ANP-650 Midterm Study QUESTIONS AND
ANSWERS
1. 1.A infant is diagnosed with intense allergic rhinitis. Which of the subsequent
manifestations could the nurse most in all likelihood assess on this consumer?
1. Edematous neck glands
2. Reduced listening to
three. Pruritis
four. Frequent wiping of the nose with the palm of the hand - ANSWER-ANS: four
Frequent wiping of the nostril with the palm of the hand is one symptom visible
within the consumer diagnosed with extreme allergic rhinitis. Edematous neck
glands, reduced hearing, and pruritis aren't manifestations of intense allergic
rhinitis.
2. 1.A consumer is identified with a headache from a secondary purpose. The nurse
realizes this form of headache can be because of:
1. A tumor.
2. Tension.
Three. A migraine.
Four. Cluster - ANSWER-ANS: 1
Primary headaches are recognized when no natural cause may be observed. A
tumor headache is caused by a tumor and is classed as a secondary headache.
3. 1.A consumer is identified with strabismus. Which of the subsequent will the consumer
maximum likely revel in with this sickness?
1. Nystagmus
2. Diplopia
three. Aphakic imaginative and prescient
4. Ptosis - ANSWER-ANS: 2
Diplopia, or double imaginative and prescient, is the primary symptom of
strabismus. Nystagmus is a disorder that causes involuntarily rhythmic moves in
the eye. Aphakic imaginative and prescient takes place whilst the lens of the eye
is removed. Ptosis is drooping of the eyelid.
4. 1.A consumer is diagnosed with tonic-clonic seizures. Which are the characteristics of
these styles of seizures? (Select all that apply.)
1. Progressing through all the seizure levels
2. Beginning earlier than age five
three. Lasting 2 to a few minutes
4. Causing damage to the purchaser
five. Occurring at any time, day or night time
6. Being rather variable - ANSWER-ANS: 1, three, 4, 5, 6
Tonic-clonic seizures are the most common kind of generalized seizure. The
seizure will development thru all of the seizure stages and closing 2 to three mins.
, Because these seizures start all of sudden, there may be an multiplied incidence
of harm associated with them. These seizures can occur any time of the day or
night time, whether the client is wide awake or no longer. Seizure frequency is
incredibly variable.
5. 1.A consumer is not capable of successfully pass the whisper check. Which of the
subsequent might be indicated for this patron?
1. Head CT test
2. Audiometry
3. MRI of the mind
4. Electroencephalogram - ANSWER-ANS: 2
Failure to pass the whisper test would indicate the want for formal audiometry
trying out. The patron could now not want a head CT or MRI at the moment. An
electroencephalogram isn't essential.
6. 1.A purchaser tells the nurse that he does not need to broaden macular degeneration
like his mom. Which of the following have to the nurse teach the purchaser as being risk
factors for the development of this ailment? (Select all that observe.)
1. There is greater threat as people age.
2. Women are at extra threat than guys.
Three. African Americans are at extra threat than Caucasians.
4. Family history of macular degeneration will increase risk.
5. Smoking does no longer boom danger.
6. Alcohol prevents the onset of this disorder. - ANSWER-ANS: 1, 2, 4
Recent information show that macular degeneration is age related and that girls
are at more hazard than men. Family records and smoking also are significant
hazard elements. Caucasians are at more hazard than African Americans. Alcohol
does not save you the onset of this disease.
7. 1.A client, being tested for a stroke, is not a candidate for tPA. Which of the following
could be contraindicated for using tPA? (Select all that practice.)
1. Minor ischemic stroke inside 30 days
2. Glucose level 120 mg/dL
three. Blood strain 190/a hundred and twenty mmHg
four. Lumbar puncture 2 days in the past
five. Stroke onset 5 hours ago
6. INR 1.0 - ANSWER-ANS: 1, three, 4, five
Contraindications of tPA to treat an embolic stroke include minor ischemic stroke
within the final 30 days, blood strain extra an 185 mmHg systolic or greater than a
hundred and ten mmHg diastolic, lumbar puncture inside the ultimate three days,
and onset of stroke more than 3 hours. Glucose level of 120 mg/dL and INR of
one.0 could now not be contraindications for tPA therapy.
8. 1.A male client is diagnosed with hyperprolactinemia. The nurse realizes that which of
the following medical manifestations occurs less often in men?
1. A decrease in testosterone
2. Erectile disorder
three. Gynecomastia
, 4. Infertility - ANSWER-ANS: 3
In men, hyperprolactinemia reasons a lower in testosterone secondary to an
inhibition of gonadotropin secretion, leading to decreased facial and frame hair,
erectile dysfunction, reduced libido, small testicles, and infertility. Gynecomastia
takes place less regularly in men.
9. 1.Blood work of a female consumer shows an boom inside the manufacturing of
estradiol. The nurse realizes that this hormone is managed by using:
1. Nice remarks.
2. Terrible remarks.
Three. Apprehensive comments.
4. Reverse remarks. - ANSWER-ANS: 1
Even though most of the hormones inside the endocrine machine are underneath
a bad comments mechanism, estradiol isn't always one of those hormones.
Estradiol is managed by way of a high quality feedback
WWW.TESTBANKTANK.COM
mechanism in that when it will increase, there will be in an boom within the
production of folliclestimulating hormone by using the anterior pituitary.
10.1.For the patron who's at hazard for stroke, the maximum essential guiding principle the
nurse must teach is to:
1. Growth drinks with caffeine.
2. Monitor blood stress.
3. Growth amounts of sodium within the food regimen.
Four. Reveal weight and interest. - ANSWER-ANS: 2
Monitoring weight and hobby is important, however the maximum precedence is
monitoring the blood strain. This is a modifiable risk factor that, whilst controlled,
will lower the risk of stroke.
11.1.The nurse is educating a purchaser diagnosed with otitis media on control throughout
the intense phase. Which of the subsequent must the nurse encompass inside the
coaching? (Select all that observe.)
1. Take the antibiotics as ordered.
2. Take over-the-counter analgesics for slight ache as recommended.
Three. It is ok to move swimming.
Four. It is okay to go on excursion and trips that require flying.
5. If excruciating ache develops, are seeking for hospital treatment.
6. Limit fluids. - ANSWER-ANS: 1, 2, 5
Clients have to complete the medication as ordered to kill the infection. Mild
analgesics for ache are frequently wished. If excruciating ear ache develops, the
purchaser ought to are looking for medical care to rule out perforation of the
eardrum. It is vital to maintain the ear dry, so the patron have to not swim
presently. Flying isn't always encouraged presently. Limiting fluids isn't always
necessary with otitis media.
12.1.What are the two divisions of the apprehensive machine?
A. Somatic and the autonomic
b. Cerebellum and the brainstem
, c. Medulla oblongata and the diencephalon
d. Central and the peripheral - ANSWER-ANS: D
The critical and the peripheral are the 2 divisions of the anxious system. The
autonomic and the somatic are the division of the peripheral nervous device.
13.1.Which of the following signs might propose to the nurse that a client is experiencing
signs of pheochromocytoma? (Select all that observe.)
1. Severe headache
2. Decreased urine output
3. Palpitations
four. Diarrhea
five. Profuse sweating
6. Weight advantage - ANSWER-ANS: 1, three, 5
Severe headache, palpitations, and profuse sweating are the most not unusual
symptoms of pheochromocytoma. Decreased urine output, diarrhea, and weight
advantage aren't related to this disease.
14.10.A purchaser is experiencing a loss of primary imaginative and prescient but no longer
a loss of peripheral vision. The nurse realizes the client must be evaluated for:
15.1. Indifferent retina syndrome.
16.2. Nystagmus.
17.Three. Macular degeneration.
18.Four. Conjunctivitis. - ANSWER-ANS: three
19.Macular degeneration is a deterioration of part of the retina, inflicting loss of critical vision
however no longer affecting peripheral vision. The lack of primary imaginative and
prescient isn't always commonly seen in a indifferent retina, nystagmus, or conjunctivitis.
20.10.A purchaser is experiencing epistaxis. Which of the following interventions might the
nurse complete?
21.1. Call the physician.
22.2. Check laboratory take a look at results.
23.Three. Obtain an emesis basin.
24.4. Show the patient a way to pinch the nostril. - ANSWER-ANS: 4
25.The initial intervention for a client with epistaxis is to reveal the purchaser the way to
lean ahead and pinch the nose against the nasal septum for about 5 to ten mins
constantly. The other interventions are not essential at this time.
26.10.A consumer tells the nurse that he's so thirsty that he has already ate up four pitchers
of water. The customers urine output is 3500 mL in an 8-hour period. The consumer is
getting better from surgery at the pituitary gland. What endocrine disease is the client
maximum probable experiencing?
27.1. Diabetes insipidus
28.2. Diabetes mellitus
29.three. Myxedema
30.4. Syndrome of inappropriate antidiuretic hormone secretion - ANSWER-ANS: 1
31.Diabetes insipidus and diabetes mellitus each cause increased urine output, but
diabetes insipidus is related to a hassle with antidiuretic hormone; diabetes mellitus is a
ANSWERS
1. 1.A infant is diagnosed with intense allergic rhinitis. Which of the subsequent
manifestations could the nurse most in all likelihood assess on this consumer?
1. Edematous neck glands
2. Reduced listening to
three. Pruritis
four. Frequent wiping of the nose with the palm of the hand - ANSWER-ANS: four
Frequent wiping of the nostril with the palm of the hand is one symptom visible
within the consumer diagnosed with extreme allergic rhinitis. Edematous neck
glands, reduced hearing, and pruritis aren't manifestations of intense allergic
rhinitis.
2. 1.A consumer is identified with a headache from a secondary purpose. The nurse
realizes this form of headache can be because of:
1. A tumor.
2. Tension.
Three. A migraine.
Four. Cluster - ANSWER-ANS: 1
Primary headaches are recognized when no natural cause may be observed. A
tumor headache is caused by a tumor and is classed as a secondary headache.
3. 1.A consumer is identified with strabismus. Which of the subsequent will the consumer
maximum likely revel in with this sickness?
1. Nystagmus
2. Diplopia
three. Aphakic imaginative and prescient
4. Ptosis - ANSWER-ANS: 2
Diplopia, or double imaginative and prescient, is the primary symptom of
strabismus. Nystagmus is a disorder that causes involuntarily rhythmic moves in
the eye. Aphakic imaginative and prescient takes place whilst the lens of the eye
is removed. Ptosis is drooping of the eyelid.
4. 1.A consumer is diagnosed with tonic-clonic seizures. Which are the characteristics of
these styles of seizures? (Select all that apply.)
1. Progressing through all the seizure levels
2. Beginning earlier than age five
three. Lasting 2 to a few minutes
4. Causing damage to the purchaser
five. Occurring at any time, day or night time
6. Being rather variable - ANSWER-ANS: 1, three, 4, 5, 6
Tonic-clonic seizures are the most common kind of generalized seizure. The
seizure will development thru all of the seizure stages and closing 2 to three mins.
, Because these seizures start all of sudden, there may be an multiplied incidence
of harm associated with them. These seizures can occur any time of the day or
night time, whether the client is wide awake or no longer. Seizure frequency is
incredibly variable.
5. 1.A consumer is not capable of successfully pass the whisper check. Which of the
subsequent might be indicated for this patron?
1. Head CT test
2. Audiometry
3. MRI of the mind
4. Electroencephalogram - ANSWER-ANS: 2
Failure to pass the whisper test would indicate the want for formal audiometry
trying out. The patron could now not want a head CT or MRI at the moment. An
electroencephalogram isn't essential.
6. 1.A purchaser tells the nurse that he does not need to broaden macular degeneration
like his mom. Which of the following have to the nurse teach the purchaser as being risk
factors for the development of this ailment? (Select all that observe.)
1. There is greater threat as people age.
2. Women are at extra threat than guys.
Three. African Americans are at extra threat than Caucasians.
4. Family history of macular degeneration will increase risk.
5. Smoking does no longer boom danger.
6. Alcohol prevents the onset of this disorder. - ANSWER-ANS: 1, 2, 4
Recent information show that macular degeneration is age related and that girls
are at more hazard than men. Family records and smoking also are significant
hazard elements. Caucasians are at more hazard than African Americans. Alcohol
does not save you the onset of this disease.
7. 1.A client, being tested for a stroke, is not a candidate for tPA. Which of the following
could be contraindicated for using tPA? (Select all that practice.)
1. Minor ischemic stroke inside 30 days
2. Glucose level 120 mg/dL
three. Blood strain 190/a hundred and twenty mmHg
four. Lumbar puncture 2 days in the past
five. Stroke onset 5 hours ago
6. INR 1.0 - ANSWER-ANS: 1, three, 4, five
Contraindications of tPA to treat an embolic stroke include minor ischemic stroke
within the final 30 days, blood strain extra an 185 mmHg systolic or greater than a
hundred and ten mmHg diastolic, lumbar puncture inside the ultimate three days,
and onset of stroke more than 3 hours. Glucose level of 120 mg/dL and INR of
one.0 could now not be contraindications for tPA therapy.
8. 1.A male client is diagnosed with hyperprolactinemia. The nurse realizes that which of
the following medical manifestations occurs less often in men?
1. A decrease in testosterone
2. Erectile disorder
three. Gynecomastia
, 4. Infertility - ANSWER-ANS: 3
In men, hyperprolactinemia reasons a lower in testosterone secondary to an
inhibition of gonadotropin secretion, leading to decreased facial and frame hair,
erectile dysfunction, reduced libido, small testicles, and infertility. Gynecomastia
takes place less regularly in men.
9. 1.Blood work of a female consumer shows an boom inside the manufacturing of
estradiol. The nurse realizes that this hormone is managed by using:
1. Nice remarks.
2. Terrible remarks.
Three. Apprehensive comments.
4. Reverse remarks. - ANSWER-ANS: 1
Even though most of the hormones inside the endocrine machine are underneath
a bad comments mechanism, estradiol isn't always one of those hormones.
Estradiol is managed by way of a high quality feedback
WWW.TESTBANKTANK.COM
mechanism in that when it will increase, there will be in an boom within the
production of folliclestimulating hormone by using the anterior pituitary.
10.1.For the patron who's at hazard for stroke, the maximum essential guiding principle the
nurse must teach is to:
1. Growth drinks with caffeine.
2. Monitor blood stress.
3. Growth amounts of sodium within the food regimen.
Four. Reveal weight and interest. - ANSWER-ANS: 2
Monitoring weight and hobby is important, however the maximum precedence is
monitoring the blood strain. This is a modifiable risk factor that, whilst controlled,
will lower the risk of stroke.
11.1.The nurse is educating a purchaser diagnosed with otitis media on control throughout
the intense phase. Which of the subsequent must the nurse encompass inside the
coaching? (Select all that observe.)
1. Take the antibiotics as ordered.
2. Take over-the-counter analgesics for slight ache as recommended.
Three. It is ok to move swimming.
Four. It is okay to go on excursion and trips that require flying.
5. If excruciating ache develops, are seeking for hospital treatment.
6. Limit fluids. - ANSWER-ANS: 1, 2, 5
Clients have to complete the medication as ordered to kill the infection. Mild
analgesics for ache are frequently wished. If excruciating ear ache develops, the
purchaser ought to are looking for medical care to rule out perforation of the
eardrum. It is vital to maintain the ear dry, so the patron have to not swim
presently. Flying isn't always encouraged presently. Limiting fluids isn't always
necessary with otitis media.
12.1.What are the two divisions of the apprehensive machine?
A. Somatic and the autonomic
b. Cerebellum and the brainstem
, c. Medulla oblongata and the diencephalon
d. Central and the peripheral - ANSWER-ANS: D
The critical and the peripheral are the 2 divisions of the anxious system. The
autonomic and the somatic are the division of the peripheral nervous device.
13.1.Which of the following signs might propose to the nurse that a client is experiencing
signs of pheochromocytoma? (Select all that observe.)
1. Severe headache
2. Decreased urine output
3. Palpitations
four. Diarrhea
five. Profuse sweating
6. Weight advantage - ANSWER-ANS: 1, three, 5
Severe headache, palpitations, and profuse sweating are the most not unusual
symptoms of pheochromocytoma. Decreased urine output, diarrhea, and weight
advantage aren't related to this disease.
14.10.A purchaser is experiencing a loss of primary imaginative and prescient but no longer
a loss of peripheral vision. The nurse realizes the client must be evaluated for:
15.1. Indifferent retina syndrome.
16.2. Nystagmus.
17.Three. Macular degeneration.
18.Four. Conjunctivitis. - ANSWER-ANS: three
19.Macular degeneration is a deterioration of part of the retina, inflicting loss of critical vision
however no longer affecting peripheral vision. The lack of primary imaginative and
prescient isn't always commonly seen in a indifferent retina, nystagmus, or conjunctivitis.
20.10.A purchaser is experiencing epistaxis. Which of the following interventions might the
nurse complete?
21.1. Call the physician.
22.2. Check laboratory take a look at results.
23.Three. Obtain an emesis basin.
24.4. Show the patient a way to pinch the nostril. - ANSWER-ANS: 4
25.The initial intervention for a client with epistaxis is to reveal the purchaser the way to
lean ahead and pinch the nose against the nasal septum for about 5 to ten mins
constantly. The other interventions are not essential at this time.
26.10.A consumer tells the nurse that he's so thirsty that he has already ate up four pitchers
of water. The customers urine output is 3500 mL in an 8-hour period. The consumer is
getting better from surgery at the pituitary gland. What endocrine disease is the client
maximum probable experiencing?
27.1. Diabetes insipidus
28.2. Diabetes mellitus
29.three. Myxedema
30.4. Syndrome of inappropriate antidiuretic hormone secretion - ANSWER-ANS: 1
31.Diabetes insipidus and diabetes mellitus each cause increased urine output, but
diabetes insipidus is related to a hassle with antidiuretic hormone; diabetes mellitus is a
