GCU NRS410 Week 1 Assignment Assess your Knowledge of Foundational Concepts Latest 2019 February Question # 00598171 Course Code : NRS410 Subject: Health Care Due on: 02/15/2019 Posted On: 02/15/2019 10:36 AM Tutorials: 1 Rating: 4.8/5

NRS410 Path
Physiology and Nursing Management of Client’s Health

Week 1 Assignment

Assess your Knowledge of Foundational Concepts

Assess your knowledge of foundational concepts essential to
the nursing management of client health by taking the interactive quiz, located
in the media “Arterial Blood Gas Interpretation.”
http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_self-assessment-v1.1.php

The quiz is designed as a tool for self-assessment. When you
encounter questions that seem vaguely familiar, click on the media’s study
materials, which are organized by topic (e.g., anatomy, biology, chemistry,
pharmacology). This media will serve as a refresher for the concepts that build
upon one another in nursing practice.

You will have the opportunity to retake the quiz until you
achieve a passing score of 100%.

Once completed, please save your results and submit to the
instructor.

Student ADA Version

ofthe Arterial Blood Gas Interpretation Pre-Assessment

Anatomy

Backward effects of left-sided heart failure include:

A. Pulmonary
congestion

B. Jugular
vein distention

C. Dependent
edema in the legs

D. Bounding
pulses

Anatomy

In performing a physical assessment, the nurse notes the
patient has a “barrel” configuration to the chest. This is a consequence of:

A. Reduced
intrapleural pressures

B. Bronchial
airway expansion

C. Increased
vital capacity

D. Increased
residual lung volume

Anatomy

Ausculation of the chest reveals bilateral fine crackles in
the bases bilaterally, indicating:

A. Right-sided
heart failure

B. Left-sided
heart failure

C. Pneumonia

D. Acute
respiratory distress syndrome

Biology

The signs and symptoms of anemia are all related to what
common pathophysiologic feature of the condition?

A. Increased
oxygen consumption by tissues

B. Decreased
blood oxygen content

C. Vasodilation

D. A shift
in the oxyhemoglobin dissociation curve

Biology

In addition to hypertension, preeclampsia is characterized
by:

A. Nausea
and vomiting

B. Fatigue
and lower back pain

C. Protein
in the urine and edema

D. Retinal
changes and rates in the lungs

Biology

Common manifestations of bacterial pneumonia include all of
the following except:

A. Fever

B. Productive
Cough

C. Tachypnea

D. Hyperinflation

Biology

Closed drainage systems work to re-expand a lung after
pneumothorax by:

A. Re-establishing
the normal negative intrapleural pressure.

B. Creating
a positive pressure in the pleural space

C. Removing
excess fluid from the pleural space so that there is room for lung expansion.

D. Pulling
oxygen into distal air sacs to re-expand lung tissue

Biology

Patients with chronic renal failure usually exhibit:

A. Bradycardia

B. Hypokalemia

C. Hypocalcemia

D. Hematomas

Biology

The diet of a patient in end-stage kidney disease is
restricted in all of the following except:

A. Fluid

B. Potassium

C. Protein

D. Calories

Anatomy

Which of the following is true of the biological functions
of progesterone?

A. Progesterone
is the most important hormone associated with pregnancy.

B. Progesterone
directs male sexual characteristics.

C. Levels of
progesterone increases if the egg is not fertilized.

D. Levels of
progesterone remain stable if the egg is not fertilized.

Anatomy

Which of the following is true of the biological functions
of testosterone?

A. Testosterone
is not secreted by the ovaries.

B. Testosterone
is needed for development of female secondary sexual characteristics.

C. Testosterone
stimulates ovulation.

D. Testosterone
is needed for development of male secondary sexual characteristics.

Anatomy

Which of the following is true of the biological functions
of estrone?

A. Estrone
is required for proper development of male secondary sexual characteristics.

B. Level of
estrogen degreases if the egg is not fertilized.

C. Estrone
is required for proper development of female secondary sexual

characteristics.

D. Estrone
affects only the reproductive organs.

Biology

What is the function of hemoglobin?

A. Hemoglobin
is the protein in red blood cells that is responsible for carrying oxygen to
the cells of the body.

B. Hemoglobin
is a lipid in red blood cells that is responsible for carrying oxygen to the
cells of the body.

C. Hemoglobin
is a protein in white blood cells that is responsible for carrying oxygen to
the cells of the body.

D. Hemoglobin
is a protein in red blood cells that is not responsible for carrying carbon
dioxide to the cells of the body.

Biology

Why is heat an effective means of sterilization?

A. Heat is
an effective means of sterilization because it destroys the proteins of
microbial lifeforms, including fungi, bacteria, and viruses.

B. Heat is
an effective means of sterilization because it destroys the proteins of
anaerobic microbial lifeforms, including fungi, bacteria, and viruses.

C. Heat is
an effective means of sterilization because it destroys the lipids of microbial
lifeforms, including fungi, bacteria, and viruses.

D. Both (B)
and (C).

Chemistry:

List the enzymes whose levels are elevated in the blood
serum following an MI.

A. CPK, LDH,
AST, and SGOT

B. LDH, AST,
and SGOT

C. CRE, AST,
and ALT

D. None of
the above

Chemistry

What is the physiological function of gluconeogenesis?

A. Gluconeogenesis
is production of glucose from noncarbohydrate molecules in times when blood
glucose levels are low. This ensures proper function of brain and red blood
cells, which only use glucose as fuel.

B. Gluconeogenesis
is production of glucose from noncarbohydrate molecules in times when blood
glucose levels are high. This ensures proper function of brain and white blood
cells, which only use glucose as fuel.

C. Gluconeogenesis
is production of glucose from carbohydrate molecules in times when blood
glucose levels are low. This ensures proper function of brain and red blood
cells, which only use glucose as fuel.

D. None of
the above

Chemistry

What effect does glycogen metabolism have on glucose levels?

A. Glycogen
metabolism traps glucose within liver cells and increases storage of glucose in
the form of glycogen. These processes decrease blood glucose levels.

B. Glycogen
metabolism traps glucose within liver cells and increases storage of glucose in
the form of glycogen. These processes increase blood glucose levels.

C. Glycogen
metabolism releases glucose within liver cells and increases storage of glucose
in the form of glycogen. These processes decrease blood glucose levels.

D. None of
the above

Chemistry

Carbon monoxide binds tightly to the heme groups of
hemoglobin and myoglobin. How does this affinity reflect the toxicity of carbon
monoxide?

A. Since
carbon monoxide binds the heme groups of hemoglobin, it is easily removed or
replaced by oxygen. As a result, the effects of oxygen enhancement result in
what divers call the “bends.”

B. Because
carbon monoxide binds the heme groups of hemoglobin, it is easily removed or
replaced by oxygen. As a result, the effects of oxygen deprivation result in
suffocation.

C. Because
carbon monoxide binds tightly to the heme groups of hemoglobin, it is not
easily removed or replaced by oxygen. As a result, the effects of oxygen
deprivation result in suffocation.

D. None of
the above

Pathophysiology

Which of the following may be a reason to order an ABG on a
patient?

A. The
patient suddenly develops shortness of breath

B. An
asthmatic is starting to show signs of tiring

C. A
diabetic has developed Kussmaul’s respirations

D. All of
the above

Pharmacology

How do sulfa drugs selectively kill bacteria while causing
no harm to humans?

A. Folic
acid is a vitamin required for the synthesis of a coenzyme needed to make the
amino acid methionine and the purine and pyrimidine nitrogenious bases for DNA
and RNA and folic acid is produced by humans.

B. Sulfa
drug binds to the enzyme, no product is formed, folic acid is made and the
biosynthesis of methionine and nitrogenous bases increases.

C. Humans
are not harmed because they do not synthesize their own folic acid. It is
obtained in the diet.

D. None of
the above

Pharmacology

What occurs when glycogen metabolism is stimulated by
insulin?

A. Insulin
stimulates glycogen synthase, the first enzyme in glycogen synthesis.

B. Insulin
stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also
stimulates removal of glucose from the bloodstream into cells and
phosphorylation of glucose by the enzyme glucokinase.

C. Insulin
stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also
stimulates uptake of glucose from the bloodstream into cells and
phosphorylation of glucose by the enzyme glucokinase.

D. All of
the above

Pharmacology

What is the medical application of cortisone? Cortisone is
used to treat:

A. Rheumatoid
arthritis, asthma, gastrointestinal disorders, and a variety of skin
conditions.

B. Kidney
disease, high blood pressure, and osteoporosis.

C. Muscle
disorders, tuberculosis, and thyroid disorder.

D. All of
the above

Anatomy

Oxygen saturation is likely to be lowest when an asthmatic
with a diagnosis of pneumonia is positioned:

A. In a high
Fowler position

B. Lying on
the left side

C. Lying on
the right side

D. Lying
supine with the head of the bed flat

Chemistry

Laboratory test results indicative of thrombocytopenia, in
addition to a low platelet count, would be:

A. Increased
PT

B. Prolonged
bleeding time and poor clot retraction.

C. Increased
aPTT

D. Decreased
RBC count.

Pharmacology

The purposes of epinephrine injection include all of the
following except:

A. Stabilizing
mast cell membranes.

B. Relaxing
bronchial smooth muscle.

C. Supporting
arterial blood pressure.

D. Blocking
histamine receptors.

Pharmacology

Therapeutic interventions focused on increasing the oxygen
supplied to the heart and decreasing the heart’s demand for oxygen include:

A. Antiplatelet
drugs

B. Anticoagulants

C. Morphine
sulphate

D. Thrombolytic
drugs

Pharmacology

An intervention that would contribute toward the healing of
a peptic ulcer is:

A. Steroid
administration

B. Blocking
or neutralizing of acid secretion

C. Surgical
removal of the ulcer

D. Intravenous
nutritional support

Pharmacology

Aspirin and NSAIDs are causative factors for the development
of peptic ulcer disease because they:

A. Increase
acid secretion

B. Allow
proliferation of H. pylori

C. Damage
the mucosal barrier

D. Alter
platelet aggregation

Pharmacology

Your patient is interested in trying medication to improve
low mood/depression. All of the following medications might be appropriate
except:

A. Selective
serotonin reuptake inhibitors

B. Amitriptyline

C. Serotonin
and norepinephrine reuptake inhibitors

D. Benzodiazepines