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NURS 6501: Advanced Pathophysiology Final Exam Version 1

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De • Question 1 1 out of 1 points A patient has defective secretion of the intrinsic factor leading to anemia. What treatment option does the healthcare professional discuss with the patient? Selected Answer: Vitamin B 12 injections initially given once a week. • Question 2 1 out of 1 points A health care professional is teaching a group of college women about increasing calcium in the diet to prevent osteoporosis. A participant asks at what age is peak bone mass is reached in women. What response is best? Selected Answer: 30 years • Question 3 1 out of 1 points A healthcare professional in an urban clinic is seeing a patient who has iron deficiency anemia (IDA). What question by the professional is most appropriate to assess for the cause of IDA? Selected Answer: 1cHave you ever noticed any blood in your stool? 1d • Question 4 1 out of 1 points How should the healthcare professional reply when parents question why a computed tomographic (CT) scan of the head was not ordered for their 5-year-old child after a minor fall? Selected Answer: Research suggests that repeated CT scans can increase the risk of developing brain cancer. • Question 5 1 out of 1 points A health care professional determines that the student needs more education when the student makes which statement about treating bone infection? Selected Answer: Bacteria are walled off by macrophages and T lymphocytes; consequently, the antibiotics cannot penetrate the infected area. • Question 6 1 out of 1 points Which statement by the professor best describes acute respiratory distress syndrome (ARDS)? Selected Answer: A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging • Question 7 1 out of 1 points What is the effect of low plasma albumin? Selected Answer: Osmotic pressure decreases; thus water moves from the capillaries to the interstitium. • Question 8 1 out of 1 points A patient has been hospitalized with Guillain-Barré syndrome (GBS). The patient asks how this could have occurred. What response by the healthcare professional is best? Selected Answer: It is often preceded by a viral illness. • Question 9 0 out of 1 points A student reads in a chart that a child has been diagnosed with mixed precocious puberty and asks for an explanation. What explanation by the healthcare professional is most accurate? Selected Answer: When early puberty has signs of physical and hormonal abnormalities When a child develops some secondary sex characteristics of the opposite sex Mixed precocious puberty (i.e., virilization of a girl or feminization of a boy) causes the child to develop some secondary sex characteristics of the opposite sex. It is not the lack of identifiable external sex organs, the effect of many causative factors mixed together, or a combination of physical and hormonal abnormalities specifically. The latter statement is accurate to a point but is too vague to be the best answer. • Question 10 0 out of 1 points A patient reports joint stiffness with movement and joint pain in weightbearing joints that is usually relieved by rest. What treatment option does the health care professional discuss with the patient? Selected Answer: Ways to decrease serum uric acid • C) Exercise and weight reduction DX Osteoarthritis • Question 11 1 out of 1 points Hypothalamic-pituitary-adrenal (HPA) system abnormalities exist in a large percentage of individuals with what? Selected Answer: Major depression • Question 12 1 out of 1 points Which statement by the healthcare professional accurately describes childhood asthma? Selected Answer: An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation • Question 13 0 out of 1 points What does the student learn distinguishes kwashiorkor from marasmus? D) subcutaneous fat, hepatomegaly, and fatty liver are present in kwashiorkor "Kwashiorkor and marasmus are 2 forms of PEM that have been described. The distinction between the 2 forms of PEM is based on the presence (kwashiorkor) or absence (marasmus) of edema. Marasmus involves inadequate intake of protein and calories, whereas a child with kwashiorkor has fair-to-normal calorie intake with inadequate protein intake. • Question 14 1 out of 1 points A patient has primary immune thrombocytopenic purpura (ITP) and is hospitalized after a bleeding episode. What treatment does the healthcare provider anticipate being ordered for this patient? Selected Answer:

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,De

• Question 1 1 out of 1 points

A patient has defective secretion of the intrinsic factor leading to anemia. What treatment option does
the healthcare professional discuss with the patient?

Selected Answer: Vitamin B 12 injections initially given once a week.



• Question 2 1 out of 1 points

A health care professional is teaching a group of college women about increasing calcium in the diet to
prevent osteoporosis. A participant asks at what age is peak bone mass is reached in women. What
response is best?

Selected Answer: 30 years



• Question 3 1 out of 1 points

A healthcare professional in an urban clinic is seeing a patient who has iron deficiency anemia
(IDA). What question by the professional is most appropriate to assess for the cause of IDA?

Selected Answer: 1cHave you ever noticed any blood in your stool? 1d



• Question 4 1 out of 1 points

How should the healthcare professional reply when parents question why a computed tomographic (CT)
scan of the head was not ordered for their 5-year-old child after a minor fall?

Selected Answer: Research suggests that repeated CT scans can increase the risk
of developing brain cancer.



• Question 5 1 out of 1 points

A health care professional determines that the student needs more education when the student makes
which statement about treating bone infection?

Selected Answer: Bacteria are walled off by macrophages and T
lymphocytes; consequently, the antibiotics cannot penetrate the infected area.



• Question 6 1 out of 1 points

Which statement by the professor best describes acute respiratory distress syndrome (ARDS)?

, Selected Answer: A pulmonary disease characterized by severe hypoxemia,
decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging

• Question 7 1 out of 1 points

What is the effect of low plasma albumin?

Selected Answer: Osmotic pressure decreases; thus water moves from the capillaries
to the interstitium.



• Question 8 1 out of 1 points

A patient has been hospitalized with Guillain-Barré syndrome (GBS). The patient asks how this
could have occurred. What response by the healthcare professional is best?

Selected Answer: It is often preceded by a viral illness.



• Question 9 0 out of 1 points

A student reads in a chart that a child has been diagnosed with mixed precocious puberty and asks for
an explanation. What explanation by the healthcare professional is most accurate?

Selected Answer: When early puberty has signs of physical and hormonal

abnormalities When a child develops some secondary sex characteristics of the opposite sex

Mixed precocious puberty (i.e., virilization of a girl or feminization of a boy) causes the child to develop
some secondary sex characteristics of the opposite sex. It is not the lack of identifiable external sex
organs, the effect of many causative factors mixed together, or a combination of physical and hormonal
abnormalities specifically. The latter statement is accurate to a point but is too vague to be the best
answer.



• Question 10 0 out of 1 points

A patient reports joint stiffness with movement and joint pain in weightbearing joints that is usually
relieved by rest. What treatment option does the health care professional discuss with the patient?

Selected Answer: Ways to decrease serum uric acid
• C) Exercise and weight reduction DX Osteoarthritis

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