NURS 3366 Module Two Questions With Complete
Solutions
A 28-year-old man presents with a low blood pressure due to
blood loss from a gunshot wound. The regulatory action that
will best compensate for this patient's fluid volume deficit is:
a. Increased action of the natriuretic peptide system.
b. Increased action of the RAAS.
c. Inhibition of renin secretion.
d. Conversion of aldosterone into angiotensin II. Correct
Answers b. Increased action of the RAAS.
A 28-year-old man presents with a low blood pressure due to
blood loss from a gunshot wound. Which aspect, from expected
compensatory mechanisms, will NOT occur?
a. The patient's body will "hang on" to water.
b. Na+ will be retained by the kidneys.
c. Water excretion into the urine will increase.
d. Arterial vasoconstriction is present. Correct Answers c.
Water excretion into the urine will increase.
A diabetic patient has pathological changes to his arteries that
result in narrowing and blockage. He is diagnosed with gangrene
of the toes (gangrene is when LOTS of cells die). Lab work is
drawn and shows an elevated CK. Which pathological process
accurately explains this type of occurrence?
a. Necrosis > gangrene > ischemia > creatine kinase spillage into
blood.
, b. Infarct > cellular differentiation > release of urea.
c. Ischemia > cell injury > swelling > spillage of cellular
enzymes into blood.
d. Metastasis > superoxide dismutase > release of free radicals.
Correct Answers c. Ischemia > cell injury > swelling > spillage
of cellular enzymes into blood.
A family nurse practitioner (FNP) tells a patient that her biopsy
shows leiomyosarcoma staged at T2N2M0. This patient has a:
a. Benign tumor of the endometrium.
b. Smooth muscle malignancy that has spread to the lymph
nodes.
c. A malignancy of the uterus that has spread to distant sites.
d. Muscle cell tumor that is a carcinoma. Correct Answers b.
Smooth muscle malignancy that has spread to the lymph nodes.
A patient has advanced liver disease and is found to have a
decreased serum albumin level and edema. Identify the
physiologic process underlying their edema.
a. "Concentration calls" fluid into hypoosmolar compartments
from hyperosmolar ones.
b. The principle of diffusion results in albumin molecules going
from lower to higher concentration.
c. "Concentration calls" fluid into compartments with higher
oncotic pressure from compartments with lower oncotic
pressure.
d. Proteinemia means that protein molecules will diffuse
throughout the blood and tissue. Correct Answers c.
"Concentration calls" fluid into compartments with higher
Solutions
A 28-year-old man presents with a low blood pressure due to
blood loss from a gunshot wound. The regulatory action that
will best compensate for this patient's fluid volume deficit is:
a. Increased action of the natriuretic peptide system.
b. Increased action of the RAAS.
c. Inhibition of renin secretion.
d. Conversion of aldosterone into angiotensin II. Correct
Answers b. Increased action of the RAAS.
A 28-year-old man presents with a low blood pressure due to
blood loss from a gunshot wound. Which aspect, from expected
compensatory mechanisms, will NOT occur?
a. The patient's body will "hang on" to water.
b. Na+ will be retained by the kidneys.
c. Water excretion into the urine will increase.
d. Arterial vasoconstriction is present. Correct Answers c.
Water excretion into the urine will increase.
A diabetic patient has pathological changes to his arteries that
result in narrowing and blockage. He is diagnosed with gangrene
of the toes (gangrene is when LOTS of cells die). Lab work is
drawn and shows an elevated CK. Which pathological process
accurately explains this type of occurrence?
a. Necrosis > gangrene > ischemia > creatine kinase spillage into
blood.
, b. Infarct > cellular differentiation > release of urea.
c. Ischemia > cell injury > swelling > spillage of cellular
enzymes into blood.
d. Metastasis > superoxide dismutase > release of free radicals.
Correct Answers c. Ischemia > cell injury > swelling > spillage
of cellular enzymes into blood.
A family nurse practitioner (FNP) tells a patient that her biopsy
shows leiomyosarcoma staged at T2N2M0. This patient has a:
a. Benign tumor of the endometrium.
b. Smooth muscle malignancy that has spread to the lymph
nodes.
c. A malignancy of the uterus that has spread to distant sites.
d. Muscle cell tumor that is a carcinoma. Correct Answers b.
Smooth muscle malignancy that has spread to the lymph nodes.
A patient has advanced liver disease and is found to have a
decreased serum albumin level and edema. Identify the
physiologic process underlying their edema.
a. "Concentration calls" fluid into hypoosmolar compartments
from hyperosmolar ones.
b. The principle of diffusion results in albumin molecules going
from lower to higher concentration.
c. "Concentration calls" fluid into compartments with higher
oncotic pressure from compartments with lower oncotic
pressure.
d. Proteinemia means that protein molecules will diffuse
throughout the blood and tissue. Correct Answers c.
"Concentration calls" fluid into compartments with higher
