nur 612 pathophysiology prepu exam questions and a
nur 612 pathophysiology prepu
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FINAL EXAM: Patho PrepU Review
increased incidence and high mortality. - ✅✅-In 2014, an outbreak of Ebola virus disease
began in West Africa in which there was a sharp increase in the number of people being
diagnosed with this disease. At the same time, a very high proportion of those who were
diagnosed died from the disease. The epidemiological characteristics of this disease include:
Pulmonary emboli following deep vein thrombosis (DVT) - ✅✅-Which assessment data would
a nurse identify as a complication of a disease or disorder?
✅✅
Staffing a booth where community residents who are attending a baseball tournament can have
their blood glucose levels checked. - -A multidisciplinary healthcare team operates a
program aimed at the prevention, identification, and treatment of diabetes in a rural community.
Which aspect of the program would be most likely to be classified as secondary prevention?
Dilated pupils
✅✅
Tachycardia
Skin rash - -The nurse evaluates a client for manifestations of a disease. Which
assessment data are considered signs? Select all that apply.
✅✅
These statistics are useful in terms of anticipating health care needs, planning public-education
programs, directing health research efforts, and allocating health care dollars. - -A client
has died and the nurse is responsible for filling out the death certificate. In performing this task,
the nurse is required to record the client's age, sex, and cause of death, among other factors.
What is the purpose of reporting these statistics?
Liver cell destruction occurring long before cirrhosis of the liver - ✅✅-Which example best
represents pathogenesis of disease?
Endemic - ✅✅ -Health officials determine that the annual influenza vaccine is effective for the
strain of flu, which appears stable and predictable in its incidence and prevalence. How will the
nurse describe this strain of influenza?
The girl has gained 7 kg over the past 6 months - ✅✅
-A pediatric nurse practitioner is
performing a comprehensive assessment of a 9-year-old girl. What assessment finding most
warrants further assessment and follow-up?
A client who has increasing serum ammonia levels due to liver cirrhosis - ✅✅ -A member of
the health care team is researching the etiology and pathogenesis of a number of clients who
are under her care in a hospital context. Which client situation best characterizes pathogenesis
rather than etiology?
yields inconsistent results when repeated. - ✅✅ -A newly introduced diagnostic test has been
found to produce unacceptably low levels of reliability. The nurse should recognize that the test:
,- ✅✅-Chapter 2
b. Chronic sustained - ✅✅ -A client reports fatigue and an inability to concentrate. The client
has been unemployed for the second time in a year and is concerned about supporting the
family. Select the type of stressor the client most likely is experiencing.
a. Acute reflexive
b. Chronic sustained
c. Associated
d. Acute time-limited
d. protein and DNA synthesis - ✅✅-Disruption of the cell wall of a bacterium by antibacterial
drugs will interrupt:
a. adherence
b. phagocytosis
c. motility
d. protein and DNA synthesis
d. fever -✅✅ -A specific type of gram-negative bacteria contains endotoxin in the bacterial cell
envelope. What is the likely clinical manifestation if these bacteria become pathogenic?
a. constipation
b. leukopenia
c. vomiting
d. fever
b. Diffusion -✅✅ -Carbon dioxide and oxygen movement within the cell occur based on which
concept?
a. Active transport
b. Diffusion
c. Osmosis
d. Facilitated diffusion
b. Endoplasmic reticulum
c. Lysosomes
✅✅
d. Mitochondria
e. Golgi apparatus - -The cytoplasm surrounds the nucleus of the cell and contains
organelles. Select the organelles found in the cytoplasm. Select all that apply.
a. Cytoskeleton
b. Endoplasmic reticulum
c. Lysosomes
d. Mitochondria
e. Golgi apparatus
, b. stored adenosine triphosphate (ATP) - ✅✅ -A young, healthy adult helps lift a sofa to move it
25 ft (7.5 m). The nurse knows that which source of energy will the client likely use in this
process?
a. glucose
b. stored adenosine triphosphate (ATP)
c. amino acids
d. fatty acids
✅✅
b. differentiation - -What is the process that makes cells with the same genetic material
develop into specific cell types?
a. proliferation
b. differentiation
c. stimulation
d. reproduction
✅✅
b. In GERD, when esophageal cells change from a squamous epithelium cell type to a glandular
cell type. - -Which example best describes metaplasia?
a. In the uterus, when there is an increase in hormone levels during menstrual cycle that cause
an increased the number of cells in the uterus.
b. In GERD, when esophageal cells change from a squamous epithelium cell type to a glandular
cell type.
c. In high altitudes, when there is an increase in the number of red blood cells to maximize the
hemoglobin oxygen-carrying capacity.
d. In BPD, when stressors prompt cellular alterations that lead to chronic, irreversible cellular
changes.
d. Muscle mass increase with exercise - ✅✅-Which change exemplifies physiologic
hypertrophy?
a. Lung size increase in emphysema
b. Heart size increase in hypertension
c. Cell size increase with hypoxia
d. Muscle mass increase with exercise
Oxidative stress -✅✅ -An older adult client asks the nurse what causes the functional decline
that occurs with the process of aging. The best response would include which physiologic
mechanism?
- ✅✅-Chapter 3
b. Ulceration - ✅✅-The nurse is assessing a client with diabetes and notes an area on the
client's right foot as inflamed, necrotic, and eroded. The client states he accidentally slammed
his foot in a door 2 weeks ago. The nurse would document this finding as a(n):
a. Pustule
b. Ulceration
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