Download NURS 6501N 32 Advanced Pathophysiology 2020 Exams Review and more Exams Nursing in PDF only on Docsity! NURS 6501N 32 Advanced Pathophysiology 2020 Exams Review Test Submission: Exam - Week 6 Midterm Review Test Submission: Exam - Week 6 Midterm User chinenye loveth Ugwuanyi Course NURS-6501N-32,Advanced Pathophysiology.2020 Spring Qtr 02/24-05/17-PT27 Test Exam - Week 6 Midterm Started 4/4/20 3:01 PM Submitted 4/4/20 5:01 PM Due Date 4/6/20 1:59 AM Status Completed Attempt Score 63 out of 100 points Time Elapsed 2 hours, 0 minute out of 2 hours Results Displayed Question 1 Submitted Answers, Incorrectly Answered Questions 1 out of 1 points What is the blood type of a person who is heterozygous, having A and B alleles as codominant? Selected Answer: AB Question 2 0 out of 1 points The data reporting that sickle cell disease affects approximately 1 in 600 American blacks is an example of which concept? Selected Answer: Incidence Question 3 1 out of 1 points A patient is having a spirometry measurement done and asks the healthcare professional to explain this test. What response by the professional is best? Selected Answer: To measure the volume and flow rate during forced expiration Question 4 0 out of 1 points A healthcare professional is caring for a patient undergoing chemotherapy. What is the skin-related health risk the professional should assess the patient for and be prepared to treat? Selected Answer: Erythema Question 5 0 out of 1 points A professor has taught the students about the sources of increased ammonia in patients with hepatic encephalopathy. What statement by a student indicates the professor should review this material? Selected Answer: Ammonia-forming bacteria in the colon are sources of increased ammonia. Question 6 1 out of 1 points What is the second most commonly recognized genetic cause of intellectual disability? Selected Answer: Fragile X syndrome Question 7 1 out of 1 points Question 18 1 out of 1 points How does progressive nephron injury affect angiotensin II activity? Selected Answer: Angiotensin II activity is elevated. Question 19 1 out of 1 points A student asks the professor to explain what effect natriuretic peptides have during heart failure when the heart dilates. Which response by the professor is best? Selected Answer: Inhibits renin and aldosterone Question 20 When renin is released, it is capable of which action? 0 out of 1 points Selected Answer: Direct activation of angiotensin II Question 21 1 out of 1 points What is the initiating event that leads to the development of atherosclerosis? Selected Answer: Injury to the endothelial cells that line the artery walls Question 22 1 out of 1 points The glomerular filtration rate is directly related to which factor? Selected Answer: Perfusion pressure in the glomerular capillaries Question 23 1 out of 1 points What mechanisms occur in the liver cells as a result of lipid accumulation? Selected Answer: Increased synthesis of triglycerides from fatty acids and decreased synthesis of apoproteins Question 24 1 out of 1 points A person wants to know if eating only plant-based foods is advisable as a way to cut cholesterol to near-zero levels. What response by the health care professional is best? Selected Answer: No, many hormones are made from cholesterol. Question 25 1 out of 1 points The Bainbridge reflex is thought to be initiated by sensory neurons in which cardiac location? Selected Answer: Atria Question 26 0 out of 1 points A patient has a serum sodium level of 165 mEq/L. The healthcare professional explains that the clinical manifestations of confusion, convulsions, cerebral hemorrhage, and coma are caused by what mechanism? Selected Answer: High sodium in the brain cells pulls water out of the blood vessels into the brain cells, causing them to swell. Question 27 1 out of 1 points A person has hypothyroidism. What chemical does the healthcare professional advise the person to include in the diet? Selected Answer: Iodine Question 28 1 out of 1 points During the cardiac cycle, why do the aortic and pulmonic valves close after the ventricles relax? Selected Answer: Blood fills the cusps of the valves and causes the edges to merge, closing the valves. Question 29 1 out of 1 points If a patient develops acidosis, the nurse would expect the oxyhemoglobin dissociation curve to react in which manner? Selected Answer: Shift to the right, causing more oxygen (O 2) to be released to the cells Question 30 What does vomiting-induced metabolic alkalosis cause? 1 out of 1 points Selected Answer: Retention of bicarbonate to maintain the anion balance Question 31 What is one function of the tumor cell marker? 1 out of 1 points Selected Answer: To screen individuals at high risk for cancer Question 32 1 out of 1 points A patient suffered multiple traumatic injuries and received many blood transfusions within a few days of the injuries. For which medical condition should the healthcare professional monitor the patient for? Selected Answer: Hemosiderosis Question 33 1 out of 1 points A pregnant woman has Graves disease. What test/s does the healthcare professional advise the woman about? Selected Answer: Blood test for hyperthyroidism Question 34 1 out of 1 points Question 45 0 out of 1 points Which statement made by a student indicates the healthcare professional needs to describe the pericardium again? Selected Answer: The pericardium is a double-walled membranous sac that encloses the heart. Question 46 Where is two thirds of the body's water found? 1 out of 1 points Selected Answer: Intracellular fluid compartments Question 47 1 out of 1 points A healthcare professional is caring for four patients. Which patient does the professional assess for pulmonary emboli (PE) as the priority? Selected Answer: Deep venous thrombosis Question 48 0 out of 1 points A patient has been diagnosed with a renal stone. Based on knowledge of common stone types, what self-care measure does the healthcare professional plan to teach the patient when stone analysis has returned? Selected Answer: Increase water intake. Question 49 What is the inflammatory effect of nitric oxide (NO)? 1 out of 1 points Selected Answer: Decreases mast cell function, and decreases platelet aggregation Question 50 What is the cause of familial hypercholesterolemia (FH)? 1 out of 1 points Selected Answer: Reduction in the number of low-density lipoprotein (LDL) receptors on cell surfaces Question 51 1 out of 1 points During acidosis, the body compensates for the increase in serum hydrogen ions by shifting hydrogen ions into the cell in exchange for which electrolyte? Selected Answer: Potassium Question 52 Which chamber of the heart endures the highest pressures? 1 out of 1 points Selected Answer: Left ventricle Question 53 1 out of 1 points When endothelial cells are injured, what alteration contributes to atherosclerosis? Selected Answer: Cells are unable to make the normal amount of vasodilating cytokines. Question 54 What is the cause of functional dysphagia? 1 out of 1 points Selected Answer: Neural or muscular disorders Question 55 0 out of 1 points A patient diagnosed with diabetic ketoacidosis (DKA) has the following laboratory values: arterial pH 7.20; serum glucose 500 mg/dL; positive urine glucose and ketones; serum potassium (K +) 2 mEq/L; serum sodium (Na +) 130 mEq/L. The patient reports that he has been sick with the flu for 1 week. What relationship do these values have to his insulin deficiency? Selected Answer: Increased glucose use causes the shift of fluid from the intravascular to the intracellular space. Question 56 What is one function of the tumor cell marker? 1 out of 1 points Selected Answer: To screen individuals at high risk for cancer Question 57 0 out of 1 points A student asks about the mechanism that results in type II hypersensitivity reactions. What description by the professor is best? Selected Answer: Cytotoxic T lymphocytes or lymphokine-producing helper T 1 cells directly attack and destroy cellular targets. Question 58 1 out of 1 points What physical sign does the healthcare professional relate to the result of turbulent blood flow through a vessel? Selected Answer: Murmur heard on auscultation Question 59 1 out of 1 points Which hormone is required for water to be reabsorbed in the distal tubule and collecting duct? Selected Answer: Antidiuretic hormone Question 60 1 out of 1 points A patient asks the healthcare professional why tissue damage occurs in acute rejection after organ transplantation. What response by the professional is best? A healthcare professional is caring for a patient who has continuous increases in left ventricular filing pressures. What disorder would the professional assess the patient for? Selected Answer: Pulmonary edema Question 72 1 out of 1 points What pathologic change occurs to the kidney's glomeruli as a result of hypertension? Selected Answer: Ischemia of the tubule Question 73 1 out of 1 points A student asks why some vaccinations are given orally and some are given by injection. What response by the professor is best? Selected Answer: Each route stimulates a different lymphocyte-containing tissue, resulting in different types of cellular and humoral immunity. Question 74 0 out of 1 points A patient has a history of excessive use of magnesium-containing antacids and aluminum-containing antacids. What lab value does the healthcare professional correlate to this behavior? Selected Answer: Magnesium 1.8 mg/dL Question 75 1 out of 1 points A student asks the healthcare professional to describe exotoxins. Which statement by the professional is best? Selected Answer: Exotoxins are released during bacterial growth. Question 76 What are tumor cell markers? 1 out of 1 points Selected Answer: Hormones, enzymes, antigens, and antibodies that are produced by cancer cells Question 77 0 out of 1 points The acute inflammatory response is characterized by fever that is produced by the hypothalamus being affected by what? Selected Answer: Bacterial endotoxin Question 78 0 out of 1 points A healthcare professional is educating a patient about asthma. The professional states that good control is necessary due to which pathophysiologic process? Selected Answer: [None Given] Question 79 0 out of 1 points The student asks the professor to explain what characteristic is demonstrated by lungs with decreased compliance? Selected Answer: Inability to diffuse oxygen Question 80 0 out of 1 points The action of platelet-derived growth factor is to stimulate the production of which cells? Selected Answer: Fibroblast cells Question 81 0 out of 1 points A healthcare professional tells the student that a properly placed endotracheal tube for mechanical ventilation is 5 to 7 cm above the tracheal bifurcation. Where does this bifurcation occur? Selected Answer: Bronchi Question 82 1 out of 1 points Surfactant produced by type II alveolar cells facilitates alveolar distention and ventilation by which mechanism? Selected Answer: Decreasing surface tension in the alveoli Question 83 1 out of 1 points A patient is brought to the Emergency Department with a gunshot wound to the chest. The healthcare professional assesses an abnormality involving a pleural rupture that acts as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration. What action by the healthcare professional is the priority? Selected Answer: Assist with a chest tube insertion. Question 84 0 out of 1 points A professor has taught the students about the pathogenesis of abdominal pain. Which statement by a student indicates the professor needs to review the material? Selected Answer: [None Given] Question 85 1 out of 1 points People diagnosed with neurofibromatosis have varying degrees of the condition because of which genetic principle? Selected Answer: Expressivity Question 86 0 out of 1 points A student asks the professor how a faulty negative-feedback mechanism results in a hormonal imbalance. What response by the professor is best? Selected Answer: Too little hormone production is initiated.