JBL Exam 1 Questions and Correct Answers
A woman with a history of Graves disease presents with an altered mental status. Her
skin is hot to the touch and her pulse rate is 160 beats/min. What should you suspect
Thyrotoxic crisis
A woman presents with abdominal cramping, nausea, vomiting, and diarrhea. She is
conscious and alert and is lightheaded. BP is 110/70 mm Hg, pulse is 120 beats/min, and
respirations are 18 breaths/min. Her temperature is 97.7°F orally and her oxygen
saturation is 95%. What should you do?
Give a 500-mL fluid bolus and 4 mg ondansetron
Forty-five minutes after being stung by a hornet, a woman presents with diffuse
urticaria and itching. Her BP is 124/72 mm Hg, pulse is 88 beats/min and strong,
respirations are 16 breaths/min and unlabored, and oxygen saturation is 94%. What
should you do?
Administer 25 mg diphenhydramine IM
Following long-term antibiotic therapy, an older man presents with watery diarrhea,
nausea, anorexia, and abdominal pain. His vital signs are stable, although he is slightly
tachycardic. What should you suspect?
Clostridioides difficile
A patient with diabetic ketoacidosis would be expected to present with which of the
following clinical signs?
Hyperglycemia and dehydration
,A 65-year-old obese female has experienced a change in behavior over the past several
days, according to her husband. She initially seemed forgetful, but today she is
confused. Her BP is 90/50 mm Hg, pulse is 50 beats/min, and respirations are 10
breaths/min. Her skin is cold and dry. Her husband is not aware of any medical
problems that she has, but remarks about her weight gain over the past few months.
What should you suspect?
Decreased thyroid hormone production
Which of the following describes the pathophysiology of multiple sclerosis?
Autoimmune disorder in which the body attacks the myelin sheath of the neurons in the brain
and spinal cord
A 34-year-old man is in anaphylactic shock. You have administered two doses of
epinephrine 0.3 mg via the intramuscular route; however, the patient is still hypotensive
and has labored breathing. What should you do?
Establish vascular access and begin an epinephrine infusion
A woman complains of severe neck pain. Her head is turned to the side and appears
locked in that position. You also note that her eyes are clenched shut. She is conscious,
but agitated. She started taking lithium the day before after being diagnosed with
bipolar disorder. Which of the following medications is indicated?
Diphenhydramine
Which of the following assessment findings is indicative of peritoneal irritation?
A decrease in pain when drawing the knees into the abdomen
Disequilibrium syndrome manifests with signs and symptoms of
, increased intracranial pressure.
Impairment of proprioception increases the risk of which of the following in older
adults?
falls
A man complains of difficulty breathing and a fever. He is emaciated, is coughing, and
has purple blotches on his trunk. What should you suspect?
HIV/AIDS
Which of the following can be assessed without talking to a patient?
Affect
A 29-year-old man is agitated and refuses to give you any information because his
roommate told him not to trust anyone. His small apartment clearly indicates that he is
the sole occupant. Your partner finds a prescription for Zyprexa, which is prescribed to
the patient. What should you suspect
Schizophrenia
A 70-year-old male presents with an altered mental status and severe weakness.
According to his wife, he has had lower back pain and a fever for the past few days. His
BP is 82/44 mm Hg, pulse is 160 beats/min, and respirations are 22 breaths/min. Which
of the following treatments is indicated for him?
Normal saline boluses and norepinephrine
Signs of myxedema may include which of the following?
Hypothermia
A woman with a history of Graves disease presents with an altered mental status. Her
skin is hot to the touch and her pulse rate is 160 beats/min. What should you suspect
Thyrotoxic crisis
A woman presents with abdominal cramping, nausea, vomiting, and diarrhea. She is
conscious and alert and is lightheaded. BP is 110/70 mm Hg, pulse is 120 beats/min, and
respirations are 18 breaths/min. Her temperature is 97.7°F orally and her oxygen
saturation is 95%. What should you do?
Give a 500-mL fluid bolus and 4 mg ondansetron
Forty-five minutes after being stung by a hornet, a woman presents with diffuse
urticaria and itching. Her BP is 124/72 mm Hg, pulse is 88 beats/min and strong,
respirations are 16 breaths/min and unlabored, and oxygen saturation is 94%. What
should you do?
Administer 25 mg diphenhydramine IM
Following long-term antibiotic therapy, an older man presents with watery diarrhea,
nausea, anorexia, and abdominal pain. His vital signs are stable, although he is slightly
tachycardic. What should you suspect?
Clostridioides difficile
A patient with diabetic ketoacidosis would be expected to present with which of the
following clinical signs?
Hyperglycemia and dehydration
,A 65-year-old obese female has experienced a change in behavior over the past several
days, according to her husband. She initially seemed forgetful, but today she is
confused. Her BP is 90/50 mm Hg, pulse is 50 beats/min, and respirations are 10
breaths/min. Her skin is cold and dry. Her husband is not aware of any medical
problems that she has, but remarks about her weight gain over the past few months.
What should you suspect?
Decreased thyroid hormone production
Which of the following describes the pathophysiology of multiple sclerosis?
Autoimmune disorder in which the body attacks the myelin sheath of the neurons in the brain
and spinal cord
A 34-year-old man is in anaphylactic shock. You have administered two doses of
epinephrine 0.3 mg via the intramuscular route; however, the patient is still hypotensive
and has labored breathing. What should you do?
Establish vascular access and begin an epinephrine infusion
A woman complains of severe neck pain. Her head is turned to the side and appears
locked in that position. You also note that her eyes are clenched shut. She is conscious,
but agitated. She started taking lithium the day before after being diagnosed with
bipolar disorder. Which of the following medications is indicated?
Diphenhydramine
Which of the following assessment findings is indicative of peritoneal irritation?
A decrease in pain when drawing the knees into the abdomen
Disequilibrium syndrome manifests with signs and symptoms of
, increased intracranial pressure.
Impairment of proprioception increases the risk of which of the following in older
adults?
falls
A man complains of difficulty breathing and a fever. He is emaciated, is coughing, and
has purple blotches on his trunk. What should you suspect?
HIV/AIDS
Which of the following can be assessed without talking to a patient?
Affect
A 29-year-old man is agitated and refuses to give you any information because his
roommate told him not to trust anyone. His small apartment clearly indicates that he is
the sole occupant. Your partner finds a prescription for Zyprexa, which is prescribed to
the patient. What should you suspect
Schizophrenia
A 70-year-old male presents with an altered mental status and severe weakness.
According to his wife, he has had lower back pain and a fever for the past few days. His
BP is 82/44 mm Hg, pulse is 160 beats/min, and respirations are 22 breaths/min. Which
of the following treatments is indicated for him?
Normal saline boluses and norepinephrine
Signs of myxedema may include which of the following?
Hypothermia
