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Mcb Mcb
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Posts: 76
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6 years ago
A nursing educator is speaking with a group of new graduates about a patient who has acute glomerulonephritis. The educator should tell the nurses that the patient may exhibit which of the following clinical manifestations?
 
  A) Hematuria
  B) Decrease in serum creatinine levels
  C) Hypotension
  D) Glucosuria

Question 2

A 77-year-old female patient who is recovering in the hospital from a total knee replacement has rung her call bell and told the nurse that she needs pain medication. When assessing the patient's pain, what principle should the nurse bear in mind?
 
  A) Older adults tend to have a blunted pain sensation, so complaints should be followed-up promptly.
  B) Older adults frequently confuse pain with other tactile sensations.
  C) Pain in older adults is often unrelated to physical harm or pathophysiological processes.
  D) The sensation of pain increases with age, so older adults typically feel more pain for a longer period than younger patients.

Question 3

A 68-year-old woman has experienced multiple urinary tract infections over the past several months, and her care provider suspects a structural problem with her bladder or urethra.
 
  To directly visualize these structures, what diagnostic test may be ordered?
  A) Cystoscopy
  B) Ureteral brush biopsy
  C) Urinalysis
  D) Renal biopsy

Question 4

A 78-year-old resident of a long-term care facility has left the majority of his supper tray untouched, and the nurse has asked him about the reason for this. The resident states, For a long time now, food just doesn't taste as well as it used to.
 
   The nurse should be aware that the etiology of this problem is most likely to involve:
  A) Cranial nerve dysfunction
  B) An upper motor neuron lesion
  C) Age-related changes to the neurological system
  D) The development of a posterior spinal nerve lesion

Question 5

Diagnostic testing of a patient with a history of chronic renal failure has been ordered. The care provider has ordered a test of the patient's creatinine clearance in an effort to gauge the progression of his disease.
 
  The nurse understands that this test reflects what aspect of the kidney structure and function?
  A) The volume of blood that the kidneys are able to filter in a given time
  B) The kidneys' ability to accommodate changes in blood pH
  C) The locations in the renal tubules where excretion and resorption are occurring
  D) The combined volume of the renal pelvises and the ureters

Question 6

A patient has suffered cerebellar trauma after falling off of a ladder. The patient has been stabilized and is now receiving care on a neurological unit.
 
  When planning this patient's care, what nursing diagnosis is most likely to result from an injury to this part of the brain?
  A) Risk for aspiration
  B) Risk for falls
  C) Risk for ineffective thermoregulation
  D) Risk for ineffective breathing pattern

Question 7

A patient with a history of type 1 diabetes is being assessed for possible diabetic nephropathy, and a component of the ordered diagnostic evaluation is a urinalysis.
 
  This patient's ability to concentrate urine would be reflected in what component of urinalysis?
  A) Osmolality
  B) Red blood cells
  C) Glucose
  D) White blood cells

Question 8

The nurse has paged a hospital patient's primary care provider because the patient's urine output over the past 12 hours is approximately 140 mL. The nurse would recognize that this patient is experiencing what health problem?
 
  A) Enuresis
  B) Polyuria
  C) Dysuria
  D) Oliguria

Question 9

A nurse who works in a neurological rehabilitation facility is aware of the complex structure and function of the nervous system. Which of the following statements most accurately describes an aspect of the structure of the neurological system?
 
  A) The sympathetic nervous system is a component of the peripheral nervous system (PNS).
  B) The cranial nerves and spinal nerves are components of the central nervous system (CNS).
  C) The somatic nervous system consists of sympathetic and parasympathetic branches.
  D) The PNS is a component of the CNS.
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jenngeraghtyjenngeraghty
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Posts: 174
6 years ago
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4 years ago
thanks!
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