NURS 623 Exam 1: dunphy/brown
Question 1.
Barbie, age 27, had her spleen removed after an automobile accident. You are seeing her in the office for the first time since her
discharge from the hospital. She asks you how her surgery will affect her in the future. How do you respond? A. "Your red blood cell
production will be slowed." B. "Your lymphatic system may have difficulty transporting lymph fluid to the blood vessels." C. "You'll
have difficulty storing the nutritional agents needed to make red blood cells." D. "You may have difficulty salvaging iron from old red
blood cells for reuse."
ANSWER
D: "You may have difficulty salvaging iron from old red blood cells for reuse
Question 2.
Why is ultraviolet light therapy used to treat psoriasis? A. To dry the lesions B. To kill the bacteria C. To decrease the growth rate of
epidermal cells D. To kill the fungi
ANSWER
C. To decrease the growth rate of epidermal cells
Question 3.
Which type of hemangioma in a newborn occurs on the nape of the neck and is usually not noticeable when it becomes covered by
hair? A. Nevus flammeus (port-wine stain) B. Stork's beak mark C. Strawberry hemangioma
ANSWER
B. Stork's beak mark
Question 4.
The "herald patch" is present in almost all cases of: A. Pityriasis rosea. B. Psoriasis. C. Impetigo. D. Rubella.
ANSWER
A. Pityriasis rosea.
Question 5.
Tina, age 2, had a complete blood count (CBC) drawn at her last visit. It indicates that she has a microcytic hypochromic anemia.
What should you do now at this visit? A. Obtain a lead level. B. Instruct Tina's parents to increase the amount of milk in her diet. C.
Start Tina on ferrous sulfate (Feosol) and check the CBC in 6 weeks. D. Recheck the CBC during this visit.
ANSWER
A. Obtain a lead level.
Question 6.
What is the most effective treatment for urticaria? A. An oral antihistamine B. Dietary management C. Avoidance of the offending
agent D. A glucocorticosteroid
ANSWER
C. Avoidance of the offending agent
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, Question 7.
Physiological changes in the immune system of older adults include: A. An increase in immunoglobulin A and G antibodies. B. A high
rate of T-lymphocyte proliferation. C. An increase in the number of cytotoxic T cells. D. An increase in CD8, which affects regulation
of the immune system.
ANSWER
A. An increase in immunoglobulin A and G antibodies.
Question 8.
Thalassemia is caused by: A. Blood loss. B. Impaired production of all blood-forming elements. C. Increased destruction of red blood
cells. D. Autoimmune antibodies.
ANSWER
C. Increased destruction of red blood cells.
Question 9.
9. Despite successful primary prophylaxis, which infection remains a common AIDS-defining diagnosis? A. Pneumocystis jiroveci
pneumonia (PCP) B. Cryptococcosis C. Cryptosporidiosis D. Candidiasis
ANSWER
A. Pneumocystis jiroveci pneumonia (PCP)
Question 10.
Your client, Ms. Jones, has an elevated platelet count. You suspect: A. Systemic lupus erythematosus. B. Infectious mononucleosis.
C. Disseminated intravascular coagulation (DIC). D. Splenectomy.
ANSWER
D. Splenectomy.
Question 11.
Which of the following is an X-linked recessive disorder commonly seen in African American men? A. Sickle cell anemia B.
Glucose-6-phosphate dehydrogenase deficiency C. Pyruvate kinase deficiency D. Bernard-Soulier syndrome
ANSWER
B. Glucose-6-phosphate dehydrogenase deficiency
Question 12.
Which of the following types of cellulitis is referred to as "flesh-eating bacteria"? A. Erysipelas B. Necrotizing fasciitis C. Periorbital
cellulitis D. Peripheral vascular cellulitis
ANSWER
B. Necrotizing fasciitis
Question 13.
Which of the following laboratory studies is used to determine if a client has had hepatitis? A. Serum protein B. Protein
electrophoresis C. Antibody testing D. Globulin levels
ANSWER
C. Antibody testing
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Question 1.
Barbie, age 27, had her spleen removed after an automobile accident. You are seeing her in the office for the first time since her
discharge from the hospital. She asks you how her surgery will affect her in the future. How do you respond? A. "Your red blood cell
production will be slowed." B. "Your lymphatic system may have difficulty transporting lymph fluid to the blood vessels." C. "You'll
have difficulty storing the nutritional agents needed to make red blood cells." D. "You may have difficulty salvaging iron from old red
blood cells for reuse."
ANSWER
D: "You may have difficulty salvaging iron from old red blood cells for reuse
Question 2.
Why is ultraviolet light therapy used to treat psoriasis? A. To dry the lesions B. To kill the bacteria C. To decrease the growth rate of
epidermal cells D. To kill the fungi
ANSWER
C. To decrease the growth rate of epidermal cells
Question 3.
Which type of hemangioma in a newborn occurs on the nape of the neck and is usually not noticeable when it becomes covered by
hair? A. Nevus flammeus (port-wine stain) B. Stork's beak mark C. Strawberry hemangioma
ANSWER
B. Stork's beak mark
Question 4.
The "herald patch" is present in almost all cases of: A. Pityriasis rosea. B. Psoriasis. C. Impetigo. D. Rubella.
ANSWER
A. Pityriasis rosea.
Question 5.
Tina, age 2, had a complete blood count (CBC) drawn at her last visit. It indicates that she has a microcytic hypochromic anemia.
What should you do now at this visit? A. Obtain a lead level. B. Instruct Tina's parents to increase the amount of milk in her diet. C.
Start Tina on ferrous sulfate (Feosol) and check the CBC in 6 weeks. D. Recheck the CBC during this visit.
ANSWER
A. Obtain a lead level.
Question 6.
What is the most effective treatment for urticaria? A. An oral antihistamine B. Dietary management C. Avoidance of the offending
agent D. A glucocorticosteroid
ANSWER
C. Avoidance of the offending agent
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, Question 7.
Physiological changes in the immune system of older adults include: A. An increase in immunoglobulin A and G antibodies. B. A high
rate of T-lymphocyte proliferation. C. An increase in the number of cytotoxic T cells. D. An increase in CD8, which affects regulation
of the immune system.
ANSWER
A. An increase in immunoglobulin A and G antibodies.
Question 8.
Thalassemia is caused by: A. Blood loss. B. Impaired production of all blood-forming elements. C. Increased destruction of red blood
cells. D. Autoimmune antibodies.
ANSWER
C. Increased destruction of red blood cells.
Question 9.
9. Despite successful primary prophylaxis, which infection remains a common AIDS-defining diagnosis? A. Pneumocystis jiroveci
pneumonia (PCP) B. Cryptococcosis C. Cryptosporidiosis D. Candidiasis
ANSWER
A. Pneumocystis jiroveci pneumonia (PCP)
Question 10.
Your client, Ms. Jones, has an elevated platelet count. You suspect: A. Systemic lupus erythematosus. B. Infectious mononucleosis.
C. Disseminated intravascular coagulation (DIC). D. Splenectomy.
ANSWER
D. Splenectomy.
Question 11.
Which of the following is an X-linked recessive disorder commonly seen in African American men? A. Sickle cell anemia B.
Glucose-6-phosphate dehydrogenase deficiency C. Pyruvate kinase deficiency D. Bernard-Soulier syndrome
ANSWER
B. Glucose-6-phosphate dehydrogenase deficiency
Question 12.
Which of the following types of cellulitis is referred to as "flesh-eating bacteria"? A. Erysipelas B. Necrotizing fasciitis C. Periorbital
cellulitis D. Peripheral vascular cellulitis
ANSWER
B. Necrotizing fasciitis
Question 13.
Which of the following laboratory studies is used to determine if a client has had hepatitis? A. Serum protein B. Protein
electrophoresis C. Antibody testing D. Globulin levels
ANSWER
C. Antibody testing
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