Health assessment quiz

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Which disorder is caused by the deficiency of antidiuretic hormone ?

Diabetes insipidus

When evaluating fluid loss for a client with burns , which relationship between a client's burned body surface area and fluid loss would the nurse consider ?

Directly proportional

Which is the minimum heart rate of a 14 - year - old ? Record your answer using a whole number .

60 beats per minute

Which blood glucose levels would the nurse identify as hypoglycemia ?

68 mg / dL ( 3.8 mmol / L ) Rationale- Normal blood glucose level for an adult is 72 to 108 mg / dL ( 4-6 mmol / L ) . Clients who have blood glucose levels less than 72 mg / dL ( 4 mmol / L ) may experience hypoglycemia ; 78 mg / dL ( 4.3 mmol / L ) , 88 mg / dL 4.9 mmol / L ) , and 98 mg / dL ( 5.4 mmol / L ) are normal blood glucose levels .

Which heart rate is the maximum normal for a 16 - year - old ? Record your answer using a whole number .

90 beats per minute

Which procedure is shown in the picture ?

A thoracentesis

To which part of the respiratory system would the client's radiology report refer when identifying the angle of Louis ?

Carina

Which medication is the most common cause of extrapyramidal side effects ( EPSs ) ?

Haloperidol

Which organism would the nurse explain was responsible for a client's recent diagnosis of malaria ?

Sporozoa

Which test would the nurse identify as specific for the diagnosis of myasthenia gravis ?

Edrophonium chloride test

Which condition is likely in an adolescent displaying low self - esteem who complains of inflamed , red , and painful lesions on his forehead ?

Acne vulgaris

Which required noninvasive assessment and management skills certification would the nurse need to perform airway maintenance and cardiopulmonary resuscitation ( CPR ) ?

Basic Life Support ( BLS )

Which infection is the most common cause of ophthalmia neonatorum in infants ?

Chlamydia Rationale- Ophthalmia neonatorum is a neonatal eye infection that occurs when the infant passes through the birth canal that is infected . Chlamydia is the most common cause of ophthalmia neonatorum .

Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid ?

Circulatory collapse

Which medication is indicated for treating obsessive - compulsive disorder ?

Clomipramine

Which statement is true regarding antipsychotic medications ?

Clozapine is more effective than other second - generation antipsychotics .

When a client has a superficial tumor involving only 1 vocal cord , which surgery would the nurse anticipate ?

Cordectomy

Which hormone is formed from cholesterol ?

Cortisol

Which autoantigens are responsible for the development of Crohn disease ?

Crypt epithelial cells

Thick mucous gland secretions , elevated sweat electrolytes , meconium ileus , and difficulty maintaining and gaining weight are associated with which autosomal recessive disorder ?

Cystic fibrosis The early symptom of cystic fibrosis is meconium ileus , which is impacted stool in the newborn . Thick mucous secretions salty sweat , and difficulty gaining weight because of high caloric demands are characteristics of the condition

Which finding in older adult clients is associated with aging ?

Decrease in height

Which condition is contraindicated for St. John's wort herbal therapy ?

Dementia

Which Korotkoff sound represents the diastolic blood pressure in an adolescent ?

Fifth Rationale- In adolescents , the fifth Korotkoff sound corresponds to the diastolic pressure . The first Korotkoff sound , which is sharp , represents systolic blood pressure , which is heard in all individuals . The third Korotkoff sound is a crisper , more intense tapping . The fourth Korotkoff sound is muffled and low . This sound corresponds to diastolic pressure in the toddler

Which stage is followed by society maintaining orientation , according to Kohlberg's theory ?

Good boy - nice girl orientation

Which characteristic is commonly associated with adolescent depression ? Select all that apply . One , some , or all responses may be correct .

Having suicidal ideation Exhibiting tearfulness Avoiding previously enjoyed activities and relationships

Which assessment after administration of diltiazem to a client with supraventricular tachycardia ( SVT ) and a heart rate of 170 beats / minute indicates that the medication was effective ?

Heart rate of 98 beats / minute

Which factor influences acne in adolescent women the most ?

Hormonal imbalance

Which surgery will a client undergo if the pituitary gland must be removed ?

Hypophysectomy

In which category of fluids would the nurse classify an intravenous solution of 0.45 % sodium chloride ?

Hypotonic Hypotonic solutions are less concentrated ( contain less than 0.85 g of sodium chloride in each 100 mL ) than body fluids . Isotonic solutions are those that cause no change in the cellular volume or pressure because their concentration is equivalent to that of body fluid . Isomeric relates to two compounds that possess the same molecular formula but that differ in their properties or in the position of atoms in the molecules ( isomers Hypertonic solutions contain more than 0.85 g of solute in each 100 mL .

Which age - related effects on the immune system occur in the older client ?

Increased autoantibodies

Which medication may lead to bruxism ?

Levomilnacipran

Which is the etiological factor of nephrogenic diabetes insipidus ( DI ) ?

Lithium therapy

Which medication is the first choice of medication for the treatment of attention deficit / hyperactivity disorder ( ADHD ) ?

Methylphenidate

Which over - the - counter medication is used to treat vulvovaginal candidiasis ? Select all that apply . One , some , or all responses may be correct .

Miconazole Clotrimazole

Which medication is indicated to treat shift - work sleep disorder ( SWSD ) ?

Modafinil

Which action will the nurse take in a client hospitalized for uncontrolled hypertension and chest pain on a daily diuretic for 2 days whose potassium level this morning is 2.7 mEq / L ( 2.7 mmol / L ) ?

Notify the health care provider that the potassium level is below normal .

Which hormone is released from the posterior pituitary gland ?

Oxytocin

Which gland secretes melatonin ?

Pineal gland

Which is a secondary cause of adrenal insufficiency ?

Pituitary tumors

Which condition contraindicates the use of ginseng herbal therapy ?

Pregnancy

Which antidepressant medication is a selective monoamine oxidase - B inhibitor

Selegiline

Which characteristic of adolescence is exemplified by risk - taking behavior without fear of consequences ?

Sense of invulnerability

Which condition poses an increased risk for injury for an adolescent ? Select all that apply . One , some , or all responses may be correct .

Substance abuse Motor vehicle accidents

Which information about the teenager's developmental stage would be considered before starting a counseling program for 15 - year - old with type 1 diabetes who has a history of noncompliance with the therapy regimen ?

The struggle for identity is typical .

Which statements regarding acne are correct ? Select all that apply . One , some , or all responses may be correct .

Acne may be caused by stress . Family history could be a reason for acne . Propionibacterium acnes causes acne . Acne is commonly found on the face , chest , upper back , and neck .

Which is the most common cause of death among adolescents ?

Accidents

Which emergency severity index ( ESI ) level would be considered a high priority for the nurse caring for clients in the emergency department ( ED ) ?

ESI - 1

A client does not take their medication regularly and is depressed . Which inference can the nurse make about the client's motivational level ?

Not motivated Rationale - If the client is not motivated , then the client may not attempt to eradicate the illness and feel depressed because of the illness . If the client is intrinsically motivated , then the client shows more interest in taking the medications on their own rather than because of pressure from other individuals . The client is motivated extrinsically with or without self - determination when they may take medication regularly when reminded to do so or when pressured.

How will the nurse evaluate the effectiveness of the training after teaching a family member how to administer subcutaneous enoxaparin sodium ?

Observing the family member administering enoxaparin sodium to the client .

Which hormone has both inhibiting and releasing action ?

Prolactin


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