Question

Question 1.) The client has a diagnosis of primary hypertension (HTN). Which sign and symptom would the client complain of? Select one:

a. nosebleeds

b. blurred vision

c. headache

d. No sign or symptoms

Question 2.) A 75-year-old male is brought to the emergency department. He is complaining of chest pain, headaches, and blurred vision. He states that he has a history of hypertension but has not been taking his medication. He has been under a great deal of stress at work. Vital signs are: • Blood pressure 210/130 mm Hg • Pulse 110 beats/minute • Regular respiratory rate of 18 breaths/mi • Breath sounds are clear and equal bilaterally • Pulse oximetry is 98% on room air Based on the above assessment findings, what might this client be experiencing? Select one:

a. pneumonia

b. hypertensive crisis

c. pericarditis

d. asthma

Question 3) A clinical instructor is providing teachings among nursing students about the stages of pertussis. While the client is experiencing the "whooping cough", what stage of infection are they experiencing? Select one:

a. Convalescent

b. Resolution

c. Prodromal

d. Incubation

e. Acute

Question 4) The nurse has obtained a family health history from the client. What analysis/display helps the nurse determine clues about genetic assessment? Select one:

a. Genogram

b. Karyotyping

c. Southern blotting technique

d. Chorionic villus samplin

Question 5) While the client is resting in bed, which cardiac output value would be concerning to the nurse? Select one:

a. 5.0 L/min

b. 3.2 L/min

c. 4.1 L/min

d. 4.8 L/min

Question 7) Which clinical presentation (sign and symptoms) should a nurse assess for in a client who has peripheral artery disease (PAD)? Select one:

a. Lower extremity cool to touch with pedal pulse present

b. Increase sensation to the touch

c. Absence of pulse in lower extremities

d. Throbbing pulse in the lower extremities

Question 8) What is a risk factor for hypertension? Select one:

a. eating spicy foods

b. cigarette smoking

c. drinking herbal tea

d. limiting the consumption of red meats

Question 9) What substance is the initial response to tissue injury in the extrinsic pathway? Select one:

a. thrombin

b. tissue thromboplastin

c. fibrinogen

d. prothrombin

Question 10) What is the process where the DNA structure uncoil and separate to form the RNA? Select one:

a. Translation

b. Anaerobic metabolism

c. Analysis

d. Transcription

Question 11) The nurse is administering immunizations at a health care clinic. What does the immunization provide? Select one:

a. Protection from all disease

b. Acquired immunity from disease

c. Innate immunity from disease

d. Natural immunity from disease

Question 12) Which client's blood type is known as universal a donort? Select one:

a. A negative

b. AB positive

c. O negative

d. B positive

Question 13) What clinical manifestation is observed with hypocalcemia and hypomagnesemia? Select one:

a. anorexia and nausea

b. tetany

c. constipation

d. lack of coordination

Question 14) Which condition associated with hypercoagulability is due to enhanced coagulation factor formation? Select one:

a. Range of motion exercise

b. Pneumonia

c. Myocardial Infarction

d. atrial fibrillation

Question 15) A nurse is evaluating a patient in relatively poor health. The greatest risk of developing left ventricular failure arises from? Select one:

a. Pulmonary stenosis

b. Blood pressure 180/100 mmHg

c. Mild rheumatic heart disease

d. Myocardial infarction in the right ventricle

Question 17)  The client's ECG monitor is displaying an absence of coordinated rhythmic atrial contractions, multiple fibrillatory waves, and normal QRS complex configurations. The ventricular rate is rapid. Which type of dysrhythmia is this? Select one:

a. Premature Ventricular contractions

b. Atrioventricular block

c. Ventricular fibrillation

d. Atrial Fibrillation

Question 18 ) The BRCA1 gene has an 85% penetrance for developing cancer. A female patient, age 24 years, is shown to be homozygous for BRCA1. Which response is accurate by the nurse? Select one:

a. "You will never be able to have children"

b. "You need a double mastectomy immediately."

c. "This gene hardly ever causes cancer and do not need to worry."

d. "The presence of the BRCA1 gene indicates a higher probability of developing cancer."

Question 19) The nurse is talking with a husband whose wife served in the military. His wife suffered a below-the-knee amputation. The husband states that his wife is constantly complaining of her amputated leg hurting. He is confused as to why the leg can hurt when it is no longer even present. What type of pain is she experiencing? Select one:

a. somatic pain

b. phantom pain

c. neuropathic

d. nociceptive

Question 20) Which of the following conditions is the most significant risk factor for developing hypernatremia (excessive serum sodium)? Select one:

a. hypoaldosteronism

b. vomiting

c. diarrhea

d. severe dehydration

Question 21) The client is experiencing right-sided congestive heart failure. What is the most frequent cause of right-sided failure? Select one:

a. Myocardial infarction

b. Atherosclerosis

c. Primary hypertension

d. Pulmonary hypertension

Question 22 ) A nursing student is reviewing blood flow through the heart. The student is identifying the valve allowing movement of blood from the left atrium to the left ventricle. Which valve is listed? Select one:

a. Mitral valve

b. Tricuspid valve

c. Aortic vlve

d. Pulmonic valve

Question 23) A physician wants to further evaluate and assess the presence of a heart murmur heard upon auscultation of the client. Which diagnostic test is the best choice? Select one:

a. Coronary angiography

b. Echocardiography

c. Electrocardiography (ECG)

d. Exercise stress test

Question 24) An unconscious client is brought to the hospital. Lab values are: • pH 7.49, • PaO2 – 88, • PaCO2 23, • HCO3 36. Which acid-base imbalance has the client developed? Select one:

a. Metabolic acidosis

b. Metabolic alkalosis

c. Respiratory alkalosis

d. Respiratory acidosis

Question 25) When a cell gets injured, the first sign is? Select one:

a. biochemical lesion

b. cellular division

c. an area of hyperplasia )

d. a chromatid

Answer 1

Essential hypertension that is also known as the primary hypertension is the high blood pressure in an individual which occur that due to an unknown caus when compared to the known secondary cause. . Blood pressure in our human body is specificaly the force of the blood against that of our human artery walls when our human heart pumps the blood through that of our human body.

No main signs and symptoms occur as q result of Primary hypertension as it is the regulation of blood pressure in our body as the need arises. So Option d is the correct answer

Option a is wrong as nose bleeding wil only occur as a result of Very extraneous blood pressure but not in case of essential hypertension

Option b is wrong as blurred vision is not usually seen in primary hypertension

Option c is wrong as headache also is not seen in primary hypertension