NP3 DIAGNOSTIC EXAM WITH !| !| !| !|
ACCURATE ANSWERS !|
Situation - As a staff nurse in a government hospital, you have been exposed
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
to varied cases of clients with endocrine problems. Your nursing
!| !| !| !| !| !| !| !| !| !|
responsibility starts from admission to discharge which is a domain of your
!| !| !| !| !| !| !| !| !| !| !| !|
competencies.
1. Which of the following questions should you ask during an admission
!| !| !| !| !| !| !| !| !| !| !| !|
interview for a client with a diagnosis of pheochromocytoma?
!| !| !| !| !| !| !| !|
A. Do you always feel like you are suffocating, you want to rest and sleep
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B. Do you suddenly feel warm and flushed when you get out of bed
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C. Do you notice an increase in your heart beat?
!| !| !| !| !| !| !| !| !|
D. Do you have an increase in urination lately? - Correct answer ✔C. Do you
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
notice an increase in your heart beat?
!| !| !| !| !| !|
2. When the sympathetic nervous system is stimulated in the case of
!| !| !| !| !| !| !| !| !| !| !| !|
pheochromocytoma, you expect which of the following signs? !| !| !| !| !| !| !|
i. Hypertension
!|
ii. Headache
!|
iii. Hyperhidrosis
!|
iv. Hypermetabolism
!|
,A. 3 and 4
!| !| !|
B. 1 only
!| !|
C. 1, 2, 3, and 4
!| !| !| !| !|
D. 2 and 3 - Correct answer ✔C. 1, 2, 3, and 4
!| !| !| !| !| !| !| !| !| !| !| !|
3. Which of the following drugs can induce hypertensive crisis in
!| !| !| !| !| !| !| !| !| !| !|
Pheochromocytoma?
A. Tricyclic antidepressant
!| !|
B. Corticosteroid
!|
C. Respiratory stimulant
!| !|
D. Radioiodine therapy - Correct answer ✔A. Tricyclic antidepressant
!| !| !| !| !| !| !| !|
4. In the presence of pheochromocytoma, the diagnostic test which is
!| !| !| !| !| !| !| !| !| !| !|
expected to be elevated is ___________.
!| !| !| !| !|
A. Serum thyroid hormone levels
!| !| !| !|
B. Albumin globulin test
!| !| !|
C. Urine cyclic adenosine monophosphate
!| !| !| !|
D. 24 hours urine collection for vanillylmandelic acid (VMA) - Correct
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answer ✔D. 24 hours urine collection for vanillylmandelic acid (VMA)
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,5. Palpation, as a modality for physical examination is AVOIDED when
!| !| !| !| !| !| !| !| !| !| !|
diagnosed with pheochromocytoma because of this action_______________.
!| !| !| !| !| !|
A. Will cause sudden release of norepinephrine and severe hypotension
!| !| !| !| !| !| !| !| !|
B. Will cause a sudden release of cathecolamines and severe hypertension
!| !| !| !| !| !| !| !| !| !|
C. Will displace the location of the tumor
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D. Will cause sudden release of epinephrine and severe palpitation - Correct
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answer ✔5 !|
Situation - Janine is the Nurse on duty in the medical ward and many of Her
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
patients are suffering from problems with oxygenation.
!| !| !| !| !| !|
6. The following are relevant data to be documented when taking the health
!| !| !| !| !| !| !| !| !| !| !| !| !|
history of a client with anemia EXCEPT:
!| !| !| !| !| !|
A. Alcohol intake
!| !|
B. Fatigue and weakness
!| !| !|
C. Dietary intake
!| !|
D. Episodes of bleeding - Correct answer ✔D. Episodes of bleeding
!| !| !| !| !| !| !| !| !| !|
7. A client with congenital heart disease is suffering from thickening of the
!| !| !| !| !| !| !| !| !| !| !| !| !|
skin under his fingers due to chronic hemoglobin desaturation. Which of the
!| !| !| !| !| !| !| !| !| !| !| !|
following specific terms should Ime use to accurately describe MOST the
!| !| !| !| !| !| !| !| !| !| !|
client's condition in the chart?
!| !| !| !|
, A. Peripheral cyanosis
!| !|
B. Pallor of the fingertips
!| !| !| !|
C. Peripheral neuropathy
!| !|
D. Clubbing of the fingers - Correct answer ✔D. Clubbing of the fingers
!| !| !| !| !| !| !| !| !| !| !| !|
8. When the Nurse is assessing a client with Congestive Heart failure with
!| !| !| !| !| !| !| !| !| !| !| !| !|
pitting edema, the Nurse's documentation will include which of the
!| !| !| !| !| !| !| !| !| !|
following:
A. Degree of pitting edema
!| !| !| !|
B. Time of indention recovery
!| !| !| !|
C. Depth of edema
!| !| !|
D. All of the options - Correct answer ✔D. All of the options
!| !| !| !| !| !| !| !| !| !| !| !|
9. Mr. Gabby has left sided heart failure. Janine's documentation of her
!| !| !| !| !| !| !| !| !| !| !| !|
assessment findings will include the following, EXCEPT: !| !| !| !| !| !|
A. Dependent edema
!| !|
B. Pulmonary crackles
!| !|
C. Difficulty of breathing
!| !| !|
D. Cough - Correct answer ✔A. Dependent edema
!| !| !| !| !| !| !|
10. A client is on diuretic therapy. Expected entry in patient's chart should
!| !| !| !| !| !| !| !| !| !| !| !| !|
include the following information, EXCEPT:
!| !| !| !|
ACCURATE ANSWERS !|
Situation - As a staff nurse in a government hospital, you have been exposed
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
to varied cases of clients with endocrine problems. Your nursing
!| !| !| !| !| !| !| !| !| !|
responsibility starts from admission to discharge which is a domain of your
!| !| !| !| !| !| !| !| !| !| !| !|
competencies.
1. Which of the following questions should you ask during an admission
!| !| !| !| !| !| !| !| !| !| !| !|
interview for a client with a diagnosis of pheochromocytoma?
!| !| !| !| !| !| !| !|
A. Do you always feel like you are suffocating, you want to rest and sleep
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
B. Do you suddenly feel warm and flushed when you get out of bed
!| !| !| !| !| !| !| !| !| !| !| !| !|
C. Do you notice an increase in your heart beat?
!| !| !| !| !| !| !| !| !|
D. Do you have an increase in urination lately? - Correct answer ✔C. Do you
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
notice an increase in your heart beat?
!| !| !| !| !| !|
2. When the sympathetic nervous system is stimulated in the case of
!| !| !| !| !| !| !| !| !| !| !| !|
pheochromocytoma, you expect which of the following signs? !| !| !| !| !| !| !|
i. Hypertension
!|
ii. Headache
!|
iii. Hyperhidrosis
!|
iv. Hypermetabolism
!|
,A. 3 and 4
!| !| !|
B. 1 only
!| !|
C. 1, 2, 3, and 4
!| !| !| !| !|
D. 2 and 3 - Correct answer ✔C. 1, 2, 3, and 4
!| !| !| !| !| !| !| !| !| !| !| !|
3. Which of the following drugs can induce hypertensive crisis in
!| !| !| !| !| !| !| !| !| !| !|
Pheochromocytoma?
A. Tricyclic antidepressant
!| !|
B. Corticosteroid
!|
C. Respiratory stimulant
!| !|
D. Radioiodine therapy - Correct answer ✔A. Tricyclic antidepressant
!| !| !| !| !| !| !| !|
4. In the presence of pheochromocytoma, the diagnostic test which is
!| !| !| !| !| !| !| !| !| !| !|
expected to be elevated is ___________.
!| !| !| !| !|
A. Serum thyroid hormone levels
!| !| !| !|
B. Albumin globulin test
!| !| !|
C. Urine cyclic adenosine monophosphate
!| !| !| !|
D. 24 hours urine collection for vanillylmandelic acid (VMA) - Correct
!| !| !| !| !| !| !| !| !| !| !|
answer ✔D. 24 hours urine collection for vanillylmandelic acid (VMA)
!| !| !| !| !| !| !| !| !|
,5. Palpation, as a modality for physical examination is AVOIDED when
!| !| !| !| !| !| !| !| !| !| !|
diagnosed with pheochromocytoma because of this action_______________.
!| !| !| !| !| !|
A. Will cause sudden release of norepinephrine and severe hypotension
!| !| !| !| !| !| !| !| !|
B. Will cause a sudden release of cathecolamines and severe hypertension
!| !| !| !| !| !| !| !| !| !|
C. Will displace the location of the tumor
!| !| !| !| !| !| !|
D. Will cause sudden release of epinephrine and severe palpitation - Correct
!| !| !| !| !| !| !| !| !| !| !| !|
answer ✔5 !|
Situation - Janine is the Nurse on duty in the medical ward and many of Her
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
patients are suffering from problems with oxygenation.
!| !| !| !| !| !|
6. The following are relevant data to be documented when taking the health
!| !| !| !| !| !| !| !| !| !| !| !| !|
history of a client with anemia EXCEPT:
!| !| !| !| !| !|
A. Alcohol intake
!| !|
B. Fatigue and weakness
!| !| !|
C. Dietary intake
!| !|
D. Episodes of bleeding - Correct answer ✔D. Episodes of bleeding
!| !| !| !| !| !| !| !| !| !|
7. A client with congenital heart disease is suffering from thickening of the
!| !| !| !| !| !| !| !| !| !| !| !| !|
skin under his fingers due to chronic hemoglobin desaturation. Which of the
!| !| !| !| !| !| !| !| !| !| !| !|
following specific terms should Ime use to accurately describe MOST the
!| !| !| !| !| !| !| !| !| !| !|
client's condition in the chart?
!| !| !| !|
, A. Peripheral cyanosis
!| !|
B. Pallor of the fingertips
!| !| !| !|
C. Peripheral neuropathy
!| !|
D. Clubbing of the fingers - Correct answer ✔D. Clubbing of the fingers
!| !| !| !| !| !| !| !| !| !| !| !|
8. When the Nurse is assessing a client with Congestive Heart failure with
!| !| !| !| !| !| !| !| !| !| !| !| !|
pitting edema, the Nurse's documentation will include which of the
!| !| !| !| !| !| !| !| !| !|
following:
A. Degree of pitting edema
!| !| !| !|
B. Time of indention recovery
!| !| !| !|
C. Depth of edema
!| !| !|
D. All of the options - Correct answer ✔D. All of the options
!| !| !| !| !| !| !| !| !| !| !| !|
9. Mr. Gabby has left sided heart failure. Janine's documentation of her
!| !| !| !| !| !| !| !| !| !| !| !|
assessment findings will include the following, EXCEPT: !| !| !| !| !| !|
A. Dependent edema
!| !|
B. Pulmonary crackles
!| !|
C. Difficulty of breathing
!| !| !|
D. Cough - Correct answer ✔A. Dependent edema
!| !| !| !| !| !| !|
10. A client is on diuretic therapy. Expected entry in patient's chart should
!| !| !| !| !| !| !| !| !| !| !| !| !|
include the following information, EXCEPT:
!| !| !| !|
