Test #4Practice Questions

A 15-year-old male is brought to the ER for treatment of injuries received in a motor vehicle accident. An MRI reveals spinal cord injury, and his body temperature fluctuates markedly. The most accurate explanation of this phenomenon is that:

a) He developed pneumoniab) His sympathetic nervous system has been

damaged, and thermal control disturbedc) He has a brain injuryd) He has septicemia from an unknown source

His sympathetic nervous system has been damaged, and thermal control disturbed

A 72-year-old male demonstrates left-sided weakness of upper and lower extremities. The symptoms lasted 4 hours and resolved with no evidence of infarction. The patient most likely experienced a(n):

a) Stroke in evolutionb) Arteriovenous malformationc) Transient Ischemic Attackd) Cerebral Hemorrhage

Transient Ischemic Attack

While planning care for a patient who has acute pyelonephritis, a nurse recalls the most common condition associated with the development of acute pyelonephritis is:

a) Cystitisb) Renal Cancerc) Urinary Tract Obstructiond) Nephrotic Syndrome

Urinary Tract Obstruction

A 42-year-old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by:

a) Kidney stonesb) Immune complex deposition in the glomerulusc) Inadequate renal blood flowd) Obstruction of the proximal tubule

Inadequate renal blood flow

Which patient is most prone to multiple organ dysfunction syndrome (MODS)? In a patient with:

a) Myocardial infarctionb) Pulmonary diseasec) Septic shockd) Autoimmune disease

Septic Shock

A 10-year-old male is given penicillin for an infection. He has an allergic reaction, during which he develops urticarial lesions. These lesions are mediated by the release of:

a) Beta-adrenergic agonistsb) Histaminec) Calciumd) Cortisol

Histamine

A 28-year-old male is admitted to the burn unit 2 hours after receiving second- and third-degree burns over 50% of his body surface in an industrial explosion. Abnormal vital signs include low blood pressure and tachycardia. Lab results show a high hematocrit due to:a) Sickle cell syndromeb) Fluid movement out of the vascular spacec) Renal failured) Increased vascular protein secondary to

increased metabolism

Fluid movement out of the vascular space