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NURS 6501N 32 Advanced Pathophysiology 2020 Exams Review, Exams of Nursing

A review of the midterm exam for the course NURS-6501N-32, Advanced Pathophysiology. The exam consists of 58 questions covering various topics related to pathophysiology, including blood types, sickle cell disease, spirometry, chemotherapy, intellectual disability, atherosclerosis, and more. the questions, selected answers, and explanations for each question. It could be useful for students preparing for the midterm exam or studying pathophysiology in general.

Typology: Exams

2021/2022

Available from 06/13/2022

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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.