NEWEST MN 551 EXAM / MN551 MIDTERM EXAM /
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MN551 MIDTERM EXAM
A nurse practitioner is performing patient teaching about the influenza
virus with each patient who has come to the clinic to receive that year's
vaccine. Which of the following statements by patients best reflects an
accurate understanding of the flu virus?
Answer- "I could come down with viral or bacterial pneumonia as a
result of a bad flu bug."
A patient is experiencing impaired circulation secondary to increased
systemic arterial pressure. Which of the following statements is the
most relevant phenomenon?
Answer- High afterload because of backpressure against the left
ventricle
A patient presented to the emergency department of the hospital with
a swollen, reddened, painful leg wound and has been diagnosed with
methicillin-resistant Staphylococcus aureus cellulitis. The patient's
,nurse practitioner has ordered a complete blood count and white cell
differential. Which of the following blood components would the nurse
practitioner most likely anticipate to be elevated?
Answer- neutrophils
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 nurse practitioner is providing prenatal care and education for a first-
time expectant mother, 22 weeks' gestation, who has a diagnosis of a
sexually transmitted infection. Which of the following statements by
,the expectant mother demonstrates an adequate understanding of
vertical disease transmission and congenital infections?
Answer- "my baby could become infected either across the placenta or
during the birth itself."
Which of the following situations related to the transition from fetal to
perinatal circulation would be most likely to necessitate medical
intervention?
Answer- Pulmonary vascular resistance, related to muscle regression in
the pulmonary arteries, rises over the course of the infant's first week.
At which of the following locations in the nephron would a nurse
practitioner first expect blood to be largely free of plasma proteins?
Answer- Bowman Space
A 51-year-old female patient who is 2 days postoperative on a surgical
unit of a hospital is at risk for developing atelectasis as a result of being
largely immobile. Which of the following teaching points by her nurse
practitioner is most appropriate?
Answer- "You should breathe deeply and cough to help your lungs
expand as much as possible while you're in bed."
, A 66-year-old patient's echocardiogram reveals a hypertrophied left
ventricle, normal chamber volume, and a normal ejection fraction from
the heart. What is this patient's most likely diagnosis?
Answer- Aortic valve stenosis
A couple who are expecting their first child have been advised by
friends to consider harvesting umbilical cord blood in order to have a
future source of stem cells. The couple have approached their nurse
practitioner with this request and are seeking clarification of exactly
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?
Answer- "Stem cells can be used as a source of reserve cells for the
entire blood production system."
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.
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