HEALTH ASSESSMENT EXAM 2 AND PRACTICE
QUESTIONS NEWEST 2024 ACTUAL EXAM 250
QUESTIONS AND CORRECT DETAILED
ANSWERS AND RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse works with clinic patients who have chronic
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Vneurological diseases. Which goal is the priority for all
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Vpatients with chronic neurological disease?
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a. bowel and bladder control
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b. independent functional ability V V
c. adequate nutritional status
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d. maintenance of skin integrity - V V V V
....ANSWER...Answer: B V
What is the body's second line of defense? -
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....ANSWER...Inflammatory response, pyrogens, V V
Vinterferons, and complement proteins
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always causes an V V
Vinflammation response - V V
V....ANSWER...Infection
What are the functions of the inflammatory response? -
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....ANSWER...Neutralize and dilute an inflammatory V V V V
Vagent
,Remove necrotic materials - phagocytosis
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Establish an environment suitable for healing and repair
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What are the local responses to inflammation? -
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....ANSWER...Redness
VHeat
Pain
VSwelling
Loss of function
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What are the systemic effects of inflammation? -
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....ANSWER...Increased WBC count with a shift to the V V V V V V V
Vleft
Vincreased neutrophil production particularly with
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Vinfection
V"bands" (immature cells) and "segs" (mature cells)
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VIncreased pulse and respiration V V V
Nausea and anorexia V V
VFever
What cellular mediators trigger local reactions? -
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....ANSWER...Histamine (stimulates vasodilation) V V
VProstaglandins
Which type of meningitis is more severe? -
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....ANSWER...bacterial meningitis V
It is a medical emergency. If untreated, mortality rate is
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Vnear 100% V
,What causes bacterial meningitis? - ....ANSWER...S.
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pneumoniae or Neisseria meningitidis
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What causes viral meningitis? -
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....ANSWER...enterovirus, arbovirus, HIV, or herpes V V V V
Vsimplex (HSV) V
What causes encephalitis? - ....ANSWER...Epidemic
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Viruses transmitted by ticks & mosquitoes (i.e.
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West Nile)
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Non-epidemic
Measles, mumps or chickenpox
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HSV
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Protozoa
What are prostaglandins? - ....ANSWER...Proteins that
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circulate in an inactive state
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Activated by antibodies or infectious organisms.
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Also active in autoimmune diseases
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Considered to be pro-inflammatoryV V V
Potent vasodilators
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Sensitize pain receptors
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Stimulate hypothalamic temperature regulating area
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leading to fever
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What is the complement system? -
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....ANSWER...Works in tandem with inflammatory V V V V
Vprocess
, Group of inactive proteins in circulation that, when
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activated, stimulate the release of other chemical
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mediators, promote inflammation, chemotaxis, and
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phagocytosis.
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Major mediator of the inflammatory response through
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an enzyme cascade (C1 - C9)
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Enhanced phagocytosis V
Increased vascular permeability
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Chemotaxis
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Movement of cells in response to chemical signals.
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Cellular lysis
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What is peritonitis? - ....ANSWER...Results from
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Vlocalized or generalized inflammatory process of
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Vperitoneum
ruptured ulcer or appendix
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Vcontamination from fistulas V V
Vtraumatic injury V
Inflammatory process leads to massive fluid shifts and
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Vadhesions
What is the most common symptom of peritonitis? -
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....ANSWER...Pain
Assessment of pain, including location, very important
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Vin determining cause
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Other symptoms vary based on severity and acuteness
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Vof situation
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