Question: Which statement made by a nurse demonstrates understanding of the secretory functions of the kidney?

Answer Options:

A. “Clients with impaired renal function have disrupted calcium balance in the bloodstream due to inactive vitamin D.”
B. “Kidneys create glucose from amino acids in cases of excessive consumption of animal proteins.”
C. “Clients with renal failure have higher hemoglobin levels because of constant secretion of erythropoietin.”
D. “The juxtaglomerular apparatus secretes renin in response to high sodium levels in the blood.”

Answer: A. “Clients with impaired renal function have disrupted calcium balance in the bloodstream due to inactive vitamin D.” 26

Question: A “blue” discoloration of the skin is documented as:

Answer Options:

A. Erythema
B. Effusion
C. Edema
D. Cyanosis

Answer: D. Cyanosis 27

Question: Which hormone produced by the intestine triggers the release of pancreatic enzymes?

Answer Options:

A. Secretin
B. Chymotrypsin
C. Insulin
D. Somatostatin

Answer: A. Secretin is the likely intended answer from the listed options. However, physiologically, cholecystokinin (CCK) is the primary intestinal hormone that stimulates pancreatic enzyme release, and it was not listed. 28

Question: The suffix “-itis” refers to:

Answer Options:

A. Inflammation
B. Healing
C. Narrowing
D. Scope

Answer: A. Inflammation 29

Question: Which term refers to the process of coughing up sputum?

Answer Options:

A. Hypoxia
B. Atelectasis
C. Hemoptysis
D. Expectoration

Answer: D. Expectoration 30

Question: What is a risk factor for both bacterial and fungal urinary tract infections (UTIs)?

Answer Options:

A. Urinary catheters
B. Antibiotic use
C. Diabetes mellitus
D. Stagnation of urine flow

Answer: A. Urinary catheters 31

Question: The nurse is providing care for a client admitted with a diagnosis of cerebrovascular accident. The client exhibits left-sided deficits, memory deficits, and emotional breakdowns coupled with aggressive behaviors. Which area does the nurse identify as being affected based on assessment findings?

Answer Options:

A. Temporal lobe
B. Frontal lobe
C. Parietal lobe
D. Occipital lobe

Answer: B. Frontal lobe 32

Question: What is the term for coughing up blood?

Answer Options:

A. Hemoptysis
B. Hemolysis
C. Hemodialysis
D. Hematuria

Answer: A. Hemoptysis 33

Question: The nurse is reviewing anatomy and physiology with staff nurses. Which structure does the nurse identify as being at risk for choledocholithiasis?

Answer Options:

A. Pancreatic duct
B. Common bile duct
C. Hepatic duct
D. Cystic duct

Answer: B. Common bile duct 34

Question: Which virus helper function is needed for the replication of hepatitis D virus?

Answer Options:

A. Hepatitis E virus (HEV)
B. Hepatitis C virus (HCV)
C. Hepatitis A virus (HAV)
D. Hepatitis B virus (HBV)

Answer: D. Hepatitis B virus (HBV) 35

Question: Which structures are elements of adaptive immunity?

Answer Options:

A. Ciliated cells
B. T and B lymphocytes
C. Skin and mucous membranes
D. Phagocytic cells

Answer: B. T and B lymphocytes 36

Question: What is the prefix for a fatty plaque or soft, yellowish deposit?

Answer Options:

A. Arterio
B. Anter
C. Athero
D. Alter

Answer: C. Athero 37