Practice Exam 2:

Question 1

What is most accurate regarding a person who has reached their pain tolerance?

Answer 1

“The patient cannot endure a higher level of pain intensity at this point”.

Question 2

Pain that warns of actual or impending tissue injury is referred to as what?

Answer 2

Acute

Question 3

Which of the following is most characteristic of heat stroke?

Answer 3

Absence of sweating despite a high core temperature

Question 4

What does heat exhaustion result in? (Select all that apply.)

Answer 4

A need to ingest cool liquids, profuse sweating, and profound vasodilation.

Question 5

Which of the following in not true about a fever?

Answer 5

It should be eliminated as quickly as possible.

Question 6

To quickly assess a patient’s nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?

Answer 6

Level of consciousness.

Question 7

What do the clinical manifestations of Parkinson disease include? (Select all that apply.)

Answer 7

Bradykinesia, depression, muscle stiffness, and fragmented sleep.

Question 8

A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?

Answer 8

Hypertension

Question 9

________ stroke is often the result of hypertension

Answer 9

Hemorrhagic

Question 10

Which of the following causes Diabetes Insipidus?

Answer 10

Antidiuretic hormone hyposecretion.

Question 11

What pathologic changes are associated with Graves’ disease?

Answer 11

High levels of circulating thyroid-stimulating immunoglobulins.

Question 12

A healthcare professional is palpating the neck of a person diagnosed with Graves’ disease. What finding would the professional associate with this disorder?

Answer 12

Thyroid diffusely enlarged

Question 13

A person has hypothyroidism. What chemical does the healthcare professional advise the person to include in the diet?

Answer 13

Iodine

Question 14

Differentiate Type 2 diabetes mellitus from Type 1. The following best describes Type 2 :

Answer 14

Resistance to insulin by insulin-sensitive tissues.

Question 15

A person diagnosed with type 1 diabetes experienced an episode of hunger, lightheadedness, tachycardia, pallor, headache, and confusion. What is the most probable cause of these symptoms?

Answer 15

Hypoglycemia.

Question 16

What are clinical manifestations of hypothyroidism? (Select all that apply.)

Answer 16

Lethargy, bradycardia, and constipation.

Question 17

A woman has been diagnosed with polycystic ovary syndrome but is confused because her pelvic ultrasound (US) was read as “normal” and did not show cysts. What response by the health care professional is most appropriate?

Answer 17

“You do not need to have cysts on your ovaries to have this condition.”

Question 18

In order to help prevent a preadolescent girl from developing later cervical cancer, which virus does the healthcare professional recommend vaccination against to the parent?

Answer 18

Human papillomavirus (HPV)

Question 19

In women, what is the usual site of original gonococcal infection?

Answer 19

Endocervical canal

Question 20

A male comes to the health clinic and reports a recent exposure to gonorrhea. Where should the healthcare professional focus the physical exam on as the priority?

Answer 20

Urethra

Question 21

Which sexually transmitted infection frequently coexists with gonorrhea?

Answer 21

Chlamydia

Question 22

Rapid eye movement (REM) sleep occurs in cycles approximately how often?

Answer 22

90 minutes

Question 23

What are the expected changes in sleep patterns of older adults?

Answer 23

Older adults experience difficulty falling asleep with less time spent in REM sleep.

Question 24

When comparing the effects of acute and chronic pain on an individual, chronic pain is more often what?

Answer 24

A factor that contributes to depression

Question 25

How does a faulty negative-feedback mechanism results in a hormonal imbalance?

Answer 25

Excessive hormone production results from a failure to turn off the system.

Question 26

Why would a patient in severe shock receive vasopressin?

Answer 26

Antidiuretic hormone causes vasoconstriction to help increase blood pressure.

Question 27

Negative feedback is a process in which the end products of an action cause more of that action to occur in a feedback loop. This amplifies the original action.

Answer 27

False

Question 28

FAST: Facial drooping, Arm weakness, Speech difficulty, Time to call 911

Answer 28

True

Question 29

When individuals have problems maintaining blood pressure, body temperature, or blood sugar, it may because of a disease state that affects the responsible negative feedback loop.

Answer 29

True

Question 30

A blunt-force injury to the forehead would result in a coup injury to which region of the brain?

Answer 30

Frontal

Question 31

A blunt-force injury to the forehead would result in a contrecoup injury to which region of the brain?

Answer 31

Occipital

Question 32

What are characteristic clinical manifestations of cluster headaches?

Answer 32

Severe unilateral tearing and pain lasting from 30 min to 2 hr.

Question 33

A patient suffered a seizure for the first time. The spouse asks the healthcare professional to explain what a seizure is. What response by the professional is best?

Answer 33

A sudden, explosive, disorderly discharge of brain cells.

Question 34

What type of posturing indicates a severe closed head injury with all four extremities in rigid extension?

Answer 34

Decerebrate

Question 35

Parkinson disease is a degenerative disorder of which part of the brain?

Answer 35

Basal ganglia.

Question 36

Parkinson disease is a commonly occurring degenerative disorder involving deficits in which of the following?

Answer 36

Dopamine.

Question 37

What are clinical manifestations of Parkinson disease?

Answer 37

Muscle stiffness, Bradykinesia, Fragmented sleep, and Depression.

Question 38

How can a healthcare professional lower a patient's body temperature by convection?

Answer 38

Obtain a fan and set it to blow over the patient.

Question 39

What physiologic change occurs in acute hypothermia to decrease heat loss?

Answer 39

Peripheral vasoconstriction.