Download Portage Learning Nursing Module 4 Exam Q & A and more Exams Nursing in PDF only on Docsity! PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A Score for this quiz: 70 out of 100 This attempt took 87 minutes. Correct! Question 1 2.5 / 2.5 pts Which of the following increases the chance of clotting? Select all that apply. Vitamin K deficiency Von Willebrand factor deficiency Protein C deficiency Thrombocytopenia PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A Correct! Correct! Question 2 2.5 / 2.5 pts A deficiency in which of the following would lead to a hypercoagulable state? Select all that apply. Protein C Protein S Factor II Factor VII Factor IX Factor X Antithrombin III PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A rrect Answe Question 5 2.5 / 2.5 pts Well-known causes of disseminated intravascular coagulation (DIC) include each of the following conditions except: Retained dead fetus Carcinoma PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A Correct! Gram-negative sepsis Heparin administration Question 6 2.5 / 2.5 pts Which of the following does NOT affect the heart’s ability to increase its output? Preload Afterload Cardiac contractility Cardiac reserve Heart rate PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A Correct! Question 7 2.5 / 2.5 pts Which of the following is true of the renin-angiotensin- aldosterone system? Angiotensin I is converted to angiotensin II in the kidneys PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A rrect Answe u Answered Multiple Choice Which of the following is NOT associated with iron deficiency anemia? r Normocytic Hypochrom ic Decreased MCVQuestion 10 2.5 / 2.5 pts Multiple Choice What are the two most common causes of macrocytic anemia? Iron deficiency anemia, Thalassemias Folate deficiency, Sickle cell disease Sickle cell disease, Vitamin B12 deficiency Vitamin B12 deficiency and Folate deficiency PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A Correct! PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A Correct! Question 11 2.5 / 2.5 pts Multiple Choice Which of the following is FALSE regarding sickle cell disease? Abnormality of HbS gene Blood vessel occlusion is a complication Average red cell lifespan is 60 days Can lead to encapsulated infections PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A u Answered Question 13 0 / 2.5 pts Multiple Choice: Which of the following is NOT true of thalassemias? Multiple Choice: A child with homozygous sickle cell disease arrives at the ER. Lab tests indicate pneumococcal sepsis, a bacterial infection. Imaging called spleen scintigraphy measures IV administered radiopharmaceutical tracers present in the tissue, and is used to assess the size, shape, position, and health of the organ. While the physician could palpate the patient's spleen, it could not be visualized by the scintigraphy. What is the likely complication this patient is experiencing? Hemolytic anemia Acute chest syndrome r Functional asplenia Splenomegaly PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A rrect Answe u Answered r Hypochromic, macrocytic anemia Hepatomegaly and splenomegaly are common Iron overload is a common side effect Regular blood transfusions are necessary Question 14 2.5 / 2.5 pts Multiple Choice: Each of the following are risk factors for secondary hyperlipidemia except? Obesity Diabetes mellitus High cholesterol diet Autosomal dominant disorder of LDL receptor PORTAGE LEARNING NURSING MODULE 4 EXAM Q & A DOWNLOAD TO SCORE A Correct! Question 15 2.5 / 2.5 pts Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 20 of 25 Cigarette smoking Question 17 0 / 10 pts Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 21 of 25 Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 22 of 25 Multiple Choice: 1. The three major determinants of myocardial oxygen demand (MVO2) include each of the following except: a. Diastolic pressure b. Heart rate c. Left ventricular contractility d. Systolic pressure Fill in the Blank: 2. is the most important factor in myocardial oxygen demand. As this increases, myocardial oxygen consumption or demand also increases. Multiple Choice: 3. What is the most common cause of cardiogenic shock? a. Heart failure b. Cardiomyopathy c. Myocardial infarction d. Hypertension Multiple Choice: 4. Which does NOT occur during cardiogenic shock? a. Decreased cardiac output Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 25 of 25 Explain the differences in the pathophysiology, symptoms, and whether nitroglycerin and/or rest will relieve symptoms in stable angina, unstable angina, and myocardial infarction. Your Answer: Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 26 of 25 Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 27 of 25 artherscloes disease cornary vessel become norrow and the blood supply to the diminish, with extertion vessel cant vasodilate, therefore PT feels pain in the chest and short breath , that is what stable angina is. stable angina the heart is at rest but cant keep up the demand extertion. stable angina typically >70% stenosis cornary artries, it can be relieve with rest or nitroglyclcerin unstable agina is with increase occlusion cornary vessel demand with heart at rest may become to great.when the PT experience angina without extertion that is unstable angina. unstable angiona means one more cornary arties are nearly or totaly occluded res is unsufficeint but nitrogycycerin can releive myocardial infraction is cause by when plaque repture cornary thrombosis can cause complete occlosusion.if the collrate flow is not the tissue supplied vessel become ischemd with oxygen and portion of the heart muscle can die that is the couse of MI. the symptoms of the heart attack are pain in the jow lefts side pain that can raidiate to the left hand nusea/vomating , shortness ofbreath crushin pain in the chest, women can feel fatigue, weekness, also GI complain, it canot be relieve with nitrglyclerin Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 30 of 25 1. Name 2 biomarkers that elevate during a myocardial infarction: 2. Besides chest pain, name 2 other symptoms a person may experience during a myocardial infarction: Your Answer: 1-eleveted CRP &heart rate 2-GI complain vomiting nusea weekenss jow pain shortness of breath 1. Troponin and creatine kinase MB (CK-MB) 2. Pain radiating down the left ram or into the jaw or neck, dyspnea (shortness of breath), nausea/vomiting, sweating, weakness, fatigue, or GI complaints. Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 31 of 25 Question 20 2.5 / 2.5 pts Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 32 of 25 Correct! Multiple Choice: The most common cause of death immediately after the onset of acute myocardial infarction is: Arrhythmia Left ventricular rupture Congestive heart failure Shock Pulmonary edema Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 35 of 25 Correct! Question 22 2.5 / 2.5 pts Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 36 of 25 Multiple Choice: Upon seeing this on your patient, which disease would you screen for? figure 4.11.jpg Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 37 of 25 Gout Hypertension Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 40 of 25 Correct! Multiple Choice: Which arrhythmia is the most common chronic arrhythmia and incidence increases with age? Sinus bradycardia Sinus tachycardia Atrial fibrillation Atrial flutter Question 25 2.5 / 2.5 pts Which arrhythmias are dangerous because of severely reduced diastolic time and cardiac output? Select all that apply. Premature atrial contractions Paroxysmal atrial tachycardia Ventricular tachycardia Ventricular fibrillation Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 41 of 25 Correct! Correct! Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 42 of 25 Premature ventricular contractions Atrial fibrillation Question 26 2.5 / 2.5 pts Fill in the blank: Approximately 55% of blood volume consists of . Your Answer: plasma Plasma Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 45 of 25 4. Name one medication therapy for hypertension and its mechanism of action. Your Answer: Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 46 of 25 Module 4 Exam - Requires Respondus LockDown Browser + Webcam: Pathophysiology- 2021- Stepp 2/21/22, 11:04 AM https://portagelearning.instructure.com/courses/1116/quizzes/27099? module_item_id=102794 Page 47 of 25 his family has historty stroke,he is over weight, male, and 45 years with stage 2 high BP with bad diet and lack of activity, I think he is living in a very dengerous life, therefore i would advise him as folllow 1- stop eating food with high in salt 2- change your diet and eat better food increase fruit, veggies, low fat, food 3 add physical activity daily to your life 4- lose weight 5- colsult with health care and get medication to control you BP, for example lisobrol 6- I will tell him that he is in high risk for sroke ,and MI, kidney disease