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1.If a tumor is characterized according to the tumor, node, metastasis (TNM) system as T2 N1 M0, what is the correct interpretation?
o Tumor is localized with no lymph node involvement or metastasis
o Tumor is locally invasive with regional lymph node involvement; there is no metastasis
o Tumor has spread to distant lymph nodes; there is no metastasis
o Tumor is disseminated to lymph nodes and distant sites.
2. During assessment of a head-injured patient experiencing increased intracranial pressure (ICP), the nurse notice forearms. The patient is demonstration:
o Decerebrate posturing
o Decorticate posturing
o Normal for a comatose patient
o Spasms
3. In hypoglycemia, the mechanism behind the clinical manifestations of irritability and diaphoresis is:
o Activation of the muscle and fat breakdown
o Release of cortisol
o Activation of the sympathetic nervous system
o Release of growth hormone
4. Match the following conditions with the correct characteristics
o Actinic Keratosis C? A. Hives cause by release of histamine
o Urticaria B? B. Atopic dermatitis. Excoriation on cheeks are common in
o Systemic Lupus Erythematosus (SLE) E? C. Premalignant. Caused by UV exposure
o Psoriasis F? D. Fungal Infection
o Eczema B? E. Autoimmune disease often characterized by a butterfly
o Candida Albicans D? F. Autoimmune response resulting in silvery, bleeding sca
5. Cellular damage related to a burn result in which of the following: Select all the apply:
o Hyperkalemia
o Burn Shock
o Hypokalemia
o Decreased vascular permeability
o Leakage of cellular albumin
6.The most important differentiating feature between benign and malignant tumors is
o Invasiveness?
o A difference in the rate of cell growth within the tumor
o A difference in the tissue of origin
o The size of the tumor
7. Match the following level of injury to the loss of function
Thoracic Spine A. Severe weakness in arms
Between C4 and C7 B. Respiratory Failure
Lumbar Sacral C. Lower extremity paralysis
C1-C3 D. Loss of bowel and bladder control
8. A patient with significant aortic stenosis is likely to experience
Syncope
Hypertension
Increased pulse pressure
Peripheral edema ?
9. Compensatory responses for decreased stoke volu,e after MI can lead to
Decreased sympathetic activation
Decreased heart rate and contractility
Decreased urinary output
Decreased size of cardia myocytes
10.Clinical manifestations of a let hemisphere stroke include all of the following except?
Cogwheel rigidity
Visual field blindness
Expressive and receptive aphasia
Left-sided muscle weakness and neglect
11. A patient is positive for blood in his urinalysis results. This could indicate: (select all that apply)
o Nephrolithiasis
o Hyperglycemia
o Liver disease
o Glomerulonephritis
o Ketoacidosis
12.A 76 year old patient is newly diagnosed with mitral valve insufficiency. You suspect a history of:
o Left Heart Failure
o Undiagnosed congenital defect
o Rheumatic Heart Disease (RHD)
o Myocardial Infarction (MI)
13.A nursing instructor is presenting a case study on atherosclerosis. Put the following in order of occurrence.
o Formation of foam cells 3?
o Vascular resistance 5?
o Hyperlipidemia 1?
o Accumulation of macrophage sand platelets 2?
o Formation of plaques 4?
14. Match the following cellular adaptation and injury to the correct definitions
o Apoptosis D? A. Replacement of a cell by another cell
o Necrosis B? B. Cell suffers irreparable damage
o Atrophy C? C. Decrease in cellular size.
o Metaplasia A? D. Programmable Death
15. An elderly patient has osteoarthritis. Which of the following pathophysiological age related changes is
o Decreased elasticity
o Decreased subdermal fat layer
o Slower regeneration of epithelial cells
o Sun exposure and free radicals
16. A patient with a humeral fracture suddenly complains of dark urine. Your suspect:
o Infection
o Compartment Syndrome
o Chronic Renal Failure
o Rhabdomyolysis ?
17. In contrast to osteoarthritis, rheumatoid arthritis may be associated with
o Localized joint pain and stiffness.
o Improvement in symptoms with aspirin therapy.
o Changes in activities of daily living.
o Systemic aching in the musculoskeletal system. ?
18. Place the following stages of carcinoma in the proper sequence
o Metastasis 4
o Initiation 1
o Progression 3
o Promotion 2
19. After learning the news that she has a cancer, your patient complains of a dry mouth, your understand that this stress response is
o Autonomic Nervous System
o Sympathetic nervous system ?
o Peripheral Nervous System
o Parasympathetic Nervous System
20. A patient is admitted for uncontrolled blood sugars. He is obese and a self-proclaimed workaholic. You suspect he is experiencing
o Allostasis
o Adaptive stress
o Homeostasis
o Allostatic overload ?
21. Your patient has just been diagnosed with Multiple Sclerosis. You remember that this disorder: (Select all that apply)
o Is autoimmune
o Is inflammatory
o Affects the peripheral and central nervous systems
o Often arises after a vaccine
22. In the Gate Control Theory, modulation is:
o The conversion of a painful stimuli into neuronal impulses ?
o The method of impulse carried from the nociceptors to the central nervous system
o An individual’s processing of the painful stimuli.
o The use of endorphins to dampen the afferent neuron
23. A nurse is caring for a patient diagnosed with portal hypertension. What development she
o Increased risk for esophageal varices
o Decreased bile production
o Increased blood clotting time
o Decreased detoxification of the blood
24. A man’s blood type is B positive, and he requires a blood transfusion due to hypovolemic shock. To prevent complications patient may receive:
o Type B positive or type O negative blood only
o Type A blood only
o Type O negative blood only
o Either Type A, B, AB, or O positive blood
25. Acute anemia, iron deficiency anemia, and hemoglobinopathy all share which of the same
o Deficient absorption
o Decreased oxygen transport
o Bleeding
o Bone marrow deficiencies
26. Which of the following are types of dermatitis? (Select all that apply)
o Eczema
o Contact
o Psoriasis
o Seborrheic
27. Your patient has full thickness burns to 65% of his body, including the chest area. After
o Replace fluid and electrolytes
o Prevention of contractures of the extremities
o Monitor stool output hourly
o Prepare to assist with an escharotomy
28. A client with epilepsy develops stiffening of the … does the nurse document this seizure activity?
o Tonic clonic seizure
o Atonic seizure
o Absence seizure
o Myoclonic seizure
29. Which of the following is a potential complication of hypertension?
o Ventricular hypertrophy ?
o Atrial fibrillation
o Pulmonary hypertension
o Second degree AV block
30. A 72-year-old client’s colonoscopy reveals the presence of extensive
o High fiber vegetables and fruit
o High fat diet with lots of nuts
o High protein meals and fish
o Higher carbohydrate diet including pasta and rice
31. Which is indicative of a left traumatic pneumothorax? Select all that apply
o Coarse crackles throughout the left chest
o Mediastinal deviation to the right
o Absent breath sounds on the left
o Respiratory acidosis
32. The nurse caring for a client which a left colon malignancy assesses for
o Hematochezia
o Hypotension
o Hematemesis
o Abdominal discomfort
33.The nurse is reading lab results ona patient with spontaneous bruising
o WBC: 7500 cells/mcl
o RBC: 4.5/L
o PLT: 30000 10^3/ml
o HGB: 14g/dl
34. Cancer grading is based on:
o Tumor size
o Local invasion
o Cell differentiation
o Metastasis
35. The function of beta cells in the pancreas is to:
o Lower blood sugar
o Raise blood sugar
o Inhibit the pancreas
o Blocks actions of insulin
36. Obesity is a leading cause for which surgical treatment:
o Open Reduction Internal Fixation (ORIF)
o Total Knee Arthroplasty (TKA) ?
o Rotator Cuff repair
o Laminectomy
37. Which are characteristics of prostate cancer cells? (Select all that apply)
o Can invade the neck of the bladder
o Affects the TP53
o Often detected in late stages
o Little to no symptoms in early stage
o A diet high in lycopene is a risk factor
38. A nurse is scaring for a patient diagnosed with portal hypertension. What development she
o Increased risk for esophageal varices
o Decreased bile production
o Increased blood clotting time
o Decreased detoxification of the blood ?
39. Compensatory responses for decreased stroke volume after MI can lead to
o Decreased sympathetic activation
o Decreased heart rate and contractility
o Decreased urinary output ?
o Decreased size of cardiac myocytes
39. A patient with significant aortic stenosis is likely to experience
o Syncope
o Hypertension
o Increased pulse pressure
o Peripheral edema

SCIENCE
HEALTH SCIENCE
NURSING
NUR 351

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