NCLEX-PN
Chapter 8: Quiz & Answers 1. Pelvic inflammatory disease is most often caused by: A. Trichomoniasis B. E. coli
C. Staphylococcus aureus D. Neisseria gonorrhoeae
Correct Response : D Explanation : Pelvic inflammatory disease is most often caused by the Neisseria gonorrhoeae and Chlamydia trachomatis pathogens, and it most often occurs as the result of untreated salpingitis, pelvic peritonitis, a tubo-ovarian abscess, and/or endometritis. Unlike Neisseria gonorrhoeae, trichomoniasis and infections caused by E. coli and Staphylococcus aureus are not associated with the onset of pelvic inflammatory disease, which can lead to infertility, increased risk for ectopic pregnancies, sepsis, septic shock, and death when left untreated. (See Reproductive System Medical Emergencies ) 2. Intussusception occurs when: A. Part of the intestine slides into another part of the intestine B. The appendix ruptures C. An ileostomy stoma retracts below the abdominal surface. D. Lungs are infiltrated Correct Response : A Explanation : Intussusception occurs when a part of the intestine slides into another part of the intestine. This medical emergency can lead to poor perfusion of the intestine. The signs and symptoms of intussusception include knee to chest posturing, abdominal pain, bloody stool, fever, constipation, vomiting, and diarrhea. A ruptured appendix occurs when an infected appendix ruptures; a stoma retraction occurs when an ileostomy stoma retracts below the abdominal surface; and pneumonia occurs when the lungs become infiltrated. (See Gastrointestinal Medical Emergencies) 3. Your client has superior vena cava syndrome. The client’s wife asks what this is. How should you respond to the client’s wife? You should explain that superior vena cava syndrome is:
A. The compression of the renal medulla B. Syncope and dizziness of unknown origin
C. Pressure on the vena cava, which is a major vein in the body D. Pressure on the vena cava, which is the largest artery in the body Correct Response : C
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