NURS 6501 ADVANCED PATHOPHYSIOLOGY FINAL
AND MIDTERM WALDEN UNIVERSITY REAL EXAM
2024-2025 LATEST EDITION NEW!!!
A 35-year old female is diagnosed with multiple myeloma. Biopsy of the tumor reveals Russell bodies, and lab testing reveals kidney dysfunction. Which substance should the nurse monitor as accumulating in the
patient's body: - ANSWER✔✔Protein
A newborn male is diagnosed with albinism based on skin, eye, and hair appearance. Which finding will support this diagnosis? - ANSWER✔✔Inability to convert tyrosine to DOPA Liquefactive necrosis occurs in the brain because: - ANSWER✔✔It is rich in hydrolytic enzymes and lipids A 23-year old male develops a black eye following a fight. When the aide asks the nurse why this occurred, the nurse's best response is that the bruising is due to an accumulation of: - ANSWER✔✔Hemosiderin A 2-year old swallowed watch batteries. Following ingestion, kidney function was impaired, and the heart began to fail. Which of the following was the most likely cause: - ANSWER✔✔Coagulative necrosis A group of prison inmates develop TB. On examination, tissues were soft and granular. Which of the
following is the most likely cause: - ANSWER✔✔Caseous necrosis
A 50-year old female because infected with Clostridium bacteria and died a week later. Examination of her RBCs revealed lysis of membranes. Which of the following was the most likely cause of her death: - ANSWER✔✔Gas gangrene A 50-year old male intravenous drug user is diagnosed with hepatitis C. Examination of the liver reveals cell
death secondary to: - ANSWER✔✔Pathologic apoptosis
What principle should the nurse remember when trying to distinguish aging from disease? - ANSWER✔✔It is difficult to tell the difference because both processes are believed to result from cell injury When a nurse observes muscle stiffening occurring within 6-14 hours of death, the nurse should document
this finding as___present: - ANSWER✔✔Rigor mortis
When the nurse is checking the urinalysis, the finding that would alert the nurse to cellular injury is the 1 / 3
presence of: - ANSWER✔✔Excessive protein
Confirmation of somatic death is based on: - ANSWER✔✔Complete cessation of respiration and circulation A report comes back indicating muscular atrophy has occurred. A nurse recalls that muscular atrophy
involves a decrease in muscle cell: - ANSWER✔✔Size
During childhood, the thymus decreases in size, and this is referred to as ______ atrophy: - ANSWER✔✔Physiologic When planning care for a cardiac patient, the nurse knows that in response to an increased work load,
cardiac myocardial cells will: - ANSWER✔✔Increase in size
A 55 year-old male with a 30-year history of smoking is examined for respiratory disturbance. Examination of his airway reveals that stratified squamous epithelial cells have replaced the normal columnar ciliated
cells. This type of cellular adaptation is called: - ANSWER✔✔Metaplasia
When planning care for the pregnant patient, the nurse will recall that mammary glands enlarge as a
consequence of: - ANSWER✔✔Hormonal hyperplasia
A 24-year-old female presents with excessive menstrual bleeding. The physician identified endometrial changes that are due to hormonal imbalances. These cellular changes would be referred to as: - ANSWER✔✔Pathologic hyperplasia A 55-year-old male is diagnosed with hepatocellular cancer secondary to hepatitis C. If the cancerous region of the liver were removed, the remaining cells would undergo: - ANSWER✔✔Compensatory hyperplasia A 40-year-old female is diagnosed with cervical cancer after a Pap smear. Which of the following cellular changes would the nurse most likely see on the report? - ANSWER✔✔Dysplasia A 75-year old male presents with chest pain on exertion. The chest pain is most likely due to hypoxic injury
secondary to: - ANSWER✔✔Ischemia
A patient has a heart attack that leads to progressive cellular injury that causes cell death with severe cell swelling and breakdown of organelles. What term would the nurse use to define this process: - ANSWER✔✔Necrosis 2 / 3
Sodium and water accumulation in an injured cell are a direct result of: - ANSWER✔✔Decreased ATP production The early dilation of the cell's endoplasmic reticulum results in: - ANSWER✔✔Reduced protein synthesis A 52-year-old male suffered a myocardial infarction secondary to atherosclerosis and ischemia. Once oxygen returned to the damaged heart, reperfusion injury occurred as a result of: - ANSWER✔✔Free radical formation A family presents to their primary care provider reporting headache, nausea, weakness, and vomiting.Which of the following would be the most likely explanation for these symptoms? - ANSWER✔✔Carbon monoxide poisoning A common pathway of irreversible cell injury involves increased intracellular: - ANSWER✔✔Calcium A 50-year-old male sustained a closed head injury as a result of a car accident. CT scan revealed a collection of blood between the inner surface of the dura mater and the surface of the brain. Which type
of injury will the nurse be caring for: - ANSWER✔✔Subdural hematoma
A 20-year old male presents to the ER with a jagged sharp-force injury that is longer than it is deep. Which
type of wound will the nurse be caring for: - ANSWER✔✔Incised wound
A 30-year-old female presents with a gunshot wound to the head. The wound has seared edges and a deep penetration of smoke and gunpowder fragments. This wound would be documented as a ___wound: - ANSWER✔✔Contact range entrance A 15-year-old female presents to the ER following a physical assault. She has internal damage to the neck with deep bruising. X-ray reveals fractures of the hyoid bone and tracheal and cricoid cartilage. Which of the following most likely caused her injuries: - ANSWER✔✔Manual strangulation A 55-year old male has swelling of the feet. Which of the following aided in development of the swelling? - ANSWER✔✔Sodium movement into the cell
What is the role of the primary care provider in mental health? - ANSWER✔✔- Screen for mental health issues
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