MN551 MIDTERM AND FINAL EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
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MN551 MIDTERM EXAM
An 81-year-old female has long-standing hypocalcemia secondary to
kidney disease and will shortly be moving into an assisted living facility
from her own apartment. Which of the following findings should staff at the
facility be instructed to observe for? ---------CORRECT ANSWER--------------
---Muscular spasms and complaints of cramps
A 25-year-old Asian American man arrives at the emergency department in
a panic. Except for a bout with bronchitis a week earlier, he has been
healthy his entire life; today he has blood in his urine. What is the most
likely cause of his hematuria and how should it be treated? ---------
CORRECT ANSWER-----------------His immunoglobulin A (IgA) nephropathy
has no known effective treatments.
Which of the following statements best captures the etiology of the acute
response phase of extrinsic (atopic) asthma? ---------CORRECT ANSWER-
----------------Chemical mediators are released from presensitized mast
cells.
A 66-year-old obese man with a diagnosis of ischemic heart disease has
been diagnosed with heart failure that his care team has characterized as
attributable to systolic dysfunction. Which of the following assessment
findings is inconsistent with his diagnosis? ---------CORRECT ANSWER-----
------------Ventricular dilation and wall tension are significantly lower than
normal.
,Following a biopsy, a 54-year-old man has been diagnosed as having a
benign neoplastic tumor. Which of the following characteristics most likely
applies to his tumor? ---------CORRECT ANSWER-----------------The well-
differentiated neoplastic cells are clustered together in a single mass.
Which of the following individuals is at the highest risk for developing a
urinary tract infection (UTI)? ---------CORRECT ANSWER-----------------A 30-
year-old obese woman with poorly controlled diabetes mellitus
About 3 weeks after razing an old chicken house, a 71-year-old retired
farmer has developed a fever, nausea, and vomiting. After ruling out more
common health problems, his care provider eventually makes a diagnosis
of histoplasmosis. Which of the following processes is most likely taking
place? ---------CORRECT ANSWER-----------------Macrophages are able to
remove the offending fungi from the bloodstream but can't destroy them.
A physical assessment of a 28-year-old female patient indicates that her
blood pressure in her legs is lower than that in her arms and that her
brachial pulse is weaker in her left arm than in her right. In addition, her
femoral pulses are weak bilaterally. Which of the following possibilities
would her care provider be most likely to suspect? ---------CORRECT
ANSWER-----------------Coarctation of the aorta
A nurse practitioner is explaining to a 40-year-old male patient the damage
that Mycobacterium tuberculosis could do to lung tissue. Which of the
following phenomena would underlie the nurse practitioner's explanation? -
--------CORRECT ANSWER-----------------Macrophages are unable to digest
the bacteria, resulting in immune granulomas.
,As part of an orientation to a genetic counseling practice, a group of
medical students is differentiating between autosomal recessive disorders
and autosomal dominant disorders. Which of the following statements is
true of autosomal recessive disorders? ---------CORRECT ANSWER----------
-------They tend to have a more uniform symptomatology than autosomal
dominant disorders.
A 2-year-old girl has had repeated ear and upper respiratory tract infections
since she was born. A pediatrician has determined a diagnosis of transient
hypogammaglobulinemia of infancy. What is the physiological origin of the
child's recurrent infections? ---------CORRECT ANSWER-----------------
Antibody production by plasma cells is compromised because of impaired
communication between B and T cells.
A nurse practitioner employed in the emergency department admits a
patient who has experienced severe frostbite to his hands and toes after
becoming lost on a ski trail. The NP recognizes that which of the following
phenomena has caused the tissue damage? ---------CORRECT ANSWER--
---------------Decreased blood flow has induced hypoxia.
A 22-year-old female with a history of intermittent flank pain, repeated
UTIs, and hematuria has been diagnosed with autosomal dominant
polycystic kidney disease (ADPKD). Which of the following phenomena has
most likely contributed to the development of her health problem? ---------
CORRECT ANSWER-----------------She has inherited a tendency for
epithelial cell in her tubules to proliferate inappropriately.
The nurse practitioner for a cardiology practice is responsible for providing
presurgical teaching for patients who are about to undergo a coronary
artery bypass graft. Which of the following teaching points best conveys an
aspect of the human circulatory system? ---------CORRECT ANSWER-------
, ----------"Your blood pressure varies widely between arteries and veins, and
between pulmonary and systemic circulation."
A premature infant on mechanical ventilation has developed
bronchopulmonary dysplasia (BPD) and is showing signs and symptoms of
hypoxemia, low lung compliance, and respiratory distress syndrome (RDS).
Which of the following is the most likely contributor to the infant's present
health problem? ---------CORRECT ANSWER-----------------High inspired
oxygen concentration and injury from positive-pressure ventilation
A nurse educator is orientating new nurses to a renal unit of a hospital.
Which of the following teaching points should the nurse include as part of a
review of normal glomerular function? ---------CORRECT ANSWER-----------
------"Glomerular filtrate is very similar in composition to blood plasma found
elsewhere in circulation."
Which of the following residents of a long-term care facility is most likely to
be exhibiting the signs and symptoms of chronic obstructive pulmonary
disease (COPD)? ---------CORRECT ANSWER-----------------An 81-year-old
male who has a productive cough and recurrent respiratory infections
During a routine physical examination of a 66-year-old woman, her nurse
practitioner notes a pulsating abdominal mass and refers the woman for
further treatment. The nurse practitioner is explaining the diagnosis to the
patient, who is unfamiliar with aneurysms. Which of the following aspects of
the pathophysiology of aneurysms would underlie the explanation the nurse
provides? ---------CORRECT ANSWER-----------------Hypertension is a
frequent modifiable contributor to aneurysms.
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