RNPEDIA; PNLE NP1 TEST 5
QUESTIONS AND ANSWERS
1. aWhen athe aGeneral aadaptation asyndrome ais aactivated, aFLIGHT aOR aFIGHT
aresponse asets ain. aSympathetic anervous asystem areleases anorepinephrine awhile athe
aadrenal amedulla asecretes aepinephrine. aWhich aof athe afollowing ais atrue awith
aregards ato athat astatement?
A. aPupils awill aconstrict
B. aClient awill abe alethargic
C. aLungs awill abronchodilate
F. aGastric amotility awill aincrease a- a✔✔C. aLungs awill abronchodilate. a
To abetter aunderstand athe aconcept: aThe aautonomic anervous asystem ais acomposed
aof aSYMPATHETIC aand aPARASYMPATHETIC aNervous asystem. aIt ais acalled
aAUTONOMIC aBecause ait ais aInvoluntary aand astimuli abased. aYou acannot atell ayour
aheart ato akindly abeat afor a60 aper aminute, aNor, aTell ayour ablood avessels, aPlease
aconstrict, abecause ayou aneed ato awear askirt atoday aand ayour avaricosities aare
abulging. aSympathetic aNervous asystem ais athe aFIGHT aor aFLIGHT amechanism.
aWhen apeople aFIGHT aor aRUN, awe atend ato astimulate athe aANS aand adominate aover
aSNS. aJust aImagine aa aperson aFIGHTING aand aRUNNING ato aget athe aidea aon athe
asigns aof aSNS aDomination. aImagine aa aresting aand adigesting aperson ato aget aa
apicture aof aPNS aDomination. aA aperson aRUNNING aor aFIGHTING aNeeds ato
abronchodilate, abecause athe aoxygen aneed ais aincreased adue ato ahigher ademand aof
athe abody. aPupils awill aDILATE ato abe aable ato asee athe aenemy aclearly. aClient awill
abe afully aalert ato adodge aattacks aand aleap athrough aobstacles aduring arunning. aThe
aclient's agastric amotility awill aDECREASE aBecause ayou acannot aafford ato aurinate aor
adefecate aduring afighting anor arunning.
2. aWhich aof athe afollowing aresponse ais anot aexpected ato aa aperson awhose aGAS ais
aactivated aand athe aFIGHT aOR aFLIGHT aresponse asets ain?
A. aThe aclient awill anot aurinate adue ato arelaxation aof athe adetrusor amuscle
B. aThe aclient awill abe arestless aand aalert
C. aClients aBP awill aincrease, athere awill abe avasodilation
D. aThere awill abe aincrease aglycogenolysis, apancreas awill adecrease ainsulin asecretion
a- a✔✔C. aClients aBP awill aincrease, athere awill abe avasodilation. a
If avasodilation awill aoccur, athe aBP awill anot aincrease abut adecrease. aIt ais atrue athat
aBlood apressure aincreases aduring aSNS aStimulation adue ato athe afact athat awe aneed
amore aBLOOD ato acirculate aduring athe aFIGHT aor aFLIGHT aResponse abecause athe
aoxygen ademand ahas aincreased, abut athis ais afacilitated aby avasoconstriction aand anot
avasodilation. aA,B aand aD aare aall acorrect. aThe aliver awill aincrease aglycogenolysis aor
,aglycogen astore autilization adue ato aa aheightened ademand afor aenergy. aPancrease
awill adecrease ainsulin asecretion abecause aalmost aevery aaspect aof adigestion athat ais
acontrolled aby aParasympathetic anervous asystem ais ainhibited awhen athe aSNS
adominates.
3. aState ain awhich aa aperson's aphysical, aemotional, aintellectual aand asocial
adevelopment aor aspiritual afunctioning ais adiminished aor aimpaired acompared awith aa
aprevious aexperience.
A. aIllness
B. aDisease
C. aHealth
D. aWellness a- a✔✔A. aIllness. a
Disease ais aa aPROVEN aFACT abased aon aa amedical atheory, astandards, adiagnosis
aand aclinical afeature awhile aILLNESS aIs aa asubjective astate aof anot afeeling awell
abased aon asubjective aappraisal, aprevious aexperience, apeer aadvice aetc.
4. aThis ais athe afirst astage aof aillness awherein, athe aperson astarts ato abelieve athat
asomething ais awrong. aAlso aknown aas athe atransition aphase afrom awellness ato
aillness.
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔A. aSymptom aExperience. a
A afavorite aboard aquestion aare aStages aof aIllness. aWhen aa aperson astarts ato abelieve
asomething ais awrong, athat aperson ais aexperiencing asigns aand asymptoms aof aan
aillness. aThe apatient awill athen aASSUME athat ahe ais asick. aThis ais acalled aassumption
aof athe asick arole awhere athe apatient aaccepts ahe ais aIll aand atry ato agive aup asome
aactivities. aSince athe aclient aonly aASSUMES ahis aillness, ahe awill atry ato aask
asomeone ato avalidate aif awhat ahe ais aexperiencing ais aa adisease, aThis ais anow acalled
aas aMEDICAL aCARE aCONTACT. aThe aclient aseeks aprofessional aadvice afor
avalidation, areassurance, aclarification aand aexplanation aof athe asymptoms ahe ais
aexperiencing. aclient awill athen astart ahis adependent apatient arole aof areceiving acare
afrom athe ahealth acare aproviders. aThe alast astage aof aIllness ais athe aRECOVERY
astage awhere athe apatient agives aup athe asick arole aand aassumes athe aprevious
anormal agunctions.
5. aIn athis astage aof aillness, athe aperson aaccepts aor arejects aa aprofessional's
asuggestion. aThe aperson aalso abecomes apassive aand amay aregress ato aan aearlier
astage.
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔D. aDependent apatient arole. a
, In athe adependent apatient arole astage, aClient aneeds aprofessionals afor ahelp. aThey
ahave aa achoice aeither ato aaccept aor areject athe aprofessional's adecisions, abut
apatients aare ausually apassive aand aaccepting. aRegression atends ato aoccur amore ain
athis aperiod.
6. aIn athis astage aof aillness, aThe aperson alearns ato aaccept athe aillness.
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔B. aAssumption aof asick arole. a
Acceptance aof aillness aoccurs ain athe aAssumption aof asick arole aphase aof aillness.
7. aIn athis astage, athe aperson atries ato afind aanswers afor ahis aillness. aHe awants ahis
aillness ato abe avalidated, ahis asymptoms aexplained aand athe aoutcome areassured aor
apredicted:
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔C. aMedical acare acontact. a
At athis astage, athe apatient aseeks afor avalidation aof ahis asymptom aexperience. aHe
awants ato afind aout aif awhat ahe afeels aare anormal aor anot anormal. aHe awants
asomeone ato aexplain awhy ahe ais afeeling athese asigns aand asymptoms aand awants ato
aknow athe aprobable aoutcome aof athis aexperience.
8. aThe afollowing aare atrue awith aregards ato aaspect aof athe asick arole aexcept:
A. aOne ashould abe aheld aresponsible afor ahis acondition
B. aOne ais aexcused afrom ahis asocietal arole
C. aOne ais aobliged ato aget awell aas asoon aas apossible
D. aOne ais aobliged ato aseek acompetent ahelp a- a✔✔A. aOne ashould abe aheld
aresponsible afor ahis acondition. a
The anurse ashould anot ajudge athe apatient aand anot aview athe apatient aas athe acause
aor asomeone aresponsible afor ahis aillness. aA asick aclient ais aexcused afrom ahis
asocietal aroles, aobliged ato aget awell aas asoon aas apossible aand aobliged ato aseek
acompetent ahelp.
9. aRefers ato aconditions athat aincreases avulnerability aof aindividual aor agroup ato
aillness aor aaccident:
A. aPredisposing afactor
B. aEtiology
C. aRisk afactor
D. aModifiable aRisks a- a✔✔C. aRisk afactor
QUESTIONS AND ANSWERS
1. aWhen athe aGeneral aadaptation asyndrome ais aactivated, aFLIGHT aOR aFIGHT
aresponse asets ain. aSympathetic anervous asystem areleases anorepinephrine awhile athe
aadrenal amedulla asecretes aepinephrine. aWhich aof athe afollowing ais atrue awith
aregards ato athat astatement?
A. aPupils awill aconstrict
B. aClient awill abe alethargic
C. aLungs awill abronchodilate
F. aGastric amotility awill aincrease a- a✔✔C. aLungs awill abronchodilate. a
To abetter aunderstand athe aconcept: aThe aautonomic anervous asystem ais acomposed
aof aSYMPATHETIC aand aPARASYMPATHETIC aNervous asystem. aIt ais acalled
aAUTONOMIC aBecause ait ais aInvoluntary aand astimuli abased. aYou acannot atell ayour
aheart ato akindly abeat afor a60 aper aminute, aNor, aTell ayour ablood avessels, aPlease
aconstrict, abecause ayou aneed ato awear askirt atoday aand ayour avaricosities aare
abulging. aSympathetic aNervous asystem ais athe aFIGHT aor aFLIGHT amechanism.
aWhen apeople aFIGHT aor aRUN, awe atend ato astimulate athe aANS aand adominate aover
aSNS. aJust aImagine aa aperson aFIGHTING aand aRUNNING ato aget athe aidea aon athe
asigns aof aSNS aDomination. aImagine aa aresting aand adigesting aperson ato aget aa
apicture aof aPNS aDomination. aA aperson aRUNNING aor aFIGHTING aNeeds ato
abronchodilate, abecause athe aoxygen aneed ais aincreased adue ato ahigher ademand aof
athe abody. aPupils awill aDILATE ato abe aable ato asee athe aenemy aclearly. aClient awill
abe afully aalert ato adodge aattacks aand aleap athrough aobstacles aduring arunning. aThe
aclient's agastric amotility awill aDECREASE aBecause ayou acannot aafford ato aurinate aor
adefecate aduring afighting anor arunning.
2. aWhich aof athe afollowing aresponse ais anot aexpected ato aa aperson awhose aGAS ais
aactivated aand athe aFIGHT aOR aFLIGHT aresponse asets ain?
A. aThe aclient awill anot aurinate adue ato arelaxation aof athe adetrusor amuscle
B. aThe aclient awill abe arestless aand aalert
C. aClients aBP awill aincrease, athere awill abe avasodilation
D. aThere awill abe aincrease aglycogenolysis, apancreas awill adecrease ainsulin asecretion
a- a✔✔C. aClients aBP awill aincrease, athere awill abe avasodilation. a
If avasodilation awill aoccur, athe aBP awill anot aincrease abut adecrease. aIt ais atrue athat
aBlood apressure aincreases aduring aSNS aStimulation adue ato athe afact athat awe aneed
amore aBLOOD ato acirculate aduring athe aFIGHT aor aFLIGHT aResponse abecause athe
aoxygen ademand ahas aincreased, abut athis ais afacilitated aby avasoconstriction aand anot
avasodilation. aA,B aand aD aare aall acorrect. aThe aliver awill aincrease aglycogenolysis aor
,aglycogen astore autilization adue ato aa aheightened ademand afor aenergy. aPancrease
awill adecrease ainsulin asecretion abecause aalmost aevery aaspect aof adigestion athat ais
acontrolled aby aParasympathetic anervous asystem ais ainhibited awhen athe aSNS
adominates.
3. aState ain awhich aa aperson's aphysical, aemotional, aintellectual aand asocial
adevelopment aor aspiritual afunctioning ais adiminished aor aimpaired acompared awith aa
aprevious aexperience.
A. aIllness
B. aDisease
C. aHealth
D. aWellness a- a✔✔A. aIllness. a
Disease ais aa aPROVEN aFACT abased aon aa amedical atheory, astandards, adiagnosis
aand aclinical afeature awhile aILLNESS aIs aa asubjective astate aof anot afeeling awell
abased aon asubjective aappraisal, aprevious aexperience, apeer aadvice aetc.
4. aThis ais athe afirst astage aof aillness awherein, athe aperson astarts ato abelieve athat
asomething ais awrong. aAlso aknown aas athe atransition aphase afrom awellness ato
aillness.
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔A. aSymptom aExperience. a
A afavorite aboard aquestion aare aStages aof aIllness. aWhen aa aperson astarts ato abelieve
asomething ais awrong, athat aperson ais aexperiencing asigns aand asymptoms aof aan
aillness. aThe apatient awill athen aASSUME athat ahe ais asick. aThis ais acalled aassumption
aof athe asick arole awhere athe apatient aaccepts ahe ais aIll aand atry ato agive aup asome
aactivities. aSince athe aclient aonly aASSUMES ahis aillness, ahe awill atry ato aask
asomeone ato avalidate aif awhat ahe ais aexperiencing ais aa adisease, aThis ais anow acalled
aas aMEDICAL aCARE aCONTACT. aThe aclient aseeks aprofessional aadvice afor
avalidation, areassurance, aclarification aand aexplanation aof athe asymptoms ahe ais
aexperiencing. aclient awill athen astart ahis adependent apatient arole aof areceiving acare
afrom athe ahealth acare aproviders. aThe alast astage aof aIllness ais athe aRECOVERY
astage awhere athe apatient agives aup athe asick arole aand aassumes athe aprevious
anormal agunctions.
5. aIn athis astage aof aillness, athe aperson aaccepts aor arejects aa aprofessional's
asuggestion. aThe aperson aalso abecomes apassive aand amay aregress ato aan aearlier
astage.
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔D. aDependent apatient arole. a
, In athe adependent apatient arole astage, aClient aneeds aprofessionals afor ahelp. aThey
ahave aa achoice aeither ato aaccept aor areject athe aprofessional's adecisions, abut
apatients aare ausually apassive aand aaccepting. aRegression atends ato aoccur amore ain
athis aperiod.
6. aIn athis astage aof aillness, aThe aperson alearns ato aaccept athe aillness.
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔B. aAssumption aof asick arole. a
Acceptance aof aillness aoccurs ain athe aAssumption aof asick arole aphase aof aillness.
7. aIn athis astage, athe aperson atries ato afind aanswers afor ahis aillness. aHe awants ahis
aillness ato abe avalidated, ahis asymptoms aexplained aand athe aoutcome areassured aor
apredicted:
A. aSymptom aExperience
B. aAssumption aof asick arole
C. aMedical acare acontact
D. aDependent apatient arole a- a✔✔C. aMedical acare acontact. a
At athis astage, athe apatient aseeks afor avalidation aof ahis asymptom aexperience. aHe
awants ato afind aout aif awhat ahe afeels aare anormal aor anot anormal. aHe awants
asomeone ato aexplain awhy ahe ais afeeling athese asigns aand asymptoms aand awants ato
aknow athe aprobable aoutcome aof athis aexperience.
8. aThe afollowing aare atrue awith aregards ato aaspect aof athe asick arole aexcept:
A. aOne ashould abe aheld aresponsible afor ahis acondition
B. aOne ais aexcused afrom ahis asocietal arole
C. aOne ais aobliged ato aget awell aas asoon aas apossible
D. aOne ais aobliged ato aseek acompetent ahelp a- a✔✔A. aOne ashould abe aheld
aresponsible afor ahis acondition. a
The anurse ashould anot ajudge athe apatient aand anot aview athe apatient aas athe acause
aor asomeone aresponsible afor ahis aillness. aA asick aclient ais aexcused afrom ahis
asocietal aroles, aobliged ato aget awell aas asoon aas apossible aand aobliged ato aseek
acompetent ahelp.
9. aRefers ato aconditions athat aincreases avulnerability aof aindividual aor agroup ato
aillness aor aaccident:
A. aPredisposing afactor
B. aEtiology
C. aRisk afactor
D. aModifiable aRisks a- a✔✔C. aRisk afactor
