MN 551 MIDTERM II EXAMPREP 2026
COMPLETE QUESTIONS AND ANSWERS
ALREADY PASSED
◉ An older adult female patient has presented with a new onset of
shortness of breath, and the patient's nurse practitioner has ordered
measurement of her BNP levels along with other diagnostic tests.
What is the most accurate rationale for the nurse practitioner's
choice of blood work?
Answer: BNP is released as a compensatory mechanism during heart
failure and measuring it can help differentiate the patient's dyspnea
from a respiratory pathology.
◉ A formerly normotensive woman, pregnant for the first time,
develops hypertension and headaches at 26 weeks' gestation. Her
blood pressure is 154/110 mm Hg and she has proteinuria. What
other labs should be ordered for her?
Answer: Platelet count, serum creatinine, and liver enzymes
◉ A patient in the intensive care unit has a blood pressure of 87/39
and has warm, flushed skin accompanying his sudden decline in
level of consciousness. The patient also has arterial and venous
dilation and a decrease in systemic vascular resistance. What is this
patient's most likely diagnosis?
Answer: Septic shock
,◉ A nurse practitioner is instructing a group of older adults about
the risks associated with high cholesterol. Which of the following
teaching points should the participants try to integrate into their
lifestyle after the teaching session?
Answer: "Your family history of hypercholesterolemia is important,
but there are things you can do to compensate for a high inherited
risk."
◉ A 66-year-old obese man with a diagnosis of ischemic heart
disease has been diagnosed with heart failure that his care team has
characterized as attributable to systolic dysfunction. Which of the
following assessment findings is inconsistent with his diagnosis?
Answer: Ventricular dilation and wall tension are significantly lower
than normal.
◉ A physical assessment of a 28-year-old female patient indicates
that her blood pressure in her legs is lower than that in her arms
and that her brachial pulse is weaker in her left arm than in her
right. In addition, her femoral pulses are weak bilaterally. Which of
the following possibilities would her care provider be most likely to
suspect?
Answer: Coarctation of the aorta
◉ The nurse practitioner for a cardiology practice is responsible for
providing presurgical teaching for patients who are about to
,undergo a coronary artery bypass graft. Which of the following
teaching points best conveys an aspect of the human circulatory
system?
Answer: "Your blood pressure varies widely between arteries and
veins, and between pulmonary and systemic circulation."
◉ During a routine physical examination of a 66-year-old woman,
her nurse practitioner notes a pulsating abdominal mass and refers
the woman for further treatment. The nurse practitioner is
explaining the diagnosis to the patient, who is unfamiliar with
aneurysms. Which of the following aspects of the pathophysiology of
aneurysms would underlie the explanation the nurse provides?
Answer: Hypertension is a frequent modifiable contributor to
aneurysms.
◉ cardiac reserve
Answer: Ability to increase cardiac output during increased activity
◉ preload
Answer: volume of blood in ventricles at end of diastole
◉ afterload
Answer: The force or resistance against which the heart pumps.
, ◉ Frank-Starling Mechanism
Answer: A mechanism by which the stroke volume of the heart is
increased by increasing the venous return of the heart (thus
stretching the ventricular muscle).
◉ Inotrophy
Answer: myocardial contractility
◉ Which of the following statements best conveys an aspect of the
respiratory pressures that govern ventilation?
Question options:
Answer: Negative intrapleural pressure holds the lungs against the
chest wall
◉ A 51-year-old female patient who is 2 days postoperative on a
surgical unit of a hospital is at risk for developing atelectasis as a
result of being largely immobile. Which of the following teaching
points by her nurse practitioner is most appropriate?
Question options:
Answer: "You should breathe deeply and cough to help your lungs
expand as much as possible while you're in bed."
◉ As a result of dehydration, a patient's epithelial cells are
producing insufficient amounts of mucus. Consequently, the
COMPLETE QUESTIONS AND ANSWERS
ALREADY PASSED
◉ An older adult female patient has presented with a new onset of
shortness of breath, and the patient's nurse practitioner has ordered
measurement of her BNP levels along with other diagnostic tests.
What is the most accurate rationale for the nurse practitioner's
choice of blood work?
Answer: BNP is released as a compensatory mechanism during heart
failure and measuring it can help differentiate the patient's dyspnea
from a respiratory pathology.
◉ A formerly normotensive woman, pregnant for the first time,
develops hypertension and headaches at 26 weeks' gestation. Her
blood pressure is 154/110 mm Hg and she has proteinuria. What
other labs should be ordered for her?
Answer: Platelet count, serum creatinine, and liver enzymes
◉ A patient in the intensive care unit has a blood pressure of 87/39
and has warm, flushed skin accompanying his sudden decline in
level of consciousness. The patient also has arterial and venous
dilation and a decrease in systemic vascular resistance. What is this
patient's most likely diagnosis?
Answer: Septic shock
,◉ A nurse practitioner is instructing a group of older adults about
the risks associated with high cholesterol. Which of the following
teaching points should the participants try to integrate into their
lifestyle after the teaching session?
Answer: "Your family history of hypercholesterolemia is important,
but there are things you can do to compensate for a high inherited
risk."
◉ A 66-year-old obese man with a diagnosis of ischemic heart
disease has been diagnosed with heart failure that his care team has
characterized as attributable to systolic dysfunction. Which of the
following assessment findings is inconsistent with his diagnosis?
Answer: Ventricular dilation and wall tension are significantly lower
than normal.
◉ A physical assessment of a 28-year-old female patient indicates
that her blood pressure in her legs is lower than that in her arms
and that her brachial pulse is weaker in her left arm than in her
right. In addition, her femoral pulses are weak bilaterally. Which of
the following possibilities would her care provider be most likely to
suspect?
Answer: Coarctation of the aorta
◉ The nurse practitioner for a cardiology practice is responsible for
providing presurgical teaching for patients who are about to
,undergo a coronary artery bypass graft. Which of the following
teaching points best conveys an aspect of the human circulatory
system?
Answer: "Your blood pressure varies widely between arteries and
veins, and between pulmonary and systemic circulation."
◉ During a routine physical examination of a 66-year-old woman,
her nurse practitioner notes a pulsating abdominal mass and refers
the woman for further treatment. The nurse practitioner is
explaining the diagnosis to the patient, who is unfamiliar with
aneurysms. Which of the following aspects of the pathophysiology of
aneurysms would underlie the explanation the nurse provides?
Answer: Hypertension is a frequent modifiable contributor to
aneurysms.
◉ cardiac reserve
Answer: Ability to increase cardiac output during increased activity
◉ preload
Answer: volume of blood in ventricles at end of diastole
◉ afterload
Answer: The force or resistance against which the heart pumps.
, ◉ Frank-Starling Mechanism
Answer: A mechanism by which the stroke volume of the heart is
increased by increasing the venous return of the heart (thus
stretching the ventricular muscle).
◉ Inotrophy
Answer: myocardial contractility
◉ Which of the following statements best conveys an aspect of the
respiratory pressures that govern ventilation?
Question options:
Answer: Negative intrapleural pressure holds the lungs against the
chest wall
◉ A 51-year-old female patient who is 2 days postoperative on a
surgical unit of a hospital is at risk for developing atelectasis as a
result of being largely immobile. Which of the following teaching
points by her nurse practitioner is most appropriate?
Question options:
Answer: "You should breathe deeply and cough to help your lungs
expand as much as possible while you're in bed."
◉ As a result of dehydration, a patient's epithelial cells are
producing insufficient amounts of mucus. Consequently, the
