The client is admitted for heart failure and has edema, neck vein distension, and ascites. What is the most accurate way to monitor fluid gain or loss in this client?
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Question 2 of 69
Foam cells are a prominent feature of atherosclerosis. Question: Foam cells develop as a result of which of the following options?
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Question 3 of 69
A nurse is caring for a client who has recently diagnosed with left ventricular heart failure. What is an early sign the client is most likely to report?
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Question 4 of 69
Patients on insulin therapy should receive essential education on the following EXCEPT:
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Question 5 of 69
Which of these clients assigned to the nurse is most likely to need planning for long-term nursing management?
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Question 6 of 69
After receiving the hand-off report, which client should the oncology nurse see first?
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Question 7 of 69
Mr Tan aged 50 years old has a blood pressure of 160/100 mmHg taken on waking up and 140/90 mmHg at night. He also has a UAE of 200 mg/24 hours. He has type 2 diabetes. Which of the following actions will be most likely reduce the UAE to normal?
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Question 8 of 69
In Europe and the USA, drugs licensed for use in intrathecal drug delivery systems include:
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Question 9 of 69
The nurse is arriving at the beginning of her shift and has taken report on four clients on a medical-surgical unit. Which client should the nurse see first?
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Question 10 of 69
Hyperglycaemia is involved in cardiovascular complications in diabetes. There are several mechanisms through which high glucose levels in endothelial cells can lead to complications. Question: Which mechanism is NOT directly associated with cardiovascular complications in diabetes?
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Question 11 of 69
A patient who is diagnosed with cervical cancer classified as Tis, N0, M0 asks the nurse what the letters and numbers mean. Which response by the nurse is accurate?
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Question 12 of 69
Which of the following should be not be routinely performed for patients with suspected non-alcoholic fatty liver disease?
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Question 13 of 69
A 44 year old man with type 2 DM and hyperlipidemia is currently taking daily simvastatin 40 mg. His lipid profile repeated 12 weeks after treatment shows the following results: Total cholesterol 4.2 mmol/L, HDL-cholesterol 0.9 mmol/L, LDL-cholesterol 2.2 mmol/L, Triglyceride 2.4 mmol/L. Which lipid regulating drug should be MOST appropriately added?
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Question 14 of 69
A client is admitted with superior vena cava syndrome. What action by the nurse is most appropriate?
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Question 15 of 69
A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching?
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Question 16 of 69
Which of the following is NOT involved with weight regulation?
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Question 17 of 69
In which of these do you see clue cells?
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Question 18 of 69
A 58-year-old woman with chronic gout is visiting the dietitian and the correct dietary advice given is:
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Question 19 of 69
Which percentage of the burden of sickness in the Netherlands can approximately be avoided?
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Question 20 of 69
In patients who are awake during craniotomy, appropriate statements include:
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Question 21 of 69
A patient's most recent diagnostic imaging has revealed that his lung cancer has metastasized to his bones and liver. What is the most likely mechanism by which the patient's cancer cells spread?
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Question 22 of 69
The nurse is teaching the parents of a 15-year-old who is being treated for acute myelogenous leukemia about the side effects of chemotherapy. For which of the following symptoms should the parents seek medical care immediately?
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Question 23 of 69
The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for HSCT. What is a priority nursing diagnosis for this patient?
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Question 24 of 69
During hourly rounding the nurse enters a room where the client is unresponsive without pulse. What is the nurse's priority action?
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Question 25 of 69
Which of the following interventions would be best for the child who has developed mucositis as a side effect of chemotherapy?
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Question 26 of 69
Cholesterol contributes to the pathogenesis and progression of NASH via which mechanism?
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Question 27 of 69
Prescription of long term oxygen therapy has some very strict guidelines. In order to qualify for this treatment, the patient has to:
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Question 28 of 69
The hospice nurse is caring for a patient with cancer in her home. The nurse has explained to the patient and the family that the patient is at risk for hypercalcemia and has educated them on that signs and symptoms of this health problem. What else should the nurse teach this patient and family to do to reduce the patient's risk of hypercalcemia?
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Question 29 of 69
According to Johnson and Chang (2014) the role of the nurse and other health professions in chronic disease is to:
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Question 30 of 69
You are seeing Mr Yee two months later. At your last visit, he did not want colchicine prophylaxis as he did not want to take 'too many tablets'. He has started and is adherent to his urate lowering agent. Last month, his uric acid had decreased to 390 mmol/L. He had a gout flare last week. Hence, he came to your clinic today to ask about colchicine prophylaxis. Which is INCORRECT advice regarding colchicine prophylaxis?
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Question 31 of 69
Regarding infective endocarditis in an IVDU
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Question 32 of 69
People with poorly controlled type 2 diabetes often show increased fasting blood glucose levels. Question: What causes these increased fasting blood glucose levels?
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Question 33 of 69
Which is not associated with atypical pneumonia?
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Question 34 of 69
An oncology nurse is contributing to the care of a patient who has failed to respond appreciably to conventional cancer treatments. As a result, the care team is considering the possible use of biologic response modifiers (BRMs). The nurse should know that these achieve a therapeutic effect by what means?
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Question 35 of 69
Which of the following statements is INCORRECT concerning gestational diabetes?
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Question 36 of 69
For a patient who is experiencing side effects of radiation therapy, which task would be the most appropriate to delegate to the nursing assistant?
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Question 37 of 69
The definition of Chronic Heart Failure is:
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Question 38 of 69
A client diagnosed with stable angina is complaining of substernal chest pain, rating the pain 5 out of 10. What would be the priority action by the nurse?
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Question 39 of 69
A nurse is performing discharge teaching for a client who was recently diagnosed with heart failure. Which of the following should be included in the client and family teaching?
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Question 40 of 69
A patient with metastatic cancer of the colon experiences severe vomiting after each administration of chemotherapy. Which action, if taken by the nurse, is appropriate?
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Question 41 of 69
Which of the following is a possible treatment plan for a client diagnosed with leukemia?
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Question 42 of 69
The nurse is caring for a 39-year-old woman with a family history of breast cancer. She requested a breast tumor marking test and the results have come back positive. As a result, the patient is requesting a bilateral mastectomy. This surgery is an example of what type of oncologic surgery?
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Question 43 of 69
When using induced hypotension during orthognathic surgery:
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Question 44 of 69
Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. Which information should the nurse include when explaining the purpose of this therapy to the patient?
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Question 45 of 69
A client is receiving treatment for the diagnosis of hemophilia A. Which of the following is the most appropriate to include in the assessment of this client?
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Question 46 of 69
When educating a female client on the signs and symptoms of myocardial infarction, the nurse recognizes which of the following should be included in the teaching?
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Question 47 of 69
The nurse is caring for a 65-year-old female who presented to the emergency department with shortness of breath and chest discomfort. The client has not been feeling well for the past few days and complains of a productive cough of blood-tinged sputum. Laboratory tests reveal an elevated brain natriuretic peptide (BNP), and chest x-ray reveals pulmonary congestion. Based on the assessment findings, which of the following diagnosis are consistent with these findings?
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Question 48 of 69
A general practitioner (GP) advises an overweight patient to go to the gym to work out. Question: This advice is an example of which type of prevention?
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Question 49 of 69
In the ACC/AHA 2017 Guideline for Hypertension, what is the cut off for hypertension diagnosis?
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Question 50 of 69
What is an important independent risk factor for the development of type 2 diabetes mellitus?
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Question 51 of 69
A chemotherapeutic agent that is classified as a vesicant is capable of what effect if deposited into subcutaneous tissue?
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Question 52 of 69
A 58-year-old man with a known history of heart failure from cardiomyopathy, with an ejection fraction of 30 percent returns for a 3-week follow-up visit after being started on frusemide 40 mg od for increasing symptoms of dyspnea. Since starting frusemide, his symptoms have returned to baseline and he has lost 3 kg. He is maintained on guideline-directed medical therapy for heart failure including sacubitril/valsartan 97 mg/103 mg BD, carvedilol 12.5 mg BD, Simvastatin 40 mg ON, and aspirin 81 mg OD. His physical examination reveals: blood pressure of 128/80 mmHg, regular heart rate of 78 bpm, respiratory rate of 18 breaths/min, and room air oxygen saturation of 96 percent with no saturation decrease with hallway ambulation. He has no peripheral edema. A clinic electrocardiogram reveals a left bundle branch block with a QRS duration of >150 msec. What would be the most appropriate next step in management?
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Question 53 of 69
Which of the following are the characteristics of masked hypertension?
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Question 54 of 69
Animal experiments have shown that destruction of the ventromedial nuclei of the hypothalamus leads to unrestrained eating, because a specific structure is lost. Question: Which structure is lost?
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Question 55 of 69
A 50 year old Chinese man is suspected to have metabolic syndrome. According to the International Diabetes Federation (IDF) 2006 definition, which ONE of the following diagnostic criteria is mandatory to make a diagnosis in this gentleman?
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Question 56 of 69
A patient who is being treated for stage IV lung cancer tells the nurse about new-onset back pain. Which action should the nurse take first?
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Question 57 of 69
It is the start of your second successive night shift on the labour ward. You have only managed to sleep for 4 h in the previous day. Your usual sleep requirement is 8 h per night. Appropriate statements regarding this situation include:
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Question 58 of 69
Which of the following patients would probably not benefit from a >5-10% weight loss?
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Question 59 of 69
The best way to prevent chronic complications of Diabetes is to:
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Question 60 of 69
Which of the following models view disability as directly caused by disease or trauma?
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Question 61 of 69
Which is FALSE regarding PCP pneumonia in AIDS?
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Question 62 of 69
Diabetes mellitus can cause damage to the microvasculature and macrovasculature. Question: The microvasculature is involved in which of the following disorders?
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Question 63 of 69
Glycaemic profiles of people with diabetes varies with all EXCEPT:
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Question 64 of 69
Which animal is least associated with rabies?
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Question 65 of 69
The most frequent aerobic organism isolated in human bites is
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Question 66 of 69
The nurse caring for oncology clients knows that which form of metastasis is the most common?
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Question 67 of 69
Regarding HIV/AIDS
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Question 68 of 69
Which set of classification values indicates the most extensive and progressed cancer?
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Question 69 of 69
The nurse assesses a patient who is receiving interleukin-2. Which finding should the nurse report immediately to the health care provider?
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