NURS 8022 ADVANCED PATHOPHYSIOLOGY FINAL EXAM LATEST 2023 COMPLETE REAL EXAM QUESTIONS, Exams of Nursing

Download NURS 8022 ADVANCED PATHOPHYSIOLOGY FINAL EXAM LATEST 2023 COMPLETE REAL EXAM QUESTIONS and more Exams Nursing in PDF only on Docsity! 1 NURS 8022 ADVANCED PATHOPHYSIOLOGY FINAL EXAM LATEST 2023 COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE • Question 1 0 out of 1 points A high school football player is hit hard in the helmet, losses consciousness for approximately 8 minutes, and when he wakes up he is confused. He is removed from the game and examined by an onsite medical professional who determines the player has suffered a Grade concussion. Selected Answer: B. Grade II Correct Answer: D. Grade IV • Question 2 0 out of 1 points A 12 year old boy was walking in the woods and was bitten by a tick. He presents to the pediatrician with complaints of fever, malaise, joint pain, and a rash. The NP suspects Lyme disease and knows that theses symptoms are indicative of localized infection. In this early stage of Lyme disease the rash is known as . 2 Selected Answer: C. 5 Selected Answer: C. Myelinated peripheral neurons Correct Answer: C. Myelinated peripheral neurons • Question 6 1 out of 1 points In acute hypothermia, what physiological change shunts blood away from the colder skin to the body core in an effort to decrease heat loss? Selected Answer: B. Peripheral vasoconstriction Correct Answer: B. Peripheral vasoconstriction • Question 7 1 out of 1 points A 52 year-old male patient presents with scaly, thick, silvery, and elevated lesions on his elbow. The skin appears thickened on exam. The NP knows that this disorder is a result of . Selected Answer: D. Autoimmune T cell mediation 6 Correct Answer: D. Autoimmune T cell mediation • Question 8 1 out of 1 points Afferent neurons are neurons and carry impulses from the to the . Selected Answer: B. Sensory; PNS; CNS Correct Answer: B. Sensory; PNS; CNS • Question 9 0 out of 1 points A 40-year-old male complains of uncontrolled excessive movement and progressive dysfunction of intellectual and thought processes. He is experiencing movement problems that begin in the face and arms that eventually affect the entire body. The most likely diagnosis is: Selected Answer: A. Tardive dyskinesia Correct Answer: B. Huntington disease 7 • Question 10 1 out of 1 points A 70-year-old female with osteoporosis fractures her leg at a location of preexisting abnormality. She reports that the fracture occurred following a minor fall. Which of the following best describes the fracture? Selected Answer: C. Pathological fracture Correct Answer: C. Pathological fracture • Question 11 1 out of 1 points A 19-year-old female developed a circular, demarcated, and salmon-pink lesion. Two weeks later she developed more lesions over the trunk and upper part of the extremities. The diagnosis is pityriasis rosea, and the NP knows the disorder is normally associated with a: Selected Answer: C. Viral infection Correct Answer: C. Viral infection • Question 12 1 out of 1 points 10 Spastic • Question 17 1 out of 1 points A 65-year-old patient is admitted to the hospital with a pathologic, compound, transverse fracture of the femur. Which of the following statements best describes this type of fracture? Selected Answer: B. The fracture line is straight across the bone Correct Answer: B. The fracture line is straight across the bone • Question 18 1 out of 1 points Dark urine in rhabdomyolysis is the result of the presence of what product in the urine? Selected Answer: C. Myoglobin Correct Answer: C. Myoglobin • Question 19 11 0 out of 1 points A 70-year-old male presents with back pain, fever, and weight loss. He reports that he had a recent respiratory infection from which he thought he recovered. Tests revealed increased white blood cell count, and a diagnosis of endogenous osteomyelitis was made. The primary organism causing this condition is: Selected Answer: C. Mycobacterium Correct Answer: A. Staphylococcus aureus • Question 20 1 out of 1 points A patient is diagnosed with a thrombotic CVA. The provider would explain to the patient that most thrombotic strokes are the result of what? Selected Answer: A. Atherosclerosis Correct Answer: A. Atherosclerosis • Question 21 1 out of 1 points A 23-year-old female begins having problems with tiredness, weakness, and visual changes. Her diagnosis is multiple sclerosis (MS). What is occurring in the patient’s 12 body? Selected Answer: B. Demyelination of the nerve fibers in the CNS Correct Answer: B. Demyelination of the nerve fibers in the CNS • Question 22 1 out of 1 points Considering the pathophysiologic process of osteoporosis, after being activated by RANKL (receptor activator of nuclear factor κB ligand); RANK (receptor activator of nuclear factor κB) activates which of the following? Selected Answer: D. Osteoclast survival Correct Answer: D. Osteoclast survival • Question 23 1 out of 1 points A 9-year-old male presents with severe erythematous bullous lesions that are believed to be an adverse response to a medication. Which of the following is the most likely diagnosis? 15 • Question 28 1 out of 1 points Lesions that usually have depressed centers with rolled borders and are frequently located on the face and neck characterize which type of skin malignancy? Selected Answer: D. Basal cell carcinoma Correct Answer: D. Basal cell carcinoma • Question 29 1 out of 1 points When taking a patient’s temperature, which principle should the NP remember? Regulation of body temperature primarily occurs in the Selected Answer: C. Hypothalamus Correct Answer: C. Hypothalamus • Question 30 1 out of 1 points The final stage of gout, characterized by crystalline deposits in cartilage, synovial membranes, and soft tissue, is called: 16 Selected Answer: B. Tophaceous gout Correct Answer: B. Tophaceous gout • Question 31 1 out of 1 points A neurologist is teaching about the region responsible for motor aspects of speech. Which area is the neurologist discussing? Selected Answer: B. Broca's area Correct Answer: B. Broca's area • Question 32 1 out of 1 points A 20-year-old male was at the supermarket when he fell to the ground. Bystanders reported that he lost consciousness and his body tensed up and then relaxed, then tensed and relaxed several times. He most likely was experiencing a(n): Selected Answer: D. Tonic-clonic seizure 17 Correct Answer: D. Tonic-clonic seizure • Question 33 1 out of 1 points A 54-year-old was recently diagnosed with osteoarthritis. This condition is characterized by loss of: Selected Answer: B. Articular cartilage Correct Answer: B. Articular cartilage • Question 34 0 out of 1 points Presbyopia is a result of . Selected Answer: A. Increased intraocular pressure Correct Answer: D. Normal loss of accommodation 20 Selected Answer: A. Partial thickness Correct Answer: B. Superficial partial -thickness • Question 40 0 out of 1 points A 45-year-old male was previously diagnosed with Parkinson disease. He has impaired fine repetitive motor movements. Which of the following areas does the NP suspect is most likely damaged? Selected Answer: A. Prefrontal area Correct Answer: D. Basal ganglia • Question 41 0 out of 1 points The NP notices on exam that a patient’s tongue does not protrude in the midline. The NP knows that this represents a deficit in which cranial nerve? Selected Answer: C. 10 21 Correct Answer: D. 12 • Question 42 0 out of 1 points A 48-year-old female presents to the ER reporting an acute severe headache, nausea, photophobia, and nuchal rigidity. What does the NP suspect caused these signs and symptoms? Selected Answer: D. Classic concussion Correct Answer: A. Subarachnoid hemorrhage • Question 43 1 out of 1 points Which bone cells function to maintain the bone matrix? Selected Answer: B. Osteocytes Correct Answer: B. Osteocytes • Question 44 22 0 out of 1 points A 34-year-old female was recently diagnosed with RA. Physical examination revealed that inflammation started in the: Selected Answer: B. Articular cartilage Correct Answer: A. Synovial membrane • Question 45 1 out of 1 points A 42-year-old female presents with raised red lesions with a brownish scale. She was diagnosed with discoid lupus erythematosus. A clinician recalls this disorder is related to: Selected Answer: C. Autoimmunity Correct Answer: C. Autoimmunity • Question 46 1 out of 1 points A 10-year-old male is given penicillin for an infection. He has an allergic reaction, during which he develops urticarial lesions. These lesions are mediated by the release of 25 A 70-year-old female presents with a hip fracture. She is diagnosed with osteoporosis. One factor that most likely contributed to her condition is: Selected Answer: B. Decreased estrogen levels Correct Answer: B. Decreased estrogen levels • Question 52 1 out of 1 points A 20-year-old male patient presents to his primary care provider complaining of an erythematous, pruritic, rash with vesicular lesions. The provider knows that this is allergic contact dermatitis. This inflammatory skin disorder is an example of what type of hypersensitivity reaction Selected Answer: D. Type IV Correct Answer: D. Type IV • Question 53 0 out of 1 points A 23-year-old female is concerned about several pigmented skin lesions on her body. Her primary care provider tells her that these lesions must be monitored because of their ability to transform into malignant melanoma. These lesions are referred to as: 26 Selected Answer: A. Macules Correct Answer: B. Nevi • Question 54 0 out of 1 points The NP is assessing the patient with a pen light. The integrity of which cranial nerve is being evaluated? Selected Answer: B. Optic Correct Answer: C. Oculomotor • Question 55 1 out of 1 points Which of the following disorders is most likely the result of an amplified pain transmission and interpretation or allodynia? Selected Answer: D. Fibromyalgia Correct Answer: D. 27 Fibromyalgia • Question 56 1 out of 1 points A 25-year-old female presents to her primary care provider reporting a sports injury. Work up reveals a parial injury to the ligament. The most likely diagnosis is: Selected Answer: B. Sprain Correct Answer: B. Sprain • Question 57 1 out of 1 points While planning care for a patient with an epidural hematoma, which principle should the NP remember? The main source of bleeding in extradural (epidural) hematomas is: Selected Answer: A. Arterial Correct Answer: A. Arterial • Question 58 1 out of 1 points 30 • Question 63 1 out of 1 points A 70-year-old male presents to his primary care provider reporting loss of vision. He reports that he has HTN and smokes cigarettes. Which of the following disorders is most likely causing his visual loss? Selected Answer: B. Macular degeneration Correct Answer: B. Macular degeneration • Question 64 1 out of 1 points Bone is unique in that it does not create scar tissue as it heals, instead new bone in created. Which statement correctly describes a step in this process Selected Answer: D. Callus replacement is performed by osteoblast cells Correct Answer: D. Callus replacement is performed by osteoblast cells • Question 65 1 out of 1 points 31 Six weeks ago a female patient suffered a T6 spinal cord injury. She then developed a blood pressure of 200/120, a severe headache, blurred vision, and bradycardia. What does the NP suspect the patient is experiencing? Selected Answer: D. Autonomic dysreflexia Correct Answer: D. Autonomic dysreflexia • Question 66 1 out of 1 points A 36-year-old complains of pain and weakness in the elbow. He reports that he is a warehouse worker and lifts boxes daily. MRI reveals inflammation of the extensor carpi radialis brevis tendon where it attaches to the bone. This condition is called: Selected Answer: D. Epicondylitis Correct Answer: D. Epicondylitis • Question 67 1 out of 1 points A 46-year-old male present with severe pain, redness, and tenderness in the right big toe. He was diagnosed with gouty arthritis. The symptoms he experienced are caused by the crystallization of within the synovial fluid. 32 Selected Answer: C. Uric acid Correct Answer: C. Uric acid • Question 68 1 out of 1 points A 45-year-old male is diagnosed Lichen planus. The NP knows that this disorder is a result of and results in lesions that are . Selected Answer: A. Autoinflammation; papular and violet-colored Correct Answer: A. Autoinflammation; papular and violet-colored • Question 69 1 out of 1 points A 51-year-old is seen in the ER with a complaint of a unilateral h/a, associated with n/v, and photophobia. The most likely diagnosis is headache. Selected Answer: D. Migraine Correct Answer: D. 35 Middle cerebral Correct Answer: D. Middle cerebral • Question 75 0 out of 1 points A neuro intensivist states that the patient has vasogenic edema. The NP realizes vasogenic edema is clinically important because: Selected Answer: B. Intracranial pressure (ICP) is excessively high Correct Answer: D. The blood-brain barrier is disrupted • Question 76 0 out of 1 points The provider knows that many proprioceptive alterations are related to disturbances . Selected Answer: A. In the cerebellum Correct Answer: C. In the inner or middle ear 36 • Question 77 1 out of 1 points A 21-year-old female presents with low back pain and stiffness that is alleviated by physical activity. She was diagnosed with ankylosing spondylitis (AS). The first joint to be affected would be the: Selected Answer: A. Sacroiliac Correct Answer: A. Sacroiliac • Question 78 1 out of 1 points A 72-year-old male demonstrates left-sided weakness of upper and lower extremities. The symptoms lasted 20 minutes and resolved with no evidence of infarction. The patient most likely experienced a(n): Selected Answer: C. Transient ischemic attack Correct Answer: C. Transient ischemic attack