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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
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What is the blood type of a person who is heterozygous, having A and B alleles as codominant?
The data reporting that sickle cell disease affects approximately 1 in 600 American blacks is an example of which concept?
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?
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?
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?
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?
Question 7 (^) 1 out of 1 points
Question 13 (^) 0 out of 1 points
A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment finding by the healthcare professional would be most consistent with this reading?
Question 14 (^) 1 out of 1 points
A patient is having an IgE-mediated hypersensitivity reaction. What action by the healthcare professional is best?
Question 15 (^) 1 out of 1 points
A healthcare professional is educating a patient on asthma. The professional tells the patient that the most successful treatment for chronic asthma begins with which action?
Question 16 (^) 1 out of 1 points
A student asks the healthcare professional to explain the pathophysiologic process of alcoholic cirrhosis. What statement by the professional would not be consistent with complete knowledge about this process?
Inflammation and damage leading to cirrhosis begin in the bile canaliculi.
Question 17 (^) 0 out of 1 points
The pathophysiologic process of edema is related to which mechanism?
Question 18
How does progressive nephron injury affect angiotensin II activity?
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?
Question 20
When renin is released, it is capable of which action?
Question 21 (^) 1 out of 1 points
What is the initiating event that leads to the development of atherosclerosis?
Question 22 (^) 1 out of 1 points
The glomerular filtration rate is directly related to which factor?
Question 23 (^) 1 out of 1 points
What mechanisms occur in the liver cells as a result of lipid accumulation?
Increased synthesis of triglycerides from fatty acids and decreased synthesis of apoproteins
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?
Shift to the right, causing more oxygen (O 2) to be released to the cells
Question 30
What does vomiting-induced metabolic alkalosis cause?
Question 31
What is one function of the tumor cell marker?
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?
Question 33 (^) 1 out of 1 points
A pregnant woman has Graves disease. What test/s does the healthcare professional advise the woman about?
Question 34 (^) 1 out of 1 points
A healthcare professional is caring for a patient who has a delay in electrical activity reaching the ventricle as seen on ECG. What ECG finding would the healthcare professional associate with this problem?
Question 35 (^) 1 out of 1 points
A healthcare professional tells a student that a patient has lost atrial kick. What would the student expect to see when examining this patient?
Question 36 (^) 0 out of 1 points
A patient has diabetes mellitus. A recent urinalysis showed increased amounts of protein. What therapy does the healthcare provider educate the patient that is specific to this disorder?
Question 37 (^) 0 out of 1 points
A healthcare professional is caring for four patients. Which patient does the professional assess for neurogenic diabetes insipidus (DI)?
Question 38
How do free radicals cause cell damage?
Stealing the cell's oxygen to stabilize the electron, thus causing hypoxia
Question 39 (^) 1 out of 1 points
A student studying biology asks the professor to describe how the ras gene is involved in cancer proliferation. What explanation by the professor is best?
Question 45 (^) 0 out of 1 points
Which statement made by a student indicates the healthcare professional needs to describe the pericardium again?
The pericardium is a double-walled membranous sac that encloses the heart.
Question 46
Where is two thirds of the body's water found?
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?
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?
Question 49
What is the inflammatory effect of nitric oxide (NO)?
Decreases mast cell function, and decreases platelet aggregation
Question 50
What is the cause of familial hypercholesterolemia (FH)?
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?
Question 52
Which chamber of the heart endures the highest pressures?
Question 53 (^) 1 out of 1 points
When endothelial cells are injured, what alteration contributes to atherosclerosis?
Cells are unable to make the normal amount of vasodilating cytokines.
Question 54
What is the cause of functional dysphagia?
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
Th1 cells release cytokines that activate infiltrating macrophages, and cytotoxic T cells directly attack the endothelial cells of the transplanted tissue.
Question 61
What are blood pressure variations associated with?
Question 62 (^) 1 out of 1 points
A class of students has learned about contributing factors to duodenal ulcers. What statement indicates to the professor that the students need a review?
Gastric emptying is slowed, causing greater exposure of the mucosa to acid.
Question 63 (^) 1 out of 1 points
Renal failure is the most common cause of which type of hyperparathyroidism?
Question 64 (^) 1 out of 1 points
An amniocentesis indicates a neural tube defect when an increase in which protein is evident?
Question 65 (^) 1 out of 1 points
A healthcare professional wants to determine the adequacy of a person's alveolar ventilation. What assessment finding is most important for the professional to consider?
Question 66 (^) 1 out of 1 points
What is an expected change in the cardiovascular system that occurs with aging?
Question 67
Oxygenated blood flows through which vessel?
Question 68 (^) 0 out of 1 points
A patient's urinalysis came back positive for glucose. What does the healthcare professional expect the patient's blood glucose to be at a minimum?
Question 69 (^) 1 out of 1 points
A student asks the healthcare professional to explain the function of the papillary muscles. What response by the professional is best?
These muscles prevent backward expulsion of the atrioventricular valves.
Question 70 (^) 0 out of 1 points
The healthcare professional explains to a student that the amount of volume of blood in the heart is directly related to the of contraction.
Question 71 (^) 1 out of 1 points
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?
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?
Question 79 (^) 0 out of 1 points
The student asks the professor to explain what characteristic is demonstrated by lungs with decreased compliance?
Question 80 (^) 0 out of 1 points
The action of platelet-derived growth factor is to stimulate the production of which 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?
Question 82 (^) 1 out of 1 points
Surfactant produced by type II alveolar cells facilitates alveolar distention and ventilation by which mechanism?
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?
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?
Question 85 (^) 1 out of 1 points
People diagnosed with neurofibromatosis have varying degrees of the condition because of which genetic principle?
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?
Question 93 (^) 1 out of 1 points
Neurotransmitters affect the postsynaptic membrane by binding to which structure?
Question 94 (^) 0 out of 1 points
A healthcare provider notes that tapping the patient's facial nerve leads to lip twitching. What electrolyte value is correlated with this finding?
Question 95 (^) 0 out of 1 points
During cell injury caused by hypoxia, why does an increase in the osmotic pressure within the cell occur?
An influx of glucose occurs through the injured cell membranes.
Question 96 (^) 1 out of 1 points
A female patient has been diagnosed with an uncomplicated urinary tract infection. What self-care measure does the healthcare provider teach the patient that is specific to this type of infection?
Question 97 (^) 0 out of 1 points
A healthcare professional is conducting community education on vaccinations. Which statement about vaccines does the professional include in the presentation?
Question 98 (^) 0 out of 1 points
A patient reports dumping syndrome after a partial gastrectomy. What does the healthcare professional teach this patient?
Question 99 (^) 0 out of 1 points
Once they have penetrated the first line of defense, which microorganisms do natural killer (NK) cells actively attack?
Question 100 (^) 0 out of 1 points
Free radicals play a major role in the initiation and progression of which diseases?
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