The nurse is caring for a client who is due for a laparoscopic fundoplication. On reviewing the medical history, the nurse notes the client complains of dysphagia, substernal burning, and belching.

The endoscopy and barium test reports are yet to be received. Which condition can the nurse expect in the client?

Gastritis

Stomach cancer

Schatzki ring

Hiatal hernia

Answer and Explanation

The Correct Answer is D

Choice A rationale: Dysphagia, substernal burning, and belching are symptoms often associated with hiatal hernia.

Choice B rationale: While substernal burning can be a symptom of stomach-related issues, hiatal hernia is more directly linked to the symptoms described.

Choice C rationale: Schatzki ring might present with dysphagia, but it's less likely given the overall symptoms described.

Choice D rationale: Symptoms of dysphagia and substernal burning can be indicative of a hiatal hernia, especially when considered together.

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Correct Answer is D

Explanation

Choice A rationale: This refers to postrenal AKI, which is caused by an obstruction in the urinary tract that prevents urine from leaving the body.

Choice B rationale: This refers to AKI in general and is not specific compared to choice D.

Choice C rationale: This refers to intrinsic AKI, which is caused by damage to the kidney tissue or cells from various causes, such as inflammation, infection, toxins, or ischemia.

Choice D rationale: This is correct because it is pre-renal AKI, a condition in which kidney blood flow may become significantly reduced, including cases where a significant amount of fluid has been lost. This situation suggests potential hypovolemia (low blood volume) due to the massive GI bleed, which can lead to reduced kidney blood flow and subsequent acute kidney injury.

A. Anterior spinal artery syndrome B. Cauda equina syndrome C. Horner's syndrome D. Brown-Séquard syndrome

Correct Answer is B

Explanation

Choice A rationale: Anterior spinal artery syndrome is caused by ischemia of the anterior two-thirds of the spinal cord, resulting in loss of motor function and pain and temperature sensation below the level of the lesion.

Choice B rationale: This is a condition that occurs when the nerve roots in the lower end of the spinal cord are compressed, causing symptoms such as lower back pain, sciatica, saddle anesthesia, bladder and bowel dysfunction, and sexual dysfunction.

Choice C rationale: Horner's syndrome is caused by damage to the sympathetic nerve fibers in the neck or chest, resulting in drooping eyelid, constricted pupil, and lack of sweating on one side of the face.

Choice D rationale: Brown-Séquard syndrome is caused by hemisection of the spinal cord, resulting in ipsilateral loss of motor function and proprioception and contralateral loss of pain and temperature sensation below the level of the lesion.

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Naxlex Comprehensive Predictor Exams

A-55-year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

Correct Answer is D

Explanation

Which disorder is associated with the compression of the bilateral nerve roots of the lumbosacral region?

Correct Answer is B

Explanation

Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?

The nurse observes the final diagnosis of four clients in their case reports as given below. In which client does the nurse notice the presence of Chvostek sign and Trousseau sign?

A 25-year-old female presents with amenorrhea and hirsutism and is diagnosed with polycystic ovary syndrome (PCOS). Lab testing will most likely reveal:

The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective information is most important for the nurse to note?

The nurse is performing an assessment of a client with possible plantar fasciitis in the right foot. What assessment finding would the nurse expect in the right foot?

The medical reports of a client who suffered an accident show injuries at the sixth thoracic vertebra, lack of normal sympathetic outflow, bradycardia and low blood pressure. Which condition does the nurse suspect in the client?