Solutions
A 10-year-old presenting to the ED with lymphadenopathy,
nephralgia, and nose bleeds is diagnosed with rheumatic heart
disease. What is the likely cause? Correct Answers Group A
streptococci
A 15-year-old with a peanut allergy eats a peanut butter cup and
goes into anaphylactic shock. What assessment findings would
the nurse expect to see? [select all] Correct Answers
Bronchoconstriction
Hypotension
Edema
Urticaria
A 20-year-old female was admitted with a fever and septic
shock. What assessment findings would the nurse expect to see?
[select all] Correct Answers Tachycardia
Hypotension
A 20-year-old reports difficult breathing when laying down.
How would this be charted? Correct Answers Orthopnea
A 21-year-old female recently diagnosed with iron deficiency
anemia. In addition to fatigue and weakness, which of the
following clinical signs/symptoms might a nurse see with this
patient?
a. Hyperactivity
b. Spoon-shaped nails
, c. Gait problems
d. Petechia Correct Answers b. Spoon-shaped nails
A 22-year-old with chronic bronchitis comes into the clinic.
Tests reveal closure of the airway during expiration. This
condition is likely caused by what? Correct Answers Thick
mucus from hypertrophic glands
A 30-year-old presents to the ED with hematuria, menorrhagia,
and bleeding gums. They are diagnosed with immune
thrombocytopenic purpura. The nurse realizes the most likely
cause of this is which of the following?
a. Allergy induced platelet lysis
b. Immune response to hypersplenism
c. Antibody destruction of platelets
d. T-cell injury Correct Answers c. Antibody destruction of
platelets
A 30-year-old presents to the ED with severe chest pain that
worsens with respirations or laying down. Upon assessment, the
nurse notes a fever, tachycardia, and a friction rub is heard when
auscultating the heart. What does the patient likely have?
Correct Answers Acute pericarditis
A 40-year-old develops disseminated intravascular coagulation
(DIC). Upon obtaining the patient's history, which of the
following is the nurse most likely to find as the cause? Correct
Answers Sepsis