in anorexia nervosa, severe caloric restriction leads to all of the following except:
a. micronutrient deficiencies
b. mobilization of lipid stores
c. protein catabolism
d. reduced metabolic rate - correct answer ✔✔a. micronutrient deficiencies
which of the following is not characteristic of those with anorexia nervosa ?
a. weight loss
b. body image distortions
c. ignoring hunger
d. dysmenorrhea - correct answer ✔✔d. dysmenorrhea
An 18 year old client who is within a normal weight range admits to using laxatives and diuretics. The
client displays increased symptoms of depression and reports a sore throat and tooth decay. What
question should a nurse ask a client to evaluate if the client to evaluate if the client is suffering from
bulimia nervosa?
a. do you engage in self-induced purging?
b.do you suffer from constipation?
c. do you have hypertension ?
d. do you have a habit of starving intentionally? - correct answer ✔✔a. Do you engage in self-induced
purging?
Before screening projects are undertaken, the sensitivity and specificity of screening levels or test values
should be carefully reviewed. What is sensitivity?
A) The ratio of the incidence rate in the exposed group and the incidence rate in the nonexposed group
,B) Ability of a test to correctly identify people who have a health problem; the probability of testing
positive if the health problem is truly present
C) Variations measured in hours, days, weeks, or months; commonly found in outbreaks of infectious
disease
D) Ability of a test to correctly identify people who do not have a health problem; the probability of
testing negative if the health problem is truly absent - correct answer ✔✔B) Ability of a test to correctly
identify people who have a health problem; the probability of testing positive if the health problem is
truly present
A variety of rates can be calculated according to need, including incidence, prevalence, adjusted, and
specific rates. What rate measures the number of people in a given population who have influenza at a
given point in time?
A) Adjusted
B) Incidence
C) Prevalence
D) Specific - correct answer ✔✔C) Prevalence
A 10-year-old boy has a body mass index that places him in the 96th percentile for his age and gender.
While educating the parents about obesity, the nurse should emphasize that his weight may predispose
him to the development of
a. scoliosis
b. respiratory infections
c. gastrointestinal disorders
d. type 2 diabetes - correct answer ✔✔d. type 2 diabetes
Which of the following statements by a student demonstrates a sound understanding of the cellular
processes of hypertrophy and hyperplasia?
a.I know that cells like neurons have little capacity for hyperplastic growth
b. A remaining kidney can sometimes undergo hyperplasia in response to one that has been removed
c. when male patients experience an enlarged prostate, they are describing a form of hypertrophy -
correct answer ✔✔a.I know that cells like neurons have little capacity for hyperplastic growth
, A client is experiencing muscle atrophy following two weeks in traction after a motor vehicle accident.
Which of the following factors has most likely contributed to the atrophy of the client's muscle cells?
a. high levels of insulin and IGF-1 in the clients blood.
b.) Reduced oxygen consumption and cellular function that ensures muscle cell survival.
c) Denervation of the affected muscles during the time of traction.
d) A reduction of skeletal muscle use secondary to the traction treatment - correct answer ✔✔d) A
reduction of skeletal muscle use secondary to the traction treatment
Of the following situations, which one would be an example of a maladaptive cellular change?
a. an 18 year old body builder who has developed large pectoral muscles
b. A 21 year old marathon runner who has developed hypertrophied myocardial cells
c. A 54-year old female who has developed ovarian atrophy following loss of estrogen
d. A 44-year old male with a 60-pack per year smoking history who was diagnosed with a histological
grade 3 lung cancer. - correct answer ✔✔d. A 44-year old male with a 60-pack per year smoking history
who was diagnosed with a histological grade 3 lung cancer.
A 77 year-old male client with a diagnosis of stomach cancer has been found to have metastases in his
liver. The client and his family are surprised at this turn of events, stating that they don't see how he
could have developed cancer in his liver. Which of the following facts would underlie the reply that the
care team provides?
A. The parenchymal tissue of the liver is particularly susceptible to secondary malignancies.
B. The portal circulatory system brings venous blood from the gastrointestinal tract into the liver.
C. Hepatic stromal tissue shares characteristics with cancerous cells, including lack of anchorage
dependence.
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