MN551 Unit 5 Midterm
1. A 60-year-old man has been diagnosed with renal calculi after repeated episodes of
excruciating flank pain in recent weeks. The man states, “I don't know how this could happen to
me, since I'm so careful about eating a healthy diet.” What is the most appropriate response to
the man's statement? (Points : 3)
“Your diet may have played a part in this, but in fact genetics is likely primarily to blame.”
“What you eat can influence your risk of stone formation, but many other factors like
hormones and your metabolism are involved.”
“You likely don't need to change your diet, but now that you have stones in one kidney, you're at
very high risk of growing them in the other kidney.”
“Your diet might be normally healthy, but high intake of normally beneficial minerals like
calcium and magnesium can lead to stones.”
Question 2.2. An 87-year-old male resident of an assisted living facility has been consistently
continent of urine until the last several weeks. Which of the following actions by the care
providers at the facility is the most likely priority? (Points : 3)
Performing a physical examination and history to determine the exact cause and character of
the incontinence
Providing patient education focusing on the fact that occasional incontinence is a normal, age-
related change
, Teaching the resident about protective pads, collection devices, and medications that may be
effective
Showing the resident the correct technique for exercises to improve bladder, sphincter, and
pelvic floor tone
Question 3.3. A 34-year-old male patient has diagnoses of liver failure, ascites, and hepatic
encephalopathy secondary to alcohol abuse. The patient's family is questioning the care team
about why his abdomen is so large even though he is undernourished and emaciated. Which of
the following statements most accurately underlies the explanation that a member of the care
team would provide to the family? (Points : 3)
An inordinate amount of interstitial fluid is accumulating in the patient's abdomen.
The transcellular component of the intracellular fluid compartment contains far more fluid than
normal.
The normally small transcellular fluid compartment, or third space, is becoming enlarged.
Gravity-dependent plasma is accumulating in the patient's peritoneal cavity.
Question 4.4. A patient is brought to the emergency department with complaints of shortness of
breath. Assessment reveals a full, bounding pulse, severe edema, and audible crackles in the
lower lung fields bilaterally. What is the patient's most likely diagnosis? (Points : 3)
Hyponatremia
Fluid volume excess
Hypocalcemia
1. A 60-year-old man has been diagnosed with renal calculi after repeated episodes of
excruciating flank pain in recent weeks. The man states, “I don't know how this could happen to
me, since I'm so careful about eating a healthy diet.” What is the most appropriate response to
the man's statement? (Points : 3)
“Your diet may have played a part in this, but in fact genetics is likely primarily to blame.”
“What you eat can influence your risk of stone formation, but many other factors like
hormones and your metabolism are involved.”
“You likely don't need to change your diet, but now that you have stones in one kidney, you're at
very high risk of growing them in the other kidney.”
“Your diet might be normally healthy, but high intake of normally beneficial minerals like
calcium and magnesium can lead to stones.”
Question 2.2. An 87-year-old male resident of an assisted living facility has been consistently
continent of urine until the last several weeks. Which of the following actions by the care
providers at the facility is the most likely priority? (Points : 3)
Performing a physical examination and history to determine the exact cause and character of
the incontinence
Providing patient education focusing on the fact that occasional incontinence is a normal, age-
related change
, Teaching the resident about protective pads, collection devices, and medications that may be
effective
Showing the resident the correct technique for exercises to improve bladder, sphincter, and
pelvic floor tone
Question 3.3. A 34-year-old male patient has diagnoses of liver failure, ascites, and hepatic
encephalopathy secondary to alcohol abuse. The patient's family is questioning the care team
about why his abdomen is so large even though he is undernourished and emaciated. Which of
the following statements most accurately underlies the explanation that a member of the care
team would provide to the family? (Points : 3)
An inordinate amount of interstitial fluid is accumulating in the patient's abdomen.
The transcellular component of the intracellular fluid compartment contains far more fluid than
normal.
The normally small transcellular fluid compartment, or third space, is becoming enlarged.
Gravity-dependent plasma is accumulating in the patient's peritoneal cavity.
Question 4.4. A patient is brought to the emergency department with complaints of shortness of
breath. Assessment reveals a full, bounding pulse, severe edema, and audible crackles in the
lower lung fields bilaterally. What is the patient's most likely diagnosis? (Points : 3)
Hyponatremia
Fluid volume excess
Hypocalcemia
