Nokea
The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding?
- A. Nuchal rigidity
- B. Carotid bruit
- C. Jugular vein distention
- D. Palpable cervical lymph node
Correct Answer: B
Rationale: A carotid bruit indicates turbulent blood flow, which is a risk factor for stroke.
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What is the definition of a giant coronary artery aneurysm in Kawasaki Disease?
- A. ≥8 mm in diameter
- B. Z score ≥10
- C. Both A and B
- D. None of the above
Correct Answer: C
Rationale: A giant coronary artery aneurysm in Kawasaki Disease is defined by either a diameter of ≥8 mm or a Z score ≥10, which indicates a significantly increased size.
All the following antimalarials act by forming heme complexes which are toxic to the parasite except
- A. Primaquine
- B. Chloroquine
- C. Mefloquine
- D. Quinidine
Correct Answer: A
Rationale: Primaquine does not act by forming heme complexes; it works through a different mechanism.
Features of severe haemophilia A include:
- A. Retroperitoneal bleed
- B. Chronic arthropathy
- C. Prolonged bleeding time
- D. Increased APTT
Correct Answer: D
Rationale: Increased activated partial thromboplastin time (APTT) is a characteristic feature of haemophilia A due to the deficiency of clotting factor VIII.
The nurse calculates the body mass index (BMI) for an obese adult. Which additional assessment finding places the client at high risk for cardiac disease?
- A. Large waist circumference with central fat
- B. High serum insulin level
- C. Hyperpigmentation on neck skin folds
- D. Poor muscle tone
Correct Answer: A
Rationale: A large waist circumference with central fat is associated with an increased risk for cardiac disease due to visceral fat accumulation.
Neurodegenerative diseases include the following:
- A. Niemann-Pick disease
- B. Metachromatic leukodystrophy
- C. Leigh's encephalopathy
- D. Canavan disease
Correct Answer: A
Rationale: The correct answer is A because Niemann-Pick disease is a neurodegenerative disorder. The other options (b-e) are also neurodegenerative diseases.