EXAM 3 2026 REAL STUDY QUESTIONS WITH CORRECT
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A 24-year-old female presents with severe abdominal pain and fever that is believed to be a
result of pelvic inflammatory disease (PID) stemming from a Chlamydia trachomatis infection.
Which question will most likely identify the cause of her symptoms?
A) "Is your abdominal pain affected by walking?"
B) "Have you been experiencing nausea and vomiting as well?"
C) "Is constipation a problem for you?"
D) "Would you describe your pain as being stabbing?" - Answer>>> Is your abdominal pain
affected by walking?
A patient presents with flank pain and anuria followed by polyuria after undergoing
catheterization of the ureters. What is the most likely cause of this condition?
A. Acute tubular necrosis
B. Prerenal acute kidney injury
C. Postrenal acute kidney injury
D. Infrarenal acute kidney injury - Answer>>> C. Postrenal acute kidney injury
A 20-year-old man presents with periumbilical pain, fever, and loss of appetite. Which of the
following is the most likely cause of his abdominal discomfort?
A) Diverticulosis
B) Diverticulitis
C) Appendicitis
D) Mesenteric venous thrombosis - Answer>>> Appendicitis
,A diabetic child with 4.0 g of protein in her urine each day is experiencing edema and vitamin D
deficiency. Which is the most likely diagnosis?
A) Nephritic syndrome
B) Nephrotic syndrome
C) Acute renal failure
D) Rapidly progressive glomerulonephritis - Answer>>> Nephrotic syndrome
Which occurs as the result of hemolysis of a hematoma from a traumatic injury?
A) There is a decrease in conjugated bilirubin.
B) Increased amounts of unconjugated bilirubin occur.
C) Bilirubin is excreted in the urine.
D) Hemolysis is identical to obstructive jaundice. - Answer>>> Increased amounts of
unconjugated bilirubin occur
A 2-month-old male patient presents with the urethral opening on the dorsal surface of the penis.
Which term is the correct name for this anomaly?
A) Hypospadias
B) Epispadias
C) Exstrophy
D) Ureteropelvic junction - Answer>>> Epispadias
A client is diagnosed with a Cushing ulcer. Which assessment finding supports this diagnosis?
A) Third-degree burns over 20% of the body
B) Profound septicemia with high fever
C) Severe head trauma resulting from auto accident
D) Massive internal trauma as a result of a fall - Answer>>> Severe head trauma resulting from
auto accident
,A patient presents with wide-set eyes, "parrot beak" nose, low-set ears, and receding chin. What
is the renal manifestation associated with this presentation?
A) Potter syndrome
B) Polycystic kidney disease
C) Infundibular stenosis
D) Megacalycosis - Answer>>> Potter syndrome
What is the foundational pathophysiology that triggers shock?
a) Insufficient blood flow
b) Unsustained oxygen consumption
c) Ineffective perfusion of tissue, cells and organs
d) Impaired cellular metabolism and tissue function - Answer>>> D
A patient with what medical condition should be monitored closely for the development of the
inflammatory response associated with multiple organ dysfunction syndrome (MODS)? Select
all that apply.
a)Burns
b) Anemia
c)Sepsis
d) Necrotic tissue
e) Disseminated intravascular coagulation (DIC) - Answer>>> ACDE
The nurse is monitoring a patient at risk for developing shock. What signs are classically
associated with all forms of shock? Select all that apply.
a)Hypertension
, b)Mental confusion
c)Ruddy complexion
d)Decreased urine output
e)Elevated blood glucose level - Answer>>> BDE
What should be the nurse's initial focus when planning care for a patient newly diagnosed with
cardiogenic shock?
a) Monitoring for dysrhythmias
b) Assessing for signs of heart failure
c) Preparing to implement resusitation measures
d) Administering fluids to stabilize bloodpressure - Answer>>> B
A 6-year-old has just recovered from streptococcal pharyngitis. Which statement regarding this
child's acute poststreptococcal glomerulonephritis is true?
A) Antibody-antigen complexes of IgM, IgG, and IgA are deposited.
B) The exact mechanism of immune complexes is unknown.
C) There is decreased vascular permeability.
D) No signs of inflammation are present. - Answer>>> The exact mechanism of immune
complexes is unknown.
A patient presents with skin lesions as well as hematuria, proteinuria, and abdominal pain.
Which is the most likely cause of these symptoms?
A) Henoch-Schonlein purpura
B) Hemolytic uremic syndrome
C) Primary nephrotic syndrome
D) Minimal change nephropathy - Answer>>> Henoch-Schonlein purpura