MN551 Midterm
Study online at https://quizlet.com/_d5ljxv
1. Which of the following individuals would be An 81-year-old man with right-sided
considered to be at risk for the development heart failure and hypothyroidism
of edema?
2. The family of a 68-year-old man who is in the Products of the tumor itself as well as
end stages of small cell lung cancer is dis- a hypermetabolic state cause cachex-
traught at his visible body wasting that has ia
worsened in recent weeks. Which of the follow-
ing phenomena best accounts for the patient's
anorexia and cachexia?
3. Which of the following statements best con- Negative intrapleural pressure holds
veys an aspect of the respiratory pressures the lungs against the chest wall
that govern ventilation?
Question options:
4. Following a course of measles, a 5-year-old Increased thrombopoietin levels
girl developed scattered bruising over numer-
ous body surfaces and was diagnosed with
immune thrombocytopenic purpura (ITP). As
part of her diagnostic workup, blood work was
performed. Which of the following results is
most likely to be considered unexpected by the
health care team?
5. Which of the following situations related to Pulmonary vascular resistance, relat-
the transition from fetal to perinatal circulation ed to muscle regression in the pul-
would be most likely to necessitate medical monary arteries, rises over the course
intervention? of the infant's first week.
6. At which of the following locations in the Bowman Space
nephron would a nurse practitioner first ex-
, MN551 Midterm
Study online at https://quizlet.com/_d5ljxv
pect blood to be largely free of plasma pro-
teins?
7. A 51-year-old female patient who is 2 days "You should breathe deeply and
postoperative on a surgical unit of a hospital is cough to help your lungs expand
at risk for developing atelectasis as a result of as much as possible while you're in
being largely immobile. Which of the following bed."
teaching points by her nurse practitioner is
most appropriate?
Question options:
8. A 66-year-old patient's echocardiogram re- Aortic valve stenosis
veals a hypertrophied left ventricle, normal
chamber volume, and a normal ejection frac-
tion from the heart. What is this patient's most
likely diagnosis?
9. A couple who are expecting their first child "Stem cells can be used as a source
have been advised by friends to consider har- of reserve cells for the entire blood
vesting umbilical cord blood in order to have production system."
a future source of stem cells. The couple have
approached their nurse practitioner with this
request and are seeking clarification of exact-
ly why stem cells are valuable and what they
might expect to gain from harvesting them.
How can the nurse practitioner best respond
to the couple's inquiry?
10. A child possesses a trait that is the result of The outcome is the result of the inter-
the interaction of two different genes, neither action between collaborative genes.
of which could have produced the trait inde-
pendently. Which of the following explanations
best captures the genetic explanation for this?
, MN551 Midterm
Study online at https://quizlet.com/_d5ljxv
11. A 55-year-old man has made an appointment Overactive bladder that may result
to see his nurse practitioner because he has from both neurogenic and myogenic
been awakening three to four times nightly to sources
void and often has a sudden need to void with
little warning during the day. What is the man's
most likely diagnosis and possible underlying
pathophysiologic problem?
12. As a result of dehydration, a patient's epithe- Increased amounts of bacteria in the
lial cells are producing insufficient amounts of lungs. The primary role of the mu-
mucus. Consequently, the patient's mucocil- cociliary blanket is to trap foreign
iary blanket is compromised. Which of the fol- particles and bacteria and thus pre-
lowing changes would a care provider most vent their entry into the lungs. The
reasonably anticipate as a direct result of this impaired ciliary function may result
change? in an inadequate mucociliary blan-
ket, but the opposite relationship is
unlikely. Decreased oxygen and in-
creased carbon dioxide levels may
eventually result, but not as a direct
or immediate consequence.
13. An 81-year-old female patient of a long-term Blood backs up into the jugular vein
care facility has a history of congestive heart because there are no valves at the
failure. The nurse practitioner caring for the point of entry into the heart.
patient has positioned her sitting up at an an-
gle in bed and is observing her jugular venous
distention. Why is jugular venous distention
a useful indicator for the assessment of the
patient's condition?
14. Sputum samples from a patient with pneu- bacterial
monia contain an infective agent that has a
, MN551 Midterm
Study online at https://quizlet.com/_d5ljxv
peptidoglycan cell wall, expresses endotoxins,
replicates readily in broth and on agar, grows
in clusters, has pili, and does not stain when
exposed to crystal violet. This pneumonia is
most likely:
15. A 45-year-old patient who experienced expo- Base pairs may have been re-
sure to radiation during an industrial accident arranged by the radiation exposure.
several years prior is being assessed. Which
of the following phenomena may underlie the
genetic changes that have been noted in the
patient?
16. A child has been diagnosed with thalassemia. splenomegaly and hepatomegaly
Which of the following other health problems
is the child at risk for?
17. Which of the following pregnant women has A woman who has herpes simplex
most likely encountered the greatest increase and recently recovered from endo-
in the risk that her child will have a fetal anom- carditis
aly?
18. Which of the following patients would be con- A 22-year-old male who has lost a
sidered to have a significant risk of developing large amount of blood following a
the prerenal form of acute renal failure? workplace injury
19. As part of the diagnostic workup for a male Echocardiogram, PET scan, ECG
patient with a complex history of cardiovascu-
lar disease, the care team has identified the
need for a record of the electrical activity of his
heart, insight into the metabolism of his my-
ocardium, and physical measurements, and
imaging of his heart. Which of the following se-
Study online at https://quizlet.com/_d5ljxv
1. Which of the following individuals would be An 81-year-old man with right-sided
considered to be at risk for the development heart failure and hypothyroidism
of edema?
2. The family of a 68-year-old man who is in the Products of the tumor itself as well as
end stages of small cell lung cancer is dis- a hypermetabolic state cause cachex-
traught at his visible body wasting that has ia
worsened in recent weeks. Which of the follow-
ing phenomena best accounts for the patient's
anorexia and cachexia?
3. Which of the following statements best con- Negative intrapleural pressure holds
veys an aspect of the respiratory pressures the lungs against the chest wall
that govern ventilation?
Question options:
4. Following a course of measles, a 5-year-old Increased thrombopoietin levels
girl developed scattered bruising over numer-
ous body surfaces and was diagnosed with
immune thrombocytopenic purpura (ITP). As
part of her diagnostic workup, blood work was
performed. Which of the following results is
most likely to be considered unexpected by the
health care team?
5. Which of the following situations related to Pulmonary vascular resistance, relat-
the transition from fetal to perinatal circulation ed to muscle regression in the pul-
would be most likely to necessitate medical monary arteries, rises over the course
intervention? of the infant's first week.
6. At which of the following locations in the Bowman Space
nephron would a nurse practitioner first ex-
, MN551 Midterm
Study online at https://quizlet.com/_d5ljxv
pect blood to be largely free of plasma pro-
teins?
7. A 51-year-old female patient who is 2 days "You should breathe deeply and
postoperative on a surgical unit of a hospital is cough to help your lungs expand
at risk for developing atelectasis as a result of as much as possible while you're in
being largely immobile. Which of the following bed."
teaching points by her nurse practitioner is
most appropriate?
Question options:
8. A 66-year-old patient's echocardiogram re- Aortic valve stenosis
veals a hypertrophied left ventricle, normal
chamber volume, and a normal ejection frac-
tion from the heart. What is this patient's most
likely diagnosis?
9. A couple who are expecting their first child "Stem cells can be used as a source
have been advised by friends to consider har- of reserve cells for the entire blood
vesting umbilical cord blood in order to have production system."
a future source of stem cells. The couple have
approached their nurse practitioner with this
request and are seeking clarification of exact-
ly why stem cells are valuable and what they
might expect to gain from harvesting them.
How can the nurse practitioner best respond
to the couple's inquiry?
10. A child possesses a trait that is the result of The outcome is the result of the inter-
the interaction of two different genes, neither action between collaborative genes.
of which could have produced the trait inde-
pendently. Which of the following explanations
best captures the genetic explanation for this?
, MN551 Midterm
Study online at https://quizlet.com/_d5ljxv
11. A 55-year-old man has made an appointment Overactive bladder that may result
to see his nurse practitioner because he has from both neurogenic and myogenic
been awakening three to four times nightly to sources
void and often has a sudden need to void with
little warning during the day. What is the man's
most likely diagnosis and possible underlying
pathophysiologic problem?
12. As a result of dehydration, a patient's epithe- Increased amounts of bacteria in the
lial cells are producing insufficient amounts of lungs. The primary role of the mu-
mucus. Consequently, the patient's mucocil- cociliary blanket is to trap foreign
iary blanket is compromised. Which of the fol- particles and bacteria and thus pre-
lowing changes would a care provider most vent their entry into the lungs. The
reasonably anticipate as a direct result of this impaired ciliary function may result
change? in an inadequate mucociliary blan-
ket, but the opposite relationship is
unlikely. Decreased oxygen and in-
creased carbon dioxide levels may
eventually result, but not as a direct
or immediate consequence.
13. An 81-year-old female patient of a long-term Blood backs up into the jugular vein
care facility has a history of congestive heart because there are no valves at the
failure. The nurse practitioner caring for the point of entry into the heart.
patient has positioned her sitting up at an an-
gle in bed and is observing her jugular venous
distention. Why is jugular venous distention
a useful indicator for the assessment of the
patient's condition?
14. Sputum samples from a patient with pneu- bacterial
monia contain an infective agent that has a
, MN551 Midterm
Study online at https://quizlet.com/_d5ljxv
peptidoglycan cell wall, expresses endotoxins,
replicates readily in broth and on agar, grows
in clusters, has pili, and does not stain when
exposed to crystal violet. This pneumonia is
most likely:
15. A 45-year-old patient who experienced expo- Base pairs may have been re-
sure to radiation during an industrial accident arranged by the radiation exposure.
several years prior is being assessed. Which
of the following phenomena may underlie the
genetic changes that have been noted in the
patient?
16. A child has been diagnosed with thalassemia. splenomegaly and hepatomegaly
Which of the following other health problems
is the child at risk for?
17. Which of the following pregnant women has A woman who has herpes simplex
most likely encountered the greatest increase and recently recovered from endo-
in the risk that her child will have a fetal anom- carditis
aly?
18. Which of the following patients would be con- A 22-year-old male who has lost a
sidered to have a significant risk of developing large amount of blood following a
the prerenal form of acute renal failure? workplace injury
19. As part of the diagnostic workup for a male Echocardiogram, PET scan, ECG
patient with a complex history of cardiovascu-
lar disease, the care team has identified the
need for a record of the electrical activity of his
heart, insight into the metabolism of his my-
ocardium, and physical measurements, and
imaging of his heart. Which of the following se-
