nurs6501n and nurs6501 latest 2022 novembr exam 94 grades all 100 answers

Question # 00641537
Course Code : NURS6501
Subject: Health Care
Due on: 11/12/2022
Posted On: 11/12/2022 02:42 AM
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NURS-6501N-23/NURS-6501C-23-Advanced Pathophysiology-2022-Fall-QTR-Term-wks-1-thru-11-(08/29/2022-11/13/2022)-PT27

Question 1

A health care professional is caring for a patient admitted to the hospital with severe anorexia. What action by the health care professional would be most important?

 

              Ensuring the patient is on a cardiac monitor

 

              Facilitating laboratory testing of electrolytes                    

 

              Arranging a psychiatry consultation            

 

              Assessing the patient's favorite foods         

Question 2

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 3

A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next?

 

              Take the patient's temperature.

 

              Have lab drawn for electrolyte levels.

 

              Cancel the patient's next meal.

 

              Facilitate a chest x-ray.

Question 4

What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)?

 

              Inflammation of the bursa     

 

              Inflammation of the long bones                  

 

              Inflammation of fibrocartilaginous joints of the vertebrae

 

              Inflammation of the small hand and feet bones      

Question 5

Which spinal tract carries the most nociceptive information?

 

              Archeospinothalamic             

 

              Paleospinothalamic                

 

              Dorsal spinothalamic             

 

              Lateral spinothalamic            

Question 6

A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional is best?

 

              Patients tend to have venous stasis from orthopedic operations.

 

              Anesthetic agents often cause an immune response against clotting factors.

 

              Endothelial damage occurs and repair is slowed by postoperative pain.

 

              Atherosclerotic build up causes turbulent blood flow leading to clots.

Question 7

In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis?

 

              Primary                                  

 

              Secondary                             

 

              Latent

 

              Tertiary

Question 8

A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best?

 

              An area of devascularized and devitalized bone              

 

              An enzyme that phagocytizes necrotic bone

 

              A subperiosteal abscess         

 

              A layer of new bone surrounding the infected bone        

Question 9

Which mother does the healthcare professional prepare to administer Rh immune globulin (Rho-GAM) to?

 

              Is Rh-positive and the fetus is Rh-negative

 

              Is Rh-negative and the fetus is Rh-positive

 

              Has type A blood and the fetus has type O

 

              Has type AB blood and the fetus has type B

Question 10

A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child?

 

              Vitamin A                              

 

              Magnesium                            

 

              Vitamin C                              

 

              Zinc   

Question 11

A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?

 

              Insulin-resistant diabetes mellitus               

 

              Hypertension                         

 

              Polycythemia                         

 

              Smoking                                

Question 12

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 13

Bronchiolitis tends to occur during the first years of life and is most often caused by what type of infection?

 

              Respiratory syncytial virus (RSV)               

 

              Influenza virus                      

 

              Adenoviruses                         

 

              Rhinovirus                             

Question 14

What is the most abundant class of plasma protein?

 

              Globulin                                 

 

              Albumin                                

 

              Clotting factors                     

 

              Complement proteins            

Question 15

The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.   This is an example of:

 

              Delusion

 

              Hallucination

 

              Anhedonia

 

              Pressured speech

uestion 16

A patient in the hospital has been receiving heparin injections. The platelet count on admission was 222,000/mm 3 and four days later is 113,000/mm 3. What action by the healthcare professional is best?

 

              Prepare to transfuse the patient with platelets.

 

              Do nothing; this is an expected side effect.

 

              Switch the heparin to lepirudin                   

 

              Stop all the patient's medications.

Question 17

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?

 

              Essential amino acid, phenylalanine, to tyrosine               

 

              Renin, erythropoietin, and antidiuretic hormone              

 

              Aldosterone, cortisol, and androgens          

 

              Neurotransmitters gamma-aminobutyric acid (GABA) and acetylcholine

Question 18

A healthcare professional is trying to lower a patient's body temperature by convection. What action by the professional will accomplish this?

 

              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 19

What are the clinical manifestations of testicular cancer?

 

              Firm, nontender testicular mass                   

 

              Painful, mobile, firm testicular mass           

 

              Painful fluid-filled testicular mass              

 

              Soft, nontender testicular mass                   

Question 20

Which condition is consistent with the cardiac defect of transposition of the great vessels?

 

              The aorta arises from the right ventricle.

 

              The pulmonary trunk arises from the right ventricle.

 

              The right ventricle pumps blood to the lungs.

 

              An intermittent murmur is present.

Question 21

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 22

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 23

Cystic fibrosis is characterized by which symptom?

 

              Excessive mucus production 

 

              Elevated blood glucose levels

 

              Low sodium content in perspiration            

 

              Abnormally thin exocrine secretions           

Question 24

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?

 

              Rapid spike in measured ICP

 

              No significant change in ICP readings       

 

              Restlessness and subtle breathing and pupil changes        

 

              A widened pulse pressure and bradycardia

Question 25

What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis?

 

              Stimulates the synthesis of serotonin.

 

              Promotes vasodilation.

 

              Stimulates platelet aggregation.

 

              Promotes formation of cyclooxygenase.

Question 26

When examining a male age 50 and older, the Nurse Practitioner should know that:

 

              It is not necessary to perform a DRE if the PSA is normal.

 

              It is not necessary to perform a PSA if the DRE is normal.

 

              The DRE and PSA should be performed.

 

              The Nurse Practitioner can use her discretion until age 60.

Question 27

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.

 

              You are not getting enough vitamin C.

 

              Your bone marrow has stopped working.

Question 28

Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?

 

              Premenstrual syndrome         

 

              Abnormal uterine bleeding    

 

              Polycystic ovary syndrome   

 

              Primary dysmenorrhea          

Question 29

To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?

 

              Size and reactivity of pupils  

 

              Pattern of breathing               

 

              Motor response                      

 

              Level of consciousness          

Question 30

A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess?

 

              Viral infection                        

 

              Maternal depression              

 

              Maternal smoking                  

 

              Exposure to toxic waste        

Question 31

Abnormalities in brain development related to schizophrenia are thought to develop when?

 

 

              Prenatal

 

              Infancy

 

              Early Childhood

 

              Adolescent

Question 32

A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority?

 

              Pancreatic enzyme analysis   

 

              Liver biopsy                          

 

              Chest x-ray or CT scan          

 

              Brain MRI              

Question 33

What is the effect of low plasma albumin?

 

              Clotting factors decrease, thus increasing the chance of prolonged bleeding.       

 

              Fewer immunoglobulins are synthesized, thus impairing the immune function.

 

              Less iron is stored, thus increasing the incidence of iron deficiency anemia.

 

              Osmotic pressure decreases; thus water moves from the capillaries to the interstitium.

Question 34

A patient reports frequent nightmares. 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 35

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?

 

              Administer salty beverages to the patient.

 

              Aggressive cooling methods to rapidly lower temperature

 

              Encourage the patient to have genetic testing after recovery.

 

              Give the patient plenty of cool fluids to drink.

Question 36

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 by the professional is best?

 

              Decreased erythrocyte count 

 

              Destruction of erythrocytes  

 

              Increased blood viscosity      

 

              Tissue destruction by macrophages             

Question 37

Which of the following are negative 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 38

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?

 

              Human papillomavirus (HPV)

 

              Epstein-Barr virus (EBV)      

 

              Herpes simplex II virus (HSV)                    

 

              Cytomegalovirus (CMV)      

Question 39

A healthcare professional wants to volunteer for a community education project to help prevent spinal cord injury. What activity would the professional most likely volunteer for?

 

              Teaching school aged children bicycle safety                   

 

              Teaching stretching to high school athletes

 

              Teaching adults good body mechanics for lifting             

 

              Teaching older adults how to prevent trip-and-fall events

Question 40

A man has balanitis. What action by the healthcare professional is most appropriate?

 

              Educate the man on the side effects of chemotherapy.

 

              Perform a finger stick for a blood glucose reading.

 

              Administer pain medication before retracting the foreskin.

 

              Prepare the man for a needle aspiration of the corpus.

Question 41

Which nerve control might likely be affected in a patient that has incontinence of the bowel and bladder?

 

              L2-L5, S1-S5 and the coccygeal nerves

 

              T10-T11, T11 L1-L2, and the coccygeal nerves

 

              L2-4 and L4-L5

 

              T10-T11 and the cauda equina

Question 42

A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has?

 

              Ask the child if he or she has been around puppies or kittens.

 

              Check the child's hair for the presence of small mites.

 

              Ask the child if itching occurs especially at night.

 

              Assess the child's trunk and abdomen for petechiae.

Question 43

Which patient finding would lead the health care professional to assess the patient for inflammatory joint disease?

 

              Unilateral joint involvement  

 

              Normal joint synovial fluid   

 

              Absence of synovial membrane inflammation                  

 

              Systemic symptoms of inflammation          

Question 44

The APRN is assessing a patient that is talking to his mother in the corner of the room even although you are the only other person in the room.  This is an example of:

 

              Delusion

 

              Hallucination

 

              Anhedonia

 

              Pressured speech

Question 45

Parents report their 3-week-old infant who eats well and has gained weight began to have projectile vomiting for no apparent reason. 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 46

52-year-old female presents to the clinic with dysuria, urgency and frequency. She reports symptoms have been present for the past week. She also has nausea, vomiting, flank pain and an elevated temperature of 100.7. Patient has a history of Diabetes Mellitus and Overactive Bladder. She reports intermittent gross hematuria for the past week. Further evaluation by urinalysis with micro, identifies microhematuria, with greater than 100 RBC/HPF present. What are the likely differential diagnoses to consider?

 

              Urinary calculi

 

              Atrophic Vaginitis

 

              Pyelonephritis

 

              Urinary Tract Infection

Question 47

A 9-year-old child has a blood pressure of 112/72 mmHg in the school nurse's office. What action by the school nurse is most appropriate?

 

              Inform the parents the child might be dehydrated.

 

              Note the normal finding in the child's records.

 

              Calculate the child's Body Mass Index.

 

              Refer the child for medication.

Question 48

A child has Duchenne muscular dystrophy. What complication does the healthcare professional teach the parents is most important to control?

 

              Respiratory infection             

 

              Joint contractures                  

 

              Urinary tract infection           

 

              Fractures from falling        

Question 49

In immunoglobulin G (IgG) nephropathies such as glomerulonephritis, IgG is deposited in which location?

 

              Juxtamedullary nephrons        

 

              Glomerulus basement membranes               

 

              Mesangium of the glomerular capillaries     

 

              Parietal epithelium               

Question 50

A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk?

 

              IgA    

 

              IgE    

 

              IgG    

 

              IgM   

Question 51

A patient has been hospitalized with Guillain-Barré syndrome (GBS). The patient asks how this could have occurred. What response by the healthcare professional is best?

 

              It is often preceded by a viral illness.

 

              It is due to a genetic defect in acetylcholine.

 

              It could be caused by a brain tumor.

 

              It is often transmitted by family pets.

Question 52

The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?

 

              Staphylococcus aureus            

 

              Streptococcus pyogenes          

 

              Escherichia coli                      

 

              Candida albicans                 

Question 53

Which bones are affected in Legg-Calvé-Perthes disease?

 

              Heads of the femur               

 

              Distal femurs                          

 

              Heads of the humerus           

 

              Distal tibias                           

Question 54

The myelin in the brain and spinal cords are formed by:

 

              Neurons

 

              Neurons and astrocytes

 

              Astrocytes and microglia

 

              Oligodendrocytes

Question 55

The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate?

 

              The patient cannot endure a higher level of pain intensity at this point.  

 

              The patient's pain tolerance is much lower because of consuming too much alcohol.      

 

              The patient's pain in one place is higher because pain in multiple other sites.      

 

              The patient now recognizes what is being felt is actually pain.    

Question 56

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?

 

              A maturational lag may cause enuresis.

 

              Enuresis may be related to increased light sleep.

 

              Obstructive sleep apnea may be a symptom of enuresis.

 

              Elevated nocturnal levels of vasopressin may cause enuresis.

Question 57

In the majority of children experiencing delayed puberty, what is the problem caused by?

 

              Disruption in the hypothalamus                   

 

              Disruption of the pituitary    

 

              Deficit in estrogen or testosterone              

 

              Physiologic delays in maturation

Question 58

Obsessive compulsive disorder is characterized by what types of thoughts and behaviors?

 

              disorganized irrational thoughts and disorganized behavior

 

              constant  irrational thoughts and constant behavior

 

              repetitive irrational thoughts and ritualized behavior

 

              repetitive irrational thoughts and disorganized behavior

Question 59

The APRN would expect to find elevated blood levels of which of the following markers for patients with a diagnosis of depression?

 

              Proinflammatory cytokines and pH

 

               Calcium and Cortisol

 

              Calcium and pH

 

              Proinflammatory cytokines and cortisol

Question 60

The musculoskeletal system is responsible for:

 

              Movement and support

 

              Movement and protection

 

              Movement, support, and heat

 

              Blood circulation, movement, support, heat, protection

Question 61

A person comes to the healthcare clinic and reports night sweats and fever. The healthcare professional obtains a chest x-ray which shows a mediastinal mass. What other assessment or diagnostic test does the professional provide as a priority?

 

              Listen to heart sounds.

 

              Assess the patient's skin.

 

              Arrange for familial DNA testing.

 

              Test blood for anemia.

Question 62

A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate?

 

              Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells  

 

              Malignancy of the bone marrow in which unregulated proliferation of erythrocytes crowd out other blood cells              

 

              Autoimmune disease against hematopoiesis by activated immunoglobulins        

 

              Inherited genetic disorder with recessive X-linked transmission 

Question 63

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 64

A student asks the health care professional why obese people are at higher risk for hypertension than non-obese individuals. What response by the professional is best?

 

              They produce more ghrelin in the stomach.

 

              Their thyroid gland secretes less hormone.

 

              They produce more angiotensinogen.

 

              They secrete fewer endocannabinoids.

Question 65

Gait disturbances and instability are characteristic of which form of cerebral palsy?

 

              Spastic

 

              Dystonic                                

 

              Ataxic

 

              Biochemical            

Question 66

A child has cystic fibrosis (CF). Which medication does the healthcare professional teach the parents about?

 

              Salt tablets                             

 

              Pancreatic enzymes               

 

              Antihypertensives                   

 

              Antibiotics                             

Question 67

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?

 

              Lateral epicondylitis of the elbow               

 

              Inflammation of the anterior cruciate ligament                 

 

              Bursitis of the subscapular bursa in the glenohumeral joint          

 

              Tendinitis of the anterior patellar tendon    

zQuestion 68

A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate?

 

              X-linked recessive inheritance

 

              Common SMN1 gene abnormality              

 

              Autosomal dominant inheritance                

 

              Inheritance is not well defined                   

Question 70

A healthcare professional is teaching a community group about inherited disorders. What pattern of inheritance does the professional describe for sickle cell disease?

 

              Inherited X-linked recessive disorder         

 

              Inherited autosomal recessive disorder       

 

              Disorder initiated by hypoxemia and acidosis                  

 

              Disorder that is diagnosed equally in men and women    

 

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NCU MSW6101 Week 3 Assignment 1 Latest 2024
MSW6101 v3: Advanced Social Work with Children and Families Week 3 - Assignment 1: Conduct an Investigation of Regulations and Mandatory Reporting Responsibilities Instructions Social wor …
NCU MSW6101 Week 2 Assignment Latest 2024
MSW6101 v3: Advanced Social Work with Children and Families Week 2 - Assignment: Provide Techniques for Working with Children who have Experienced Trauma Instructions Develop a training p …