An advanced practice registered nurse (APRN) is caring for an adult patient
who fell off a ladder and has a T5 compression and a compound fracture of
the femur.
The following assessment data is noted:
Vital signs: BP
102/52 Apical
pulse: 48
Weak peripheral
pulses
Flaccid lower extremities
Severe bruising of the
femur
Which type of shock
should the APRN
suspect?
- correct answers -
Neurogenic
An advanced practice registered nurse (APRN) is caring for a patient who
experienced a 20% total body surface area (TBSA) burn injury. Current
assessment findings include massive evaporative water losses, a flux of large
amounts of fluid and electrolytes in the tissues, generalized edema, and
circulatory hypovolemia. The APRN needs to take immediate action to
prevent irreversible hypovolemic shock and death.
Which priority action should be taken by the APRN? - correct answers -
Administer up to 30 L of lactated ringer solution over 24 hours
An adult patient has experienced a third-degree burn. An advanced practice
registered nurse (APRN) is attempting to calculate the total body surface
area affected using the rule of nines. The areas involved include the
anterior and posterior right arm and leg and the groin.
What is the estimated total body surface area that will be assigned by the
APRN?
- correct answers - 28%
An advanced practice registered nurse (APRN) assesses a school-aged
child with sepsis who is experiencing new symptoms of hyperthermia,
tachycardia, and tachypnea.
Which additional diagnosis should the APRN consider? - correct
answers - Systemic inflammatory response syndrome
GRADED
A+
A female patient presents with abnormal hair growth on the face and body
and reports that the hair on her head is receding. An advanced practice
registered nurse (APRN) determines that the patient has hirsutism.
Which other diagnosis associated with this condition should be
considered by the APRN? - correct answers - Polycystic ovarian
syndrome
, When discussing sun protection with an older patient, an advanced practice
registered nurse recommends the importance of using sunblock to protect
aging skin from ultraviolet exposure when the patient will be in the sun.
Which pathologic changes due to aging of the integumentary system is this
recommendation based on? - correct answers - Decreased
melanocytes and clearance of oxidative substances from the dermis
An advanced practice registered nurse (APRN) is working with a bedbound
patient who has an area of skin tissue obscured by slough or eschar over the
left greater trochanter. Which way should this pressure injury be staged by
the APRN for treatment? - correct answers - Unstageable
A five-year-old child presents to a clinic with right inner thigh and groin pain
that radiates to the knee. The parents report to an advanced practice
registered nurse (APRN) that activity aggravates the pain, but rest relieves it.
The APRN notes the child's Trendelenburg gait. Radiographic examination
confirms a diagnosis of Legg-Calvé- Perthes disease (LCPD).
What is the pathologic cause of this disorder? - correct answers -
Recurrent interruption of the blood supply to the femoral head
A patient is discussing symptoms of fibromyalgia with an advanced practice
registered nurse (APRN) and is worried about the effect of the condition on
life. The APRN suggests treatment to help control symptoms.
Which treatment should be recommended to this patient? - correct
answers - Antidepressants and acupuncture
A small-framed, older adult patient is having problems with mobility. The
patient is treated at a hospital after a recent fall. During a follow-up visit, an
advanced practice registered nurse (APRN) diagnoses the patient with a
fragility fracture of the femur and would like to assess for additional
problems.
Which disease process should the APRN suspect in this patient? - correct
answers - Osteoporosis
An obese, middle-aged patient presents to an advanced practice registered
nurse (APRN) with complaints of heartburn, chronic cough, frequent
wheezing, laryngitis, and sinusitis.
Which pathological mechanism is associated with the probable diagnosis?
- correct answers - Abnormalities in lower esophageal sphincter function,
esophageal motility, and gastric motility or emptying
An advanced practice registered nurse (APRN) is assessing a patient who is
diagnosed with hepatitis B. The APRN is aware that the patient is in the
icteric phase of the infection.
Which finding led the APRN to this conclusion? - correct answers - Jaundice
GRADED
A+
who fell off a ladder and has a T5 compression and a compound fracture of
the femur.
The following assessment data is noted:
Vital signs: BP
102/52 Apical
pulse: 48
Weak peripheral
pulses
Flaccid lower extremities
Severe bruising of the
femur
Which type of shock
should the APRN
suspect?
- correct answers -
Neurogenic
An advanced practice registered nurse (APRN) is caring for a patient who
experienced a 20% total body surface area (TBSA) burn injury. Current
assessment findings include massive evaporative water losses, a flux of large
amounts of fluid and electrolytes in the tissues, generalized edema, and
circulatory hypovolemia. The APRN needs to take immediate action to
prevent irreversible hypovolemic shock and death.
Which priority action should be taken by the APRN? - correct answers -
Administer up to 30 L of lactated ringer solution over 24 hours
An adult patient has experienced a third-degree burn. An advanced practice
registered nurse (APRN) is attempting to calculate the total body surface
area affected using the rule of nines. The areas involved include the
anterior and posterior right arm and leg and the groin.
What is the estimated total body surface area that will be assigned by the
APRN?
- correct answers - 28%
An advanced practice registered nurse (APRN) assesses a school-aged
child with sepsis who is experiencing new symptoms of hyperthermia,
tachycardia, and tachypnea.
Which additional diagnosis should the APRN consider? - correct
answers - Systemic inflammatory response syndrome
GRADED
A+
A female patient presents with abnormal hair growth on the face and body
and reports that the hair on her head is receding. An advanced practice
registered nurse (APRN) determines that the patient has hirsutism.
Which other diagnosis associated with this condition should be
considered by the APRN? - correct answers - Polycystic ovarian
syndrome
, When discussing sun protection with an older patient, an advanced practice
registered nurse recommends the importance of using sunblock to protect
aging skin from ultraviolet exposure when the patient will be in the sun.
Which pathologic changes due to aging of the integumentary system is this
recommendation based on? - correct answers - Decreased
melanocytes and clearance of oxidative substances from the dermis
An advanced practice registered nurse (APRN) is working with a bedbound
patient who has an area of skin tissue obscured by slough or eschar over the
left greater trochanter. Which way should this pressure injury be staged by
the APRN for treatment? - correct answers - Unstageable
A five-year-old child presents to a clinic with right inner thigh and groin pain
that radiates to the knee. The parents report to an advanced practice
registered nurse (APRN) that activity aggravates the pain, but rest relieves it.
The APRN notes the child's Trendelenburg gait. Radiographic examination
confirms a diagnosis of Legg-Calvé- Perthes disease (LCPD).
What is the pathologic cause of this disorder? - correct answers -
Recurrent interruption of the blood supply to the femoral head
A patient is discussing symptoms of fibromyalgia with an advanced practice
registered nurse (APRN) and is worried about the effect of the condition on
life. The APRN suggests treatment to help control symptoms.
Which treatment should be recommended to this patient? - correct
answers - Antidepressants and acupuncture
A small-framed, older adult patient is having problems with mobility. The
patient is treated at a hospital after a recent fall. During a follow-up visit, an
advanced practice registered nurse (APRN) diagnoses the patient with a
fragility fracture of the femur and would like to assess for additional
problems.
Which disease process should the APRN suspect in this patient? - correct
answers - Osteoporosis
An obese, middle-aged patient presents to an advanced practice registered
nurse (APRN) with complaints of heartburn, chronic cough, frequent
wheezing, laryngitis, and sinusitis.
Which pathological mechanism is associated with the probable diagnosis?
- correct answers - Abnormalities in lower esophageal sphincter function,
esophageal motility, and gastric motility or emptying
An advanced practice registered nurse (APRN) is assessing a patient who is
diagnosed with hepatitis B. The APRN is aware that the patient is in the
icteric phase of the infection.
Which finding led the APRN to this conclusion? - correct answers - Jaundice
GRADED
A+
