Question 1

Which of the following best describes the concept of cellular regulation in nursing practice?

Accepted Answer

Cellular regulation encompasses all functions carried out within a cell to maintain homeostasis, including responses to extracellular signals and intracellular replication, growth, and differentiation.

Question 2

A patient presents with symptoms suggestive of rheumatoid arthritis (RA). Which of the following is a primary pathophysiological mechanism underlying RA?

Accepted Answer

Autoimmune destruction of synovial joints leading to chronic inflammation.

Question 3

Which of the following is a key risk factor for developing colorectal cancer, and how can it be mitigated?

Accepted Answer

Sedentary lifestyle; mitigated by regular physical activity and screening colonoscopies.

Question 4

A nurse is caring for a patient with systemic lupus erythematosus (SLE). Which clinical manifestation is most commonly associated with SLE?

Accepted Answer

Butterfly-shaped facial rash and joint pain.

Question 5

In the context of mood/affect disorders, which of the following best differentiates bipolar disorder from major depressive disorder?

Accepted Answer

Bipolar disorder is characterized by alternating periods of mania and depression, whereas major depressive disorder involves only depressive episodes.

Question 6

A patient with a spinal cord injury is at risk for developing complications related to mobility. Which intervention is most appropriate to prevent deep vein thrombosis (DVT) in this patient?

Accepted Answer

Encourage frequent ambulation and use of compression stockings.

Question 7

Which of the following best describes the primary prevention strategy for skin cancer?

Accepted Answer

Avoiding excessive sun exposure and using broad-spectrum sunscreen.

Question 8

A nurse is teaching a patient about the pathophysiology of multiple sclerosis (MS). Which statement is most accurate?

Accepted Answer

MS involves immune-mediated destruction of myelin sheaths in the central nervous system.

Question 9

A newborn is diagnosed with Down syndrome. Which chromosomal abnormality is responsible for this condition?

Accepted Answer

Trisomy 21, represented as $$47,XX,+21 or$$ $$47,XY,+21$$

Question 10

A patient is experiencing increased intracranial pressure (ICP) following a traumatic brain injury. Which diagnostic test is most appropriate to assess ICP?

Accepted Answer

Computed tomography (CT) scan of the head.

Question 11

Which of the following is a legal-ethical responsibility of the professional nurse when caring for a patient at the end of life?

Accepted Answer

Advocating for the patient's wishes regarding palliative and hospice care, including advance directives.

Question 12

A patient with a history of breast cancer is scheduled for chemotherapy. Which nursing intervention is most important to prevent infection during treatment?

Accepted Answer

Encourage frequent handwashing and monitor for signs of neutropenia.

Question 13

A nurse is developing a teaching plan for a patient with newly diagnosed diabetes mellitus. Which principle should guide the teaching plan according to the course outcomes?

Accepted Answer

Assess the patient's learning needs and cultural background before planning education.

Question 14

Which of the following is a secondary prevention strategy for tuberculosis (TB)?

Accepted Answer

Screening high-risk populations with tuberculin skin tests.

Question 15

A patient is admitted with symptoms of meningitis. Which clinical manifestation is most indicative of bacterial meningitis?

Accepted Answer

Sudden onset of fever, neck stiffness, and photophobia.

Question 16

A nurse is caring for a patient with altered libido. Which factor is most likely to influence sexuality according to the course materials?

Accepted Answer

Biological, psychological, social, economic, political, cultural, legal, historical, religious, and spiritual factors.

Question 17

A nurse is assigned to a patient with post-partum depression. Which collaborative intervention is most appropriate?

Accepted Answer

Refer the patient to mental health counseling and support groups.

Question 18

A patient with a musculoskeletal fracture is at risk for compartment syndrome. Which assessment finding is most concerning?

Accepted Answer

Severe pain unrelieved by analgesics and decreased peripheral pulses.

Question 19

A nurse is caring for a patient with preeclampsia. Which laboratory finding is most consistent with this diagnosis?

Accepted Answer

Elevated blood pressure and proteinuria.

Health Care Concepts III: Nursing Study Guide (Syllabus Overview)

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