ACTUAL EXAM TEST BANK| MN551 PATHO MIDTERM
REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
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The family of a 68-year-old man who is in the end stages of small cell
lung cancer is distraught at his visible body wasting that has worsened
in recent weeks. Which of the following phenomena best accounts for
the patient's anorexia and cachexia? ......ANSWER......Products of the
tumor itself as well as a hypermetabolic state cause cachexia
A child possesses a trait that is the result of the interaction of two
different genes, neither of which could have produced the trait
independently. Which of the following explanations best captures the
genetic explanation for this? ......ANSWER......The outcome is the result
of the interaction between collaborative genes.
A 45-year-old patient who experienced exposure to radiation during an
industrial accident several years prior is being assessed. Which of the
following phenomena may underlie the genetic changes that have been
noted in the patient? ......ANSWER......Base pairs may have been
rearranged by the radiation exposure.
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,Which of the following pregnant women has most likely encountered
the greatest increase in the risk that her child will have a fetal anomaly?
......ANSWER......A woman who has herpes simplex and recently
recovered from endocarditis
The nurse practitioner is providing care for a patient with a diagnosis of
cirrhosis, and he notes that the patient's sclerae are jaundiced. The
nurse practitioner recalls that jaundice is caused by excess
accumulation of bilirubin, a pigment that can accumulate in which part
of the cell? ......ANSWER......Cytoplasm
A patient who has a diagnosis of lung cancer is scheduled to begin
radiation treatment. The NP providing pretreatment education is
explaining some of the potential unwanted effects of the treatment.
Which of the following statements by the nurse is most accurate?
......ANSWER......"Some patients experience longer-term irritation of
skin adjacent to the treatment site."
A male patient of a nurse practitioner has an autosomal dominant
disorder. The patient and his partner are considering starting a family.
Which of the patient's following statements indicates the patient has an
adequate understanding of the genetic basis of this health problem?
......ANSWER......"I know that a single mutant allele is to blame for the
health problem."
A group of researchers has identified that the prevalence of two
particular genetic disorders share a statistical correlation. Which of the
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,following statements best conveys the genetic rationale for this
situation? ......ANSWER......The genes causing each disorder are likely in
the same section of the same chromosome.
The NP is working with a family whose daughter has been recently
diagnosed with the chromosomal disorder Turner syndrome. The NP
would recognize that which of the following statements about the
characteristics of human chromosomes is accurate?
......ANSWER......Autosomes contain the determination of an individual's
sex.
The NP is teaching a group of older adults about the value of including
foods containing antioxidants in their diet. Which of the following
statements best captures the rationale underlying the NPs advice?
......ANSWER......Antioxidants inhibit the actions of reactive oxygen
species (ROS).
Which target of both chemotherapy and radiation treatment accounts
for adverse as well as therapeutic effects? ......ANSWER......Rapidly
proliferating cells
Which of the following patients of a primary care nurse practitioner
would not require extra screening for cancer? ......ANSWER......A 38-
year-old female with Down syndrome and congenital scoliosis
A 7-year-old boy is admitted to the hospital with a suspected diagnosis
of lead toxicity. Which of the following assessment findings is most
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, congruent with the patient's diagnosis? hi ......ANSWER......Hemoglobin
9.9 g/dL
The NP is providing care for a 21-year-old female patient with gas
gangrene of a compound fracture in her arm. Which of the following
assessment findings would the nurse most reasonably expect to find
when caring for a patient with a diagnosis of gas gangrene?
......ANSWER......Spreading edema
A community health nurse practitioner is teaching a group of female
high school students about the importance of regular Papanicolaou
(Pap) smears. The nurse recognizes that which of the following items
underlies the rationale for this teaching? ......ANSWER......Cancer of the
uterine cervix develops incrementally at a cellular level.
Which of the following statements most accurately conveys an aspect of
cell injury due to impaired calcium homeostasis?
......ANSWER......Injured cells tend to accumulate calcium.
A woman is surprised to read on the Internet that certain infections can
cause cancer and has sought clarification from her nurse practitioner
during an office visit. How can the NP best respond to the woman's
query? ......ANSWER......"There are many viruses, but only a very few of
them have been shown to cause cancer in humans."
The nurse practitioner working in occupational health has been asked to
speak to a group of factory workers about the importance of wearing
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