2025 NR 507 Midterm and Final Exam New Latest Exam
Best Studying Material with All Questions from Past Exam
and 100% Correct Answers
Midterm
The MCHC will be normal in which of the following anemias
a. hemolytic anemia
b. post-hemorrhagic anemia
c. aplastic anemia
d. MCHC is normal in all the above anemias ---------- Correct Answer ----------- d. MCHC is
normal in all the above anemias
A non-megaloblastic anemia would be caused by
a. liver disease
b. folate deficiency
c. iron deficiency
d. vitamin b-12 deficiency ---------- Correct Answer ----------- a. Liver Disease
Which of the following is a late effect of emphysema?
a. hypocapnia
b. hypercapnia
c. hypoxia
d. hypoxemia and hypercapnia ---------- Correct Answer ----------- d. hypoxemia and hypercapnia
What is the number one cause of bronshitis? ---------- Correct Answer ----------- Cigarette
smoking
A patient with chronic bronchitis is most likely to experience
a. respiratory acidosis due to decreased intake of CO2
b. respiratory acidosis due to inability to exhale CO2
c. respiratory alkalosis due to inability to exhale CO2
d. Respiratory alkalosis due to decreased intake of CO2 ---------- Correct Answer ----------- b.
respiratory acidosis due to inability to exhale CO2
Hyperresonance found on lung percussion with a patient with COPD is primarily due to
a. consolidation of secretions
b. air trapping
c. ruptured alveoli
d. mucus plugs ---------- Correct Answer ----------- b. air trapping
A lung volume measurement that indicates air trapping in a COPD patient is
a. increased residual volume
b. decreased residual volume
,c. normal residual volume
d. decreased total lung volume ---------- Correct Answer ----------- a. increased residual volume
An individual who has received an incorrect blood transfusion will exhibit signs of
a. hemolytic anemia
b. polycythemia vera
c. pernicious anemia
d. aplastic anemia ---------- Correct Answer ----------- a. hemolytic anemia
Allergic contact dermatitis is an example _________ hypersensitivity reaction.
a. type 1
b. type 2
c. type 3
d. type 4 ---------- Correct Answer ----------- d. type 4
Which of the following values is low for a client with a folate deficiency? ---------- Correct
Answer ----------- Reticulocyte count
Which of the following will be elevated in a patient with pernicious anemia? ---------- Correct
Answer ----------- MCV
In a patient with pernicious anemia, which of the following lab values can be normal?
a. Reticulocyte count
b. MCHC
c. MCV
d. Folate ---------- Correct Answer ----------- d. Folate
True or False
The patient with thalassemia is at high risk for a stroke. ---------- Correct Answer ----------- False
A patient with mitral stenosis would most likely present with what sound. ---------- Correct
Answer ----------- Rumbling, decrescendo diastolic murmur heard at the apex of the heart
True of False
the pathophysiology of the sickle cell anemia involves a single amino-acid change on the beta-
chain. ---------- Correct Answer ----------- True
Which of the following is a non-modifiable risk factor for coronary artery disease?
a. obesity
b. hyperlipidemia
c. hypertension
d. family history ---------- Correct Answer ----------- d. family history
True or False
Sinusitis is considered a primary immunodefiency ---------- Correct Answer ----------- true
,The transferrin deficiency will most likely result in
a. aplastic anemia
b. hemolytic anemia
c. pernicious anemia
d. iron deficiency anemia ---------- Correct Answer ----------- d. iron deficiency anemia
Sickle cell anemia and thalassemia are more prevalent in which geographical area? ----------
Correct Answer ----------- Africa
Thalassemia is simple cell anemia in that the individual with thalassemia
a. inherits an abnormal HB gene from mom
b. inherits an abnormal Hb gene from dad
c. inherits an abnormal Hb gene from one patient
d. inherits an abnormal Hb gene from both parents ---------- Correct Answer ----------- c. inherits
an abnormal Hb gene from both parents
Sickle cell anemia is an
a. autosomal dominant genetic disorder
b. idiopathic blood disorder
c. autosomal recessive genetic disorder
d. immunodeficiency disorder ---------- Correct Answer ----------- c. Autosomal recessive genetic
disorder
True or False
Cells that contain abnormal types of hemoglobin are more susceptible to infection by the parasite
that causes malaria ---------- Correct Answer ----------- False
Which of the following statements are correct regarding thalassemia?
a. characterized by acute and painful episodes
b. maintains effective erythropoiesis
c. may have many possible genetic mutations
d. involves a double amino acid change on the beta change ---------- Correct Answer ----------- c.
may have many possible genetic mutations
True or False
Cells that contain abnormal types of hemoglobin are more susceptive to infection by the parasite
that causes malaria. ---------- Correct Answer ----------- False
True or False
The patient with sickle cell anemia is at high risk for stroke. ---------- Correct Answer -----------
True
True or false
There are four genes involved in encoding synthesis of the alpha protein chain for HB and are
located on chromosome number 16. ---------- Correct Answer ----------- False
, Which of the following is a primary immunodeficiency?
a. pneumonia
b. chronic granulomatous disease
c. sinus infection
d. human immunodeficiency virus ---------- Correct Answer ----------- b. chronic granulomatous
disease
Which of the following is an autoimmune disease?
a. osteoarthritis
b. iron deficiency anemia
c. systemic lupus erythematosus
d. ABO incombatibility ---------- Correct Answer ----------- c. systemic lupus erythematosus
What is the most common cause of right sided heart failure? ---------- Correct Answer -----------
Pulmonary Hypertension
What is cor pulmonale? ---------- Correct Answer ----------- Right ventricular failure secondary to
pulmonary hypertension
Which of the following conditions can decrease preload?
a. fluid overload
b. fever
c. pain
d. hemorrhage ---------- Correct Answer ----------- d. hemorrhage
Hypertension has its most immediate effect on
a. preload
b. contractility
c. stroke volume
d. afterload ---------- Correct Answer ----------- d. afterload
Primary or Secondary
A patient with HIV was admitted to the acute care facility with difficulty breathing. He is
diagnosed with pneumocystis carinii. ---------- Correct Answer ----------- Secondary
Which stage
Patients with structural heart disease who have not yet developed symptoms. ---------- Correct
Answer ----------- Stage B
Which stage
Patients with refractory heart failure that require advanced intervention. ---------- Correct Answer
----------- Stage D
Which stage
Patient who have developed clinical heart failure. ---------- Correct Answer ----------- Stage C
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