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Complicated Pregnancy (PEARLS) Smarty PANCE Questions and Answers Rated A

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What is the most likely disorder in a bleeding pregnant patient with an extremely elevated beta HCG?- Gestational Trophoblastic Disease Premature separation of the placenta from the uterine wall?- Abruptio placentae Surgical incision of the abdominal wall and uterus to de

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Chronic Kidney Disease (Smarty PANCE) Test Questions and Answers Rated A

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What is the definition of chronic kidney disease (CKD)?- Evidence of structural or functional kidney abnormalities (abnormal urinalysis, imaging studies, or histology) that persist for at least 3 months, with or without a decreased GFR (as defined by a GFR of <60 mL/min/1.73 m2). What is the definition of stage I CKD?- GFR ≥ 90 mL/min/1.73 m2 (with urinary abnormalities such as pr

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Ankylosing spondylitis (Smarty PANCE) Questions and Answers

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Patients with ankylosing spondylitis often present with what chief complaint?- Patients with ankylosing spondylitis often present with a chief complaint of chronic low back pain + morning stiffness with radiation to the thighs and decreased range of motion What is the gold standard for evaluating and supporting the diagnosis of ankylosing spondylitis?- Radiography is the gold standard for evalua

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Acute Disorders (PEARLS) Glomerulonephritis, Nephrotic Syndrome, and Pyelonephritis Test Questions and Answers

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What are the characteristics of glomerular disease?- Proteinuria, hematuria (microscopic or gross), renal insufficiency, and HTN. Depending upon the cause, systemic symptoms may also be present. A 10 y/o is brought to the clinic with her mother for dark urine. The mother mentions that the child was complaining of sore throat and cough/cold symptoms two ago. The urine shows gross hematuria without nitrites or leukocytes.- Postinfectious (Poststreptococcal) glomerulonephritis What is t...

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Acromegaly and gigantism (Smarty PANCE) Test Questions and Answers Rated A

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What is the most common cause of gigantism and acromegaly?- Gigantism and acromegaly are usually caused by a pituitary adenoma that secretes excessive amounts of Growth Hormone (GH). Rarely, they are caused by non-pituitary tumors that secrete GHRH. What differentiates gigantism from acromegaly?- Gigantism

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DRUGS USED IN THE MANAGEMENT OF ASTHMA AND COPD TEST QUESTIONS AND ANSWERS RATED A

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Match the drug class to its mechanism of action. Decrease production/release of leukotrienes, histamine, & prostaglandins Inhibit muscarinic receptors in the lungs to improve lung function Relax bronchial smooth muscle to cause bronchodilation Stimulate

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HESI CASE STUDY - COPD with Pneumonia (2025 Update) with 100% Correct Answers

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Which assessment is most important for the nurse to complete next? - ANSWER - Auscultate breath sounds Which assessment finding supports Mr. Johnson's diagnosis of pneumonia? - ANSWER -Pulse rate of 110 Based on t

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NCLEX REVIEW: PNEUMONIA, COPD, ASTHMA TEST QUESTIONS AND ANSWERS RATED A

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The nurse reviews an arterial blood gas report for a client with chronic obstructive pulmonary disease (COPD). pH 7.35; PC02 62; PO2 70; HCO3 34 The nurse should: 1. Apply a 100% non-rebreather mask. 2. Assess the vital signs. 3. Reposition the client. 4. Prepare for intubation. - ANSWER -2. Clients with chronic COPD have CO2 retention and the respiratory drive is stimulated when the PO2 decreases. The heart rate, respiratory rate, and blood pressure should be evaluated to determine ...

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NSG307 Pituitary Chapter 30 NCLEX Test Questions and Answers Rated A

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The nurse would question a prescription for somatropin (Genotropin) in a patient with which condition? A. Dwarfism B. Acromegaly C. Growth failure D. Hypopituitarism - ANSWER -B. Somatropin is a synthetic form of human growth hormone. Acromegaly is caused by excessive growth hormone, and thus this drug would be contraindicated. Which is a priority nursing diagnosis for a patient receiving desmopressin (DDAVP)? A. Risk for injury B. Acute pain C. Excess fluid volume D. Deficient k...

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NSG318 Topic 4 Test Questions and Answers Rated A

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What are the physiologic changes of a geriatric patient? - ANSWER -reduction in total body water and lean body mass increase in body fat reduction in kidney and liver mass and function reduction in process that maintains equilibrium What affects absorption in a geriatric patient? - ANSWER -GI changes decrease in bowel surface area slowed gastric emptying decrease gastric blood flow decrease swallowing ability decreased nutrition What affects distribution in geriatric patients? - A

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