A nurse is caring for a client diagnosed with atherosclerosis. Which of the following is considered a risk factor for the development of this disorder?
- A. Diet high in vitamin K
- B. Low HDL-C/High LDL-C
- C. High HDL-C/Low LDL-C
- D. Vegan diet
Correct Answer: B
Rationale: Atherosclerosis loves lipids low HDL (good cholesterol) and high LDL (bad cholesterol) pile plaque, a prime risk factor driving vessel narrowing. Vitamin K aids clotting, not plaque. High HDL/low LDL protects. Vegan diets cut fats, lowering risk. Nurses flag lipid imbalance, pushing statins or diet shifts, a cholesterol-fueled root of this vascular scourge.
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What is the most influential source of self-efficacy?
- A. Mastery
- B. Affective states
- C. Verbal persuasion
- D. Vicarious experience
Correct Answer: A
Rationale: Self-efficacy's backbone is mastery past wins breed belief, a nurse's gold for chronic self-care push. Watching others, pep talks, or mood sway less; doing it trumps all, a confidence anchor in illness battles.
Oral glucose tolerance tests (OGTT) are performed in an overweight person , in whom the disturbed glucose tolerance is now diagnosed for the first time, and in a person with normal body weight who shows normal glucose values after oral glucose intake. Question: Which of the following glucose and insulin values, measured one hour after oral glucose intake, are most consistent with these two people?
- A. Glucose 12 mmol/L, Insulin 60 mU/L ; Glucose 8 mmol/L, Insulin 40 mU/L
- B. Glucose 12 mmol/L, Insulin 10 mU/L ; Glucose 8 mmol/L, Insulin 60 mU/L
- C. Glucose 8 mmol/L, Insulin 60 mU/L ; Glucose 4 mmol/L, Insulin 40 mU/L
- D. Glucose 8 mmol/L, Insulin 10 mU/L ; Glucose 4 mmol/L, Insulin 60 mU/L
Correct Answer: A
Rationale: Overweight with new impaired tolerance high glucose, high insulin as fat resists; normal weight, normal test moderate glucose, steady insulin. Twelve and 60 fit the struggler; 8 and 40 the healthy nurses read this, a chronic resistance tale in numbers.
A 20 day old neonate born at term is exposed to a child with chicken pox, what intervention should take place?
- A. Give ZIG to all such neonates
- B. Give ZIG depending on mothers serology
- C. Give aciclovir to all
- D. Give aciclovir depending on mothers serology
Correct Answer: B
Rationale: Neonate, 20 days ZIG if mom's seronegative, not blanket or aciclovir guess. Nurses tie this chronic shield to history.
A 72 years old man is diagnosed to have Type 2 DM, hypertension and hyperlipidemia with stage 3 chronic kidney disease. He is otherwise well and asymptomatic. He is referred to you for follow-up care. His blood pressure is 142/70 mmHg with HbA1c 6.5%. You would continue his following medications EXCEPT
- A. Hydrochlorothiazide 12.5 mg OD
- B. Simvastatin 40 mg ON
- C. Aspirin 100 mg OD
- D. Glibenclamide 10 mg bid
Correct Answer: D
Rationale: Stage 3 CKD eGFR 30-59 means glibenclamide's out; it piles up, risking hypoglycemia in shaky kidneys. Thiazide holds BP, simvastatin guards lipids, aspirin shields heart, irbesartan protects kidneys all stay. Nurses swap sulphonylureas here, dodging chronic sugar crashes in fragile renal states.
After change-of-shift report on the oncology unit, which patient should the nurse assess first?
- A. Patient who has a platelet count of 82,000/μL after chemotherapy
- B. Patient who has xerostomia after receiving head and neck radiation
- C. Patient who is neutropenic and has a temperature of 100.5°F (38.1°C)
- D. Patient who is worried about getting the prescribed long-acting opioid on time
Correct Answer: C
Rationale: Neutropenia plus fever 100.5°F screams infection risk, a sepsis threat needing instant assessment per ABCs in this chemo-ravaged unit. Platelets at 82,000 bleed less urgently; xerostomia's dry mouth annoys, not kills; opioid timing's comfort, not crisis. Nurses hit fever first, anticipating cultures or antibiotics, a life-saving triage in oncology's fragile lineup.