NURS 6501/NURS 6501 Final Exam 2

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 Question 1 i

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A child with acute poststreptococcal glomerulonephritis is voiding smoky, brown-colored urine and
asks the healthcare professional to explain what causes it. What explanation by the professional is best?


Selected Answer: Presence of red blood cells

 Question 2 i

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Cystic fibrosis is characterized by which symptom?


Selected Answer: Excessive mucus production

 Question 3 i

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What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)?


Selected Answer: Inflammation of fibrocartilaginous joints of the vertebrae

 Question 4 i

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Which spinal tract carries the most nociceptive information?


Selected Answer: Lateral spinothalamic

 Question 5 i

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Parents bring their 1-year-old child to the emergency department, reporting that the child has been
irritable and pounding on her head, has projectile vomiting, and seems very sleepy for most of the last
3 days. What diagnostic testing does the healthcare professional prepare the child and parents for as
the priority?


Selected Answer: Lumbar puncture with CSF cultures

 Question 6 i

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A patient reports frequent nightmares. For which of these should the healthcare professional assess the
patient?


Selected Answer: History of traumatic event

 Question 7 i

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A newborn baby displays jaundice 20 hours after birth. What action by the healthcare professional is
most appropriate?


Selected Answer: Draw blood to measure total bilirubin.

 Question 8 i

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Local signs and symptoms of Hodgkin disease-related lymphadenopathy are a result of what?


Selected Answer: Pressure and obstruction

 Question 9 i

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Which bones are affected in Legg-Calvé-Perthes disease?


Selected Answer: Heads of the femur

 Question 10 i

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A patient has been diagnosed with acute lymphocytic leukemia (ALL) and asks the healthcare
professional to describe it. What description by the professional is most accurate?


Selected ALL is a progressive neoplasm defined by the presence of greater than 30%
Answer: lymphoblasts in the bone marrow or blood.

 Question 11 i

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A newborn has meconium ileus. What diagnostic test does the healthcare professional advise the
parents about?


Selected Answer: A sweat test

 Question 12 i

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A healthcare professional is educating a community men's group on symptoms of benign prostatic
hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic
condition?


Selected Answer: Compression of the urethra

 Question 13 i

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A patient in the healthcare clinic reports fatigue, weakness, and dyspnea, as well as pale conjunctiva of
the eyes and brittle, concave nails. What assessment by the healthcare professional is most appropriate
for the suspected anemia?


Selected Answer: Oral mucus membranes and tongue

 Question 14 i

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Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer?


Selected Answer: Vaginal cancer

 Question 15 i

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A healthcare professional is caring for a patient diagnosed with aphasia. What action by the
professional would be best in working with this patient?


Selected Answer: Provide speech therapy.

 Question 16 i

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What are the clinical manifestations of testicular cancer?


Selected Answer: Firm, nontender testicular mass

 Question 17 i

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A person has been diagnosed with acute lymphocytic leukemia (ALL) that is positive for the
Philadelphia chromosome. What statement by the healthcare professional is most appropriate?


Selected Answer: 1cThis is a very rare finding in adults who have ALL. 1d

 Question 18 i

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The healthcare professional directs a student to assess a teen who has Osgood-Schlatter disease. What
assessment finding does the student anticipate for this disorder?


Selected Answer: Tendinitis of the anterior patellar tendon

 Question 19 i

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Which statement by the healthcare professional accurately describes childhood asthma?




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