VATI Med-Surg Pre-Assessment Exam (Latest Update 2024 / 2025) | Review Questions and Verified Answers | 100% Correct | Grade A
Question:
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of...
VATI Med-Surg Pre-Assessment
Exam (Latest Update ) |
Review Questions and Verified
Answers | 100% Correct | Grade A
Question:
A staff nurse is teaching a client who has Addison's disease about the disease
process. The client asks the nurse what causes Addison's disease. Which of
the following responses should the nurse make?
A. "It is caused by the lack of production of insulin by the pancreas.."
B. "It is caused by the lack of production of aldosterone by the adrenal gland."
C. "It is caused by the overproduction of growth hormone by the pituitary
gland."
D. "It is caused by the overproduction of parathormone by the parathyroid
gland."
Answer:
B. "It is caused by the lack of production of aldosterone by the adrenal gland."
Addison's disease is caused by a lack of production of the adrenocorticotropic
hormones (cortisol and aldosterone) by the adrenal gland.
A client who does not produce insulin has type 1 diabetes mellitus. A client
who has an overproduction of the growth hormone has acromegaly. A client
,who has hyperparathyroidism produces an excessive amount of
parathormone.
Question:
A nurse in an emergency department is caring for a client who reports
substernal chest pain and dyspnea. The client is vomiting and is diaphoretic.
Which of the following laboratory tests are used to diagnose a myocardial
infarction? (Select all that apply)
A. Troponin I
B. Troponin T
C. Plasma low-density lipoproteins (LDL)
D. CPK
E. Myoglobin
Answer:
A. Troponin I
B. Troponin T
D. CPK
E. Myoglobin
Troponin I is a myocardial muscle protein that is released when there is injury
to cardiac muscle. Levels are elevated as early as 2 to 3 hr following a
myocardial infarction. Troponin T is a myocardial muscle protein that is
released when there is injury to cardiac muscle. Levels are elevated as early as
2 to 3 hr following a myocardial infarction. CPK, or creatine phosphokinase, is
an enzyme that is elevated in the presence of muscle injury. Although CPK is
not specific for myocardial damage, it is used in conjunction with other
diagnostic tests to support a diagnosis of myocardial infarction. A CPK
, isoenzyme, CK-MB, is specific to cardiac muscle and a significant elevation in
this isoenzyme indicates a myocardial infarction has occurred. Elevation of
myoglobin indicates myocardial injury. Myoglobin levels will significantly
increase within approximately 3 hours following myocardial infarction. This
test is used in conjunction with other diagnostic tests to support a diagnosis
of myocardial infarction.
Question:
A nurse is caring for a client who is postoperative following an open reduction
internal fixation (ORIF) of a femur fracture. Which of the following
parameters should the nurse include in the evaluation of the neurovascular
status of the client's affected extremity? (Select all that apply.)
A. Color
B. Temperature
C. Ecchymosis
D. Skin integrity
E. Sensation
Answer:
Clients who have sustained trauma to an extremity, such as a fracture, are at
increased risk for neurovascular compromise. The nurse should check the
color of the client's affected extremity as part of this assessment. The nurse
should identify pallor or cyanosis of the extremity as an indication of
peripheral neurovascular dysfunction and should notify the provider.
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