NURS 6501 ADVANCED PATHOPHYSIOLOGY
MIDTERM 4 EXAM QUESTIONS
WITH VERIFIED ANSWERS LATEST EXAM
UPDATE
A healthcare professional works with recent refugees. A mother brings in
her children who have been diagnosed with iron deficiency anemia. What
action by the professional is most appropriate?
a. Educate the mother on an iron-rich diet.
b. Arrange to test for parasitic infections.
c. Explain the weekly iron infusions.
d. Teach the mother to give iron supplements. - ANS✔✔---b. Arrange to test for
parasitic infections
A patient has hepatomegaly, bronze-colored skin, and cardiac
dysrhythmias. What condition does the healthcare professional prepare to
teach the patient about?
a. Aplastic anemia
Page 1 of 41
,b. Pernicious anemia
c. Hereditary hemochromatosis
d. Immune thrombocytopenia purpura - ANS✔✔---c. Hereditary hemochromatosis
How is the effectiveness of vitamin B12 therapy measured?
a. Reticulocyte count
b. Serum transferring
c. Hemoglobin
d. Serum vitamin B12 - ANS✔✔---a. Reticulocyte count
A healthcare professional has educated a student on folic acid. Which statement
by the student indicates that more teaching is needed?
a. Folic acid absorption is dependent on the enzyme folacin.
b. Folic acid is stored in the liver.
c. Folic acid is essential for RNA and DNA synthesis within erythrocytes.
d. Folic acid is absorbed in the upper small intestine. - ANS✔✔---a. Folic acid
absorption is dependent on the enzyme folacin
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,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?
a. Folate deficiency anemia
b. Iron deficiency anemia
c. Hemolytic anemia
d. Anemia of chronic disease - ANS✔✔---a. Folate deficiency anemia
In aplastic anemia (AA), pancytopenia develops as a result of what?
a. Suppression of erythropoietin to produce adequate amounts of erythrocytes
b. Suppression of the bone marrow to produce adequate amounts of
erythrocytes, leukocytes, and thrombocytes
c. Lack of DNA to form sufficient quantities of erythrocytes, leukocytes, and
thrombocytes
d. Lack of stem cells to form sufficient quantities of leukocytes - ANS✔✔---b.
Suppression of the bone marrow to produce adequate amounts of
erythrocytes, leukocytes, and thrombocytes
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?
a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells
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, b. Malignancy of the bone marrow in which unregulated proliferation of
erythrocytes crowd out other blood cells
c. Autoimmune disease against hematopoiesis by activated immunoglobulins
d. Inherited genetic disorder with recessive X-linked transmission - ANS✔✔---a.
Autoimmune disease against hematopoeisis by activated cytotoxic T (Tc) cells
An allogenic bone marrow transplantation remains the preferred method for
treating which anemia?
a. Polycythemia vera
b. Aplastic
c. Sideroblastic
d. Anemia of chronic disease (ACD) - ANS✔✔---b. Aplastic
What does the student learn about warm autoimmune hemolytic anemia?
a. Warm autoimmune hemolytic anemia occurs primarily in children.
b. It is self-limiting and rarely produces hemolysis.
c. Erythrocytes are bound to macrophages and sequestered in the spleen.
d. Immunoglobulin M coats erythrocytes and binds them to receptors on monocytes
- ANS✔✔---c. Erythrocytes are bound to macrophages and sequestered in the
spleen
Page 4 of 41
MIDTERM 4 EXAM QUESTIONS
WITH VERIFIED ANSWERS LATEST EXAM
UPDATE
A healthcare professional works with recent refugees. A mother brings in
her children who have been diagnosed with iron deficiency anemia. What
action by the professional is most appropriate?
a. Educate the mother on an iron-rich diet.
b. Arrange to test for parasitic infections.
c. Explain the weekly iron infusions.
d. Teach the mother to give iron supplements. - ANS✔✔---b. Arrange to test for
parasitic infections
A patient has hepatomegaly, bronze-colored skin, and cardiac
dysrhythmias. What condition does the healthcare professional prepare to
teach the patient about?
a. Aplastic anemia
Page 1 of 41
,b. Pernicious anemia
c. Hereditary hemochromatosis
d. Immune thrombocytopenia purpura - ANS✔✔---c. Hereditary hemochromatosis
How is the effectiveness of vitamin B12 therapy measured?
a. Reticulocyte count
b. Serum transferring
c. Hemoglobin
d. Serum vitamin B12 - ANS✔✔---a. Reticulocyte count
A healthcare professional has educated a student on folic acid. Which statement
by the student indicates that more teaching is needed?
a. Folic acid absorption is dependent on the enzyme folacin.
b. Folic acid is stored in the liver.
c. Folic acid is essential for RNA and DNA synthesis within erythrocytes.
d. Folic acid is absorbed in the upper small intestine. - ANS✔✔---a. Folic acid
absorption is dependent on the enzyme folacin
Page 2 of 41
,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?
a. Folate deficiency anemia
b. Iron deficiency anemia
c. Hemolytic anemia
d. Anemia of chronic disease - ANS✔✔---a. Folate deficiency anemia
In aplastic anemia (AA), pancytopenia develops as a result of what?
a. Suppression of erythropoietin to produce adequate amounts of erythrocytes
b. Suppression of the bone marrow to produce adequate amounts of
erythrocytes, leukocytes, and thrombocytes
c. Lack of DNA to form sufficient quantities of erythrocytes, leukocytes, and
thrombocytes
d. Lack of stem cells to form sufficient quantities of leukocytes - ANS✔✔---b.
Suppression of the bone marrow to produce adequate amounts of
erythrocytes, leukocytes, and thrombocytes
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?
a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells
Page 3 of 41
, b. Malignancy of the bone marrow in which unregulated proliferation of
erythrocytes crowd out other blood cells
c. Autoimmune disease against hematopoiesis by activated immunoglobulins
d. Inherited genetic disorder with recessive X-linked transmission - ANS✔✔---a.
Autoimmune disease against hematopoeisis by activated cytotoxic T (Tc) cells
An allogenic bone marrow transplantation remains the preferred method for
treating which anemia?
a. Polycythemia vera
b. Aplastic
c. Sideroblastic
d. Anemia of chronic disease (ACD) - ANS✔✔---b. Aplastic
What does the student learn about warm autoimmune hemolytic anemia?
a. Warm autoimmune hemolytic anemia occurs primarily in children.
b. It is self-limiting and rarely produces hemolysis.
c. Erythrocytes are bound to macrophages and sequestered in the spleen.
d. Immunoglobulin M coats erythrocytes and binds them to receptors on monocytes
- ANS✔✔---c. Erythrocytes are bound to macrophages and sequestered in the
spleen
Page 4 of 41
