NURS 6501: Advanced Pathophysiology Final Exam Question 1
A patient reports small, vesicular lesions that last between 10 and 20 days. What treatment does the healthcare professional educate the patient about?
| Acyclovir (Zovirax) | ||
| Three injections of penicillin | ||
| One time dose of azithromycin | ||
| Test of cure |
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Question 2
A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and skeletal deformity. What treatment plan does the healthcare professional discuss with the parents? NURS 6501: Advanced Pathophysiology Final Exam
| Extremely careful handling | ||
| Increasing vitamin D intake | ||
| Revascularization | ||
| Containment and motion therapy |
Question 3
A patient reports frequent nightmares NURS 6501: Advanced Pathophysiology Final Exam. For which of these should the healthcare professional assess the patient?
| A recent major loss | ||
| Family history of nightmares | ||
| History of traumatic event | ||
| Poor nutrition and weight loss |
Question 4
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?
| Gate control theory (GCT) | ||
| Pattern theory | ||
| Specificity theory | ||
| Neuromatrix theory |
Question 5
A patient has pernicious anemia and asks the healthcare professional to explain the disease. Which statement by the professional is most accurate?
| The lack of certain foods in your diet | ||
| Your body cannot absorb vitamin B 12. NURS 6501: Advanced Pathophysiology Final Exam | ||
| You are not getting enough vitamin C. | ||
| Your bone marrow has stopped working. |
Question 6
A patient has a spinal cord injury at C4. What should the healthcare professional assess as the priority in this patient?
| Blood pressure | ||
| Respirations | ||
| Pulse | ||
| Temperature |
Question 7
A baby is born with a myelomeningocele and needs urgent surgery to repair the defect. The parents want to take the baby home instead. NURS 6501: Advanced Pathophysiology Final Exam What does the healthcare professional tell the parents about the purpose of this surgery?
| 1cSurgery is much easier on a tiny infant than on a larger, older baby. 1d | ||
| 1cIf your baby has surgery this young, he/she cannot feel pain. 1d | ||
| 1cAdditional nervous system damage will occur the longer we wait. 1d | ||
| 1cPrompt surgery is needed to prevent total paralysis later on. 1d |
Question 8
A woman attempting to conceive tells the healthcare professional that she and her partner have intercourse when her basal body temperature (BBT) is around 37˚C (98˚F) without getting pregnant. What information does the professional give the woman?
| Maybe you need a fertility workup. | ||
| That’s a normal temperature, but during ovulation BBT decreases. | ||
| Temperature alone is not the most accurate way to predict ovulation. | ||
| BBT rises consistently above 37.8″1eC (100″1eF) with ovulation. |
Question 9
Parents report their 3-week-old infant who eats well and has gained weight began to have projectile vomiting for no apparent reason NURS 6501: Advanced Pathophysiology Final Exam. What treatment option does the healthcare professional prepare to educate the parents on?
| A gastric feeding tube | ||
| Wheat-free diet | ||
| Corrective surgery | ||
| Lactose-free diet |
Question 10
Monoamine neurotransmission is hypothesized to be _______________ during mania.
| increased | ||
| decreased | ||
| absent | ||
| suspended |
Question 11
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. | ||
| In ALL, immature blasts cells replace normal myelocytic cells, megakaryocytes, and erythrocytes. | ||
| B cells fail to mature into plasma cells that synthesize immunoglobulins. | ||
| The translocation of genetic material from genes 9 and 22 create an abnormal, fused gene identified as BCR-ABL. |
Question 88
John, 64, reports that he has a severe curvature of his penis which occurred all at once. He is involved in vigorous athletic activities 4-5 days per week and does not recall an injury during his activities, only that he awoke with a painful curved erection and shortened erection. The nurse practitioner knows that:
| Peyronie’s disease self-limiting and will go away on its own. | ||
| Peyronie’s disease is an inflammatory condition, resulting in noncompliant fibrous nodules in the tunica albuginea. | ||
| Peyronie’s disease only occurs as a result of microvascular trauma. All activities should be avoided for 4-6 weeks, to allow for healing. | ||
| Peyronie’s disease results from an abnormality in arterial inflow, resulting in venous leakage at the site of veno-occlusion. |
Question 89
Which cells function to maintain bone matrix?
| Osteoclasts | ||
| Osteocytes | ||
| Osteoblasts | ||
| Osteophytes |
Question 90
Skeletal muscles make up approximately _______ of one’s body weight
| 40% | ||
| 30% | ||
| 70% | ||
| 50% |
Question 91
NURS 6501: Advanced Pathophysiology Final Exam Which of the following are positive clinical manifestations of schizophrenia?
| Social withdraw, blunted affect, and failure to respond to simple questions | ||
| Hallucinations, delusions, and incoherent speech | ||
| Hallucinations, blunted affect, and social withdraw | ||
| Delusions, hallucinations, and failure to respond to simple questions |
Question 92
A patient has ankylosing spondylitis. Which description of this condition by the health care professional is most accurate?
| Chronic inflammatory disease with stiffening and fusion of the spine and sacroiliac joint | ||
| Chronic systemic inflammatory disease that affects many tissues and organs | ||
| State of abnormal and excessive bone resorption and formation | ||
| Wide-spread and deep chronic muscle pain, fatigue, and tender points |
NURS 6501: Advanced Pathophysiology Final Exam Question 93
What directly causes ovulation during the menstrual cycle?
| Gradual decrease in estrogen levels | ||
| Sudden increase of LH | ||
| Sharp rise in progesterone levels | ||
| Gradual increase in estrogen levels |
Question 94
When are childhood cancers most often diagnosed?
| During infancy | ||
| At peak times of physical growth | ||
| After diagnosis of a chronic illness | ||
| After an acute illness |
Question 95
A woman who is positive for hepatitis B is in labor. What action by the healthcare professional is most appropriate?
| Draw blood for a drug screen. | ||
| Encourage the mother to bottle feed. | ||
| Immunize the newborn within 12 hours. | ||
| Discuss poor infant survival. |
Question 96
The neurobiology of depression is believed to be related to the atrophy of neurons in the:
| hypothalmus | ||
| hippocampus | ||
| thalmus | ||
| amygdala |
NURS 6501: Advanced Pathophysiology Final Exam Question 97
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?
| Total protein | ||
| Culture | ||
| a-Fetoprotein | ||
| C-reactive protein |
Question 98
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 seizure | ||
| Complex focal seizure | ||
| Tonic-clonic seizure | ||
| Atonic seizure |
Question 99
A healthcare professional is trying to lower a patient’s body temperature by convection. What action by the professional will accomplish this? NURS 6501: Advanced Pathophysiology Final Exam
| Lower the temperature in the patient’s room. | ||
| Place the patient in a cooling blanket. | ||
| Obtain a fan and set it to blow over the patient. | ||
| Place cold moist towels over the patient. |
Question 100
A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct?
| An episode of mild PID can decrease the possibility of a successful pregnancy by 80%. | ||
| Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes. | ||
| PID has not been associated with an increased risk of an ectopic pregnancy. | ||
| Contracting this infection increases the risk of cervical cancer NURS 6501: Advanced Pathophysiology Final Exam. |