NURS 611 EXAM 1 ACTUAL EXAM
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EXAM 1 LATEST 2025-2026 GRADED A+
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Hypoglycemia followed by rebound hyperglycemia, is observed in those with:
A) the Somogyi effect
B) the dawn phenomenon
C) diabetic ketoacidosis
D) hyperosmolar hyperglycemic nonketotic syndrome
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the Somogyi effect
Where is the usual site of cervical dysplasia or cancer in situ?
A) wher the squamos epithelium of the cervix meets the cuboidal epithelium of the vagina
B) where the columnar epithelium fo the cervix meets the squamous epithelium of the uterus
C) where the squamous epithelium of the cervix meets the columnar epithelium of the uterus
D) where the columnar epithelium of the cervix meets the squamous epithelium of the vagina
where the columnar epithelium of the cervix meets the squamous epithelium of the vagina
In aplastic anemis (AA), pancytopenia develops as a result of which of the following?
A) suppression of erythropoietin to produce adequate amounts of erythrocytes
B) suppression of the bone marrow to produce adequte amounts of erythrocytes, leukocytes, and
thrombocytes
C) lack of deoxyribonucleic acid (DNA) to form sufficient quantitites of erythrocytes, leukocytes, and
thrombocytes
D) lact of stem cells toform sufficient quantities of leukocytes
suppression of the bone marrow to produce adequate amounts of erythrocytes, leukocytes, and
thrombocytes
Which statement is true regarding warm autoimmune hemotlytic anemia?
A) warm autimmune hemolytic anemia occurs primarily in men
B) it is self-limiting and rarely produces hemolysis
C) erythrocytes are bound to macrophages and sequestered in the spleen
D) immunoglobulin M (IgM) coats erythrocytes and binds them to receptors on monocytes
erythrocytes are bound to macrophages and sequestered in the spleen
Hemolytic disease of the newborn (HDN) can occur if the mother:
A) is Rh-positive and the fetus is Rh-negative
B) is Rh-negative and the fetus is Rh-positive
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C) has type A blood and the fetus has type O blood
D) has type AB blood and the fetus has type O blood
is Rh-negative and the fetus is Rh-positive
What factor associated with gluten-sensitive enteropathy (celiac sprue) causes an infant to bruise and
bleed easily?
A) vitamin K deficiency from fat malabsorption
B) bone marrow function depression
C) iron, folate, and B12 deficiency anemias
D) prescrbed daily warfarin (Coumadin)
A- vitamin K deficiency from fat malabsorption
What term is used to describe the complication that can result from a spinal cord injury above T6 that
is producing paroxysmal hypertension, as well as piloerection ans sweating above the spinal cord
lesion?
A) craniosacral dysreflexia
B) parasympathetic dysreflexia
C) autonomic hyperreflexia
D) retrograde hyperreflexia
autonomic hyperreflexia
Multiple sclerosis is best described as:
A) a CNS demyelination, possibly from an immunogenetic virus
B) inadequate supply of acetylcholine at the neurotransmitter junction as a result of an autoimmune
disorder
C) the depletion of dopamine in the CNS as a result of a virus
D) a degenerative disorder of lower and upper motor neurons caused by viral-immune factors
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a CNS demyelination, possibly from an immunogenetic virus
Graves disease develops from:
A) a viral infection of the thyroid gland that causes overproduction of thyroid hormone
B) an autoimmune process during which lymphocytes and fibrous tissue replace thyroid tissue
C) thyroid-stimulating immunoglobulin, which causes overproduction of thyroid hormones
D) ingestion of goitrogenes, which inhibits the synthesis of the thyroid hormones, causing goiter
thyroid-stimulating immunoglobulin, which causes overproduction of thyroid hormones
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 postassium (K+) 2 mEq/L,
and serum sodium (Na+) 130 mEq/L. The patient reports that he has been sick with the "flu" for a
week. What relationship do these values have to his insulin deficiency?
A) increased glucose use causes the shift of fluid from the intravascular to the intracellular space
B) decreased glucose use causes fatty acid use, ketogenesis, metabolic acidosis, and osmotic diuresis
C) increased glucose and fatty acids stimulate renal diuresis, electrolyte loss, and metabolic alkalosis
D) decreased glucose use results in protein catabolism, tissue wasting, respiratory acidosis, and
electrolyte loss
decreased glucose use causes fatty acid use, ketogenesis, metabolic acidosis, and osmotic diuresis
Type 2 diabetes mellitus is best described as:
A) resistance to insulin by insulin-sensitive tissues
B) the needs for lispro intead of regular insulin
C) an increase in glucagon secretion from (alpa) cells of the pancreas
D) the presence of insulin autoantibodies that destroy (beta) cells in the pancreas
resistance to insulin by insulin-sensitive tissues
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