NURS 6501 – Advanced Pathophysiology Quiz Questions and Answers and Discussion Assignment Essays
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A 25-year-old female has a heavy menses during which she loses a profuse amount of blood. Which of the following adaptations should the nurse expect? |
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Selected Answer: |
d.
Peripheral vasoconstriction |
Correct Answer: |
d.
Peripheral vasoconstriction |
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A 58-year-old female presents in the clinic presenting with fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit, a high mean corpuscular volume, and normal plasma iron. These assessment findings are consistent with which type of anemia? |
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Selected Answer: |
b.
Pernicious anemia |
Correct Answer: |
b.
Pernicious anemia |
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A newborn is diagnosed with congenital intrinsic factor deficiency. Which of the following types of anemia will the nurse see documented on the chart? |
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Selected Answer: |
b.
Pernicious anemia |
Correct Answer: |
b.
Pernicious anemia |
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A group of cells isolated in the laboratory have membrane-bound granules in their cytoplasm and they show phagocytic activity. Which of the following cells is most similar? |
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Selected Answer: |
d.
Eosinophils |
Correct Answer: |
d.
Eosinophils |
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A nurse is caring for a patient who cannot clot. Which end product of the clotting cascade is this patient unable to make? |
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Selected Answer: |
d.
Fibrin |
Correct Answer: |
d.
Fibrin |
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A 40-year-old male vegetarian is diagnosed with folate deficiency anemia. He reports that he is an alcoholic. Which of the following factors put him at greatest risk for developing his disease? |
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Selected Answer: |
b.
Being alcoholic |
Correct Answer: |
b.
Being alcoholic |
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A 21-year-old female was recently diagnosed with iron deficiency anemia. In addition to fatigue and weakness, which of the following clinical signs and symptoms would she most likely exhibit? |
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Selected Answer: |
b.
Spoon-shaped nails |
Correct Answer: |
b.
Spoon-shaped nails |
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A 60-year-old female emphysema patient experiences a rapid and pounding heart, dizziness, and fatigue with exertion. Which of the following respiratory assessment findings indicate the respiratory system is compensating for the increased oxygen demand? |
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Selected Answer: |
b.
Increased rate and depth of breathing |
Correct Answer: |
b.
Increased rate and depth of breathing |
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A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath. His skin and sclera appear to have a yellowish discoloration. These assessment findings are consistent with which type of anemia? |
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Selected Answer: |
d.
Hemolytic anemia |
Correct Answer: |
d.
Hemolytic anemia |
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A 10-year-old male is diagnosed with leukemia. The nurse assesses for which other condition that could be associated with his disease? |
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Selected Answer: |
a.
Down syndrome |
Correct Answer: |
a.
Down syndrome |
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Which of the following individuals should the nurse assess first for a vitamin B12 deficiency anemia? |
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Selected Answer: |
c.
47-year-old male who had a gastrectomy procedure (removal of the stomach) |
Correct Answer: |
c.
47-year-old male who had a gastrectomy procedure (removal of the stomach) |
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A 5-year-old female is diagnosed with acute leukemia. The nurse will most likely treat this patient with: |
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Selected Answer: |
c.
Chemotherapy |
Correct Answer: |
c.
Chemotherapy |
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A staff member wants to know where the greatest proportion of iron is located. How should the nurse respond? The greatest proportion of total body iron is located in the: |
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Selected Answer: |
c.
Bone marrow |
Correct Answer: |
a.
Erythrocytes |
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A 5-year-old male was diagnosed with normocytic-normochromic anemia. Which of the following anemias does the nurse suspect the patient has? |
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Selected Answer: |
b.
Hemolytic anemia |
Correct Answer: |
b.
Hemolytic anemia |
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While checking lab results, the nurse remembers the normal leukocyte count is: |
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Selected Answer: |
b.
5,000-10,000/mm3 |
Correct Answer: |
b.
5,000-10,000/mm3 |
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A 62-year-old female tells her health care provider she has been experiencing regular night sweats that cause her to wake up drenched. She also remarks that she has been unintentionally losing weight. Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful. She should be screened for which of the following cancers? |
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Selected Answer: |
b.
Hodgkin lymphoma |
Correct Answer: |
b.
Hodgkin lymphoma |
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When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes: |
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Selected Answer: |
b.
Hypochromic |
Correct Answer: |
b.
Hypochromic |
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A 10-year-old male is diagnosed with sickle cell anemia. When the parents ask who is responsible for this disease, what is the nurse’s best response? He most likely inherited it from: |
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Selected Answer: |
c.
Both his mother and father |
Correct Answer: |
c.
Both his mother and father |
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NURS 6501 – Advanced Pathophysiology Quiz Questions and Answers and Discussion Assignment Essays
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A 20-year-old female undergoes lab testing for anemia. Results show high iron, bilirubin, and transferrin and low hemoglobin and hematocrit. Which of the following is the most likely diagnosis to be documented on the chart? |
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Selected Answer: |
d.
Sideroblastic anemia |
Correct Answer: |
a.
Pernicious anemia |
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A 45-year-old female undergoes a splenectomy to remove a tumor. Which of the following assessment finding is most likely to occur following surgery? |
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Selected Answer: |
a.
Leukocytosis |
Correct Answer: |
a.
Leukocytosis |
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A hematologist is discussing hematopoiesis. Which information should be included? ________ participate in hematopoiesis. |
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Selected Answer: |
d.
Neutrophils |
Correct Answer: |
a.
Colony-stimulating factors (CSFs) |
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In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after intravascular clotting because: |
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Selected Answer: |
b.
Clotting factors are depleted. |
Correct Answer: |
b.
Clotting factors are depleted. |
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During an infection, the nurse assesses the lymph nodes. Lymph nodes enlarge and become tender because: |
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Selected Answer: |
a.
Lymphocytes are rapidly dividing. |
Correct Answer: |
a.
Lymphocytes are rapidly dividing. |
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A 52-year-old male IV drug user was diagnosed with hepatitis C 5 years ago. He is now experiencing impaired blood clotting. The nurse suspects a decrease in which of the following vitamins? |
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Selected Answer: |
a.
K |
Correct Answer: |
a.
K |
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A 65-year-old male experienced loss of appetite, weight loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly before his death. Autopsy suggested pernicious anemia, and the cause of death would most likely reveal: |
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Selected Answer: |
b.
Liver hypoxia |
Correct Answer: |
c.
Heart failure |
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For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be: |
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Selected Answer: |
c.
Sequestered |
Correct Answer: |
c.
Sequestered |
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A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss. He is diagnosed with Burkitt lymphoma. Upon obtaining the history, which of the following is the most likely cause? |
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Selected Answer: |
d.
Epstein-Barr virus (EBV) |
Correct Answer: |
d.
Epstein-Barr virus (EBV) |
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The people from which country have the lowest risk for Hodgkin lymphoma? |
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Selected Answer: |
b.
Japan |
Correct Answer: |
b.
Japan |
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A 50-year-old female is diagnosed with primary thrombocythemia. A nurse would expect the blood smear to reveal _____ platelets. |
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Selected Answer: |
d.
Overproduced |
Correct Answer: |
d.
Overproduced |
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A 45-year-old male is diagnosed with macrocytic, normochromic anemia. The nurse suspects the most likely cause of this condition is: |
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Selected Answer: |
a.
Defective DNA synthesis |
Correct Answer: |
a.
Defective DNA synthesis |
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A 15-year-old male with infectious mononucleosis is being given instructions on how to prevent the spread of this infection to others. Which statement represents a correct instruction? |
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Selected Answer: |
b.
Do not share drinking glasses or eating utensils. |
Correct Answer: |
b.
Do not share drinking glasses or eating utensils. |
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A 35-year-old female is diagnosed with vitamin B12 deficiency anemia (pernicious anemia). How should the nurse respond when the patient asks what causes pernicious anemia? A decrease in ______ is the most likely cause. |
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Selected Answer: |
c.
Intrinsic factor |
Correct Answer: |
c.
Intrinsic factor |
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A nurse is teaching the staff about platelets. Which information should the nurse include? In addition to playing a role in hemostasis, platelets have the ability to: |
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Selected Answer: |
c.
Undergo cell division in response to bleeding |
Correct Answer: |
b.
Release biochemical mediators of inflammation |
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A newborn baby is diagnosed with a blood disorder in which her platelet count is low. Which of the following does the nurse suspect could be the reason? |
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Selected Answer: |
c.
Decreased thrombopoietin |
Correct Answer: |
c.
Decreased thrombopoietin |
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A 67-year-old female has chronic gastrointestinal bleeding. A nurse recalls the primary cause of her anemia is: |
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Selected Answer: |
a.
Vitamin B12 deficiency |
Correct Answer: |
b.
Iron deficiency |
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NURS 6501 – Advanced Pathophysiology Quiz Questions and Answers and Discussion Assignment Essays