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50 multiple-choice questions and answers related to various medical conditions and their pathophysiology. The questions cover topics such as glomerulonephritis, cystic fibrosis, ankylosing spondylitis, leukemia, asthma, and thrombocytopenia. The document also includes questions related to the diagnosis and treatment of these conditions. The questions and answers are useful for nursing students preparing for their final exams or for healthcare professionals looking to refresh their knowledge.
Typology: Exams
1 / 33
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?
Presence of red blood cells
Cystic fibrosis is characterized by which symptom?
Excessive mucus production
What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)?
Inflammation of fibrocartilaginous joints of the vertebrae
Which spinal tract carries the most nociceptive information?
Lateral spinothalamic
Parents bring their 1-year-old child to the emergency department, reporting that the child has been irritable and pounding on her head, has projectile vomiting, and seems very sleepy for most of the last 3 days. What diagnostic testing does the healthcare professional prepare the child and parents for as the priority?
Lumbar puncture with CSF cultures
- Question 6
A patient reports frequent nightmares. For which of these should the healthcare professional assess the patient?
History of traumatic event
- Question 7
A newborn baby displays jaundice 20 hours after birth. What action by the healthcare professional is most appropriate?
Draw blood to measure total bilirubin.
- Question 8
Local signs and symptoms of Hodgkin disease-related lymphadenopathy are a result of what?
Pressure and obstruction
- Question 9
Which bones are affected in Legg-Calvé-Perthes disease?
Heads of the femur
- Question 10
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?
ALL is a progressive neoplasm defined by the presence of greater than 30% lymphoblasts in the bone marrow or blood.
- Question 11
A newborn has meconium ileus. What diagnostic test does the healthcare professional advise the parents about?
sweat test
- Question 12
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?
Compression of the urethra
- Question 13
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?
Oral mucus membranes and tongue
- Question 14
Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer?
Vagin al cance r
- Question 15
A healthcare professional is caring for a patient diagnosed with aphasia. What action by the professional would be best in working with this patient?
Provide speech therapy.
- Question 16
What are the clinical manifestations of testicular cancer?
Firm, nontender testicular mass
- Question 17
A person has been diagnosed with acute lymphocytic leukemia (ALL) that is positive for the Philadelphia chromosome. What statement by the healthcare professional is most appropriate?
- Question 18
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?
Tendinitis of the anterior patellar tendon
- Question 19
Which statement by the healthcare professional accurately describes childhood asthma?
An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency
- Question 20
A healthcare professional is reviewing a patient's laboratory results and sees that the patient has a low reticulocyte count and a high iron level. Which type of anemia does the professional associate these findings with?
Anemia of chronic disease
- Question 21
What directly causes ovulation during the menstrual cycle?
Sudden increase of LH
- Question 22
A patient has been hospitalized for a large deep vein thrombosis and states he is the third person in his family to have this condition in the last 2 years. What response by the healthcare professional is most appropriate?
We can test your blood for factor V Leiden.
- Question 23
A professor explains to a class that the reason lymph nodes enlarge and become tender
during infection is because of what reason?
The nodes are inflamed.
- Question 24
A healthcare professional advises a pregnant woman to add supplements of which nutrient to her diet to prevent birth defects?
Fola t e
- Question 25
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?
An echocardiogra m
- Question 26
A person has abnormally severe tooth decay and erosion of the tooth enamel. What problem should the health care professional assess the person for?
Bulimia
- Question 27
A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information?
The risk is higher when internal fetal monitoring devices are used.
- Question 28
Without prior exposure to an antigen, which cells are able to destroy some types of tumor cells and some virus-infected cells?
Natural killer (NK) cells
- Question 29
Which statement by the professor best describes acute respiratory distress syndrome (ARDS)?
A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging
- Question 30
What is the role of thromboxane A (TXA 2 ) in the secretion stage of hemostasis?
Stimulates the synthesis of serotonin.
- Question 31
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?
Correctiv e surgery
- Question 32
A child has Duchenne muscular dystrophy. What complication does the healthcare professional teach the parents is most important to control?
Respiratory infection
- Question 33
To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?
Pattern of breathin g
- Question 34
A criterion for a diagnosis of generalized anxiety disorder (GAD) is a period of excessive
worrying that lasts for at least how many months?
A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?
Hyponatremia A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next?
Have lab drawn for electrolyte levels. Gait disturbances and instability are characteristic of which form of cerebral palsy?
Atax i c A healthcare professional works with recent refugees. A mother brings in her children who have been diagnosed with iron deficiency anemia. What action by the professional is most appropriate?
Arrange to test for parasitic infections. Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain?
- Question 39
- Question 38
- Question 37
- Question 36
- Question 35
- Question 40
Which statement is likely true regarding children being treated for cancer with radiation therapy?
They will most likely have a successful remission of tumor growth.
- Question 41
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?
Focal seizur e
- Question 42
A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate?
Autosomal dominant inheritance
- Question 43
Why is nasal congestion a serious threat to young infants?
Infants are obligatory nose breathers.
- Question 44
A patient is in the Emergency Department with heat stroke. What finding does the healthcare provider associate with this condition?
Absence of sweating despite a high core temperature
- Question 45
A student is learning about pelvic inflammatory disease (PID). What information does
the student clarify with a study partner as being correct?
Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes.
- Question 46
In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss?
Peripheral vasoconstrictio n
- Question 47
Which immunoglobulin (Ig) is present in childhood asthma?
IgE
- Question 48
Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?
Polycystic ovary syndrome
- Question 49
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?
Tell the patient not to get out of bed without assistance.
- Question 50
A 9-year-old child has a blood pressure of 112/72 mmHg in the school nurse's office. What action by the school nurse is most appropriate?
Note the normal finding in the child's records.
- Question 51
A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?
Assist the man in obtaining a urine sample.
- Question 52
A patient has been hospitalized with Guillain-Barré syndrome (GBS). The patient asks how this could have occurred. What response by the healthcare professional is best?
It is often preceded by a viral illness.
- Question 53
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?
It can lead to personalized approaches to treatment.
- Question 54
The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?
Staphylococc us aureus
- Question 55
A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess?
Viral infection
- Question 56
In order to help prevent a preadolescent girl from developing later cervical
cancer, which virus does the healthcare professional recommend vaccination against to the parent?
Human papillomavirus (HPV)
- Question 57
A child has cystic fibrosis (CF). Which medication does the healthcare professional teach the parents about?
Pancreati c enzymes
- Question 58
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?
IgA
- Question 59
Which condition is considered a clinical cause of amenorrhea?
Failure to ovulate
- Question 60
A person comes to the healthcare clinic and reports night sweats and fever. The healthcare professional obtains a chest x-ray which shows a mediastinal mass. What other assessment or diagnostic test does the professional provide as a priority?
Listen to heart sounds.
- Question 61
What initiates inflammation in acute poststreptococcal glomerulonephritis?
Immune complex es
- Question 62
The student asks the professor for a definition of orexigenic neurons. What description
by the professor is most accurate?
Promote appetite and stimulate eating
- Question 63
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?
years
- Question 64
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 is best?
Patients tend to have venous stasis from orthopedic operations.
- Question 65
A healthcare professional is caring for a patient who was rewarmed after suffering from hypothermia. What possible long-term complication will the professional continue to assess the patient for?
Dysrhythmias
- Question 66
Which patient finding would lead the health care professional to assess the patient for inflammatory joint disease?
Systemic symptoms of inflammation
- Question 67
A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority?
Chest x-ray or CT scan
- Question 68
Compared with an adult, an infant has a greater content of extracellular fluid, as well as a greater rate of fluid exchange. What effect does this have on the fluid balance of a child compared with that of an adult?
The control of dehydration is more difficult.
- Question 69
What is the consequence of a splenectomy?
The number of clotting factors increases.
- Question 70
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?
When early puberty has signs of physical and hormonal abnormalities
- Question 71
A patient is in status epilepticus. In addition to giving medication to stop the seizures, what would the healthcare professional place highest priority on?
Providin g oxygen
- Question 72
A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional?
Sexual partners should be treated even if they are asymptomatic.
- Question 73
A mother reports that her young teens have voracious appetites. The healthcare professional would explain that which hormone is linked to an increase in appetite during puberty?
Lept i n
- Question 74
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?
Erythropoietin
- Question 75
A man has balanitis. What action by the healthcare professional is most appropriate?
Perform a finger stick for a blood glucose reading.
- Question 76
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?
a-F etoprotein
- Question 77
A healthcare professional has taught a parent group about the causes of enuresis. What statement by a parent indicates the professional needs to give more information?
Obstructive sleep apnea may be a symptom of enuresis.
- Question 78
What is the most abundant class of plasma protein?