week 1 to week 5 practice quiz and answers PDF

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Multiple choices and answers from week 1 to week 5...

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Quiz 1 A microvascular condition associated with damage to the small blood vessels to the glomeruli of the kidney is known as Selected Answer: b. Diabetic nephropathy 

Question 2 A variation of diabetes where the pancreas does not produce enough insulin and/or the body does not use the insulin effectively. This form of diabetes risk factors include being overweight or obese, a poor diet, inactivity, aging and a genetic predisposition Selected Answer: a. Type 2 diabetes mellitus

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Question 3 The preferred way to avoid hypoglycaemia is Selected Answer: c. Individualised treatment, blood glucose monitoring and education

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Question 4 Management of diabetes mellitus involves measuring glycated (glycosylated) haemoglobin (haemoglobin A1c) levels. The purpose of this test is to Selected Answer: a. monitor long-term blood glucose control

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Question 5 A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the registered nurse would support the patient’s ventilation? Selected Answer:

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b. Encourage the patient to sit up at the bedside in a chair and lean forward

Question 6 A registered nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need extra teaching regarding medication use? Selected Answer: a. “I have not had any acute asthma attacks during the past year.”

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Question 7 Which of the following is NOT a sign or symptom of Chronic obstructive pulmonary disease (COPD) Selected Answer: b. Rhinitis

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Question 8 Signs and symptoms that are NOT associated with Diabetic Ketoacidosis include Selected Answer: d. Bradycardia

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Question 9 The registered nurse assesses a patient with a history of asthma. Which assessment finding indicates that the nurse should take immediate action? Selected Answer: b. Use of accessory muscles in breathing

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Question 10 Asthma is thought to be caused by Selected Answer: d. Interactions between genetic and environmental factors

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Question 11 A 45-year-old female is admitted for an oral glucose tolerance test, a non-diabetic response 2 hours after consumption of a glucose drink would be Selected Answer: d. a blood glucose level < 7.8 mmol/L

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Question 12 A 62-year-old male suspected of having type 2 diabetes mellitus is most likely to present with Selected Answer: c. obesity and hyperlipidaemia

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Question 13 All of the following may be found in the walls of the respiratory bronchi except: Selected Answer: a. surfactant-producing glands

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Question 14 A person with diabetes may develop peripheral vascular disease leading to lower leg disease and potential amputation. This is a result of Selected Answer:

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d. thinning of the capillary basement membrane and endothelial hyperplasia

Question 15 Common symptoms of peripheral neuropathy include Selected Answer: b. Numbness, tingling and decreased sensation in the feet

 Multiplying heart rate by stroke volume determines: Selected Answer: b. cardiac output 

Question 2 The nurse is reviewing the laboratory results for newly admitted patients on the cardiovascular unit. Which laboratory result is most important to communicate as soon as possible to the health care provider? Selected Answer: d. High troponin I level

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Question 3 Signs of a transient ischaemic attack (TIA) depend on which part of the brain that is not getting enough blood supply. A sign that is NOT typically associated with a TIA is Selected Answer: a. Substernal pain radiating to neck and jaw

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Question 4 An intracerebral haemorrhagic stroke can occur when Selected Answer: b. hypertension causes a rupture of a blood vessel in the brain

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Question 5 A 65 year old male has been experiencing cardiac symptoms for 8 hours. Which Serum Cardiac biochemical marker is the most specific indicator of an acute myocardial

infarction: Selected Answer: b. Troponins T (cTnT) and Troponin I (cTnI) 

Question 6 A patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis. When admitting the patient, which clinical manifestation will the nurse expect to find? Selected Answer: a. Impulsive behaviour

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Question 7 An ischaemic stroke Selected Answer:

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b. results from inadequate blood flow to the brain from partial occlusion of an artery

Question 8 The chamber of the heart that generates the highest pressure is the: Selected Answer: c. left ventricle

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Question 9 When teaching about Clopidogrel, the nurse will tell the patient with cerebral atherosclerosis Selected Answer:

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a. To contact their general practitioner (GP) if they have blood in their stool.

Question 10 A patient with a left-brain stroke suddenly bursts into tears when family members visit. The nurse should: Selected Answer: c. teach the family that emotional outbursts are common after strokes

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Question 11 Which type of Angina is referred to as variant or vasospastic angina and the associated chest pain usually occurs in clusters that is not precipitated by increased cardiac demand: Selected Answer: c. Prinzmental’s Angina

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Question 12 What subjective data is important when assessing the cardiovascular system: Selected Answer:

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a. Asking the patient if they have been experiencing chest palpitations.

Question 13 When reviewing the progression of arthrosclerosis, which is considered MOST severe: Selected Answer: a. Unstable (soft) plaque formation

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Question 14 Ischaemic thrombotic stroke is caused by injury to a blood vessel wall and the formation of a blood clot. The infarction occurs when Selected Answer:

c. the process of clot formation narrows of the lumen and blocks the passage of the blood through the artery

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Question 15 A 50-year-old female receives trauma to the chest that causes severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage? Selected Answer: a. SA node

Quiz 2 

Question 1 Multiplying heart rate by stroke volume determines: Selected Answer: d. cardiac output

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Question 2 Identify non-modifiable risk factors for primary hypertension: Selected Answer:

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c. Male gender with family history of premature cardiovascular disease

Question 3 Most cases of combined systolic and diastolic hypertension with no known cause are diagnosed as which type of hypertension Selected Answer: b. primary

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Question 4 Surgical intervention for a patient with recurrent TIA's (Transient ischaemic attacks) from carotid artery disease DOES NOT include Selected Answer: c. Clipping of aneurysm

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Question 5 A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours. The most likely medication the registered nurse will need to educate the patient on is Selected Answer: b. Aspirin

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Question 6 A 53-year-old male presents with recurrent chest pain on exertion. He is diagnosed with angina pectoris. The pain he experiences occurs when: Selected Answer: c. the myocardial oxygen supply has fallen below demand

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Question 7 A 50-year-old male is diagnosed with orthostatic hypotension. Which of the following symptoms would he most likely experience? Selected Answer: a. syncope and fainting

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Question 8 If the Femoral Arteries are impaired, the patient is MOST likely to present with symptoms of:

Selected Answer: c. Peripheral vascular disease 

Question 9 Which type of Angina is referred to as variant or vasospastic angina and the associated chest pain usually occurs in clusters that is not precipitated by increased cardiac demand: Selected Answer: c. Prinzmental’s Angina

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Question 10 Which of the below is a coronary artery vasodilator that decreases afterload: Selected Answer: d. verapamil

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Question 11 Which medication combination therapy is recommended for ST-segment myocardial infarction (STEMI) within 24-hours of symptom onset Selected Answer:

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Question 12 Which combination therapy is recommended to manage hypertension post myocardial infarction or in patients with heart failure Selected Answer:

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c. angiotensin converting enzyme (ACE) inhibitors or ARBs (angiotensin-receptor blockers) plus potassium-sparing diuretic

Question 13 A patient with a left-brain stroke suddenly bursts into tears when family members visit. The nurse should: Selected Answer:

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d. Antiplatelet therapy, glyceryl trinitrate, beta-adrenergic blocker, calcium channel blockers, angiotensin converting enzyme inhibitors, Lipid-lowering medication

c. teach the family that emotional outbursts are common after strokes

Question 14 Loss of function from a stroke varies according to the location and extent of brain tissue involved. If the stroke occurred on the right side of the brain the patient may display loss of function in: Selected Answer: c. Logic

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Question 15 Non-Modifiable risks for Cardiovascular disease risk assessment include: Selected Answer: c. Family history

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Question 1 A person with diabetes may develop peripheral vascular disease leading to lower leg disease and potential amputation. This is a result of Selected Answer:

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d. thickening of the capillary basement membrane and endothelial hypoplasia

Question 2 Asthma is thought to be caused by Selected Answer: b. interactions between genetic and environmental factors

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Question 3 A 12-year-old female is newly diagnosed with type 1 diabetes mellitus. Which of the following is the most likely cause of her disease? Selected Answer: a. immune destruction of the pancreas

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Question 4 Which of the following is NOT a sign or symptom of Chronic obstructive pulmonary disease (COPD) Selected Answer: c. Rhinitis

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Question 5 Clinical manifestations of diabetes insipidus include: Selected Answer: a. polyuria and intense thirst

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Question 6 Which of the following inhaled short acting bronchodilator medication (SABA) is effective at relieving acute bronchospasm and is known as the “rescue medication” Selected Answer: a. Beta 2 Adrenergic agonist medication

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Question 7 The use of positioning techniques that drain secretions from specific sections of the lungs and bronchi into the trachea is called Selected Answer: b. Postural drainage

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Question 8 A 24 year old asthmatic has just walked off the soccer field after a grand final match. He is experiencing an acute asthma attack as evidenced by dyspnoea, tachypnoea, and a moderate wheeze. He also has a hyper-inflated chest as he is finding it hard to breathe out. Which MDI medication would be the first step for immediate symptom relief Selected Answer: c. Salbutamol

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Question 9 Which of the following is an anti-inflammatory medication that reduces bronchial hyper-

responsiveness, blocks the late-phase response and inhibits the migration of inflammatory cells Selected Answer: b. Corticosteroids 

Question 10 A diagnosis of diabetes mellitus can be confirmed by a fasting blood glucose level of Selected Answer: b. 7.0 mmol/L or greater

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Question 11 Signs and symptoms that are NOT associated with Diabetic Ketoacidosis include Selected Answer: c. Bradycardia

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Question 12 A patient seen in the asthma clinic has recorded daily peak flow rates that are 75% of the baseline. Which action will the nurse plan to take next? Selected Answer: d. Administer a bronchodilator and recheck the peak flow

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Question 13 The Somogyi effect is a unique combination of Selected Answer: d. Hyperglycaemia followed by hypoglycaemia

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Question 14 A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the registered nurse would support the patient’s ventilation? Selected Answer:

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a. Encourage the patient to sit up at the bedside in a chair and lean forward

Question 15 Insulin resistance is defined as Selected Answer: b. An ineffective response to insulin at the target cells

Quiz 3 

Question 1 1 out of 1 points During a respiratory assessment of an infant with respiratory distress syndrome, a sinking in the supraclavicular and intercostal areas of the thorax was noted with inspiration. This observation is called: Selected Answer: b. Retractions

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Question 2 1 out of 1 points A young patient is admitted to the paediatric unit with cystic fibrosis exacerbation. The main cause of respiratory difficulties in individuals with cystic fibrosis is

Selected Answer: a. recurrent pneumonia 

Question 3 1 out of 1 points Which of the following is not a risk factor for paediatric stroke Selected Answer: d. cystic fibrosis

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Question 4 1 out of 1 points A detached blod clot is called a Selected Answer: b. Thromboembolus

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Question 5 1 out of 1 points A 15-year-old female is diagnosed with restrictive lung disease caused by cystic fibrosis. Which of the following is expected? Selected Answer: d. decreased tidal volume

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Question 6 1 out of 1 points Common symptoms of peripheral neuropathy include Selected Answer: d. Numbness, tingling and decreased sensation in the feet

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Question 7 1 out of 1 points Insulin resistance is defined as Selected Answer: a. An ineffective response to insulin at the target cells

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Question 8 0 out of 1 points Which if the following is an inappropriate management strategty for chlildhood obesity Selected Answer: a. encouragement of physical activity

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Question 9 1 out of 1 points Which of the following is not a management technique for cystic fibrosis relatd lung disease Selected Answer: b. Spirometry

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Question 10 1 out of 1 points A patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis. When admitting the patient, which clinical manifestation will the nurse expect to find?

Selected Answer: b. Difficulty comprehending instructions 

Question 11 1 out of 1 points When considering childhood developmental stages, what are important factors to consider for a toddler age group: Selected Answer:

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b. they are exploring the beginnings of autonomy. Chronic illness can impair physical milestones

Question 12 1 out of 1 points A 12-year-old female is newly diagnosed with type 1 diabetes mellitus. Which of the following is the most likely cause of her disease? Selected Answer: c. immune destruction of the pancreas

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Question 13 1 out of 1 points A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours. The most likely medication the registered nurse will need to educate the patient on is Selected Answer: d. Aspirin

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Question 14 1 out of 1 points Which of the following is not a clinical charactersitic of cystic fibrosis Selected Answer: Renal disease

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Question 15 1 out of 1 points Which of the following is a true statement regarding cystic fibrosis Selected Answer: d. There is a decrease in fat absorption

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Question 1 0 out of 1 points A registered nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need extra teaching regarding medication use? Selected Answer:

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d. “I’ve been taking Paracetamol 1000 mg every 8 hours for musculoskeletal chest pain.”

Question 2 1 out of 1 points Which of the following is not a risk factor for paediatric stroke

Selected Answer: a. cystic fibrosis 

Question 3 1 out of 1 points What is the MOST common long term chronic condition affecting children and young people in Australia? Selected Answer: b. Asthma

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Question 4 1 out of 1 points A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours. The most likely medication the registered nurse will need to educate the patient on is Selected Answer: a. Aspirin Question 5 All of the following may be found in the walls of the respiratory bronchi except: Selected Answer: d. surfactant-producing glands

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Question 6 A 12-year-old female is newly diagnosed with type 1 diabetes mellitus. Which of the following is the most likely cause of her disease? Selected Answer: a. immune destruction of the pancreas

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Question 7 A detached blod clot is called a Selected Answer: b. Thromboembolus

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Question 8 1 out of 1 points The registered nurse assesses a patient with a history of asthma. Which assessment finding indicates that the nurse should take immediate action? Selected Answer: a. Use of accessory muscles in breathing

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Question 9 1 out of 1 points Common symptoms of peripheral neuropathy include Selected Answer: d. Numbness, tingling and decreased sensation in the feet

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Question 10 0 out of 1 points The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD). How should the nurse determine the appropriate O2 flow rate?

Selected Answer: c. Administer O2 according to the patient’s level of dyspnoea 

Question 11 A diagnostic study that measures the amount of glycosylated haemoglobin (glucose adhering to red blood cells) to provide a measurement of blood glucose levels from the previous 2-3 months Selected Answer: a. HbA1c (also known as A1C)

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Question 12 A patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering medications, the patient says, “I don’t need the aspirin today. I don’t have a fever.” Which is the first action the nurse should take? Selected Answer: a. Explain that the aspirin is ordered to decrease stroke risk

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Question 13 Which of the following is not a known risk in the antenatal and birth period Selected Answer: b. age of the father Question 14 Pulmozyme is a nebulised form of Mucolytic that can be used to manage symptoms of: Selected Answer: a. Cystic fibrosis

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Question 15 Which of the following is not a secondary cause of wheeze (other than asthma) in children Selected Answer: b. renal failure...