Question: Why would a patient have a shock‑wave lithotripsy procedure if they had kidney stones?

Answer Choices: A. To prevent future kidney stones; B. To detect the kidney stones; C. To fragment the kidney stones; D. To cause reabsorption of the kidney stones

Answer: C. To fragment the kidney stones

Question: Accurate nurse response to parent suspecting Tourette’s tics are fake:

Answer Choices: Child misdiagnosed Condition worsening Tics change frequency/severity Medication is working

Answer: Tics often change frequency or severity

Question: Identify the rhythm (PR > 0.20 s, regular).

Answer Choices: A. First‑degree AV block B. Second‑degree type I C. Second‑degree type II D. Third‑degree block

Answer: A. First‑degree AV block

Question: Which of the following phases of swallowing is voluntary?

Answer Choices: A. The peristaltic wave in the pharynx and esophagus to push the food towards the stomach; B. The tongue pushing the bolus of the food towards the pharynx; C. The contraction of pharyngeal muscles to pull the pharynx towards the food; D. The secretion of saliva rich in digestive enzymes by the parotid gland

Answer: B. The tongue pushing the bolus of the food towards the pharynx

Question: A patient presents with unintentional weight loss, jaundice, ascites, and clay‑colored stools. The nurse should ask about:

Answer Choices: A. History of hypertension B. High‑carbohydrate intake C. Chronic alcohol use D. Genetic metabolic disease

Answer: C. Chronic alcohol use

Question: Nurse’s priority before IABP transport:

Answer Choices: A. Ensure extra helium tanks available B. Turn pump off C. Remove arterial line D. Deflate balloon manually

Answer: A. Ensure extra helium tanks available

Question: A patient with esophageal varices may exhibit which clinical manifestations? (Select all that apply.)

Answer Choices: ☐ Hypotension ☐ Melena ☐ Insomnia ☐ Esophageal pain ☐ Hematemesis

Answer: Hypotension, Melena, Hematemesis

Question: Nurse notes 8‑mm non‑reactive pupil in TBI patient. First action?

Answer Choices: A. Document findings B. Notify provider C. Elevate HOB D. Administer mannitol

Answer: A. Document findings

Question: Blurted answers, poor turn-taking, interrupting—indicates:

Answer Choices: Mutism Impulsivity Inattention Defiance

Answer: Impulsivity

Question: An antibiotic circulating in the blood passes through the kidneys. Only a minuscule amount of it passes from the glomerular capillary into the glomerular filtrate. When its presence in the urine is measured, it has been almost completely excreted. How is this possible?

Answer Choices: A. The antibiotic is actively transported into the proximal tubule during tubular secretion.; B. Stimulation from nerves causes the efferent arteriole to constrict and force the antibiotic through the glomerular capillary into the filtrate.; C. During the process of reabsorption, flow of water across the tubular membrane into the peritubular capillary passively encourages the antibiotic to cross the opposite way.; D. Sodium ions crossing into the blood of the peritubular capillary increases osmotic pressure and forces the antibiotic into the proximal tubule.

Answer: A. The antibiotic is actively transported into the proximal tubule during tubular secretion.

Question: Identify the shock type: MI with low BP, crackles, cool clammy skin.

Answer Choices: A. Cardiogenic B. Hypovolemic C. Neurogenic D. Septic

Answer: A. Cardiogenic

Question: Shock‑wave lithotripsy for kidney stones is performed to:

Answer Choices: Prevent future stones Detect stones Fragment stones Cause re‑absorption of stones

Answer: Fragment the kidney stones.

Question: “Basilar skull fractures often cause CSF leak through the nose.”

Answer Choices: A. True B. False

Answer: A. True

Question: The kidneys increase their excretion of hydrogen ions during…

Answer Choices: A‑ Acidosis B‑ Alkalosis

Answer: A Acidosis

Question: “Autonomic dysreflexia is a life‑threatening emergency.”

Answer Choices: A. True B. False

Answer: A. True

Question: ABG: pH 7.30, PaCO₂ 60 mm Hg, HCO₃⁻ 24 mEq/L.

Answer Choices: A. Respiratory acidosis, uncompensated B. Metabolic acidosis, uncompensated C. Respiratory alkalosis, uncompensated D. Metabolic alkalosis, uncompensated

Answer: A. Respiratory acidosis, uncompensated

Question: In response to a decrease in concentration of blood _________blank, the kidneys secrete _________blank.

Answer Choices: A. sodium; aldosterone; B. calcium; renin; C. oxygen; erythropoietin; D. potassium; ADH

Answer: C. oxygen; erythropoietin

Question: For development to meet its objective of improving people’s lives we must place matters of dignity, fairness, happiness, freedom, moral well‑being, rights, and entitlements at the center making development not only an economic and political enterprise, but an ethical and humanistic one as well.

Answer Choices: True, False

Answer: True