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| 1. |
Which of the following is the
most common symptom of myocardial infarction (MI)? |
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A. |
Chest pain |
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B. |
Dyspnea |
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C. |
Edema |
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D. |
Palpitations |
| 2. |
Which of the following groups
of symptoms indicates a ruptured abdominal aortic aneurysm? |
|
A. |
Lower back pain, increased blood pressure,
decreased red blood cell (RBC) count,increased white blood
cell (WBC) count. |
|
B. |
Severe lower back pain, decreased blood
pressure, decreased RBC count, increased WBC count. |
|
C. |
Severe lower back pain, decreased blood
pressure, decreased RBC count, decreased WBC count. |
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D. |
Intermittent lower back pain, decreased
blood pressure, decreased RBC count, increased WBC count. |
| 3. |
Which of the following symptoms
commonly occur in a client with varicose veins? |
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A. |
Fatigue and pressure |
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B. |
Fatigue and cool feet |
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C. |
Sharp pain and fatigue |
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D. |
Sharp pain and cool feet |
| 4. |
What is the average length
of time from human immunodeficiency virus (HIV) infection
to the development of acquired immunodeficiency syndrome
(AIDS)? |
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A. |
Less than 5 years |
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B. |
5 to 7 years |
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C. |
10 years |
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D. |
More than 10 years |
| 5. |
A client with dependent personality
disorder has difficulty expressing personal concerns.
Which of the following communication techniques is best
to teach the client? |
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A. |
Questioning |
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B. |
Reflection |
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C. |
Silence |
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D. |
Touch |
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| 1. |
A |
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The most common symptom of an MI is chest pain, resulting
from deprivation of oxygen to the heart. Dyspnea is the
second most common symptom, related to an increase in
the metabolic needs of the body during an MI. Edema is
a later sign of heart failure,often seen after an MI.
Palpitations may result from reduced cardiac output, producing
arrhythmias. |
| 2. |
B |
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Severe lower back pain indicates an aneurysm rupture,
secondary to pressure being applied within the abdominal
cavity. When rupture occurs, the pain is constant because
it can't be alleviated until the aneurysm is repaired.
Blood pressure decreases due to the loss of blood. After
the aneurysm ruptures, the vasculature is interrupted
and blood volume is lost, so blood pressure wouldn't increase.
For the same reason, the RBC count is decreased - not
increased. The WBC count increases as cells migrate to
the site of injury. |
| 3. |
A |
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Fatigue and pressure are classic signs of varicose veins,
secondary to increased blood volume and edema. Sharp pain
and cool feet are symptoms of alteration in arterial blood
flow. |
| 4. |
C |
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Epidemiologic studies show the average time from initial
contact with HIV to the development of AIDS is 10 years. |
| 5. |
A |
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Questioning is a way to learn to identify feelings and
express self. The use of reflection isn't a communication
technique that will help the client express personal feelings
and concerns. The use of touch to express feelings and
personal concerns must be used very judiciously. Using
silence won't help the client identify and discuss personal
concerns. |
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