EXAM 1
Tested Questions with Rationales
Pathophysiology
Galen College of Nursing
This Document Description:
This document contains a collection of tested
and verified questions with accurate answers
from EXAM 1 of NSG 3280 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and
question style. Ideal for exam preparation and concept
reinforcement.
,Table of Contents
NSG 3280 Exam 1. ...................................................2
NSG 3280 Exam 1 Review. ..................................34
NSG 3280 Exam 1
1.1
An occupational health nurse working with police officers wishes to
apply Selye's general adaptation syndrome theory in practice. Which
concept should the nurse apply?
A. The alarm stage involves the release of cortisol and catecholamines
B. The nature of a stress response is determined by the objective severity
of the stressor
C. Systemic illnesses can sometimes result from the resistance stage of
stress response
D. Periods of stress are developmentally negative for the person
experiencing them
Answer: A. The alarm stage involves the release of cortisol and
catecholamines
Expert Rationale: In Selye’s General Adaptation Syndrome, the alarm
phase is the acute “fight-or-flight” response, characterized by activation of
the SNS and HPA axis with release of catecholamines and cortisol. This
prepares the body to respond to an immediate threat.
1.2
,A 45-year-old woman with a diagnosis of shingles is experiencing an
acute onset of severe neuropathic pain. Which stage of Selye's
characterization of stress response is the woman most likely
experiencing at the moment?
A. General Adaptation Syndrome (GAS)
B. Exhaustion
C. Alarm
D. Resistance
Answer: C. Alarm
Expert Rationale: Acute severe pain from shingles represents a new
stressor, triggering the alarm stage with immediate physiologic responses
(SNS activation, cortisol release). The resistance stage reflects longer-term
adaptation to chronic stress.
1.3
A client who has been diagnosed with type 1 diabetes has been
instructed to maintain “tight” control of their diabetes to prevent
which chronic complication(s)? Select all that apply.
A. Hypoglycemia
B. Nephropathy, retinopathy, and peripheral vascular disease
C. Somatic neuropathy only
D. Acute infections only
Answer: B. Nephropathy, retinopathy, and peripheral vascular disease
Expert Rationale: Tight glycemic control reduces microvascular
(retinopathy, nephropathy, neuropathy) and macrovascular (PVD)
complications. It does not prevent hypoglycemia; in fact, intensive control
can increase hypoglycemic episodes.
1.4
, The nurse is planning education on the importance of wearing a
helmet when riding a bike. What level of prevention is the nurse
describing?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: A. Primary
Expert Rationale: Primary prevention aims to prevent disease or injury
before it occurs. Helmet use reduces risk of traumatic brain injury, making
this a classic primary prevention strategy.
1.5
A 60 year-old man has long managed his type 1 diabetes effectively
with a combination of vigilant blood sugar monitoring, subcutaneous
insulin administration, and conscientious eating habits. This morning,
however, his wife has noted that he appears pale and clammy and
appears to be in a stupor, though he is responsive. She suspects that
he has made an error in his insulin administration and that he is
experiencing a hypoglycemic episode. Which action should be the
wife's first choice?
A. Administration of 15 to 20 g of glucose in a concentrated carbohydrate
source
B. Administration of subcutaneous glucagon
C. IV infusion of 50% dextrose and water solution
D. Careful monitoring for level of consciousness and resolution of
hypoglycemia
Answer: A. Administration of 15 to 20 g of glucose in a concentrated
carbohydrate source
Expert Rationale: For a conscious person with suspected hypoglycemia,
the first-line treatment is oral fast-acting carbohydrate (15–20 g).
EXAM 1
Tested Questions with Rationales
Pathophysiology
Galen College of Nursing
This Document Description:
This document contains a collection of tested
and verified questions with accurate answers
from EXAM 1 of NSG 3280 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and
question style. Ideal for exam preparation and concept
reinforcement.
,Table of Contents
NSG 3280 Exam 1. ...................................................2
NSG 3280 Exam 1 Review. ..................................34
NSG 3280 Exam 1
1.1
An occupational health nurse working with police officers wishes to
apply Selye's general adaptation syndrome theory in practice. Which
concept should the nurse apply?
A. The alarm stage involves the release of cortisol and catecholamines
B. The nature of a stress response is determined by the objective severity
of the stressor
C. Systemic illnesses can sometimes result from the resistance stage of
stress response
D. Periods of stress are developmentally negative for the person
experiencing them
Answer: A. The alarm stage involves the release of cortisol and
catecholamines
Expert Rationale: In Selye’s General Adaptation Syndrome, the alarm
phase is the acute “fight-or-flight” response, characterized by activation of
the SNS and HPA axis with release of catecholamines and cortisol. This
prepares the body to respond to an immediate threat.
1.2
,A 45-year-old woman with a diagnosis of shingles is experiencing an
acute onset of severe neuropathic pain. Which stage of Selye's
characterization of stress response is the woman most likely
experiencing at the moment?
A. General Adaptation Syndrome (GAS)
B. Exhaustion
C. Alarm
D. Resistance
Answer: C. Alarm
Expert Rationale: Acute severe pain from shingles represents a new
stressor, triggering the alarm stage with immediate physiologic responses
(SNS activation, cortisol release). The resistance stage reflects longer-term
adaptation to chronic stress.
1.3
A client who has been diagnosed with type 1 diabetes has been
instructed to maintain “tight” control of their diabetes to prevent
which chronic complication(s)? Select all that apply.
A. Hypoglycemia
B. Nephropathy, retinopathy, and peripheral vascular disease
C. Somatic neuropathy only
D. Acute infections only
Answer: B. Nephropathy, retinopathy, and peripheral vascular disease
Expert Rationale: Tight glycemic control reduces microvascular
(retinopathy, nephropathy, neuropathy) and macrovascular (PVD)
complications. It does not prevent hypoglycemia; in fact, intensive control
can increase hypoglycemic episodes.
1.4
, The nurse is planning education on the importance of wearing a
helmet when riding a bike. What level of prevention is the nurse
describing?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: A. Primary
Expert Rationale: Primary prevention aims to prevent disease or injury
before it occurs. Helmet use reduces risk of traumatic brain injury, making
this a classic primary prevention strategy.
1.5
A 60 year-old man has long managed his type 1 diabetes effectively
with a combination of vigilant blood sugar monitoring, subcutaneous
insulin administration, and conscientious eating habits. This morning,
however, his wife has noted that he appears pale and clammy and
appears to be in a stupor, though he is responsive. She suspects that
he has made an error in his insulin administration and that he is
experiencing a hypoglycemic episode. Which action should be the
wife's first choice?
A. Administration of 15 to 20 g of glucose in a concentrated carbohydrate
source
B. Administration of subcutaneous glucagon
C. IV infusion of 50% dextrose and water solution
D. Careful monitoring for level of consciousness and resolution of
hypoglycemia
Answer: A. Administration of 15 to 20 g of glucose in a concentrated
carbohydrate source
Expert Rationale: For a conscious person with suspected hypoglycemia,
the first-line treatment is oral fast-acting carbohydrate (15–20 g).
