FINAL EXAM - NR507 / NR 507 Advanced Pathophysiology
Newest Questions and Verified Answers- Chamberlain
1. When the maternal immune system becomes sensitized against antigens
expressed by the fetus, what type of immune reaction occurs
Ans>> alloimmune
2. which patient will develop active immunity ? A patient who
Ans>> has natural exposure to an antigen or receives an immunization
3. A 20 year old presents reporting difficulty breathing when lying down. What term
should the FNP use to document this condition
Ans>> orthopnea
4. What is the most likely cause of croup
Ans>> viral infections
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,5. A 44 year old patient who demonstrates chronic gastrointestinal bleeding is
diagnosed with anemia. What is the primary cause of the patient's anemia?-
Ans>> iron deficiency
6. Which of the following is responsible for initiating clonal selection
Ans>> Anti- gens
7. Which of the following would support the diagnosis of respiratory acido- sis
Ans>> pneumonia
8. A 52 year old male is diagnosed with urinary tract obstruction. While design- ing the
treatment plan, the nurse realizes that the patient is expected to have hydronephrosis
and a decreased glomerular filtration rate caused by
Ans>> dilitation of the renal pelvis and calyces proximal to the blockage
9. A 12 year old child fell off a swing and scraped his right knee. The injured area
2/6
,becomes painful. What else with the FNP observe upon assessment
Ans>> ede- ma at injured site
10. A low ventilation perfusion ratio of the lung will result in
Ans>> Shunting
11. A 50 year old male reports episodes of frequently recurring cramping
abdominal pain, diarrhea and bloody stools. A possible diagnosis would be
Ans>> ulcerative colitis
12. A 13 year old female is concerned about several pigmented skin lesions on her
body. Her primary care provider tells her that these lesions must be monitored
because of their ability to transform into malignant melanoma. These lesions are
referred to as
Ans>> nevi
13. What phrase describes the condition in which a series of alveoli in the left lower
lobe receive adequate ventilation but lacks adequate perfusion
Ans>> alveo- lar dead space
3/6
,14. A newborn is diagnosed with congenital intrinsic factor deficiency. Which of the
following type of anemia will the FNP document on the chart
Ans>> pernicious
15. A 5 year old presents to the clinic with high fever, inspiratory stridor, severe
respiratory distress, drooling and dysphagia. Acute epiglottis is suspected. When
assessing the child, the FNP should avoid
Ans>> examining the throat for redness
4/6
,16. A 20 year old underwent an echocardiogram to assess chest pain. Results
revealed a congenital defect in the papillary muscles. Which of the following would the
nurse expect to occur
Ans>> backward expulsion of the atrioventricular valves
17. Biochemical secretions that trap and kill microorganisms include
Ans>> ear wax
18. The FNP diagnoses a 10 year old with obstructive sleep anpea. When the parents
ask, the FNP shares that the initial treatment will be
Ans>> tonsillectomy and adenoidectomy
19. Pancreatic insufficiency is manifested by deficient production of
Ans>> Lipase
20. The FNP is teaching the community about health promotion. Which infor-
mation should the FNP include for innate immunity
Ans>> at brith
5/6
,21. Which statement indicates a correct understanding of antibodies? The most
abundant class of antibody in the serum is
Ans>> IgG
22. When a patient asks the FNP what hypersensitivity is, how should the FNP
respond? Hypersensitivity is best defined as
Ans>> an excessive or inappropriate response of the immune system to a sensitizing antigen
23. When the FNP is reviewing lab results and notices that the erythrocytes contain
an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes
Ans>> hypochromic
24. A 25 year old female has heavy menses during which she loses a pro- fuse
amount of blood. Which of the following adaptations should the nurse expect
Ans>> peripheral vasoconstriction
25. Pityriasis rosea is caused (most likely) by a
Ans>> Virus
26. Which complication is associated with gastric resection surgery
Ans>> Anemia
27. A 50 year old is diagnosed with gastroesophageal reflux. This condition is caused
by
Ans>> Loss of muscle tone at the lower esophageal sphincter
6/6
,28. A function of the pericardium is to
Ans>> provide a barrier against extracardial infections
29. Prominent vesicular eruptions on the face and trunk. He reports that he had
chicken pox as a child. Which of the following is most likely the diagnosis based on his
chicken pox history
Ans>> herpes zoster
30. A 58 year old female presents in the clinic with fatigue, weight loss and tin- gling in
her fingers. Laboratory findings show low hemoglobin and hematocrit, a high mean
corpuscular volume and normal plasma iron. These assessment findings are consistent
with which type of anemia
Ans>>
31. For a patient with candidiasis which factor will exacerbate the condition?-
Ans>> systemic antibiotics
32. If a patient has carbuncles, the infection will be located in the
Ans>> hair follicles
7/6
, 33. A 16 year old female student is driving to school when another diver nearly
hits her. Her heart begins beating harder and faster as she becomes aroused and
scared. Which of the following states of the general adaptation syndrome is she
experiencing
Ans>> alarm stage
34. The signs and symptoms of a large bowel obstruction are
Ans>> abdominal distention and hypogastric pain
35. A 45 year old male complains of heart burn after eating and difficulty
swallowing? These symptoms support which diagnosis
Ans>> hiatel hernia
36. A 20 year old male received a knife wound to the arm during an altercation. Which
of the following types of immunity was compromised
Ans>> innate immunity
37. A 54 year old male with a long history of smoking presents with a chief concern
of excessive tiredness, shortness of breath and overall ill feelings. Lab results reveal a
decreased pH, increased CO2 and normal bicarb. These findings help to confirm the
diagnosis of
Ans>> respiratory acidosis
38. A patients anemia is described as having erythrocytes that demonstrate
8/6
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