NURS 6501N or nurs 6501
Question 11 pts
A patient has pernicious anemia and asks the healthcare professional to explain the disease. Which statement by the professional is most accurate?
Group of answer choices
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 21 pts
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?
Group of answer choices
Poor colonic motility due to a problem in the parasympathetic nervous system
The colon stays in the upper right quadrant instead of moving to its normal location.
One part of the intestine telescopes into another section of the intestine.
Fibrosis increases the resistance to blood flow within the portal system.
Question 31 pts
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?
Group of answer choices
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 41 pts
Gait disturbances and instability are characteristic of which form of cerebral palsy?
Group of answer choices
Spastic
Dystonic
Ataxic
Biochemical
Question 51 pts
What is the effect of low plasma albumin?
Group of answer choices
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 61 pts
A patient is in the Emergency Department with heat stroke. What finding does the healthcare provider associate with this condition?
Group of answer choices
Core temperatures usually reaching approximately 39.5"1eC (103.1"1eF)
Absence of sweating despite a high core temperature
A rapidly decreasing core temperature as heat loss from the evaporation of sweat ceases
Symptoms caused by the loss of sodium and prolonged sweating
Question 71 pts
A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional?
Group of answer choices
Sexual partners should be treated only if symptoms are present.
Sexual partners should be treated even if they are asymptomatic.
Infections in men are self-limiting even without treatment.
Sexual partners should be treated to prevent infection.
Question 81 pts
Without prior exposure to an antigen, which cells are able to destroy some types of tumor cells and some virus-infected cells?
Group of answer choices
Lymphocytes
Plasma cells
Megakaryocytes
Natural killer (NK) cells
Question 91 pts
A patient reports small, vesicular lesions that last between 10 and 20 days. What treatment does the healthcare professional educate the patient about?
Group of answer choices
Acyclovir (Zovirax)
Three injections of penicillin
One time dose of azithromycin
Test of cure
Question 101 pts
Why is nasal congestion a serious threat to young infants?
Group of answer choices
Infants are obligatory nose breathers.
Their nares are small in diameter.
Infants become dehydrated when mouth breathing.
Their epiglottis is proportionally greater than the epiglottis of an adult's.
Question 111 pts
Which statement by the healthcare professional accurately describes childhood asthma?
Group of answer choices
An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation
A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging
A pulmonary disorder involving an abnormal expression of a protein, producing viscous mucus that lines the airways, pancreas, sweat ducts, and vas deferens
An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency
uestion 121 pts
A health care professional is teaching a group of college women about increasing calcium in the diet to prevent osteoporosis. A participant asks at what age is peak bone mass is reached in women. What response is best?
Group of answer choices
15 years
20 years
30 years
35 years
Question 131 pts
Cystic fibrosis is characterized by which symptom?
Group of answer choices
Excessive mucus production
Elevated blood glucose levels
Low sodium content in perspiration
Abnormally thin exocrine secretions
Question 141 pts
A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess?
Group of answer choices
Viral infection
Maternal depression
Maternal smoking
Exposure to toxic waste
uestion 151 pts
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?
Group of answer choices
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 171 pts
A woman who is positive for hepatitis B is in labor. What action by the healthcare professional is most appropriate?
Group of answer choices
Draw blood for a drug screen.
Encourage the mother to bottle feed.
Immunize the newborn within 12 hours.
Discuss poor infant survival.
Question 181 pts
Mr. Smith, 58 years old, presents to the urology office with complaints of gross hematuria which have been present for five days. He also expresses difficulty with urination and episodes of dysuria. He is experiencing flank pain, which radiates into the abdomen and groin. Mr. Smith has had nausea and vomiting. He does not drink many fluids, but when he does his fluid intake usually caffeinated beverages. The NP knows that:
Group of answer choices
The lumen of the prostatic urethra narrows and lengthens, resulting in progressive urine flow obstruction. This process occurs when there is growth of the glandular-epithelial and stromal/muscle tissue of the prostate.
Acute pain can result from renal colic, which occurs when the smooth muscle of the ureter contracts to move a kidney stone.
Renal tubule dysfunction and atrophy can result from renal tissue fibrosis, which includes transforming growth factor and angiotensin II in the process.
A person has a vascular anomaly associated with a congenital malformation of dermal capillaries and has been told this lesion does not fade with age. What treatment options can the healthcare professional discuss with this person?
Group of answer choices
Surgical excision
Pulsed dye laser
Cool temperatures
Cosmetic tattooing
Question 201 pts
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?
Group of answer choices
Folate deficiency anemia
Iron deficiency anemia
Hemolytic anemia
Anemia of chronic disease
Question 211 pts
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?
Group of answer choices
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
A healthcare professional is teaching a community group about inherited disorders. What pattern of inheritance does the professional describe for sickle cell disease?
Group of answer choices
Inherited X-linked recessive disorder
Inherited autosomal recessive disorder
Disorder initiated by hypoxemia and acidosis
Disorder that is diagnosed equally in men and women
Question 231 pts
What initiates inflammation in acute poststreptococcal glomerulonephritis?
Group of answer choices
Lysosomal enzymes
Endotoxins from Streptococcus
Immune complexes
Immunoglobulin E (IgE)–mediated response
Question 241 pts
Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer?
Group of answer choices
Breast cancer
Leukemia
Vaginal cancer
Lymphoma
Question 251 pts
The student wants to know how the clinical manifestations and onset of juvenile idiopathic arthritis (JIA) differ from those of rheumatoid arthritis (RA) in adults. What answer by the healthcare professional is best?
Group of answer choices
JIA begins insidiously with systemic signs of inflammation.
JIA predominantly affects large joints.
JIA has more severe joint pain than adult RA.
JIA has a rapid onset of generalized aches as the first symptom.
Question 261 pts
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:
Group of answer choices
Delusion
Hallucination
Anhedonia
Pressured speech
Question 271 pts
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?
Group of answer choices
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 281 pts
Mary, 47 presents to her primary care provider and reports nocturia x 6, urgency, frequency, voiding with laughing and coughing. She drinks one pot of coffee daily and does not drink much water daily. She reports this has impacting her quality of life and she frequently has embarrassing moments while out. Mary is possibly experiencing:
Group of answer choices
The patient should have a full workup, that includes history, physical, and diagnostics which include a u/a, c/s, postvoid residual assessment. It is possible that she is experiencing overactive bladder concerns.
The patient will need a full workup, that includes a history, physical and diagnostics which include a u/a, c/s, postvoid residual and urine cytology. It is possible that she is experiencing a urinary tract infection
The patient may be experiencing urethritis, which can occur as a result of gastrointestinal bacteria spreading from the anus to the urethra.
Because of her uncontrolled diabetes, she has an impaired immune system, which has resulted in her developing a urinary tract infection.
Question 291 pts
An adult patient has been hospitalized with thrombocytopenia with a platelet count of 8000/mm 3. What action by the healthcare professional is most appropriate?
Group of answer choices
Tell the patient not to get out of bed without assistance.
Prepare the patient for transfusions of whole blood.
Educate the patient on side effects of heparin.
Nothing; this finding is normal in an adult.
Question 301 pts
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?
Group of answer choices
Infection of the prostate
Obstruction of the urethra
Ischemia of the urethra
Compression of the urethra
Question 311 pts
A patient in the healthcare clinic reports fatigue, weakness, and dyspnea, as well as pale conjunctiva of the eyes and brittle, concave nails. What assessment by the healthcare professional is most appropriate for the suspected anemia?
Group of answer choices
Blood pressure and apical pulse
Oral mucus membranes and tongue
Ability to swallow foods and liquids
Skin and sclera for normal coloration
Question 321 pts
A patient has a spinal cord injury at C4. What should the healthcare professional assess as the priority in this patient?
Group of answer choices
Blood pressure
Respirations
Pulse
Temperature
Question 331 pts
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?
Group of answer choices
Take the patient's temperature.
Have lab drawn for electrolyte levels.
Cancel the patient's next meal.
Facilitate a chest x-ray.
Question 341 pts
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?
Group of answer choices
1cHow many times a week do you have iron-rich foods? 1d
1cHave you ever noticed any blood in your stool? 1d
1cDo you have a history of heart valve replacement? 1d
1cHave you had any recent viral infections? 1d
Question 351 pts
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?
Group of answer choices
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
Question 361 pts
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?
Group of answer choices
Presence of red blood cells
Presence of urobilinogen
Slough from the collecting tubules
Protein in the urine
Question 371 pts
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?
Group of answer choices
IgA
IgE
IgG
IgM
Question 381 pts
A newborn has meconium ileus. What diagnostic test does the healthcare professional advise the parents about?
Group of answer choices
Colonoscopy
Pulmonary function studies
A sweat test
Nerve conduction studies
Question 391 pts
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?
Group of answer choices
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 401 pts
The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?
Group of answer choices
Staphylococcus aureus
Streptococcus pyogenes
Escherichia coli
Candida albicans
Question 411 pts
A patient with schizophrenia will have alterations in their dorsolateral prefrontal cortex. The APRN would expect it to be described as:
Group of answer choices
stimulated
absent
hyperactive
hypoactive
Question 421 pts
A hospitalized patient's lab work is as follows: WBC 2000, bands 14.8%, and segmented neutrophils 5. The healthcare professional calculates the patient's absolute neutrophil count (ANC). What action does the professional take next?
Group of answer choices
Implements protocols to prevent life-threatening infections
Encourages the patient to limit any visitors for the present time
Does nothing; this is a normal ANC for the white cell count
Holds the patient's medications until the ANC returns to normal
Question 431 pts
A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate?
Group of answer choices
X-linked recessive inheritance
Common SMN1 gene abnormality
Autosomal dominant inheritance
Inheritance is not well defined
Question 441 pts
A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best?
Group of answer choices
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 451 pts
A healthcare professional is caring for a patient diagnosed with aphasia. What action by the professional would be best in working with this patient?
Group of answer choices
Provide physical therapy.
Provide speech therapy.
Provide special thickened foods.
Provide balance activities.
Question 461 pts
A child has Duchenne muscular dystrophy. What complication does the healthcare professional teach the parents is most important to control?
Group of answer choices
Respiratory infection
Joint contractures
Urinary tract infection
Fractures from falling
Question 471 pts
A child has cystic fibrosis (CF). Which medication does the healthcare professional teach the parents about?
Group of answer choices
Salt tablets
Pancreatic enzymes
Antihypertensives
Antibiotics
Question 481 pts
A healthcare professional is caring for a patient who was rewarmed after suffering from hypothermia. What possible long-term complication will the professional continue to assess the patient for?
Group of answer choices
Acidosis
Dysrhythmias
Shock
Renal failure
Question 491 pts
What type of thoughts are characteristic of post traumatic stress disorder?
Group of answer choices
disorganized
intrusive
anxious
disturbing
Question 501 pts
A patient has defective secretion of the intrinsic factor leading to anemia. What treatment option does the healthcare professional discuss with the patient?
Group of answer choices
Increasing iron sources in the diet such as red meat.
Vitamin B 12 injections initially given once a week.
Having relatives tested for bone marrow donation.
Better control of the patient's underlying disorder.
Question 511 pts
Mr. King, 72 year-old male, visits the nurse practitioner for scrotal edema that has increased over the past 4 months. He reports feeling increased pain and discomfort in his scrotum. The patient feels like he has a softball in his scrotum, with a heaviness that will not go away. The nurse practitioner knows that:
Group of answer choices
Hydroceles can result from an imbalance of exogenous or intrinsic fluid production, which develops in between visceral and parietal layers of the tunica vaginalis.
Testicular torsion results from a twisting of the spermatic cord and its contents which lies low in the scrotal sac.
Orchitis is the result of a bacterial infection of the testes which may happen as a result of a sexually transmitted infection or mumps virus.
Epididymitis occurs from a suppurative inflammation which is caused by an enteric or non-enteric organism of the prostatic urethra into the vas deferens.
Question 521 pts
When examining a male age 50 and older, the Nurse Practitioner should know that:
Group of answer choices
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.
A health care professional determines that the student needs more education when the student makes which statement about treating bone infection?
Group of answer choices
Bone contains multiple microscopic channels that are impermeable to the cells and biochemicals of the body's natural defenses.
Microcirculation of bone is highly vulnerable to damage and destruction by bacterial toxins, leading to ischemic necrosis of bone.
Bone cells have a limited capacity to replace bone destroyed by infections.
Bacteria are walled off by macrophages and T lymphocytes; consequently, the antibiotics cannot penetrate the infected area.
Question 541 pts
Abnormalities in brain development related to schizophrenia are thought to develop when?
Group of answer choices
Prenatal
Infancy
Early Childhood
Adolescent
Question 551 pts
What are the clinical manifestations of testicular cancer?
Group of answer choices
Firm, nontender testicular mass
Painful, mobile, firm testicular mass
Painful fluid-filled testicular mass
Soft, nontender testicular mass
Question 561 pts
A patient is admitted to the hospital with multiple myeloma (MM). Which diagnostic test should the healthcare professional assess as the priority?
Group of answer choices
Serum potassium level
Serum calcium level
Bone scan or limb x-rays
Bone marrow biopsy
Question 571 pts
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?
Group of answer choices
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 581 pts
A person has abnormally severe tooth decay and erosion of the tooth enamel. What problem should the health care professional assess the person for?
Group of answer choices
Anorexia nervosa
Binge eating
Bulimia
Refeeding syndrome
Question 591 pts
Which mother does the healthcare professional prepare to administer Rh immune globulin (Rho-GAM) to?
Group of answer choices
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 601 pts
A 7 year-old-child presents to the clinic where parents report signs and symptoms consistent with asthma. What does the healthcare professional do in order to confirm this diagnosis?
Group of answer choices
Assess for a parental history of asthma
Draw serum levels of immunoglobulin E (IgE) and eosinophil levels
Measure expiratory flow rate with spirometry testing
Give a trial of asthma medication and check for improvement
Question 611 pts
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?
Group of answer choices
Extremely careful handling
Increasing vitamin D intake
Revascularization
Containment and motion therapy
Question 621 pts
Which condition is considered a clinical cause of amenorrhea?
Group of answer choices
Disorder in the endometrium
Obstruction of the fallopian tubes
Lack of physical exercise
Failure to ovulate
Question 631 pts
The health care professional is caring for a person who has a pathologic fracture. The patient asks the professional to explain the condition. What response by the professional is best?
Group of answer choices
The outer surface of the bone is disrupted, but the inside is intact.
A stable fracture where the cortex of the bone bends but doesn't break.
A fracture that happens at the site of an abnormality already in that bone.
It was caused by the cumulative effects of stress on the bone over time.
Question 641 pts
What directly causes ovulation during the menstrual cycle?
Group of answer choices
Gradual decrease in estrogen levels
Sudden increase of LH
Sharp rise in progesterone levels
Gradual increase in estrogen levels
Question 651 pts
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:
Group of answer choices
Delusion
Hallucination
Anhedonia
Pressured speech
Question 661 pts
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?
Group of answer choices
Focal seizure
Complex focal seizure
Tonic-clonic seizure
Atonic seizure
Question 671 pts
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?
Group of answer choices
1cThis is good news and means the ALL is not very aggressive. 1d
1cThis is a very rare finding in adults who have ALL. 1d
1cWe are planning to get your disease in remission, but it will be hard. 1d
1cYou will need colony-stimulating support during your treatment. 1d
