MN551 MIDTERM EXAM ACTUAL
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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?
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?
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?
"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?
"my baby could become infected either across the
placenta or during the birth itself."
A 55-year-old male who is beginning to take a statin
drug for his hypercholesterolemia is discussing
cholesterol and its role in health and illness with his
nurse practitioner. Which of the following aspects of
hyperlipidemia would the nurse practitioner most
likely take into account when teaching the patient?
,Cholesterol is a metabolic waste product that the
liver is responsible for clearing.
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?
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?
The normally 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?
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?
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?
The man's blood pressure is 178/102 and he has
abnormal liver function tests.
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?
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
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