1 :

Hint : Bladder distension triggers AD.

Correct Answers:

  • The clients bladder becomes distended.


Rationale :
Autonomic dysreflexia is triggered by noxious stimuli below the injury level, often due to bladder/bowel distension.

Distractor Analysis :

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2 :

Hint : Check placement first.

Correct Answers:

  • Aspirate the clients stomach contents.


Rationale :
Ensures tube placement and prevents aspiration before feeding.

Distractor Analysis :

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3 :

Hint : Relief = angina.

Correct Answers:

  • Stable angina can be relieved with rest and nitroglycerin.


Rationale :
MI pain is unrelieved by rest/NTG; angina resolves with interventions.

Distractor Analysis :

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4 :

Hint : Alcohol primary cause.

Correct Answers:

  • Use of alcohol


Rationale :
Chronic pancreatitis is most commonly caused by alcohol abuse.

Distractor Analysis :

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5 :

Hint : Left HF = lungs.

Correct Answers:

  • Dyspnea


Rationale :
Left-sided HF causes pulmonary congestion (dyspnea, crackles).

Distractor Analysis :

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6 :

Hint : PE = anticoagulant.

Correct Answers:

  • Heparin


Rationale :
Heparin prevents further clot formation in PE.

Distractor Analysis :

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7 :

Hint : Bile obstruction = fatty stools.

Correct Answers:

  • Fatty stools


Rationale :
Bile duct obstruction prevents fat digestion, causing steatorrhea.

Distractor Analysis :

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8 :

Hint : Stones = extreme pain

Correct Answers:

  • Severe pain


Rationale :
Renal calculi cause colicky, severe flank pain.

Distractor Analysis :

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9 :

Hint : Low phosphate refeeding.

Correct Answers:

  • Hypophosphatemia


Rationale :
Refeeding syndrome depletes phosphate during rapid nutrition restart.

Distractor Analysis :

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10 :

Hint : Lactulose lowers NH3.

Correct Answers:

  • Decreased ammonia levels


Rationale :
Lactulose reduces ammonia in hepatic encephalopathy.

Distractor Analysis :

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Total Questions: 10

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