Solutions
A 10-year-old male presents with fever, lymphadenopathy,
arthralgia, and nosebleeds. He is diagnosed with rheumatic heart
disease. The most likely cause of this disease is:
A. Congenital heart defects
B. Human immunodeficiency virus (HIV) infections
C. Group A beta-hemolytic streptococcus infections
D. Acute pericarditis Correct Answers C
A 13-year-old took a weight loss drug that activated the
sympathetic nervous system. Which of the following assessment
findings would the nurse expect?
A. Decreased heart rate.
B. Decreased myocardial contraction.
C. Increased cardiac conduction.
D. Increased intranodal conduction time. Correct Answers C
A 15-year-old male who is allergic to peanuts eats a peanut
butter cup. He then goes into anaphylactic shock. Which
assessment findings will the nurse assess for?
A. Bronchoconstriction, hives or edema, and hypotension
B. Bradycardia, decreased arterial pressure, and oliguria
C. Hypertension, anxiety, and tachycardia
D. Fever, hypotension, and erythematous rash Correct Answers
A
,A 20-year-old female is being admitted to the hospital with fever
and septic shock. Which set of assessment findings would the
nurse expect the patient to exhibit?
A. Bradycardia, palpitations, confusion, truncal rash
B. Reduced cardiac output, increased systemic vascular
resistance, moist cough
C. Severe respiratory distress, jugular venous distention, chest
pain
D. Low blood pressure and tachycardia Correct Answers D
A 22-year-old female patient is prescribed isotretinoin for severe
acne vulgaris. What statement will the nurse include in patient
teaching?
A. Vitamin A supplements can be used with this medication.
B. Pregnancy must be avoided while taking this medication.
C. Oral contraceptives must not be used with this medication.
D. The most common adverse effect of this medication is
depression. Correct Answers B
A 25-year-old female is diagnosed with a urinary tract infection.
When the nurse checks the culture results, which of the
following organisms is most likely infecting her urinary tract?
A. Escherichia coli
B. Streptococcus
C. Candida albicans
D. Chlamydia Correct Answers A
,A 28-year-old with seizure disorder has a vagus nerve stimulator
implanted to help control seizure activity. Which result will the
nurse expect to occur?
A. Increased cardiac contractility
B. Increased speed of cardiac cycle.
C. Decreased cardiac conduction.
D. Increased speed of cardiac cycle. Correct Answers C
A 29-year-old female presents with cloudy urine, flank pain, and
hematuria. These signs and symptoms support which diagnosis?
A. Acute cystitis
B. Renal calculi
C. Chronic renal failure
D. Postrenal renal failure Correct Answers A
A 3-year-old male is diagnosed with Kawasaki disease. What is
the most likely cause of Kawasaki disease?
A. Autoimmune injury to the lymphatic vessels.
B. Inflammation of the small capillaries, arteries, and veins.
C. A genetic defect causing left heart failure.
D. Infectious pericarditis Correct Answers B
A 30-year-old female presents to her primary care provider with
fever, cardiac murmur, and petechial skin lesions and is
diagnosed with infective endocarditis. The most likely cause of
the disease is:
A. Parasites
, B. Viruses
C. Fungi
D. Bacteria Correct Answers D
A 30-year-old male is demonstrating hematuria with red blood
cell casts and proteinuria exceeding 3-5 grams per day, with
albumin being the major protein. The most probable diagnosis
the nurse will see documented on the chart is:
A. Chronic pyelonephritis
B. Acute glomerulonephritis
C. Cystitis
D. Renal calculi Correct Answers B
A 30-year-old White female was recently diagnosed with
primary hypertension. She reports that she eats fairly well,
usually moderate red meat consumption. She also reports that
her father has hypertension as well. A nurse determines which of
the following risk factors is most likely associated with this
diagnosis?
A. Genetic
B. Age
C. Diet
D. Race Correct Answers A
A 35-year-old hypertensive male begins taking a diuretic. Which
of the following common side effects of this medication should
the nurse monitor?
A. Increased uric acid secretion.