NURS 3366 Pathophysiology Exam 3 Review Questions
With Complete Solutions
A 10 year old develops pneumonia. Physical exam reveals
subcostal and intercostal retractions. The child reports that
breathing is difficult with feelings that, "I cannot get enough
air." What term should the nurse use to document this condition?
a. Cyanosis
b. Dyspnea
c. Hyperpnea
d. Orthopnea Correct Answers b. Dyspnea
A 20 year old presents reporting difficulty breathing when lying
down. What term should the nurse use to document this
condition?
a. Dyspnea
b. Orthopnea
c. Apnea
d. Tachypnea Correct Answers b. Orthopnea
A 20-year history of smoking causes airways to be obstructed as
a result of:
a. excessive mucus production
b. loss of elastic recoil
c. infection and inflammation
d. airway edema. Correct Answers b. loss of elastic recoil
A 24-year-old college student has presented to the campus
medical clinic with complaints of frequent, burning urination
and has, subsequent to urinalysis, been diagnosed with an acute
,lower urinary tract infection (UTI) caused by E. coli. What
teaching will the clinician most likely provide to the student?
a. "This should likely resolve itself if you drink a lot of water
and especially cranberry or blueberry juice."
b. "Unfortunately, the bacteria causing your infection is no
longer responsive to antibiotics, but there are alternative
treatments that we can use."
c. "Many of these bacteria are now resistant to some antibiotics,
but I will take that into account when I choose which antibiotic
to prescribe."
d. "This likely shows that you have some sort of obstruction in
your urinary system, so when that is treated your UTI will likely
resolve as well." Correct Answers c. "Many of these bacteria
are now resistant to some antibiotics, but I will take that into
account when I choose which antibiotic to prescribe."
A 25-year-old sexually active male presents with urethritis and
epididymitis, and is diagnosed with the most common bacteria
STI in the United States. What is this infection?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Herpes Correct Answers c. Chlamydia
A 30-year-old male is demonstrating hematuria with red blood
cell casts and proteinuria exceeding 3-5 grams per day, with
albumin being the major protein. The most probable diagnosis
the nurse will see documented on the chart is:
a. cystitis
b. chronic pyelonephritis
c. acute glomerulonephritis
,d. renal calculi Correct Answers c. acute glomerulonephritis
A 30-year-old White female was recently diagnosed with
primary hypertension. She reports that she eats fairly well,
usually moderate red meat consumption. She also reports that
her father has hypertension as well. A nurse determines which of
the following risk factors is most likely associated with this
diagnosis?
a. Race
b. Diet
c. Age
d. Genetic Correct Answers d. Genetic
A 34-year-old man has been taking up to 2400 mg of ibuprofen
per day following a motor vehicle accident several months ago
and consequent chronic pain. He has recently been diagnosed
with chronic analgesic nephritis as a result of his high analgesic
intake. The man is surprised at the diagnosis stating, "I thought
that taking too many drugs hurts your liver if anything, not your
kidneys." What is the most appropriate response to the man's
statement?
a. "Your liver does perform most of the detoxification in your
body, but your kidneys can perform this role if the liver is
unable to."
b. "High drug intake can cause your kidneys to be very
vulnerable to infections, which is likely what happened in your
case."
c. "Your kidneys are vulnerable to damage because of how
much blood flows through them and the fact that they break
down many drugs."
, d. "It is very rare for someone as young as yourself to have
kidney damage like Correct Answers c. "Your kidneys are
vulnerable to damage because of how much blood flows through
them and the fact that they break down many drugs."
A 35 year old presents with pulmonary hypertension and is
diagnosed as being in right heart failure. Which is the most
likely cause of this condition?
a. Aortic stenosis
b. Tricuspid regurgitation
c. Aortic regurgitation
d. Mitral regurgitation Correct Answers b. Tricuspid
regurgitation
A 35 year old presents with symptomatology that is associated
with syphilis. What organism is responsible for the development
of syphilis?
a. Treponema pallidum
b. Chlamydia trachomatis
c. Neisseria gonorrhoeae
d. Haemophilus ducreyi Correct Answers a. Treponema
pallidum
A 35-year-old female is diagnosed with endometriosis.
Suppressing which of the following would be the most
appropriate medical treatment for this disease?
a. Infection
b. Ovulation
c. Prostaglandins
d. Fertilization Correct Answers b. Ovulation
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