ADVANCED PATHOPHYSIOLOGY EXAM 4 NEWEST 2024-2025
ACTUAL EXAM 180+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 15-year-old female presents with splenomegaly, hepatomegaly, and lymph node enlargement. She is
diagnosed with infectious mononucleosis. What should the nurse tell the patient about the recovery
time?
a. 72 hours
b. 3 to 5 days
c. A few weeks
d. Six months
c. A few weeks
REF: p. 511
A 15-year-old male with infectious mononucleosis is being given instructions on how to prevent the
spread of this infection to others. Which statement represents a correct instruction? a. Wear a
surgical mask when others are in the room.
b. Do not share drinking glasses or eating utensils.
c. Avoid all contact with other people.
d. No precautions are necessary.
b. Do not share drinking glasses or eating utensils.
REF: p. 511
A 15-year-old male is diagnosed with infectious mononucleosis. When the patient asks how he got this
disease, how should the nurse respond? The most likely cause is: a. Adenovirus
b. Epstein-Barr virus (EBV)
c. Cytomegalovirus (CMV)
d. Toxoplasma gondii
b. Epstein-Barr virus (EBV)
REF: p. 511
A staff member asks what leukocytosis means. How should the nurse respond? Leukocytosis can be
defined as:
a. A normal leukocyte count
b. A high leukocyte count
c. A low leukocyte count
d. Another term for leukopenia
,b. A high leukocyte count
REF: p. 508
A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse
monitors for which of the following conditions that could result secondary to the treatment? a.
Eosinophilia
b. Basophilia
c. Monocytosis
d. Lymphocytosis
b. Basophilia
REF: p. 509
A 20-year-old female has an increase in eosinophils. When the patient wants to know the most likely
cause of the eosinophilia. What is the nurse's best response? a. Parasitic invasion and allergic
reactions
b. Viral and bacterial infections
c. Stress and anxiety reactions
d. Fungal infections and delayed hypersensitivity
a. Parasitic invasion and allergic reactions
REF: p. 509
An oncologist is discussing multiple myeloma. Which information should the oncologist include? Multiple
myeloma can be defined as a neoplasm of:
a. T cells
b. B cells
c. Immature plasma cells
d. Mature red blood cells
b. B cells
REF: p. 518 | p. 520
A 65-year-old male is diagnosed with multiple myeloma. He reports severe pain. This pain can be
attributed to:
a. Neuropathic infiltrations
b. Destruction of bone tissue
c. Tissue hypoxia
d. Accumulation of toxic proteins
b. Destruction of bone tissue
,REF: p. 520
A 35-year-old female is diagnosed with lymphadenopathy. Which assessment finding will help confirm
this diagnosis?
a. Small, hard lymph nodes
b. Disordered lymph nodes
c. Nonpalpable, non-tender lymph nodes
d. Enlarged lymph nodes
d. Enlarged lymph nodes REF:
p. 515
A 35-year-old male has enlarged lymph nodes in the neck and a mediastinal mass. He was diagnosed
with Hodgkin lymphoma. Which of the following abnormal cells would the nurse expect to find with this
disease?
a. Merkel cell
b. Schwann cell
c. Reed-Sternberg cell
d. Kupffer cell
c. Reed-Sternberg cell
REF: p. 516
The people from which country have the lowest risk for Hodgkin lymphoma? a.
United States
b. Japan
c. Denmark
d. Great Britain
b. Japan
REF: p. 517
A 62-year-old female tells her health care provider she has been experiencing regular night sweats that
cause her to wake up drenched. She also remarks that she has been unintentionally losing weight.
Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful. She should be
screened for which of the following cancers? a. Epstein-Barr virus
b. Hodgkin lymphoma
c. Acute leukemia
d. Burkitt lymphoma
b. Hodgkin lymphoma REF:
p. 517
A 50-year-old female is diagnosed with primary thrombocythemia. A nurse would expect the blood
smear to reveal _____ platelets. a. Defective
b. Fragmented
, c. Consumed
d. Overproduced
d. Overproduced
REF: p. 525
A 30-year-old female presents with hematuria, menorrhagia, and bleeding gums. She is diagnosed with
immune thrombocytic purpura (ITP). A nurse realizes the most likely cause is: a. Allergy-induced
platelet lysis
b. An immune response to hypersplenism
c. Antibody destruction of platelets
d. T cell injury to megakaryocytes
c. Antibody destruction of platelets
REF: p. 524
For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be: a.
Proliferated
b. Activated
c. Sequestered
d. Infected
c. Sequestered
REF: p. 521
Thrombocytopenia may be: a.
Transient or consistent
b. Normal or abnormal
c. Congenital or acquired
d. Active or inactive
c. Congenital or acquired
REF: p. 523
A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss. He is
diagnosed with Burkitt lymphoma. Upon obtaining the history, which of the following is the most likely
cause?
a. Cytomegalovirus (CMV)
b. Adenovirus
c. Human papillomavirus (HPV)
d. Epstein-Barr virus (EBV)
ACTUAL EXAM 180+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 15-year-old female presents with splenomegaly, hepatomegaly, and lymph node enlargement. She is
diagnosed with infectious mononucleosis. What should the nurse tell the patient about the recovery
time?
a. 72 hours
b. 3 to 5 days
c. A few weeks
d. Six months
c. A few weeks
REF: p. 511
A 15-year-old male with infectious mononucleosis is being given instructions on how to prevent the
spread of this infection to others. Which statement represents a correct instruction? a. Wear a
surgical mask when others are in the room.
b. Do not share drinking glasses or eating utensils.
c. Avoid all contact with other people.
d. No precautions are necessary.
b. Do not share drinking glasses or eating utensils.
REF: p. 511
A 15-year-old male is diagnosed with infectious mononucleosis. When the patient asks how he got this
disease, how should the nurse respond? The most likely cause is: a. Adenovirus
b. Epstein-Barr virus (EBV)
c. Cytomegalovirus (CMV)
d. Toxoplasma gondii
b. Epstein-Barr virus (EBV)
REF: p. 511
A staff member asks what leukocytosis means. How should the nurse respond? Leukocytosis can be
defined as:
a. A normal leukocyte count
b. A high leukocyte count
c. A low leukocyte count
d. Another term for leukopenia
,b. A high leukocyte count
REF: p. 508
A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse
monitors for which of the following conditions that could result secondary to the treatment? a.
Eosinophilia
b. Basophilia
c. Monocytosis
d. Lymphocytosis
b. Basophilia
REF: p. 509
A 20-year-old female has an increase in eosinophils. When the patient wants to know the most likely
cause of the eosinophilia. What is the nurse's best response? a. Parasitic invasion and allergic
reactions
b. Viral and bacterial infections
c. Stress and anxiety reactions
d. Fungal infections and delayed hypersensitivity
a. Parasitic invasion and allergic reactions
REF: p. 509
An oncologist is discussing multiple myeloma. Which information should the oncologist include? Multiple
myeloma can be defined as a neoplasm of:
a. T cells
b. B cells
c. Immature plasma cells
d. Mature red blood cells
b. B cells
REF: p. 518 | p. 520
A 65-year-old male is diagnosed with multiple myeloma. He reports severe pain. This pain can be
attributed to:
a. Neuropathic infiltrations
b. Destruction of bone tissue
c. Tissue hypoxia
d. Accumulation of toxic proteins
b. Destruction of bone tissue
,REF: p. 520
A 35-year-old female is diagnosed with lymphadenopathy. Which assessment finding will help confirm
this diagnosis?
a. Small, hard lymph nodes
b. Disordered lymph nodes
c. Nonpalpable, non-tender lymph nodes
d. Enlarged lymph nodes
d. Enlarged lymph nodes REF:
p. 515
A 35-year-old male has enlarged lymph nodes in the neck and a mediastinal mass. He was diagnosed
with Hodgkin lymphoma. Which of the following abnormal cells would the nurse expect to find with this
disease?
a. Merkel cell
b. Schwann cell
c. Reed-Sternberg cell
d. Kupffer cell
c. Reed-Sternberg cell
REF: p. 516
The people from which country have the lowest risk for Hodgkin lymphoma? a.
United States
b. Japan
c. Denmark
d. Great Britain
b. Japan
REF: p. 517
A 62-year-old female tells her health care provider she has been experiencing regular night sweats that
cause her to wake up drenched. She also remarks that she has been unintentionally losing weight.
Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful. She should be
screened for which of the following cancers? a. Epstein-Barr virus
b. Hodgkin lymphoma
c. Acute leukemia
d. Burkitt lymphoma
b. Hodgkin lymphoma REF:
p. 517
A 50-year-old female is diagnosed with primary thrombocythemia. A nurse would expect the blood
smear to reveal _____ platelets. a. Defective
b. Fragmented
, c. Consumed
d. Overproduced
d. Overproduced
REF: p. 525
A 30-year-old female presents with hematuria, menorrhagia, and bleeding gums. She is diagnosed with
immune thrombocytic purpura (ITP). A nurse realizes the most likely cause is: a. Allergy-induced
platelet lysis
b. An immune response to hypersplenism
c. Antibody destruction of platelets
d. T cell injury to megakaryocytes
c. Antibody destruction of platelets
REF: p. 524
For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be: a.
Proliferated
b. Activated
c. Sequestered
d. Infected
c. Sequestered
REF: p. 521
Thrombocytopenia may be: a.
Transient or consistent
b. Normal or abnormal
c. Congenital or acquired
d. Active or inactive
c. Congenital or acquired
REF: p. 523
A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss. He is
diagnosed with Burkitt lymphoma. Upon obtaining the history, which of the following is the most likely
cause?
a. Cytomegalovirus (CMV)
b. Adenovirus
c. Human papillomavirus (HPV)
d. Epstein-Barr virus (EBV)
