Fundamental Concepts and Skills for Nursing Test Questions

Correct Answer: A

Rationale: A. Decreased muscle mass: As individuals age, there is a natural decline in muscle mass known as sarcopenia. This can lead to overall decreased muscle strength and functional ability.

Correct Answer: A

Rationale: A. Cerebral angiogram: This diagnostic test may be ordered to assess the blood vessels in the brain and rule out potential causes of hypertension related to the central nervous system.

Correct Answer: B

Rationale: Fractures are a potential complication for both osteoporosis and osteomalacia. Osteoporosis is a condition characterized by low bone density and weakened bones, making individuals more susceptible to fractures, especially in areas such as the hip, spine, and wrist. Osteomalacia, on the other hand, is a condition where the bones become soft and weak due to a deficiency in vitamin D, resulting in an increased risk of fractures as well. Both conditions can significantly impact an individual's quality of life and functional ability, making fractures an important complication to address in teaching sessions on osteoporosis and osteomalacia.

Correct Answer: B

Rationale: The patient's symptoms are indicative of kidney stones causing obstruction and possibly renal colic. The sudden onset of severe crampy pain on the left side radiating into the groin, along with nausea, vomiting clear fluid, and passing pink urine (hematuria) are classic signs of kidney stones. Given the severity of the symptoms and the potential for complications, it is crucial to notify the physician immediately for further evaluation and management. Straining all urine, administering analgesics, and obtaining a bladder scan may be necessary interventions but should be done after informing the physician and following their recommendations.

Correct Answer: C

Rationale: Aphasia, which is the inability to understand or express speech, is typically associated with damage to the left hemisphere of the brain. In a client with suspected transient ischemic attack (TIA) presenting with aphasia, the nurse would plan care based on ischemia affecting the left hemisphere of the brain. The left hemisphere is responsible for language processing in most individuals, so damage in this area can result in communication deficits such as aphasia.