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NUR 565 FINAL EXAM AND STUDY GUIDE NEWEST
2025/2026 TEST BANK| COMPLETE 400 ACCURATE
QUESTIONS AND VERIFIED ANSWERS (100%
CORRECT ANSWERS) ALREADY GRADED A+
A patient with a diagnosis of chronic kidney disease (CKD) may require the administration of which of the following drugs to treat the consequences of CKD? - ANSWER - Antihypertensive medications
A patient with a longstanding diagnosis of chronic kidney disease has been experiencing increasing fatigue, lethargy, and activity intolerance in recent weeks. His care team has established that his GFR remains at a low, but stable, level. Which of the following assessments is most likely to inform a differential diagnosis? - ANSWER - Blood work for hemoglobin, red blood cells, and hematocrit
Which of the following descriptions is true of peritoneal dialysis? - ANSWER - Treatment involves the introduction of a sterile dialyzing solution, which is drained after a specified time
Which of the following integumentary problems most often accompanies chronic kidney disease? - ANSWER - Dry skin and pruritus
Which of the following signs and symptoms most clearly suggests the need for endoscopy to rule out esophageal cancer? - ANSWER - Dysphagia in an individual with no history of neurologic disease
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pg. 2 A 60-year-old male patient has presented to his primary care provider to follow up with his ongoing treatment for peptic ulcer disease. What is the most likely goal of this patients pharmacologic treatment? - ANSWER - Inhibiting gastric acid production
Which of the following individuals most likely faces the greatest risk of developing Clostridium difficile colitis? - ANSWER - A 79-year-old hospital patient who is being treated with broad-spectrum antibiotics
A 66-year-old woman has been diagnosed with diverticular disease based on her recent complaints and the results of a computed tomography (CT) scan. Which of the patients following statements demonstrates an accurate understanding of this diagnosis? - ANSWER - I suppose I should try to eat more fiber and become a bit more active.
An ultrasound has confirmed appendicitis as the cause of a 20-year-old mans sudden abdominal pain. Which of the following etiologic processes is implicated in the development of appendicitis? - ANSWER - Obstruction of the intestinal lumen
Which of the following characteristics differentiates inflammatory diarrhea from the noninflammatory type? - ANSWER - Infection of intestinal cells
Which of the following patients should the nurse observe most closely for the signs and symptoms of paralytic ileus? - ANSWER - A patient who is postoperative day 1 following gall bladder surgery
Which of the following meals is most likely to exacerbate an individuals celiac disease? - ANSWER - Spaghetti with meatballs and garlic bread
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pg. 3 Which of the following statements is true of colorectal cancer? - ANSWER - Most cases are quite advanced before symptoms become apparent.
Following the analysis of a recent barium enema and colonoscopy with biopsy, a patient has been diagnosed with colorectal cancer. Which of the following treatment modalities will be the mainstay of this patients treatment? - ANSWER - surgery
Abnormally high accumulation of bilirubin in the blood causes: - ANSWER -
jaundice
Which of the following physiologic processes is a direct effect of the release of growth hormone by the anterior pituitary? - ANSWER - Production of insulin-like growth factors (IGFs) by the liver
Which of the following individuals displays the precursors to acromegaly? - ANSWER - An adult with an excess of growth hormone due to an adenoma
Which of the following residents of a long-term facility is exhibiting signs and symptoms that are indicative of hypothyroidism? - ANSWER - An 80- year-old woman who has uncharacteristically lost her appetite of late and often complains of feeling cold
Abnormal stimulation of the thyroid gland by TSH-receptor antibodies is
implicated in cases of: - ANSWER - Graves disease.
A patient has developed the facial appearance that is characteristic of myxedema, along with an enlarged tongue, bradycardia, and voice changes. Which of the following treatment modalities is most likely to benefit this patient? - ANSWER - Synthetic preparations of T3 or T4 3 / 4
pg. 4 A 33-year-old patient has been admitted to the hospital for the treatment of Graves disease. Which of the following assessments should the patients care team prioritize? - ANSWER - Assessment of the patients vision and oculomotor function
A patient who has been taking 80 mg of prednisone, a glucocorticoid, each day has been warned by his primary care provider to carefully follow a plan for the gradual reduction of the dose rather than stopping the drug suddenly. What is the rationale for this directive? - ANSWER - Stopping the drug suddenly may cause adrenal insufficiency.
The signs and symptoms of abrupt cessation of pharmacologic
glucocorticoids closely resemble those of: - ANSWER - Addison disease.
Which of the following pathophysiologic phenomena may result in a diagnosis of Cushing disease? - ANSWER - Excess ACTH production by a pituitary tumor
Factors that contribute to the formation of gallstones, or acute
cholelithiasis, include: - ANSWER - gallbladder inflammation
The patient has right upper quadrant pain caused by acute choledocholithiasis. If the common bile duct becomes obstructed,
manifestations will also include: - ANSWER - bilirubinuria.
Acute pancreatitis involves activated pancreatic enzymes that escape into surrounding tissues to cause _______. - ANSWER - autodigestion
Individuals with liver disease often experience the effects of excess serum ammonia as a result of impairment of the livers ability to process ammonia.
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