NR 507 Final Exam Questions with Correct Answers Graded A+ 2024-2025, Exams of Nursing

Download NR 507 Final Exam Questions with Correct Answers Graded A+ 2024-2025 and more Exams Nursing in PDF only on Docsity! 1 NR 507 Final Exam Questions with Correct Answers Graded A+ 2024- 2025 What term is used to describe a hernial protrusion of a saclike cyst that contains meninges, spinal fluid, and a portion of the spinal cord through a defect in a posterior arch of a vertebra? Myelomeningocele What provides the best estimate of the functioning of renal tissue? Glomerular filtration rate Where are langerhans cells found? Skin Where in the lung does gas exchange occur? Alveolocapillary membrane The tonic neck reflex observed in a newborn should no longer be obtainable by: 5 months When renin is released, it is capable of which action? Formation of angiotensin 1 The portion of the antigen that is configured for recognition and binding is referred to as what type of determinant? epitope Which sexually transmitted infection frequently coexists with gonorrhea? Chlamydia How is the effectiveness of vitamin B12 therapy measured? Reticulocyte count Carcinoma refers to abnormal cell proliferation originating from which tissue origin? 2 Epithelial cells Which type of microorganism reproduces on the skin? Bacteria and fungi An infant has a crescendo-decrescendo systolic ejection murmur located between the second and third intercostal spaces along the left sternal border. A wide fixed splitting of the second heart sound is also found. These clinical findings are consistent with which congenital heart defect? Atrial Septal Defect An infant diagnosed with a small patent ductus arteriosus (PDA) would likely exhibit which symptom? Lack of symptoms What is the function of erythrocytes? Tissue oxygenation Which terms represent the correct nomenclature for benign and malignant tumors of adipose tissue, respectively? Lipoma, liposarcoma What is the the chance with each pregnancy that a child born to two parents with sickle trait will have sickle cell disease 25% What pulmonary defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx? Cilias The concentration of the final urine is determined by antidiuretic hormone (AHD), which is secreted by which gland? Posterior pituitary Why is the herpes virus inaccessible to antibodies after the initial infection? The virus does not circulate in the blood Which renal change is found in older adults? Decrease in the number of nephrons 5 A person with 47 XXY karyotype has the genetic disorder resulting in which syndrome klinefelter which would be considered a positive symptom of schizophrenia? auditory hallucinations what term describes the loss of the comprehension or production of language? aphasia Consanguinity refers to the mating of: persons having common family relation the major sleep center is located in which section of the brain? hypothalamus which type of ion directly controls the contraction of muscles calcium Bacteria gain access to the female urinary tract by which means? bacteria ascending the urethra into the bladder a criterion for diagnosis of generalized anxiety disorder (GAD) is a period of excessive worrying that last for at least how many months? 6 months what is the first indication of nephrotic syndrome in children? periorbital edema an amniocentesis indicates a neural tube defect when an increase in which protein is evident? alpha fetoprotein what is the risk for the recurrence of autosomal dominant diseases? 50% which term is used to identify the temporary displacement of two bones causing the bone surfaces to partially lose contact? subluxation 6 a tear in a ligament is referred to as a sprain why is prolonged diarrhea more severe in children than it is in adults? fluid reserves are smaller in children the BRCA 1 and BRCA 2 mutations increase the risk of which cancer in women ovarian insulin transports which electrolyte in the cell potassium what term is used to identify an interlacing bundle of dense, white fibrous tissue that is richly suppled with nerves, blood vessels, and lymphatic vessels? joint capsule which of the following is a lipid soluble hormone cortisol the mucosal secretions of the cervix secrete which immunoglobulin? IgA the sudden apparent arousal in which a child expresses intense fear or another strong emotion while still in a sleep state characterizes which sleep disorder? night terrors what is the basic structural unit in compact bone? Haversian system parkinson disease is a degenerative disorder of the brains basal ganglia Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain? GCT saliva contain which immunoglobulin? IgA 7 what type of fracture occurs at a site of preexisting bone abnormality and is a result of a force that would not normally cause a fracture pathologic An infant suddenly develops abdominal pain, becomes irritable (colicky), and draws up the knees. Vomiting occurs soon afterward. The mother reports that the infant passed a normal stool, followed by one that looked like currant jelly. Based on these data, which disorder does the nurse suspect? intussception in 95% of children of delayed puberty, the problem is caused by physiologic hormonal delays which characteristic is true of type 2 muscle fibers fast conduction velocities neurofibrillary tangles characterize which neurologic disorder? alzheimers disease which hormone triggers uterine contractions? oxytocin how does the release (increase) of epinephrine raise body temperature it raises the metabolic rate which hormone is linked to an increase in appetite during puberty? leptin chvostek and trousseau signs indicate which electrolyte imbalance hypocalcemia How does chest wall compliance in an infant differ from that of an adult? an adults chest wall compliance is lower than an infants What period follows depolarization of the myocardium and represents a period during which no new cardiac potential can be propagated? refractory what is the suggested mean blood pressire for an 8 to 9 year old child 10 intussusception Which dyskinesia involves involuntary movements of the face, trunk, and extremities? tardive it is true that myesthenia gravis causes muscle weakness what effect does hyperphosphatemia have on other electrolytes decreases serum calcium which pancreatic enzyme is responsible for the breakdown of carbohydrates amylase what part of the brain provides the emotional response to pain limbic the secretion of acth will result in the increased level of which hormone cortisol which clinical manifestations would be expected for a child who has complete trisomy of the twenty first chromosome an IQ of 25 to 70, low nasal bridge, protruding tongue, and flat, low-set ears which assessment finding characterizes osgood-schlatter disease tendinitis of the anterior patellar tendon Dilation of the ipsilateral pupil following uncal herniation is the result of pressure on which of the following cranial nerves? oculomotor CN III what directly causes ovulation during the mentrsual cycle sudden increase of LH what anchors cartilage to underlying bone collagen fibers 11 At 2 or 3 weeks of age, an infant who has been well fed and has gained weight begins to vomit for no apparent reason. The vomiting gradually becomes more forceful. These symptoms may be indicative of which disorder? pyloric stenosis the common property among the three types of medications used to treat depression is that they increase neurotransmitter levels within the synapse The presence of a zygote having one chromosome with the normal complement of genes and one with a missing gene is characteristic of which genetic disorder? cri du chat alterations in which part of the brain are linked to hallucinations, delusions, and thought disorders associated with schizophrenia? temporal lobe which person is at the greatest risk for developing delerium an individual on the second day after a hip replacement what term is used to identify the condition that exists when the urethral meatus is located on the undersurface of the penis hypospadius A primary care NP prescribes a nonselective NSAID for a patient who has osteoarthritis. The patient expresses concerns about possible side effects of this medication. When counseling the patient about the medication, the NP should tell this patient: to take each dose of the NSAID with a fll glass of water A patient who experiences migraines characterized by unilateral motor and sensory symptoms tells the primary care NP that despite abortive therapy with a triptan, the frequency of episodes has increased to three or four times each month. The NP should: prescribe an anticonvulsant such as topiramate A patient who has osteoarthritis is scheduled to have knee surgery. Pt takes Aspirin and Naproxen for pain and inflammation. Which statement indicates a need for further teaching? I will need to stop both meds 1 week before I have surgery 12 A patient reports having an acute onset of low back pain associated with lifting a heavy object the day before. Besides advising the patient to rest and apply ice, the primary care NP should prescribe NSAID First drug of choice for osteoarthritis acetaminophen Two main reasons that long term NSAID use is usually unadvisable GI bleeding, renal impairment What are some interventions that would decrease preventable adverse drug events? Should not take with alcohol, should not take more than recommended dose What are the main goals of treatment for osteoarthritis Reduction of pain, improved joint function, decreased joint destruction, increased quality of life. What lifestyle modifications should be suggested to decrease the pain and stress related to osteoartritis? Aerobic and strength training, weight loss to keep BMI at 20-25, cognitive behavioral therapy