問題一覧
1
A child was admitted with cyanosis and diagnosed with tetralogy of fallot.Which of the following assessment is expected on a child with Tetralogy of Fallot?
Increasing cyanosis when crying or activity
2
Large ventricular septal defect or atrial septal defect is corrected with the used of?
Dacron Patch
3
The surgical procedure for patient with tetralogy of fallot which creates anastomosis of the subclavian artery to the pulmonary artery:
Blalock-Taussig
4
The drug of choice for Rheumatic Disease is?
Penicillin
5
What is the name of the Common bacteria that causes Rheumatic heart fever?
Group A strep
6
The nurse is caring for a child with Kawasaki disease in the acute phase. Which of the following clinical manifestations would NOT the nurse expect to observe?
Chorea
7
During the assessment of a child with congenital heart problem, which of the following history would be the most indicative of the child having this kind of cardiac problem?
Maternal exposure to teratogens or viral Illnesses.
8
Nurse Ella is looking after a 2-year-old boy who has an atrial septal defect that needs to be repaired. This defect is causing complications, which are caused by an abnormal shunting of blood throughout the heart. As a nurse, he is aware that the defect is causing a shunt in the heart.
Left-to-right
9
A pregnant client with class 3 cardiac disease is seen during pregnancy, the nurse can evaluate that leaning has occurred when a client states
Activity intolerance related to compromised cardiac status
10
Which of the following characteristics will show that the child has Ventricular Septal Defect?
Systolic murmur at left lower sternal border
11
Which of the following would the nurse expect to find in the history of a 9-year-old girl diagnosed with rheumatic fever?
Untreated fever and sore throat 2 weeks ago
12
When assessing a child with tetralogy of fallot, which of the following positions would the nurse expect to see as a compensatory mechanisms?
Squatting
13
Which of the following symptoms would the nurse expect to assess in a 9-month-old child with congenital heart disease who develops heart failure?
Tachycardia and hepatomegaly
14
Which of the following organisms is responsible for the development of rheumatic fever?
Group A Beta-hemolytic streptococcus
15
Which of the following instructions would the nurse include in a teaching plan that focuses on initial prevention of rheumatic fever?
Treating streptococcal throat infections with an antibiotic
16
Children with Kawasaki Disease may develop:
aneurysm formation
17
Which of the following are defects associated with tetralogy of fallot?
Ventricular deptal defect, overriding aorta, pulmonic stenosis, and right ventricular hypertrophy
18
When developing a teaching plan for the parents of a child with pulmonic stenosis, the nurse would would keep in mind that this disorder involves which of the following?
Obstruction of blood flow from the right ventricle
19
While assessing a child with coarctation of aorta, the nurse would expect to find which of the following?
Absent or diminished femoral pulses
20
Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?
Tetralogy of Fallot
21
The pancreatic islet also known as Islet of Langerhans has the alpha, beta, and delta cells that are associated with glucose levels in the blood are found in the:
pancreas
22
This hormone is also known as catecholamine which is secreted in the adrenal medulla.
Adrenaline
23
The nurse identifies that cortisol as an example of a glucocorticoids hormone that is secreted from the.
Adrenal cortex
24
The nurse takes care of a patient in the Medical Ward with an enlarged thyroid, what is this condition?
Goiter
25
The hypothalamus release this hormone through secretion of the posterior pituitary gland when mother is in labor. It causes the contraction of the smooth muscles of the uterus.
Oxytocin
26
The nurse assesses the patient and finds to be dehydrated and thirsty despite increasing the fluid consumption. The doctor said that lab investigation shows ion imbalances due to lack of ADH, this is indicative of what condition.
Diabetes Insipidus
27
Blood osmolarity is constantly monitored by these specialized cells in the hypothalamus that are sensitive to the concentrations of ions and solutes
osmoreceptors
28
This chemical signaling is released by one cell and induces response in neighboring cells.
paracrine
29
An adult patient is complaining of weight loss despite of good appetite and high body temperature could be showing signs of abnormalities in the production of thyroid hormone.
Hyperthyroidism
30
This enzyme breaks down cAMP (cyclic adenosine monophosphate) after performing as second messenger system to quickly stops internal cellular changes.
phosphodiesterase
31
These hormones are produced from synthesis of lipid and cholesterol molecules that can pass through the cell membrane easily but needs carrier transport in the blood.
Steroids
32
The posterior pituitary gland is connected to the hypothalamus by this stalk.
infundibulum
33
This cell from the thyroid gland produces the calcitonin in response to elevated blood calcium levels.
Parafollicular
34
What hormone stimulates osteoclasts and inhibits osteoblasts?
PTH
35
Aldosterone is secreted in this layer of the adrenal cortex that increases sodium and water reabsorption in the kidneys as well as increases blood pressure.
zona glomerulosa
36
Within the small intestinal mucosa, there are lymphatic capillaries found inside the villi that absorbs lipids.
lacteals
37
Which of the following organs has 3 layers of smooth muscle in its muscularis externa?
stomach
38
What are the structural cells in the stomach which are parts of the gastric gland and produce the pepsinogen?
Chief cells
39
An adult patient is complaining of weight loss despite of good appetite and high body temperature could be showing signs of abnormalities in the production of thyroid hormone.
Hyperthyroidism
40
This enzyme breaks down cAMP (cyclic adenosine monophosphate) after performing as second messenger system to quickly stops internal cellular changes.
phosphodiesterase
41
These hormones are produced from synthesis of lipid and cholesterol molecules that can pass through the cell membrane easily but needs carrier transport in the blood.
Steroids
42
The posterior pituitary gland is connected to the hypothalamus by this stalk.
infundibulum
43
This fold of membrane anchors the small intestine to posterior abdominal wall.
mesentery proper
44
The biliary system are vessels and ducts that carry bile from liver and gall bladder and secretions from pancreas with this sequential biliary pathway.
Right and left hepatic ducts of liver carry bile, cystic duct, common hepatic duct, common bile duct, pancreatic duct, hepatopancreatic ampulla
45
These are absorbable nutrients from carbohydrates except:
glycerol