MN551 MIDTERM EXAM AND FINAL EXAM | ALL
QUESTIONS AND CORRECT ANSWERS (2025
VERSION) | GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION
MN551 MIDTERM EXAM
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 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"
A group of researchers has identified that the prevalence of two particular
genetic disorders share a statistical correlation. Which of the following
statements best conveys the genetic rationale for this situation? ---------
CORRECT ANSWER-----------------The genes causing each disorder are
likely in the same section of the same chromosome.
,A 60-year-old male patient with an acute viral infection is receiving
interferon therapy. The nurse practitioner is teaching the family of the
patient about the diverse actions of the treatment and the ways that it
differs from other anti-infective therapies. Which of the following teaching
points should the nurse practitioner exclude? ---------CORRECT ANSWER--
---------------"interferon can bolster your father's immune system by
stimulating natural killer cells that attack viruses"
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.
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