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BSNC 2000 FINAL TEST BANK QUESTIONS WITH 100 SOLVED SOLUTIONS!!
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BSNC 2000 FINAL TEST BANKQUESTIONS WITH 100% SOLVED
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A client has a tumour that is compressing a lymphatic vessel. Which filtration pressure
is affected causing the edema.
A. capillary hyrdostatic pressure
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - Answer-C
Inflammation increases vascular permeability, causing the leak of plasma proteins into
the interstitial space. Which filtration pressure is affected causing the edema?
A. capillary hyrdostatic pressure
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - Answer-D
The physician prescribes the patient a potassium-sparing diuretic. Which statement
below best describes how this medication works to cause diuresis?
A. These medications work to inhibit the sodium-chloride cotransporter in the early part
of the distal convoluted tubule.
B. These medications work to inhibit the sodium-potassium-chloride cotransporter in the
thick ascending limb of the loop of Henle.
C. These medications work to inhibit the sodium and potassium exchange within the
sodium channels in the distal tubule and collecting duct.
D. These medications work to inhibit the sodium channels within the proximal
convoluted tubule by decreasing sodium reabsorption. - Answer-C
A client has urge incontinence. When obtaining the health history, the nurse should ask
if the client has:
A) Inability to empty the bladder.
B) Loss of urine when coughing.
C) Involuntary urination with minimal warning.
D) Frequent dribbling of urine - Answer-C
The nurse recognizes that urinary elimination changes may occur even in healthy older
adults because of which of the following?
,A) The bladder distends and its capacity increases.
B) Older adults ignore the need to void.
C) Urine becomes more concentrated.
D) The amount of urine retained after voiding increases. - Answer-D
A patient complains of abdominal pain that is difficult to localize. The nurse documents
this as which type of pain?
a. Cutaneous
b. Visceral
c. Superficial
d. Somatic - Answer-B
A female patient who is having a myocardial infarction complains of pain that is situated
in her jaw. The nurse documents this as what type of pain?
a. Transient pain
b. Superficial pain
c. Phantom pain
d. Referred pain - Answer-D
An elderly patient is confined to bedrest following cervical spine surgery to treat nerve
pinching. The nurse is vigilant about turning the patient and assessing the patient
regularly to prevent the formation of pressure ulcers. What type of agent is the stimulus
for pressure ulcers?
a. Mechanical
b. Thermal
c. Chemical
d. Electrical - Answer-A
During shift report, the nurse learns that an older female client is unable to maintain
continence after she senses the urge to void and becomes incontinent on the way to the
bathroom. Which nursing diagnosis is most appropriate?
A. Stress Urinary Incontinence
B. Reflex Urinary Incontinence
C.Functional Urinary Incontinence
D.Urge Urinary Incontinence - Answer-D
A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what ""type 2""
means in relation to diabetes. The nurse explains to the patient that type 2 diabetes
differs from type 1 diabetes primarily in that with type 2 diabetes
a. the pt is totally dependent on an outside source of insulin
, b. there is a decreased insulin secretion and cellular resistance to insulin that is
produced
c. the immune system destroys the pancreatic insulin-producing cells
d. the insulin precurosr that is secreted by the pancreas is not activated by the liver -
Answer-B
A nurse shoud recognize which symptom as a cardinal sign of diabetes mellitus?
a. Nausea
b. Seizure
c. Hyperactivity
d. Frequent urination - Answer-D
In educating a client with diabetes, what response would reveal need for further
education?
A. I should avoid tights
B. I should take good care of my toe nails
C. I should not go more than 3 days without washing my feet
D. I should avoid going barefoot and should wear clean socks - Answer-C
should wash feet everyday
Polydipsia and polyuria related to diabetes mellitus are primarily due to:
a. The release of ketones from cells during fat metabolism
b. Fluid shifts resulting from the osmotic effect of hyperglycemia
c. Damage to the kidneys from exposure to high levels of glucose
d. Changes in RBCs resulting from attachment of excessive glucose to hemoglobin -
Answer-B
The nurse is caring for a client who has normal glucose levels at bedtime, hypoglycemia
at 2am and hyperglycemia in the morning. What is this client likely experiencing?
A. Dawn phenomenon
B. Somogyi effect
C. An insulin spike
D. Excessive corticosteroids - Answer-B
The Somogyi effect is when blood sugar drops too low in the morning causing rebound
hyperglycemia in the morning. The hypoglycemia at 2am is highly indicative. The Dawn
phenomenon is similar but would not have the hypoglycemia at 2am
The nurse is teaching a community class to peole with Type 2 diabetes mellitus. Which
explanation would explain the development of Type 2 diabetes?
1. The islet cells in the pancreas stop producing insulin.
2. The client eats too many foods that are high in sugar.
3 The pituitary gland does not produce vasopression.
4. The cells become resistant to the circulating insulin - Answer-4
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