Download NURS 6501 Final Exam Questions and Answers: Advanced Pathophysiology and more Exams Nursing in PDF only on Docsity!
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NURS 6501/ NURS 6501N FINAL EXAMS (4 VERSIONS)400 Q&A
NURS 6501 FINAL EXAM
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Course NURS-6501N-58,Advanced Pathophysiology.
Test Exam - Week 11 Final
Started 5/10/22 6:24 PM
Submitted 5/10/22 8:19 PM
Due Date 5/11/22 1:59 AM
Status Completed
Attempt Score 98 out of 100 points
Time Elapsed 1 hour, 54 minutes out of 2 hours
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Submitted Answers
What is the link between major depression and cortisol secretion?
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Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression. A patient has chronic anemia associated with chronic renal failure. What substance does the healthcare professional tell the patient is needed to treat this anemia?
Selected Answer: Erythropoietin
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What is the first indication of nephrotic syndrome in children?
Selected Answer: Periorbital^ edema
A patient is in the Emergency Department with heat stroke. What finding does the healthcare provider associate with this condition?
Selected Answer: Absence^ of^ sweating^ despite^ a^ high^ core^ temperature
Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?
Selected Answer: Abnormal^ uterine^ bleeding
The health care professional is caring for a person who has a pathologic fracture. The patient asks the professional to explain the condition. What response by the professional is best?
Selected Answer: A^ fracture^ that^ happens^ at^ the^ site^ of^ an^ abnormality^ already^ in^ that^ bone.
A patient has a temporary displacement of two bones in a joint causing the bone surfaces to partially lose contact with each other. What treatment does the health care professional prepare the patient for?
Selected Answer: Reduction^ and^ immobilization
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Selected Answer: Infants^ are^ obligatory^ nose^ breathers.
A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best?
Selected Answer: An^ area^ of^ devascularized^ and^ devitalized^ bone
Which statement by the healthcare professional accurately describes childhood asthma?
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An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation A patient has a spinal cord injury at C4. What should the healthcare professional assess as the priority in this patient?
Selected Answer: Respirations
Which cells function to maintain bone matrix?
Selected Answer: Osteocytes
To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare
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professional perform as the priority?
Selected Answer: Level^ of^ consciousness
What is the effect of low plasma albumin?
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Answer:
Osmotic pressure decreases; thus water moves from the capillaries to the interstitium. Which immunoglobulin (Ig) is present in childhood asthma?
Selected Answer: IgE
Which mother does the healthcare professional prepare to administer Rh immune globulin (Rho-GAM) to?
Selected Answer: Is^ Rh-negative^ and^ the^ fetus^ is^ Rh-positive
A parent brings a 10-year-old child to the clinic and reports a mottled appearance to the skin and legs cramps when the child is in physical education class. Physical assessment positive for upper extremity hypertension. What diagnostic testing or treatment does the healthcare professional prepare the family for?
Selected Answer: An^ echocardiogram
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in an effort to decrease heat loss?
Selected Answer: Peripheral^ vasoconstriction
How does the epididymis become infected?
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Answer:
The pathogenic microorganisms ascend the vasa deferentia from an already infected urethra or bladder. What are the clinical manifestations of testicular cancer?
Selected Answer: Firm,^ nontender^ testicular^ mass
A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk?
Selected Answer: IgA
The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?
Selected Answer: Staphylococcus^ aureus
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A patient has been exposed to prolonged high environmental temperatures and now shows signs of dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia. What treatment does the healthcare professional prepare to administer to this patient?
Selected Answer: Give^ the^ patient^ plenty^ of^ cool^ fluids^ to^ drink.
A woman who is positive for hepatitis B is in labor. What action by the healthcare professional is most appropriate?
Selected Answer: Immunize^ the^ newborn^ within^12 hours.
A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?
Selected Answer: Hypertension
A pregnant woman is seen for the first time at 6 months' gestation and has not taken prenatal vitamins. The healthcare professional educates the woman on the need for a blood test specifically to assess what substance?
Selected Answer: a-Fetoprotein
A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess?
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Which patient finding would lead the health care professional to assess the patient for inflammatory joint disease?
Selected Answer: Systemic^ symptoms^ of^ inflammation
A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate?
Selected Answer: Autoimmune^ disease^ against hematopoiesis^ by^ activated^ cytotoxic T^ (Tc)^ cells
A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct?
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Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes. A patient in the healthcare clinic reports fatigue, weakness, and dyspnea, as well as pale conjunctiva of the eyes and brittle, concave nails. What assessment by the healthcare professional is most appropriate for the suspected anemia?
Selected Answer: Oral^ mucus^ membranes^ and^ tongue
A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional
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is best?
Selected Answer: Patients^ tend^ to^ have^ venous^ stasis^ from^ orthopedic^ operations.
A healthcare professional suspects a patient is brain dead. How would the professional assess for brain death?
Selected Answer: Remove^ the^ patient's^ ventilator^ to^ see^ if^ spontaneous^ breathing^ occurs..
An adult patient has been hospitalized with thrombocytopenia with a platelet count of 8000/mm 3. What action by the healthcare professional is most appropriate?
Selected Answer: Tell^ the^ patient^ not^ to^ get^ out^ of^ bed^ without^ assistance.
A child with acute poststreptococcal glomerulonephritis is voiding smoky, brown-colored urine and asks the healthcare professional to explain what causes it. What explanation by the professional is best?
Selected Answer: Presence^ of^ red^ blood^ cells
A patient has pernicious anemia and asks the healthcare professional to explain the disease. Which statement by the professional is most accurate?
Selected Answer: Your^ body^ cannot^ absorb^ vitamin^ B^12.
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How should the healthcare professional reply when parents question why a computed tomographic (CT) scan of the head was not ordered for their 5-year-old child after a minor fall?
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Research suggests that repeated CT scans can increase the risk of developing brain cancer A healthcare professional is trying to lower a patient's body temperature by convection. What action by the professional will accomplish this?
Selected Answer: Obtain^ a^ fan^ and^ set^ it^ to^ blow^ over^ the^ patient.
A patient has primary immune thrombocytopenic purpura (ITP) and is hospitalized after a bleeding episode. What treatment does the healthcare provider anticipate being ordered for this patient?
Selected Answer: Infusion^ of^ IVIG
A student reads in a chart that a child has been diagnosed with mixed precocious puberty and asks for an explanation. What explanation by the healthcare professional is most accurate?
Selected Answer: When^ early^ puberty^ has^ signs^ of^ physical^ and^ hormonal^ abnormalities
A woman attempting to conceive tells the healthcare professional that she and her partner have intercourse when her basal body temperature (BBT) is around 37˚C (98˚F) without getting pregnant. What information does the professional give the woman?
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Selected Answer: Temperature^ alone^ is^ not^ the^ most^ accurate^ way^ to^ predict^ ovulation
A student reads in a chart that a baby was born with an encephalocele. The student asks the healthcare professional to explain this condition. What explanation by the healthcare professional is best?
Selected Answer: A^ herniation^ or^ protrusion^ of^ brain^ and^ meninges^ through^ a^ defect^ in^ the^ skull
A student asks the healthcare professional why researchers are trying to link specific genes to specific asthma phenotypes. What response by the professional is best?
Selected Answer: It^ can^ lead^ to^ personalized^ approaches^ to^ treatment.
A health care professional is teaching a group of college women about increasing calcium in the diet to prevent osteoporosis. A participant asks at what age is peak bone mass is reached in women. What response is best?
Selected Answer: 30 years
The student wants to know how the clinical manifestations and onset of juvenile idiopathic arthritis (JIA) differ from those of rheumatoid arthritis (RA) in adults. What answer by the healthcare professional is best?
Selected Answer: JIA^ predominantly^ affects^ large^ joints.
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Selected Answer: Promote^ appetite^ and^ stimulate^ eating
A patient is in the intensive care unit and has intercranial pressure (ICP) monitoring. The patient's ICP is 17 mmHg. The healthcare professional notes that the chart indicates the patient is now in stage 1 intracranial hypertension. What assessment finding does the professional associate with this condition?
Selected Answer: No^ significant^ change^ in^ ICP^ readings^ upil^ changes
A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has?
Selected Answer: Ask^ the^ child^ if^ itching^ occurs at^ night.
A man has balanitis. What action by the healthcare professional is most appropriate?
Selected Answer: Perform^ a^ finger^ stick^ for^ a^ blood^ glucose^ reading.
Which condition is consistent with the cardiac defect of transposition of the great vessels?
Selected Answer: The^ aorta^ arises^ from^ the^ right^ ventricle.
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A newborn has meconium ileus. What diagnostic test does the healthcare professional advise the parents about?
Selected Answer: A sweat^ test
Which condition is considered a clinical cause of amenorrhea?
Selected Answer: Failure^ to^ ovulate
The healthcare professional directs a student to assess a teen who has Osgood-Schlatter disease. What assessment finding does the student anticipate for this disorder?
Selected Answer: Tendinitis^ of^ the^ anterior^ patellar^ tendon
A healthcare professional is educating a community men's group on symptoms of benign prostatic hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic condition?
Selected Answer: Compression^ of^ the^ urethra
A patient has been diagnosed with acute lymphocytic leukemia (ALL) and asks the healthcare professional to describe it. What description by the professional is most accurate?
Selected ALL^ is^ a^ progressive^ neoplasm^ defined^ by^ the^ presence^ of^ greater^ than^ 30%
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What is the most abundant class of plasma protein?
Selected Answer: Albumin
A baby is born with a myelomeningocele and needs urgent surgery to repair the defect. The parents want to take the baby home instead. What does the healthcare professional tell the parents about the purpose of this surgery?
Selected Answer: 1cAdditional^ nervous^ system^ damage^ will^ occur^ the^ longer^ we^ wait.^ 1d
A student asks the health care professional why obese people are at higher risk for hypertension than non-obese individuals. What response by the professional is best?
Selected Answer: They^ produce^ more^ angiotensinogen.
In the majority of children experiencing delayed puberty, what is the problem caused by?
Selected Answer: Physiologic^ delays^ in^ maturation
A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?
Selected Answer: Hyponatremia
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A healthcare professional has educated a student on folic acid. Which statement by the student indicates that more teaching is needed?
Selected Answer: Folic^ acid^ is^ stored^ in^ the^ liver.
A patient had a seizure that consisted of impaired consciousness and the appearance of a dreamlike state. How does the healthcare professional chart this episode?
Selected Answer: Complex^ focal^ seizure
A health care professional is caring for a patient admitted to the hospital with severe anorexia. What action by the health care professional would be most important?
Selected Answer: Ensuring^ the^ patient^ is^ on^ a^ cardiac^ monitor
Parents report their 3-week-old infant who eats well and has gained weight began to have projectile vomiting for no apparent reason. What treatment option does the healthcare professional prepare to educate the parents on?
Selected Answer: Corrective^ surgery
Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer?
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