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ATI LPN · Community Health · Chronic Disease Discussion Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Certain drug classes may cause harm in patients with symptomatic (NYHA classes II-IV) reduced ejection Heart failure (HFrEF), and thus should be avoided. If they are strongly indicated, they are to be used with caution, and with close monitoring. Such drugs include all of the following except:

A. Thiazolidinediones (glitazones, e.g., pioglitazone, rosiglitazone)
B. Nonsteroidal anti-inflammatory drugs and COX-2 inhibitors
C. Nutritional supplements (e.g., coenzyme Q10, carnitine, taurine, and antioxidants)
D. Non-dihydropyridine calcium-channel blockers (verapamil, diltiazem)

Expert Explanatory Rationale

Correct Answer: Nutritional supplements (e.g., coenzyme Q10, carnitine, taurine, and antioxidants)

Question 2 of 5

Oxygen therapy is prescribed as long term continuous therapy (more than 15 hours/day) to

A. Improve QOL, reduce pulmonary arterial pressure and dyspnoea and increase survival
B. Reduce respiratory effort caused by the damage to airways and lung parenchyma
C. Increase patient comfort, reduce cyanosis and assist with sleeping
D. Relieve anxiety related to breathlessness and reassure carer that the patient is receiving adequate oxygenation

Expert Explanatory Rationale

Correct Answer: Improve QOL, reduce pulmonary arterial pressure and dyspnoea and increase survival

Question 3 of 5

While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as the priority in the client's care?

A. Ineffective peripheral tissue perfusion
B. Alteration in body image
C. Impaired skin integrity
D. Alteration in activity tolerance

Expert Explanatory Rationale

Correct Answer: Impaired skin integrity

Question 4 of 5

An oncology nurse educator is providing health education to a patient who has been diagnosed with skin cancer. The patient's wife has asked about the differences between normal cells and cancer cells. What characteristic of a cancer cell should the educator cite?

A. Malignant cells contain more fibronectin than normal body cells
B. Malignant cells contain proteins called tumor-specific antigens
C. Chromosomes contained in cancer cells are more durable and stable than those of normal cells
D. The nuclei of cancer cells are unusually large, but regularly shaped

Expert Explanatory Rationale

Correct Answer: Malignant cells contain proteins called tumor-specific antigens

Question 5 of 5

The nurse is caring for a 55-year-old male who presented to this primary physician's office for his yearly check-up. Upon the physical assessment, the provider noted enlarged lymph nodes in the groin and neck region. The provider Questioned Joe regarding the possible causes of the finding. Which of the following diagnosis are consistent with this finding?

A. Leukemia
B. Lymphoma
C. Sickle cell anemia
D. Polycythemia vera

Expert Explanatory Rationale

Correct Answer: Lymphoma

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