People with metabolic syndrome have an increased risk of which of the following disorders, besides type 2 diabetes mellitus?
- A. Hypertension, infections
- B. Myocardial infarction, hypertension
- C. Myocardial infarction, infections
- D. Myocardial infarction, liver cirrhosis
Correct Answer: B
Rationale: Metabolic syndrome hikes heart attacks, hypertension vascular hits, not infections or cirrhosis extras. Nurses track this, a chronic CV duo.
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Which of the following laboratory abnormalities is NOT associated with fatty liver?
- A. Elevated uric acid
- B. Elevated LDL-cholesterol
- C. Elevated fasting glucose
- D. Elevated creatinine kinase
Correct Answer: D
Rationale: Fatty liver (NAFLD) links to metabolic syndrome elevated uric acid, LDL-cholesterol, fasting glucose, and triglycerides reflect insulin resistance and dyslipidemia. Elevated creatinine kinase (CK) indicates muscle damage (e.g., myopathy), not a typical NAFLD feature, though liver enzymes (ALT/AST) rise. CK's absence from NAFLD profiles guides physicians in differential diagnosis during chronic liver disease assessment.
Early Goal Directed Therapy in severe sepsis and septic shock (Rivers et al) does NOT recommend:
- A. hydrocortisone 100 mg QID
- B. maintaining mixed venous oxygen saturation measurement >70%
- C. maintaining CVP between 8-12 mmHg
- D. using inotropes to keep MAP >65 mmHg<90 mmHg
Correct Answer: A
Rationale: Rivers' sepsis hydrocortisone's out, SvO2, CVP, MAP, dobutamine hold. Nurses skip this chronic steroid sidestep.
Which is not an AIDS defining illness?
- A. oesophageal candidiasis
- B. Herpes Zoster
- C. CD4 count <200 cells/microL
- D. Pulmonary TB
Correct Answer: B
Rationale: Herpes zoster's no AIDS marker just shingles, common even sans HIV collapse. Oesophageal thrush, PCP, TB scream opportunists; CD4's a lab line, not illness. Nurses flag true definers chronic crash signs not this skin flare anyone catches.
Which of the following countries has the highest percentage of diabetes patients?
- A. USA
- B. Britain
- C. India
- D. Saudi Arabia
Correct Answer: D
Rationale: Saudi Arabia's diabetes rate soars wealth, sedentary shifts, and diet spike it past USA's obesity-driven numbers, Britain's milder load, and India's vast but diluted count. Over 20% prevalence there trumps others' teens, a chronic epidemic nurses track in Gulf states, tied to rapid modernization.
In assigning patients with alterations related to gastrointestinal (GI) cancer, which would be the most appropriate nursing care tasks to assign to the LPN/LVN, under supervision of the team leader RN?
- A. A patient with severe anemia secondary to GI bleeding
- B. A patient who needs enemas and antibiotics to control GI bacteria
- C. A patient who needs pre-op teaching for bowel resection surgery
- D. A patient who needs central line insertion for chemotherapy
Correct Answer: B
Rationale: LPN/LVNs operate under RN supervision, handling tasks within their scope like administering enemas and antibiotics to control GI bacteria in a cancer patient, a straightforward, protocol-driven intervention to reduce infection risk before procedures. Severe anemia from GI bleeding demands RN assessment for transfusion or instability, beyond LPN scope. Pre-op teaching for bowel resection requires detailed education and evaluation, an RN duty to ensure comprehension. Central line insertion for chemotherapy involves advanced skills and risk management, reserved for RNs or specialized staff. Enemas and antibiotics fit LPN/LVN training, optimizing team efficiency while keeping complex care with RNs, aligning with safe delegation principles in GI cancer management.
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