1. While attending an international nursing conference, many discussions and
break-out sessions focused on the World Health Organizations (WHO) views on
health. Of the following comments made by nurses during a discussion session,
which statements would be considered a good representation of the WHO
definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such activities as book
reviews and word games during social time.
B) Increase in the number of chair aerobics classes provided in the skilled care
facilities.
C) Interventions geared toward keeping the elderly population diagnosed with
diabetes mellitus under tight blood glucose control by providing in-home cooking
classes.
D) Providing transportation for renal dialysis patients to and from their hemodialysis
sessions.
E) Providing handwashing teaching sessions to a group of young children.
2. A community health nurse is teaching a group of recent graduates about the large
variety of factors that influence an individual's health or lack thereof. The nurse
is referring to the Healthy People 2020 report from the U.S. Department of
Health and Human Services as a teaching example. Of the following aspects
discussed which would be considered a determinate of health that is outside the
focus of this report?
A) The client has a diverse background by being of Asian and Native American
descent and practices various alternative therapies to minimize effects of stress.
B) The client has a family history of cardiovascular disease related to
hypercholesterolemia and remains noncompliant with their treatment regime.
C) The client has a good career with exceptional preventative healthcare benefits.
D) The client lives in an affluent, clean, suburban community with access to many
healthcare facilities.
3. A member of the health care team is researching the etiology and pathogenesis of
a number of clients who are under his care in a hospital context. Which of the
following aspects of clients' situations best characterizes pathogenesis rather than
etiology?
A) A client who has been exposed to the mycobacterium tuberculosis bacterium.
B) A client who is has increasing serum ammonia levels due to liver cirrhosis.
C) A client who was admitted with the effects of methyl alcohol poisoning.
D) A client with multiple skeletal injuries secondary to a motor vehicle accident.
Page 1
, 4. A new myocardial infarction patient requiring angioplasty and stent placement
has arrived to their first cardiac rehabilitation appointment. In this first session, a
review of the pathogenesis of coronary artery disease is addressed. Which
statement by the patient verifies to the nurse that he/she has understood the
nurse's teachings about coronary artery disease?
A) “All I have to do is stop smoking and then I won't have any more heart attacks.”
B) “My artery was clogged by fat so I will need to stop eating fatty foods like French
fries every day.”
C) “Sounds like this began because of inflammation inside my artery that made it easy
to form fatty streaks which lead to my clogged artery.”
D) “If you do not exercise regularly to get your heart rate up, blood pools in the veins
causing a clot which stops blood flow to the muscle and you have a heart attack.”
5. A 77 year old man is a hospital inpatient admitted for exacerbation of his chronic
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is
assessing the client for the first time. Which of the following aspects of the
patient's current state of health would be best characterized as a symptom rather
than a sign?
A) The patient's oxygen saturation is 83% by pulse oximetry.
B) The patient notes that he has increased work of breathing when lying supine.
C) The RT hears diminished breath sounds to the patient's lower lung fields bilaterally.
D) The patient's respiratory rate is 31 breaths per minute.
6. Which of the following situations would be classified as a complication of a
disease or outcome from the treatment regime? Select all that apply.
A) Massive pulmonary emboli following diagnosis of new onset atrial fibrillation.
B) Burning, intense incision pain following surgery to remove a portion of colon due
to intestinal aganglionosis.
C) Development of pulmonary fibrosis following treatment with Bleomycin, an
antibiotic chemotherapy agent used in treatment of lymphoma.
D) Gradual deterioration in ability to walk unassisted for a patient diagnosed with
Parkinson's disease.
E) Loss of short-term memory in a patient diagnosed with Alzheimer's disease.
7. Laboratory testing is ordered for a male patient during a clinic visit for routine
follow-up assessment of hypertension. When interpreting lab values, the nurse
knows:
A) A normal value represents the test results that fall within the bell curve.
B) If the lab result is above the 50% distribution, the result is considered elevated.
C) All lab values are adjusted for gender and weight.
D) If the result of a very sensitive test is negative, that does not mean the person is
disease free.
Page 2
break-out sessions focused on the World Health Organizations (WHO) views on
health. Of the following comments made by nurses during a discussion session,
which statements would be considered a good representation of the WHO
definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such activities as book
reviews and word games during social time.
B) Increase in the number of chair aerobics classes provided in the skilled care
facilities.
C) Interventions geared toward keeping the elderly population diagnosed with
diabetes mellitus under tight blood glucose control by providing in-home cooking
classes.
D) Providing transportation for renal dialysis patients to and from their hemodialysis
sessions.
E) Providing handwashing teaching sessions to a group of young children.
2. A community health nurse is teaching a group of recent graduates about the large
variety of factors that influence an individual's health or lack thereof. The nurse
is referring to the Healthy People 2020 report from the U.S. Department of
Health and Human Services as a teaching example. Of the following aspects
discussed which would be considered a determinate of health that is outside the
focus of this report?
A) The client has a diverse background by being of Asian and Native American
descent and practices various alternative therapies to minimize effects of stress.
B) The client has a family history of cardiovascular disease related to
hypercholesterolemia and remains noncompliant with their treatment regime.
C) The client has a good career with exceptional preventative healthcare benefits.
D) The client lives in an affluent, clean, suburban community with access to many
healthcare facilities.
3. A member of the health care team is researching the etiology and pathogenesis of
a number of clients who are under his care in a hospital context. Which of the
following aspects of clients' situations best characterizes pathogenesis rather than
etiology?
A) A client who has been exposed to the mycobacterium tuberculosis bacterium.
B) A client who is has increasing serum ammonia levels due to liver cirrhosis.
C) A client who was admitted with the effects of methyl alcohol poisoning.
D) A client with multiple skeletal injuries secondary to a motor vehicle accident.
Page 1
, 4. A new myocardial infarction patient requiring angioplasty and stent placement
has arrived to their first cardiac rehabilitation appointment. In this first session, a
review of the pathogenesis of coronary artery disease is addressed. Which
statement by the patient verifies to the nurse that he/she has understood the
nurse's teachings about coronary artery disease?
A) “All I have to do is stop smoking and then I won't have any more heart attacks.”
B) “My artery was clogged by fat so I will need to stop eating fatty foods like French
fries every day.”
C) “Sounds like this began because of inflammation inside my artery that made it easy
to form fatty streaks which lead to my clogged artery.”
D) “If you do not exercise regularly to get your heart rate up, blood pools in the veins
causing a clot which stops blood flow to the muscle and you have a heart attack.”
5. A 77 year old man is a hospital inpatient admitted for exacerbation of his chronic
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is
assessing the client for the first time. Which of the following aspects of the
patient's current state of health would be best characterized as a symptom rather
than a sign?
A) The patient's oxygen saturation is 83% by pulse oximetry.
B) The patient notes that he has increased work of breathing when lying supine.
C) The RT hears diminished breath sounds to the patient's lower lung fields bilaterally.
D) The patient's respiratory rate is 31 breaths per minute.
6. Which of the following situations would be classified as a complication of a
disease or outcome from the treatment regime? Select all that apply.
A) Massive pulmonary emboli following diagnosis of new onset atrial fibrillation.
B) Burning, intense incision pain following surgery to remove a portion of colon due
to intestinal aganglionosis.
C) Development of pulmonary fibrosis following treatment with Bleomycin, an
antibiotic chemotherapy agent used in treatment of lymphoma.
D) Gradual deterioration in ability to walk unassisted for a patient diagnosed with
Parkinson's disease.
E) Loss of short-term memory in a patient diagnosed with Alzheimer's disease.
7. Laboratory testing is ordered for a male patient during a clinic visit for routine
follow-up assessment of hypertension. When interpreting lab values, the nurse
knows:
A) A normal value represents the test results that fall within the bell curve.
B) If the lab result is above the 50% distribution, the result is considered elevated.
C) All lab values are adjusted for gender and weight.
D) If the result of a very sensitive test is negative, that does not mean the person is
disease free.
Page 2
