Which of the following is an example of multimorbidity?
- A. Chronic obstructive pulmonary disease and a urinary tract infection
- B. Lung cancer and pneumonia
- C. Chronic kidney disease and appendicitis
- D. Diabetes and exacerbation of rheumatoid arthritis
Correct Answer: D
Rationale: Multimorbidity means chronic twins diabetes and rheumatoid arthritis flare together, a dual load, not acute add-ons like UTIs, pneumonia, or appendicitis. Those flare fast and fade; chronic pairs grind on, tangled or not, a nurse's radar for complex care, a hallmark of long-haul illness overlap.
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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 100.5°F screams infection sepsis looms, outranking low platelets (A bleeding's later), dry mouth , or opioid timing . Nurses in oncology bolt here fever in a white-cell wasteland's a killer, needing stat eyes.
Which complications are the three main consequences of leukemia?
- A. Bone deformities, spherocytosis and infection.
- B. Anemia, infection, and bleeding tendencies.
- C. Lymphocytopoiesis, growth delays, and hirsutism.
- D. Polycythemia, decreased clotting time, and infection.
Correct Answer: B
Rationale: Leukemia, a bone marrow cancer, replaces normal marrow elements with immature, dysfunctional white blood cells (lymphoblasts), leading to three primary complications: anemia, infection, and bleeding tendencies. Anemia results from reduced red blood cell production, causing fatigue and pallor. Infection risk rises due to neutropenia immature lymphoblasts lack infection-fighting ability making children prone to severe illnesses. Bleeding tendencies occur from thrombocytopenia, low platelet counts causing bruising or petechiae. Bone deformities and spherocytosis aren't leukemia hallmarks; the former might occur in bone cancers like osteosarcoma, and the latter is a red cell disorder. Lymphocytopoiesis is a process, not a complication, while growth delays and hirsutism aren't primary leukemia effects. Polycythemia (high red cells) and decreased clotting time oppose leukemia's anemia and bleeding risks. Nurses must monitor these complications, as they guide interventions like transfusions or antibiotics, critical for supporting children through leukemia treatment.
What does the abbreviation DALY stand for?
- A. Definition of anticipated life years
- B. Diabetes-affected life years
- C. Disability-adjusted life years
- D. Disease-affected life years
Correct Answer: C
Rationale: DALY disability-adjusted life years tallies lost health, not diabetes alone or vague terms. Nurses use this, a chronic burden metric.
According to the McGinnis model of 2002, what percentage of health differences between people is related to their behaviour?
- A. 10%
- B. 20%
- C. 30%
- D. 40%
Correct Answer: D
Rationale: McGinnis pegs behaviour smoking, eating at 40% of health gaps, big over genes or care. Nurses lean on this, a chronic choice chunk.
Fatty liver disease is more common in people with metabolic syndrome or type 2 diabetes. The pathogenesis of fatty liver disease is not yet completely known. Question: What does current research suggest with respect to the pathogenesis?
- A. Steatosis correlates with inflammation
- B. Inflammation correlates with fibrosis
- C. Steatosis correlates with liver damage
- D. Steatosis correlates with insulin resistance
Correct Answer: D
Rationale: Fatty liver's tale steatosis ties to insulin resistance, a metabolic syndrome root, not just inflammation, fibrosis, or vague damage. Nurses see this, a chronic fat-glucose knot.