MN551 MIDTERM EXAM NEWEST 2024-2025
ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 71-year-old woman is dependent on oxygen therapy and
bronchodilators due to her diagnosis of emphysema. Which of
the following processes would her care team be most justified in
ruling out? - CORRECT ANSWER-In lung pathology such as
emphysema, large amounts of air are trapped at the end of a
given breath, a situation that corresponds to increased residual
volume and decreased vital capacity. Elastic recoil would tend to
suffer, and both alveolar and anatomical dead space
consequently increase.
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? - CORRECT ANSWER-The normally
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small transcellular fluid compartment, or third space, is
becoming enlarged.
Which of the following data would a clinician consider to be
most indicative of acute renal failure? - CORRECT ANSWER-
Increased nitrogenous waste levels, decreased glomerular
filtration rate (GFR)
Which of the following patients are NOT displaying known risk
factors for the development of pulmonary emboli? - CORRECT
ANSWER-A teenager male who plays basketball.
Postsurgical immobility, smoking, and the use of oral
contraceptives are all identified risk factors for the development
of pulmonary emboli. Impaired Cl- and Na+ regulation are
associated with cystic fibrosis, while amiodarone and radiation
therapy are linked to interstitial lung diseases.
Which of the following assessment findings in a newly admitted
30-year-old male patient would be most likely to cause his nurse
practitioner to suspect polyarteritis nodosa? - CORRECT
ANSWER-The man's blood pressure is 178/102 and he has
abnormal liver function tests.
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A 60-year-old woman is suspected of having non-Hodgkin
lymphoma (NHL). Which of the following aspects of her
condition would help to rule out Hodgkin lymphoma? -
CORRECT ANSWER-the lymph nodes involved are located in
a large number of locations in the lymphatic system
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? - CORRECT ANSWER-"I
know that a single mutant allele is to blame for the health
problem."
A 51-year-old woman diagnosed with multiple sclerosis (MS)
five months prior is distressed that she has had several recent
episodes of urinary incontinence. She has asked her nurse
practitioner why this is the case. Which of the following
statements best captures the facts that would underlie the nurse's
response to the patient? - CORRECT ANSWER-She may be
unable to sense her bladder filling as a result of her MS.
A 66-year-old male presents to the emergency department
accompanied by his wife who claims that he has been acting
confused. The man is complaining of a sudden onset of severe
weakness and malaise and has a dry cough and diarrhea. His
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temperature is 102.8°F and his blood work indicates his sodium
level is 126 mEq/L (normal is 135 to 145 mEq/L). What will be
the assessing nurse practitioner's most likely suspicion? -
CORRECT ANSWER-Legionnaire disease
Confusion, dry cough, diarrhea, and hyponatremia are associated
with Legionnaire disease and less so with bronchopneumonia,
Mycoplasma pneumonia, or pneumococcal pneumonia.
A 6-year-old boy has been brought to the emergency department
by ambulance after his mother discovered that his heart rate was
"so fast I couldn't even count it." The child was determined to be
in atrial flutter and his mother is seeking an explanation from the
health care team. Which of the following points should underlie
an explanation to the mother? - CORRECT ANSWER-The child
is experiencing a reentry rhythm in his right atrium.
A 23-year-old man has received a recent diagnosis of
appendicitis following 24 hours of acute abdominal pain. The
nurse practitioner providing care for the man is explaining that
while it is unpleasant, the inflammation of his appendix is
playing a role in his body's fight against the underlying
infectious process. Which of the following teaching points
should the nurse practitioner eliminate from his teaching for the
patient? - CORRECT ANSWER-"Inflammation helps your body
to produce the right antibodies to fight the infection"
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