NURS 6501N Final Exam 1 (August 2020 - 100 out of 100), Exams of Nursing

Download NURS 6501N Final Exam 1 (August 2020 - 100 out of 100) and more Exams Nursing in PDF only on Docsity! 1 User Course NURS-6501N-58,Advanced Pathophysiology.2020 Spring Qtr 02/24-05/17-PT27 Test Exam - Week 11 Final Started 08/16/20 6:24 PM Submitted 08/16/20 8:19 PM Status Completed Attemp t Score 100 out of 100 points Time Elapsed 1 hour, 54 minutes out of 2 hours Results Displaye d Submitted Answers Question 1 1 out of 1 points A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional? Selected Answer: Question 2 Sexual partners should be treated even if they are asymptomatic. 1 out of 1 points An infant is brought to the emergency department by parents who report that the baby's fontanels seem to be bulging outward. What action by the healthcare provider is most appropriate? Selected Answer: Question 3 Measure the head circumference and plot it on a growth chart. 1 out of 1 points A patient has polycythemia vera and presents to the Emergency Department with plethora and neurological changes. The student asks the healthcare professional to explain the primary cause of these symptoms. What response Page 1 of 43 1 by the professional is best? Selecte d Answer: Increased blood viscosity Page 2 of 43 1 Answer: • Question 9 1 out of 1 points The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism? Selecte d Answer: Staphylococcus aureus • Question 10 1 out of 1 points 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? Selecte d Answer: Lept i n • Question 11 1 out of 1 points What diagnosis is given to parents when their infant's hip maintains contact with the acetabulum but is not well seated within the hip joint? Selecte d Answer: Subluxated hip • Question 12 1 out of 1 points 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? Selecte d Answer: Page 5 of 43 1 T e ndinitis of the anterior patellar tendon • Question 13 1 out of 1 points What are the clinical manifestations of testicular cancer? Page 6 of 43 1 Selecte d Answer: Firm, nontender testicular mass • Question 14 1 out of 1 points 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? Selecte d Answer: Assist the man in obtaining a urine sample. • Question 15 1 out of 1 points An infant has been diagnosed with intussusception and the student asks the healthcare professional to explain the condition. What explanation by the professional is most accurate? Selecte d Answer: One part of the intestine telescopes into another section of the intestine. • Question 16 1 out of 1 points Which statement by the healthcare professional accurately describes childhood asthma? Selecte d Answer : An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation • Question 17 1 out of 1 points Page 7 of 43 1 points Which cells function to maintain bone matrix? Selecte d Answer: Osteocytes • Question 23 1 out of 1 points Page 10 of 43 1 A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate? Selecte d Answer: X-linked recessive inheritance • Question 24 1 out of 1 points What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis? Selecte d Answer: Stimulates platelet aggregation. • Question 25 1 out of 1 points 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? Selecte d Answer: Compression of the urethra • Question 26 1 out of 1 points A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best? Selecte d Answer: An area of devascularized and devitalized bone • Question 27 1 out of 1 points Page 11 of 43 1 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? Selecte d Answer: Presence of red blood cells • Question 28 1 out of 1 points Page 12 of 43 1 • Question 33 1 out of 1 points Gait disturbances and instability are characteristic of which form of cerebral palsy? Selecte d Answer: Atax i x • Question 34 0 out of 1 points 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? Selecte d Answer: 1cThis is a very rare finding in adults who have ALL. 1d • Question 35 1 out of 1 points A patient in the clinic had a femur x-ray that was read as having a moth-eaten appearance. What treatment option does the health care professional discuss with the patient? Selecte d Answer: Limb- salvaging surgery • Question 36 1 out of 1 points Local signs and symptoms of Hodgkin disease-related lymphadenopathy are a result of what? Selecte d Answer: Page 15 of 43 1 P r essure and obstruction • Question 37 1 out of 1 points A patient is in the Emergency Department with heat stroke. What finding does the healthcare provider associate with this condition? Selected Absence of sweating despite a high core Page 16 of 43 1 Answer: temperature • Question 38 1 out of 1 points Without prior exposure to an antigen, which cells are able to destroy some types of tumor cells and some virus-infected cells? Selecte d Answer: Natural killer (NK) cells • Question 39 1 out of 1 points Which hospitalized patient does the healthcare professional assess as a priority for the development of delirium? Selecte d Answer: An elderly male on the second day after hip replacement • Question 40 1 out of 1 points What does the student learn distinguishes kwashiorkor from marasmus? Selecte d Answer: Subcutaneous fat, hepatomegaly, and fatty liver are present in kwashiorkor. • Question 41 1 out of 1 points The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate? Selecte d Answer: The patient cannot endure a higher level of pain intensity at this point. Page 17 of 43 1 Selecte d Answer: A fracture that happens at the site of an abnormality already in that bone. • Question 47 1 out of 1 points A student asks the health care professional why obese people are at higher risk for Page 20 of 43 1 hypertension than non-obese individuals. What response by the professional is best? Selecte d Answer: They produce more angiotensinogen . • Question 48 1 out of 1 points A healthcare professional is caring for a patient who has a spinal cord injury at T5. The patient exhibits severe hypertension, a heart rate of 32 beats/min, and sweating above the spinal cord lesion. How does the professional chart this event? Selecte d Answer: Autonomic hyperreflexi a • Question 49 1 out of 1 points What is the most abundant class of plasma protein? Selecte d Answer: Albumin • Question 50 1 out of 1 points 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? Selecte d Answer: Folate deficiency anemia • Question 51 1 out of 1 Page 21 of 43 1 points A healthcare professional in an urban clinic is seeing a patient who has iron deficiency anemia (IDA). What question by the professional is most appropriate to assess for the cause of IDA? Selecte d Answer: 1cHave you ever noticed any blood in your stool? 1d • Question 52 1 out of 1 points Page 22 of 43 1 • Question 57 1 out of 1 points What is the first indication of nephrotic syndrome in children? Selecte d Answer: Periorbita l edema • Question 58 1 out of 1 points Which condition is considered a clinical cause of amenorrhea? Selecte d Answer: Failure to ovulate • Question 59 1 out of 1 points A patient is admitted to the hospital with multiple myeloma (MM). Which diagnostic test should the healthcare professional assess as the priority? Selecte d Answer: Serum calcium level • Question 60 1 out of 1 points What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)? Selecte d Answer: Inflammation of fibrocartilaginous joints of the vertebrae • Question 61 Page 25 of 43 1 1 out of 1 points A woman has been diagnosed with polycystic ovary syndrome but is confused because her pelvic ultrasound (US) was read as normal and did not show cysts. What response by the health care professional is most appropriate? Selecte d Answer: You do not need to have cysts on your ovaries to have this condition. • Question 62 Page 26 of 43 1 1 out of 1 points Why is nasal congestion a serious threat to young infants? Selecte d Answer: Infants are obligatory nose breathers. • Question 63 1 out of 1 points What is the first indication of nephrotic syndrome in children? Selecte d Answer: Periorbita l edema • Question 64 1 out of 1 points 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? Selecte d Answer: Erythropoietin • Question 65 1 out of 1 points 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? Selecte d Answer: We can test your blood for factor V Leiden. • Question 66 Page 27 of 43 1 1 out of 1 points In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis? Selecte d Answer: Tertia r y Page 30 of 43 1 • Question 72 1 out of 1 points A person has been diagnosed with primary dysmenorrhea and wants to know why ibuprofen is a good choice for pain control. What response by the health care professional is best? Selecte d Answer: It reduces the production of prostaglandins in your body. • Question 73 1 out of 1 points 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? Selecte d Answer: Elevated nocturnal levels of vasopressin may cause enuresis. • Question 74 1 out of 1 points An infant has gluten-sensitive enteropathy and the parents ask the healthcare professional to explain why the baby bruises so easily. The professional explains that the baby has which deficit? Selecte d Answer: Vitamin K deficiency from fat malabsorption • Question 75 1 out of 1 points A child has phenylketonuria (PKU). The healthcare professional educates the parents on the special diet needed, telling them that children with PKU are unable to synthesize what? Page 31 of 43 1 Selecte d Answer: Essential amino acid, phenylalanine, to tyrosine • Question 76 1 out of 1 points 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 Page 32 of 43 1 The student asks the professor for a definition of orexigenic neurons. What description by the professor is most accurate? Selecte d Answer: Promote appetite and stimulate eating • Question 82 1 out of 1 points 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? Selecte d Answer: Give the patient plenty of cool fluids to drink. • Question 83 1 out of 1 points Hypothalamic-pituitary-adrenal (HPA) system abnormalities exist in a large percentage of individuals with what? Selecte d Answer: Major depression • Question 84 1 out of 1 points What initiates inflammation in acute poststreptococcal glomerulonephritis? Selecte d Answer: Immune complex es • Question 85 1 out of 1 points Page 35 of 43 1 Which statement is likely true regarding children being treated for cancer with radiation therapy? Selecte d Answer: They will most likely have a successful remission of tumor growth. • Question 86 1 out of 1 points Page 36 of 43 1 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? Selecte d Answer: Human papillomavirus (HPV) • Question 87 1 out of 1 points What is the primary cause of respiratory distress syndrome (RDS) of the newborn? Selecte d Answer: Surfacta nt deficienc y • Question 88 1 out of 1 points Cystic fibrosis is characterized by which symptom? Selecte d Answer: Excessive mucus production • Question 89 1 out of 1 points How is gonorrhea transmitted from a pregnant woman to her fetus? Selecte d Answer: Predominately through infected cervical and secretions during the birth process • Question 90 1 out of 1 points Page 37 of 43 1 • Question 95 1 out of 1 points 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? Selecte d Answer: Research suggests that repeated CT scans can increase the risk of developing brain cancer. Page 40 of 43 1 • Question 96 0 out of 1 points 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? Selecte d Answer: A widened pulse pressure and bradycardia • Question 97 1 out of 1 points 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? Selecte d Answer: 1cAdditional nervous system damage will occur the longer we wait. 1d • Question 98 1 out of 1 points An infant has gluten-sensitive enteropathy and the parents ask the healthcare professional to explain why the baby bruises so easily. The professional explains that the baby has which deficit? Selecte d Answer: Vitamin K deficiency from fat malabsorption • Question 99 1 out of 1 points Which statement by the professor best describes acute respiratory distress syndrome (ARDS)? Page 41 of 43 1 Selecte d Answer : A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging • Question 100 1 out of 1 points A healthcare professional advises a pregnant woman to add supplements of which Page 42 of 43