Exam (elaborations)
NURS 631 FINAL EXAM.pdf
- Course
- Institution
NURS 631 FINAL EXAM.pdf
[Show more]
Content preview
NUR 631 FINAL EXAM, PRACTICE EXAMAND STUDY GUIDE NEWEST 2024 ACTUAL
EXAM 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which disorder is characterized by damage to the mucosa of
the duodenum and jejunum and impaired secretion of
secretin, cholecystokinin, and pancreatic enzymes?
a. Wilson disease
b. Cystic fibrosis
c. Gluten/sensitive enteropathy
d. Galactosemia - ....ANSWER...c. Gluten/sensitive
enteropathy
EXPLANATION: Gluten/sensitive enteropathy is
characterized by damage to the mucosa of the duodenum
and jejunum and has secondary effects that exacerbate
malabsorption. The secretion of intestinal hormones, such as
secretin and cholecystokinin, may be diminished. Because
these chemical messengers are scarce, secretion of
pancreatic enzymes and expulsion of bile from the
gallbladder decrease. These statements are not true of the
other options. page 1495
What factor associated with gluten/sensitive enteropathy
(celiac sprue) causes an infant to bruise and bleed easily?
,a. Vitamin K deficiency from fat malabsorption
b. Bone marrow function depression
c. Iron, folate, and B12 deficiency anemias
d. Prescribed daily warfarin ;Coumadin - ....ANSWER...a.
Vitamin K deficiency from fat malabsorption
Explanation: Deficiencies of fat/soluble vitamins (such as
vitamin K) are common in children with gluten/sensitive
enteropathy. Vitamin K malabsorption leads to
hypoprothrombinemia, causing the child to bruise and bleed
easily. This selection is the only option that accurately
describes the mechanism that causes bruising and bleeding
in children diagnosed with celiac sprue. page 1497
In an infant who is 6 weeks old, an increase in bilirubin
production and persistent jaundice support which diagnosis?
a. Pathologic hyperbilirubinemia
b. Physiologic Jaundice
c. Hepatitis A
d. Infantile cirrhosis - ....ANSWER...a. Pathologic
hyperbilirubinemia
Explanation: Physiologic jaundice develops during the
second or third day after birth and usually subsides in 1 to 2
weeks in full/term infants and in 2 to 4 weeks in premature
infants. After this development, increased bilirubin values
and persistent jaundice indicate pathologic
hyperbilirubinemia. This selection is the only option that
accurately identifies the diagnosis associated with these
symptoms and timeline. page 1500 - 1501
Physiologic jaundice in a newborn is caused by:
,a. Reabsorption of bilirubin in the small intestine
b. Impaired hepatic uptake and excretion of bilirubin
c. Increased bilirubin production
d. Mild conjugated (indirect-reacting) hyperbilirubinemia -
....ANSWER...d. Mild conjugated (indirect-reacting)
hyperbilirubinemia
In children, the risk factors for hepatitis B virus (HBV) are
primarily associated with:
a. Living in urban communities
b. Mothers who are hepatitis C carriers
c. Transfusion therapy for hemophilia
d. Those of hispanic ethnic background - ....ANSWER...c.
Transfusion therapy for hemophilia
Explanation: Risk factors for HBV infection include infants
of mothers who are carriers of chronic
hepatitis B surface antigen (HBsAg), hemophiliacs who
receive frequent blood transfusions, children who abuse
parenteral drugs, and children who live in residences for
those who are mentally delayed. HBV is endemic in China
and other parts of Asia where most infections occur in
infants and children as a result of maternal/neonatal
transmission. page 1502
Cystic fibrosis is directly responsible for complications to
which structures? (Select all that apply.)
a. Muscles
, b. Kidneys
c. Lymph nodes
d. Cervix
e. Liver - ....ANSWER...d. Cervix
e. Liver
Explanation: Of the options available, only cervical
inflammation and portal hypertension (liver) are
complications directly related to cystic fibrosis. page 1495
Table 42-1
What type of fracture occurs at a site of a preexisting bone
abnormality and is a result of a force that would not
normally cause a fracture?
a. Idiopathic
b. Incomplete
c. Pathologic
d. Greenstick - ....ANSWER...c. Pathologic
Explanation: Only a pathologic fracture is a break at the
site of a preexisting abnormality, usually by force that would
not fracture a normal bone. page 1541
By the time osteoporosis is visible on an x-ray examination,
up to what percent of bone has been lost?
a. 30%
b. 40%
c. 50%
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller performer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now