NSG 530 Exam 1. 2026 Actual Comprehensive Real
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What level of prevention is a blood pressure screening
program for high school students who are pregnant?
a. primary
b. secondary
c. tertiary - Answer-B
Mr. Forbes complains of "indigestion" and becomes
sweaty and pale. His wife takes him to the Emergency
Department at Northwestern Memorial Hospital. A cardiac
catheterization 2 days later shows partial blockage of his
right coronary artery (RCA).
Blockage of the right coronary artery can lead to
myocardial cell injury because it results in which of the
following?
a. bilirubin accumulation in myocardial cells
b. alteration in the genetic material of myocardial cells
c. reduced energy production in myocardial cells
d. activation of the complement system - Answer-C
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When myocardial cells are injured, the function of the Na-
K membrane pump may be impaired. Which of the
following may then result?
a.intracellular sodium will increase
b. extracellular potassium will decrease
c. cell volume will decrease
d. all of the above - Answer-A
Mr. Forbes is being prepared for open heart surgery when
he suffers a myocardial infarction in which a large part of
his left ventricle has suffered lethal cell injury.
Mr. Forbes' CPK-MB and LDH1, enzymes associated with
myocardial cells, are significantly elevated. What is the
best explanation for this?
a. It is a sign that necrotic myocardial cells have released
their cytoplasmic contents into the blood.
b. It is a sign of reversible fatty accumulation in the
myocardial cells
c. It is a sign that the myocardial cells are undergoing
hypertrophy.
d. None of the above. - Answer-A
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If a tissue specimen of myocardial cells were obtained for
examination from Mr. Forbes, which of the following
findings would indicate irreversible cell injury?
a. cellular swelling
b. decreased ATP production
c. decreased intracellular calcium
d. dissolution of nuclear material - Answer-D
The accumulation of lactic acid that occurs with impaired
energy production results from which of the following?
a. increased intracellular glucose
b. increased anaerobic metabolism
c. decreased metabolic rate
d. increased oxidative phosphorylation - Answer-B
A mountain climber is stranded at 23,000 feet in the Swiss
Alps and has lost all his equipment and supplies in an
avalanche. Subsequently, he suffers cell injury due to
impaired ATP production. The reason for the decrease in
ATP is which of the following?
a. enzyme inhibition
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b. uncoupling
c. hypoxia
d. none of the above - Answer-C
A certain disease is currently found in 1 of every 10 people
in the country and 1,000 people contract the disease
yearly. The population of the country is 4,500,000. Which
of the following statements is correct?
a. The prevalence of the disease is 10% and the incidence
is .02%.
b. The prevalence of the disease is .02% and the
incidence is 10%.
c. Neither is correct.
d. There is insufficient data - Answer-A
In relation to disease development, the term "etiology"
refers to which of the following?
a.number of people with the disease
b. cause of the disease
c. definition of the disease
d. outcome of the disease - Answer-B