Advanced Patho NUR 6501 Midterm Exam
ADVANCED PATHO NUR 6501 MIDTERM EXAM LATEST WALDEN
UNIVERSITY ACCURATE SPRING-SUMMER 2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS| GUARANTEED
PASS GRADED A+
A 65-year-old female presents to your office complaining of fatigue. She has a long
of rheumatoid arthritis. A CBC reveals the following: Hgb=11.6 g/dL, Hct=34.8%,
MCV=87 fL/red cell, platelet count of 268,000/microliter, and WBC count of
6800/microliter. The serum haptoglobin level is normal, and the serum iron
concentration is 20 micrograms/dL. The total iron binding capacity is 195
micrograms/dL, and the percent saturation is 10.2. The serum ferritin
concentration is 317 ng/mL. No fibrin split products are detected. The reticulocyte
concentration is 1.1%. What is the most likely diagnosis?
A. Beta- thalassemia major
B. Anemia of chronic disease
C. Acute blood loss anemia
D. Iron deficiency anemia - Correct Answer-Anemia of chronic disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals scattered petechial hemorrhages but is negative for enlargement of the
liver or spleen or lymph nodes. Bone marrow examination does not show any
abnormal cells. The complete blood count (CBC) demonstrates a hemoglobin
concentration (HgB) of 13.2 g/dL, hematocrit (Hct) of 38.9%, mean cell volume
(MCV) of 93 fL, platelet count of 175,000/microliter, and white blood cell (WBC)
count of 1850/microliter, with the differential count showing 1 segmented
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, Advanced Patho NUR 6501 Midterm Exam
neutrophil, 98 lymphocytes, and 1 monocyte per 100 WBCs. What is the most
likely cause of these findings?
A. Overwhelming bacterial infection
B. Acute lymphocytic (or lymphoblastic) leukemia
C. Acute myeloid leukemia
D. Aplastic anemia - Correct Answer-Overwhelming bacterial infection
A 31-year-old male has a history of chronic anemia and painful crises with joint
and abdominal pain. A head computed tomography (CT) scan reveals several small
remote infarctions. During one of these acute crises, he is admitted with severe
dyspnea. A CBC is performed. Which of the following morphologic findings for
RBCs is most likely to be seen on the peripheral blood smear?
A. Tear drop cells
B. Schistocytes
C. Sickle cells
D. Spherocytes - Correct Answer-Sickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition
remains untreated for years, which of the following cardiovascular alterations will
be seen on a transthoracic echocardiogram and ECG?
A. Left Ventricular Hypertrophy
B. Left Ventricular Atrophy
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, Advanced Patho NUR 6501 Midterm Exam
C. Left Atrial Atrophy
D. Right Ventricular Hypertrophy - Correct Answer-Left ventricular hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the office for
evaluation of syncope. His vital signs are temperature=98.3, Pulse=85, RR=17,
BP=165/85. Physical examination reveals a fourth heart sound and a 4/6
crescendo-decrescendo murmur heard at the right upper sternal border with
radiation to the carotid arteries. His ECG reveals enlarged QRS waves, consistent
with left ventricular hypertrophy. What is the most likely cause of his syncopal
episodes?
A. Mitral regurgitation
B. Mitral Stenosis
C. Aortic regurgitation
D. Aortic stenosis - Correct Answer-Aortic stenosis
A 63-year-old female presents to the emergency room with sudden onset of
severe chest and back pain. She describes the pain as sharp and different from her
anginal pain. Her past medical history is positive for HTN X 20 years. VS: HR 105,
BP 160/105, RR 17. On physical examination, the NP notices that her pedal and
radial pulses are not equal. What is the most likely cause of her chest pain?
A. Unstable angina
B. Aortic dissection
C. Prinzmetal angina
D. Acute myocardial infarction - Correct Answer-Aortic dissection
3|Page
, Advanced Patho NUR 6501 Midterm Exam
A 45-year-old male collapsed suddenly while playing basketball. Bystander CPR
and defibrillation was performed using an automatic external defibrillator or AED.
When EMS arrived, the gentleman was awake and alert. The recorded rhythm
strip on the AED shows tachycardia with AV dissociation (rate, approximately 220
bpm). Which arrhythmia induced his arrest?
A. Nonsustained supraventricular tachycardia
B. Sustained wide complex atrial tachycardia
C. Wide complex ventricular tachycardia
D. Narrow complex ventricular tachycardia - Correct Answer-Wide complex
tachycardia
A 4-year-old child appears listless for the last week. He complains of pain when he
is picked up by his mother, and he is irritable when touching his arms or legs.
Several large ecchymotic lesions have appeared on his right thigh and left
shoulder. A complete blood count reveals a HgB=10.2, Hct=30.5%, MCV=96fL,
platelet count of 45,000/ML, and WBC count of 13,990/ML. Examination of the
peripheral blood smear reveals numerous blasts. The blasts lack peroxidase-
positive granules but do contain periodic acid-Schiff (PAS)-positive aggregates and
stain positively for TdT. Flow cytometry shows the phenotype of blasts to be
CD19+, CD3-, and sIg-. What is the most likely diagnosis?
A. Acute lymphoblastic leukemia (ALL)
B. Chronic lymphocytic leukemia (CLL)
C. Acute myelogenous leukemia (AML)
4|Page
ADVANCED PATHO NUR 6501 MIDTERM EXAM LATEST WALDEN
UNIVERSITY ACCURATE SPRING-SUMMER 2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS| GUARANTEED
PASS GRADED A+
A 65-year-old female presents to your office complaining of fatigue. She has a long
of rheumatoid arthritis. A CBC reveals the following: Hgb=11.6 g/dL, Hct=34.8%,
MCV=87 fL/red cell, platelet count of 268,000/microliter, and WBC count of
6800/microliter. The serum haptoglobin level is normal, and the serum iron
concentration is 20 micrograms/dL. The total iron binding capacity is 195
micrograms/dL, and the percent saturation is 10.2. The serum ferritin
concentration is 317 ng/mL. No fibrin split products are detected. The reticulocyte
concentration is 1.1%. What is the most likely diagnosis?
A. Beta- thalassemia major
B. Anemia of chronic disease
C. Acute blood loss anemia
D. Iron deficiency anemia - Correct Answer-Anemia of chronic disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals scattered petechial hemorrhages but is negative for enlargement of the
liver or spleen or lymph nodes. Bone marrow examination does not show any
abnormal cells. The complete blood count (CBC) demonstrates a hemoglobin
concentration (HgB) of 13.2 g/dL, hematocrit (Hct) of 38.9%, mean cell volume
(MCV) of 93 fL, platelet count of 175,000/microliter, and white blood cell (WBC)
count of 1850/microliter, with the differential count showing 1 segmented
1|Page
, Advanced Patho NUR 6501 Midterm Exam
neutrophil, 98 lymphocytes, and 1 monocyte per 100 WBCs. What is the most
likely cause of these findings?
A. Overwhelming bacterial infection
B. Acute lymphocytic (or lymphoblastic) leukemia
C. Acute myeloid leukemia
D. Aplastic anemia - Correct Answer-Overwhelming bacterial infection
A 31-year-old male has a history of chronic anemia and painful crises with joint
and abdominal pain. A head computed tomography (CT) scan reveals several small
remote infarctions. During one of these acute crises, he is admitted with severe
dyspnea. A CBC is performed. Which of the following morphologic findings for
RBCs is most likely to be seen on the peripheral blood smear?
A. Tear drop cells
B. Schistocytes
C. Sickle cells
D. Spherocytes - Correct Answer-Sickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition
remains untreated for years, which of the following cardiovascular alterations will
be seen on a transthoracic echocardiogram and ECG?
A. Left Ventricular Hypertrophy
B. Left Ventricular Atrophy
2|Page
, Advanced Patho NUR 6501 Midterm Exam
C. Left Atrial Atrophy
D. Right Ventricular Hypertrophy - Correct Answer-Left ventricular hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the office for
evaluation of syncope. His vital signs are temperature=98.3, Pulse=85, RR=17,
BP=165/85. Physical examination reveals a fourth heart sound and a 4/6
crescendo-decrescendo murmur heard at the right upper sternal border with
radiation to the carotid arteries. His ECG reveals enlarged QRS waves, consistent
with left ventricular hypertrophy. What is the most likely cause of his syncopal
episodes?
A. Mitral regurgitation
B. Mitral Stenosis
C. Aortic regurgitation
D. Aortic stenosis - Correct Answer-Aortic stenosis
A 63-year-old female presents to the emergency room with sudden onset of
severe chest and back pain. She describes the pain as sharp and different from her
anginal pain. Her past medical history is positive for HTN X 20 years. VS: HR 105,
BP 160/105, RR 17. On physical examination, the NP notices that her pedal and
radial pulses are not equal. What is the most likely cause of her chest pain?
A. Unstable angina
B. Aortic dissection
C. Prinzmetal angina
D. Acute myocardial infarction - Correct Answer-Aortic dissection
3|Page
, Advanced Patho NUR 6501 Midterm Exam
A 45-year-old male collapsed suddenly while playing basketball. Bystander CPR
and defibrillation was performed using an automatic external defibrillator or AED.
When EMS arrived, the gentleman was awake and alert. The recorded rhythm
strip on the AED shows tachycardia with AV dissociation (rate, approximately 220
bpm). Which arrhythmia induced his arrest?
A. Nonsustained supraventricular tachycardia
B. Sustained wide complex atrial tachycardia
C. Wide complex ventricular tachycardia
D. Narrow complex ventricular tachycardia - Correct Answer-Wide complex
tachycardia
A 4-year-old child appears listless for the last week. He complains of pain when he
is picked up by his mother, and he is irritable when touching his arms or legs.
Several large ecchymotic lesions have appeared on his right thigh and left
shoulder. A complete blood count reveals a HgB=10.2, Hct=30.5%, MCV=96fL,
platelet count of 45,000/ML, and WBC count of 13,990/ML. Examination of the
peripheral blood smear reveals numerous blasts. The blasts lack peroxidase-
positive granules but do contain periodic acid-Schiff (PAS)-positive aggregates and
stain positively for TdT. Flow cytometry shows the phenotype of blasts to be
CD19+, CD3-, and sIg-. What is the most likely diagnosis?
A. Acute lymphoblastic leukemia (ALL)
B. Chronic lymphocytic leukemia (CLL)
C. Acute myelogenous leukemia (AML)
4|Page
