D115 Advanced Pathophysiology Exam With Correct Answers

D115 Advanced Pathophysiology
Exam With Correct Answers




An advanced practice registered nurse (APRN) is caring for an adult patient who fell off a ladder and has a T5
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compression and a compound fracture of the femur.
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The following assessment data is noted:
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Vital signs: BP 102/52
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Apical pulse: 48 J J




Weak peripheral pulses
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Flaccid lower extremities J J




Severe bruising of the femur J J J J




Which type of shock should the APRN suspect?CORRECT ANSWERS✔✔Neurogenic
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An advanced practice registered nurse (APRN) is caring for a patient who experienced a 20% total body
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surface area (TBSA) burn injury. Current assessment findings include massive evaporative water losses, a flux
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of large amounts of fluid and electrolytes in the tissues, generalized edema, and circulatory hypovolemia.
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The APRN needs to take immediate action to prevent irreversible hypovolemic shock and death.
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Which priority action should be taken by the APRN?CORRECT ANSWERS✔✔Administer up to 30 L of lactated
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ringer solution over 24 hours
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, An adult patient has experienced a third-degree burn. An advanced practice registered nurse (APRN) is
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attempting to calculate the total body surface area affected using the rule of nines. The areas involved
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include the anterior and posterior right arm and leg and the groin.
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What is the estimated total body surface area that will be assigned by the APRN?CORRECT ANSWERS✔✔
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28%



An advanced practice registered nurse (APRN) assesses a school-aged child with sepsis who is experiencing
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new symptoms of hyperthermia, tachycardia, and tachypnea.
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Which additional diagnosis should the APRN consider?CORRECT ANSWERS✔✔Systemic inflammatory
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response syndrome
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A female patient presents with abnormal hair growth on the face and body and reports that the hair on her
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head is receding. An advanced practice registered nurse (APRN) determines that the patient has hirsutism.
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Which other diagnosis associated with this condition should be considered by the APRN?CORRECT ANSWERS
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✔✔Polycystic ovarian syndrome J J




When discussing sun protection with an older patient, an advanced practice registered nurse recommends
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the importance of using sunblock to protect aging skin from ultraviolet exposure when the patient will be in
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the sun.
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Which pathologic changes due to aging of the integumentary system is this recommendation based
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on?CORRECT ANSWERS✔✔Decreased melanocytes and clearance of oxidative substances from the dermis
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An advanced practice registered nurse (APRN) is working with a bedbound patient who has an area of skin
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tissue obscured by slough or eschar over the left greater trochanter.
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Which way should this pressure injury be staged by the APRN for treatment?CORRECT ANSWERS✔✔
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Unstageable



A five-year-old child presents to a clinic with right inner thigh and groin pain that radiates to the knee. The
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parents report to an advanced practice registered nurse (APRN) that activity aggravates the pain, but rest
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