Question

An older adult man reports recent urinary hesitation and is eventually diagnosed with benign prostatic hyperplasia (BPH). Which clinical manifestations would the health care provider expect prior to the resolution of this health problem?

	A.	Urinary frequency and urgency and pain
	B.	Development of renal calculi and renal cysts
	C.	Unilateral hydronephrosis and pain
	D.	Development of glomerulonephritis or nephritic syndrome

In the early morning, a parent brings the 5-year-old child to the emergency room. The child is wheezing, short of breath, and has a dry cough. The parent states that the child has always been very healthy. The child went to bed with only a slight cold and a runny nose but woke up coughing shortly after 4 a.m. The symptoms worsened so dramatically that parent brought the child to the hospital. The care team would most likely suspect that the child has:

	A.	respiratory syncytial virus.
	B.	influenza.
	C.	asthma.
	D.	pneumonia.

young adult with a history of intermittent flank pain, repeated urinary tract infections (UTIs), and hematuria is diagnosed with autosomal dominant polycystic kidney disease (ADPKD). Which pathophysiologic abnormality most likely has contributed to the development of ADPKD?

	A.	UTIs coupled with an impaired immune response have caused the ADPKD.
	B.	The client has inherited a tendency for epithelial cells in the tubules to proliferate inappropriately.
	C.	Severe hypertension and portal hypertension are likely precursors.
	D.	The client has inherited undersized kidneys that are prone to calculi formation.

You are caring for a group of clients and deciding who should receive prophylaxis for venous thromboembolism (VTE). Which clients should the nurse identify at high risk for VTE? Select all that apply.

	A.	A 65-year-old who had a stroke and is now immobile
	B.	A 25-year-old on oral contraceptives who smokes
	C.	An 76-year-old with hypertension and fatty liver disease
	D.	A 45-year-old with a fractured patella
	E.	A 22-year-old with pyelonephritis

A client is undergoing an endoscopic resection of the bladder for cancer and the provider has asked the nurse to prepare for intravesical chemotherapy. Which medication will the nurse prepare?

	A.	Lidocaine
	B.	Doxorubicin
	C.	Pembrolizumab
	D.	DTaP

Which clinical manifestations would lead the nurse to suspect that a client with renal failure is developing uremia? Select all that apply.

	A.	Weakness and fatigue.
	B.	Lethargy and confusion.
	C.	Extreme itching.
	D.	Blood in urine.
	E.	Urine smell in the stool

You are caring for a 67-year-old client who has been diagnosed with pneumonia. The vital signs are temperature 101.7°F (38.7°C), blood pressure 155/95, respiratory rate 26, and heart rate 88. Which interventions should you incorporate into the client's plan of care? Select all that apply.

	A.	Administer antipyretics as ordered.
	B.	Administer antitussives as ordered.
	C.	Encourage deep breathing and coughing.
	D.	Elevate the client's legs periodically.
	E.	Encourage fluid intake.

Which pain descriptions would lead you to suspect the client is experiencing ureteral colic?

	A.	Right upper quadrant pain that worsens with deep breaths and palpation
	B.	Excruciating pain in the flank and upper outer quadrant of abdomen that radiates to bladder area
	C.	Pain described as "fire poking in my side" pulsating with every heartbeat but decreases when in fetal position
	D.	Perineal pain that increases when urinating and then lessens until time to urinate again

Answer 1

A) urinary frequency and urgency and pain - because this is due to enlarged prostate

B) a) RSV because it resembles with symptoms the child has presented like runny nose dry cough wheezing shortness of breath .
Other options mentioned like asthma influenza and pneumonia doesn't present with these symptoms.
C) b) the client has an inherited tendency for epithelial cells in the tubule to proliferate I appropriately .
D) a) b) e) these people need prophylaxis for VTE because the risk I'm a ) the patient is elderly and immobile

b) 25yrs old who smokes and is on ocp which is a risk factor for VTE .
e) 22yrs opd with pyelonephritis- it's is a serious infection of the kidney so .
d) fracture of patella - not required prophylaxis because it's a small bone .