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Endocrinology

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1. A patient is admitted with hypothyroidism. Which clinical manifestation should the nurse expect to assess? • A. Increased heart rate • B. Diarrhea • C. Weight loss • D. Cold intolerance Answer: D Rationale: Cold intolerance is a typical symptom of hypothyroidism because the decreased thyroid function slows metabolism, resulting in intolerance to cold. Increased heart rate and weight loss are associated with hyperthyroidism, while diarrhea is not typically a sign of hypothyroidis...

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Respiratory medicine

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Question 1: A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is experiencing dyspnea. Which of the following interventions should the nurse implement first? A. Increase the client's oxygen to 6 L/min via nasal cannula B. Encourage the client to drink fluids to thin secretions C. Assist the client into the tripod position D. Administer a prescribed bronchodilator Answer: C. Assist the client into the tripod position Rationale: The tripod position allo...

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General principles of clinical examination and diagnosis:

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1. General Principles of Clinical Examination and Diagnosis Question: A nurse is preparing to assess a client who presents with symptoms of acute abdominal pain. Which action should the nurse prioritize during the initial assessment? A. Perform a thorough head-to-toe physical examination B. Obtain a detailed health history including current medications C. Administer pain medication to alleviate discomfort D. Measure vital signs and assess the intensity and location of pain Correct Answer: ...

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clinical method

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Ear, nose and throat

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1. A client presents with a sore throat and difficulty swallowing. The nurse assesses the client’s throat and notes swollen tonsils. What is the most appropriate nursing action? A. Encourage the client to rest and drink warm fluids. B. Administer antibiotics as prescribed. C. Notify the healthcare provider. D. Schedule a tonsillectomy. Answer: A. Encourage the client to rest and drink warm fluids. Rationale: Warm fluids can soothe the throat and help with hydration, while rest can aid in...

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Eyes

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1. Which structure in the eye is primarily responsible for focusing light onto the retina? A) Cornea B) Iris C) Lens D) Retina Answer: C) Lens Rationale: The lens is responsible for focusing light onto the retina, adjusting its shape to facilitate clear vision at various distances. ________________________________________ 2. A patient presents with a sudden onset of vision loss in one eye. What should the nurse do first? A) Assess the patient's pupils. B) Administer eye drops. C) C...

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Skin, nails and hair

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1. A nurse is assessing a patient's skin. Which of the following findings would require immediate intervention? A. Yellowing of the skin B. Dry skin on the elbows C. Flaking scalp skin D. Freckles on the back Answer: A. Yellowing of the skin Rationale: Yellowing of the skin (jaundice) can indicate liver dysfunction and requires immediate medical attention. ________________________________________ 2. A patient with diabetes has a wound on their foot. What should the nurse prioritize in...

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Endocrine and metabolic disorders

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1. A patient with diabetes mellitus is receiving insulin. Which of the following symptoms would indicate hypoglycemia? A. Excessive thirst B. Dry skin C. Sweating and tremors D. Frequent urination Answer: C. Sweating and tremors Rationale: Sweating and tremors are common symptoms of hypoglycemia. Other signs may include confusion and weakness. 2. A nurse is teaching a client about the signs and symptoms of hyperthyroidism. Which symptom should the nurse include? A. Weight gain B. Fatigu...

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Sexually transmitted infections

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1. Which of the following is the most commonly reported STI in the United States? o A) Gonorrhea o B) Chlamydia o C) Syphilis o D) Herpes Simplex Virus Answer: B Rationale: Chlamydia is the most frequently reported STI in the U.S. due to its often asymptomatic nature. 2. What is the primary mode of transmission for the Human Immunodeficiency Virus (HIV)? o A) Airborne o B) Blood and sexual contact o C) Contaminated food o D) Vector-borne Answer: B Rationale: HIV is primarily transmi...

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Renal and urology system

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A patient with chronic kidney disease is being monitored for electrolyte imbalances. Which electrolyte is most likely to be elevated? A) Sodium B) Potassium C) Calcium D) Magnesium Answer: B) Potassium Rationale: In chronic kidney disease, the kidneys are unable to excrete potassium effectively, leading to hyperkalemia. ________________________________________ Question 2 A nurse is caring for a patient with acute kidney injury (AKI). Which laboratory value is most indicative of worsenin...

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