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NURS Full-Length Practice Exam with Rationales

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NURS Full-Length Practice Exam with Rationales

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1. A patient is being treated for acute pancreatitis. What is a
common complication of this condition?
A. Renal failure
B. Chronic diarrhea
C. Hyperglycemia
D. Gallstones
Answer: A) Renal failure
Rationale: Acute pancreatitis can lead to systemic complications,
including renal failure, due to inflammation and the release of
digestive enzymes into the bloodstream.

2. Which of the following is the most common cause of stroke?
A. Aneurysm rupture
B. Ischemia due to a clot
C. Brain tumor
D. Hypertension
Answer: B) Ischemia due to a clot
Rationale: Ischemic strokes are the most common type of stroke
and occur when a clot blocks blood flow to the brain.

3. A patient with diabetes mellitus presents with polyuria,
polydipsia, and weight loss. What condition might these
symptoms indicate?
A. Diabetic ketoacidosis (DKA)
B. Hyperosmolar hyperglycemic state (HHS)
C. Hypoglycemia
D. Hypertension
Answer: A) Diabetic ketoacidosis (DKA)
Rationale: DKA occurs when insulin deficiency causes increased
glucose production and fat breakdown, leading to ketosis and
elevated blood glucose levels, which cause symptoms like

,polyuria, polydipsia, and weight loss.

4. What is the main cause of liver cirrhosis?
A. Alcohol abuse
B. High-fat diet
C. Viral infections (e.g., hepatitis B or C)
D. Obesity
Answer: A) Alcohol abuse
Rationale: Chronic alcohol use is the leading cause of cirrhosis,
leading to liver fibrosis and eventual liver failure.

5. Which of the following is a typical sign of hypoglycemia?
A. Increased thirst
B. Shaking and sweating
C. Increased urination
D. Elevated blood pressure
Answer: B) Shaking and sweating
Rationale: Hypoglycemia causes symptoms such as shaking,
sweating, and confusion due to the body's response to low blood
sugar levels.

6. A patient diagnosed with a brain tumor presents with sudden
weakness on one side of the body. What could this symptom
indicate?
A. Stroke
B. Seizure
C. Hemiparesis
D. Epilepsy
Answer: C) Hemiparesis
Rationale: Hemiparesis refers to weakness or partial paralysis on
one side of the body, which can occur with a brain tumor that
affects the motor areas of the brain.

, 7. What is the primary cause of osteoarthritis?
A. Autoimmune reaction
B. Wear and tear on the joints
C. Bacterial infection
D. Vitamin D deficiency
Answer: B) Wear and tear on the joints
Rationale: Osteoarthritis is primarily caused by the degeneration
of cartilage due to repetitive use or aging, leading to joint pain
and stiffness.

8. Which of the following is a common cause of hypoxemia?
A. Anemia
B. Asthma
C. Hypertension
D. Diabetes
Answer: B) Asthma
Rationale: Asthma causes bronchoconstriction and inflammation
in the airways, leading to decreased oxygen exchange and
resulting in hypoxemia.

9. Which of the following is a primary complication of untreated
hypertension?
A. Diabetes
B. Stroke
C. Asthma
D. Hyperthyroidism
Answer: B) Stroke
Rationale: Untreated hypertension can cause damage to blood
vessels, increasing the risk of a stroke due to the development of
atherosclerosis or rupture of a weakened vessel.

10. A patient with a diagnosis of systemic lupus erythematosus
(SLE) is at increased risk for which of the following?

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