MN551 week quizzzes
MN551 Quiz # 2
Which of the following patients is most
likely to benefit from transportation of thymic tissue or major
histocompatibility complex ( MHC) – compatible bone marrow?
As part of his diagnostic workup, a 77 yo
man nurse practitioner has ordered blood work that includes ferritin levels.
The man is very interested in the details of his health care is unfamiliar with
ferritin and it’s role. Which of the following explanations by the nurse
practitioner is most accurate?
The blood work of a 44 yo male with a
diagnosis of liver disease secondary to alcohol abuse indicates low levels of
albumin. Which of the following phenomena would a clinician be most justified
in anticipating?
A 14 yo boy has been diagnosed with
infectious Mono. Which of the following pathophysiological phenomena is most
responsible for his symptoms?
Which of the following phenome would be
least likely to result in activation of the complement system?
Following a course of the measles a 5yo
girl developed scattered bruising over numerous body surfaces and was diagnosed
with immune thrombocytopenia purpura (ITP). Diagnostic workup, blood work was
performed. Which results is most likely to be considered unexpected by the
health care team
A patient presented to the ED with a
swollen, reddened, painful leg wound , diagnosed with MRSA cellulitis. The
nurse practitioner ordered a CBC and white cell diff. Which of the following
blood components would the nurse anticipate to be elevated?
A nurse practitioner is explaining to a 40 yo male pt the damage that
Mycobacterium tuberculosis could do to lung tissue. Which of the following
phenomena would underlie the NP explanation?
A 29 yo construction worker got silver
under his fingernail 4 days ago. The affected finger is reddened, painful,
swollen, and warm. Which of the following hematological processes is most
likely occurring in response to the infection?
Which of the following patients would the
student recognize as being least likely to have a diagnosis of antiphospholipid
syndrome in his or her medical historory?
A couple who are expecting their first
child have been advised by friends to consider harvesting umbilical cord blood
in order to have a future source of stem cells. The couple have approached
their NP with this request and are seeking clarification of exactly why stem
cells are valuable. How can the nurse practitioner best respond to the couple’s
inquiry?
A 16 yo female has been brought to her
primary NP by her mother due to perisistent sore throat and malaise. Which of
the following facts revealed in the girl history and exam would lead the NP to
r/o infectious mono
A 60 yo woman is suspected of having
non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition
would help to r/o Hodgkin lymphoma?
A NP is providing prenatal care and
eduction for a first-time expectant mother, 22 wks gest, who has a diagnosis of
a STD. Which of the following statements by the expectant mother demonstrates
an adequate understanding of vertical disease transmission and congenital
infections?
A 71 yo male pt w/ a hx of MI and
peripheral vascular disease has been advised by his NP to begin taking 81 mg of
ASP once daily. Which of the underlying rationale for the NP suggestion?
Which of the following statements most
accurately conveys an aspect of lymphatic system activity?
A 23 yo man has received a recent dx of
appendicitis following 24 hrs of acute abd pain. The NP 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 NP eliminate from
his teaching for the patient?
A 66yo female pt has presented to the ED
w/ several months of intermittently bloody stools that has recently become
worse. The woman has since been diagnosed w/ a GI bleed secondary to overuse of
NSAIDs that she takes for her arthritis. The health care team would realize
that which of the following situations is most likely?
A 40 yo woman experiences severe seasonal
allergies has been referred by her family physician to an allergist for weekly
allergy injections. The woman is confused as to why repeated exposure to
substances that set off her allergies would ultimately benefit her. Which of
the following phenomena best captures the rationale for allergy desensitization
therapy?
A 44 yo female patient presents to the ED
with abnormal bleeding and abd pain that is later attributed to gallbladder
disease. Which of the following diagnoses would the medical team be most
justified in suspecting as a caus of the patient’s bleeding?
A NP is teaching her colleagues about the
role of cytokines in a variety of pathologies. Which of the following teaching
points best captures an aspect of the functions and nature of cytokines?
A
24 yo woman presents with fever and painful, swollen cervical lymph nodes. Her
blood work indicates neutrophilia with a shift to the left. She most likely
has:
A tourist presented to a primary care
health clinic complaining of malaise, fever, and headache. She has been
diagnosed with Rocky Mountain Spotted fever, a pathology caused by
Rickettsiaceae. Which of the following statements best captures a
characteristic trait of Rickettsiaceae?
A 22 yo female who adheres to a vegen diet
has been diagnosed with iron-deficiency anemia. Which of the following
componets of her diagnostic blood work would be most likely to necessitate
further investigation?
Sputum samples from a pt with pneumonia
contain an infective agent that has a peptidoglycan cell wall, expresses
endotoxins, replicates readily in broth and on agar, grows in clusters, has
pili, and does not stain when exposed to crystal violet. This pneumonia is most
likely:
MN551 Quiz # 3 & 4
MN551 Quiz 3 and 4 Cardiovascular.
3 – structure and function of the
cardiovascular system
4 – structure and function of the respiratory
system
Question 1. The nurse practitioner for a cardiology
practice is responsible for providing presurgical
teaching for patients who are about to undergo a coronary artery bypass graft. Which of the following teaching
points best conveys an aspect of the human circulatory system?
Question 2. Which of the short term and long term compensatory mechanisms is
least likely to decrease the symptoms of his heart failure?
Question
3. A physical assessment of a
28-year-old female patientindicates 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? (Points : 3)
Question
4. As part of the diagnostic workup for a male patient with a complex history
of cardiovascular disease, the care team has identified the need for a record
of the electrical activity of his heart, insight into the
metabolism of his myocardium, and physical measurements, and imaging of his
heart. Which of the following series of tests is most likely to provide the
needed data for his diagnosis and care? (Points : 3)
Question
5. An older adult female patient has presented with a new onset of shortness of
breath, and the patient’s nurse practitioner has ordered measurement of her BNP
levels
along with other diagnostic tests. What is the most accurate rationale for the
nurse practitioner’s choice of blood work? (Points : 3)
Question
6. A patient in the intensive care unit has a blood pressure of 87/39and has
warm, flushed skin accompanying his sudden decline in level of consciousness.
The patient also has arterial and venous dilation and a decrease in systemic
vascular resistance. What is this patient’s most likely diagnosis? (Points : 3)
Question
7.
A number of patients have presented to
the emergency department in the last 24 hourswith complaints that are
preliminarily indicative of myocardial infarction. Which of the following
patients is least likely to have an ST-segment myocardial infarction (STEMI)?
(Points : 3)
Question
8. A 54-year-old man with a long-standing diagnosis of essential hypertension
ismeeting
with his nurse practitioner. The patient’s nurse practitioner would anticipate
that which of the following phenomena is most likely occurring? (Points : 3)
Question
9. A 66-year-old obese manwith 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? (Points : 3)
Question
10.Which
of the following assessment findings in a newly admitted 30-year-old male
patient would be most likely to cause his nurse practitioner to suspect polyarteritis nodosa? (Points : 3)
Question
11.
A 6-year-old boyhas 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? (Points : 3)
Question
12.
A patient has suffered damage to his
pericardium following a motor vehicleaccident. Which of the following
consequences should the nurse practitioner be most likely to rule out? (Points
: 3)
Question
13.
Which of the following situations related to the transition from fetal to perinatal circulationwould
be most likely to necessitate medical intervention? (Points : 3)
Question
14.
A 70-year-old malepatient presents
to the emergency department complaining of pain in his calf that is exacerbated
when he walks. His pedal and popliteal pulses are faintly palpable and his leg
distal to the pain is noticeably reddened. What would his care provider’s
preliminary diagnosis and anticipated treatment most likely be? (Points : 3)
Question
15.
A patient is experiencing impaired circulation secondary to increased systemic arterial pressure.Which of the following
statements is the most relevant phenomenon? (Points : 3)
Question
16.
A nurse practitioner is providing care for several patients on a medical unit
of a hospital. In which of the following patient situations would the nurse
practitioner be most likely to rule out
hypertension as a contributing factor? (Points : 3)
Question
17.
A formerly normotensive woman, pregnant for the first time, develops
hypertension and headaches at 26 weeks’
gestation. Her blood pressure is 154/110 mm Hgand she has proteinuria.
What other labs should be ordered for her? (Points : 3)
Question
18.
A nurse practitioner is instructing a group of older adults about the risks associated with high cholesterol.Which
of the following teaching points should the participants try to integrate into
their lifestyle after the teaching session?
Question
19. An autopsy is being performed on a 44-year-old femalewho
died unexpectedly of heart failure. Which of the following components of the
pathologist’s report is most suggestive of a possible history of poorly
controlled blood pressure?
Question
20.A
nurse practitioner has ordered the measurement of a cardiac patient’s
electrolyte levels as part of the patient’s morning blood work. Which of the
following statements best captures the
importance of potassium in the normal electrical function of the patient’s
heart? (Points : 3)
Question
21.In
which of the following patient situations would a nurse practitioner be most
justified in preliminarily ruling out
pericarditis as a contributing pathology to the patient’s health problems?
Question
22.
During a routine physical examination of a
66-year-old woman, her nurse practitioner notes a pulsating abdominal mass and
refersthe woman for further treatment. The nurse practitioner is
explaining the diagnosis to the patient, who is unfamiliar with aneurysms.
Which of the following aspects of the pathophysiology of aneurysms would
underlie the explanation the nurse provides?
Question
23.
A 66-year-old patient’s echocardiogramreveals
a hypertrophied left ventricle, normal chamber volume, and a normal ejection
fraction from the heart. What is this patient’s most likely diagnosis?
Question
24.A
nurse practitioner is teaching a student NP about the physiologic basis for
damage to the circulatory and
neurological systems that can accompany hypotension. Which of the following responses by the student would warrant
correction by the nurse practitioner?
Question
25.
An 81-year-old femalepatient of a
long-term care facility has a history of congestive heart failure. The nurse
practitioner caring for the patient has positioned her sitting up at an angle
in bed and is observing her jugular venous distention. Why is jugular venous
distention a useful indicator for the assessment of the patient’s condition?
Question
26.
A 22-year-old male is experiencing
hypovolemicshock following a fight in which his carotid artery was cut
with a broken bottle. What immediate treatments are likely to most benefit the
man?
Question 27. A 68-year-old
malecomplains to his NP when he tests his blood pressure using a machine
at his pharmacy, his HR is always low. He feels his heart racing and it seems
to pause at times. He is lightheadedness and a recent syncopal episode. What is
the patient’s diagnosis and the phenomenon underlying it?
Question
28. A 77-year-old woman with a recent onset of syncopal episodeshas been referred to a cardiologist by her
family physician. As a part of the patient’s diagnostic work-up, the nurse
practitioner conducting the intake assessment has ordered a Holter monitor for
24 hours. Which of the following statements best captures an aspect of Holter
monitor?
________________________________________________________________________
Having Trouble Meeting Your Deadline?
Get your assignment on MN551 week quizzzes completed on time. avoid delay and – ORDER NOW
MN551 Quiz 4
1. Which of the
following patients who presented to a walk-in medical clinic is most likely to
be diagnosed with a rhinosinusitis rather than a common cold? Fever and facial
pain are more commonly associated with rhinosinusitis rather than the common
cold. The other noted symptoms are indicative of the common cold rather than
rhinosinusitis.
A man complaining of general fatigue, a headache, and
facial pain with a temperature of 100.9° pg 929-930
A woman presenting with malaise,
lethargy, and copious nasal secretions
A man with a dry, stuffy nasopharynx, a
sore throat, and temperature of 98.9°F
A woman complaining of generalized aches
who has a hoarse voice and reddened, painful upper airways
Question 2.2. A
44-year-old woman developed calf pain during a transatlantic flight followed by
acute shortness of breath upon arrival at her destination. She was subsequently
diagnosed with a pulmonary embolism (PE), which resolved with anticoagulant
therapy. Which of these statements best characterizes the underlying problem of
her PE? Ventilation was occurring, but perfusion was inadequate causing
shortness of breath. Impaired blood flow to a portion of the lung, such as with
a PE, is associated with ventilation without perfusion, rather than perfusion
without ventilation. The situation is not related to an anatomic shunt or
impaired diffusion across alveolar membranes.
She was short of breath because
ventilation was occurring but perfusion was inadequate. Pg 984-985
The combination of normal perfusion but
compromised ventilation caused hypoxia.
She developed a transient anatomic shunt
resulting in impaired oxygenation.
Impaired gas diffusion across alveolar
membranes resulted in dyspnea and hypoxia.
Question 3.3. A
premature infant on mechanical ventilation has developed bronchopulmonary
dysplasia (BPD) and is showing signs and symptoms of hypoxemia, low lung
compliance, and respiratory distress syndrome (RDS). Which of the following is
the most likely contributor to the infant’s present health problem? (Despite
the administration of corticosteroids in utero to hasten alveolar maturation,
premature infants suffering respiratory distress syndrome often must be treated
with supplemental oxygen and mechanical ventilation. However, overly forceful
positive-pressure ventilation (barotrauma) can lead to the chronic lung
impairment of BPD. Surfactant therapy is a first-line defense against the
development of RDS and is also used to treat cases of BPD; additional time on a
ventilator is often required as well.
High inspired oxygen concentration and injury from positive-pressure
ventilation. Pg 952
Failure to administer corticosteroids to the infant in utero
Insufficient surfactant production and insufficient surfactant therapy
Insufficient supplemental oxygen therapy
Question 4.4.
Which of the following residents of a long-term care facility is most likely to
be exhibiting the signs and symptoms of chronic obstructive pulmonary disease
(COPD)? Productive cough and recurrent respiratory infections are associated
with COPD, while pain, fever, and increased white cells are not common signs
and symptoms of COPD. Acute shortness of breath and bronchoconstriction are
associated with asthma.
A 79-year-old lifetime smoker who is complaining of shortness of breath
and pain on deep inspiration
An 81-year-old smoker who has increased exercise intolerance, a fever,
and increased white blood cells
An 81-year-old male who has a productive
cough and recurrent respiratory infections. pg 975
An 88-year-old female who experiences acute shortness of breath and
airway constriction when exposed to tobacco smoke/
5.5. 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? Confusion, dry cough, diarrhea, and hyponatremia are
associated with Legionnaire disease and less so with bronchopneumonia,
Mycoplasma pneumonia, or pneumococcal pneumonia.
Bronchopneumonia
Mycoplasma pneumonia
Legionnaire disease Pg. 938
Pneumococcal pneumonia
Question 6.6. A
51-year-old female patient who is 2 days postoperative on a surgical unit of a
hospital is at risk for developing atelectasis as a result of being largely
immobile. Which of the following teaching points by her nurse practitioner is
most appropriate? (Atelectasis is characterized by incomplete lung expansion
and can often be prevented by deep breathing and coughing. Pleural effusion,
not atelectasis, is associated with fluid accumulation between the lungs and
their lining, and neither chest tube insertion nor bronchodilators are common
treatments for atelectasis.
“Being in bed increases the risk of fluid
accumulating between your lungs and their lining, so it’s important for you to
change positions often.”
“You should breathe deeply and cough to
help your lungs expand as much as possible while you’re in bed.”
“Make sure that you stay hydrated and
walk as soon as possible to avoid our having to insert a chest tube.”
“I’ll prescribe bronchodilator
medications that will help open up your airways and allow more oxygen in.”
Question 7.7. Due
to complications, a male postoperative patient has been unable to mobilize for
several days following surgery and has developed atelectasis. Which of the
following processes would his care team anticipate with relation to his health
problem? Regional hypoxia, such as with a diagnosis of atelectasis, is
associated with vasoconstriction and redirection of blood away from, not
toward, the affected area of the lung. This also contributes to an increased
workload for the right side of the heart.
Vasodilation in the alveolar vessels in
the affected region of his lung
Increased workload for the left side of
the patient’s heart
Increased blood flow to the area of
atelectasis
Redirection of blood flow away from the
lung regions that are hypoxic
Question 8.8.
Which of the following clinical findings would be most closely associated with
a patient who has interstitial lung disease rather than COPD? (Because it takes
less work to move air through the airways at an increased rate than it does to
stretch a stiff lung to accommodate a larger tidal volume, interstitial lung
disease is commonly associated with an increased respiratory rate but decreased
tidal volume. Wheezing and decreased expiratory flow rate are more closely
associated with COPD.
Audible wheezing on expiration
Diminished expiratory flow rates
Increased respiratory rate with decreased tidal volume
Normal compliance of alveolar tissue
Question 9.9. A
male lifetime smoker has died as a result of chronic obstructive pulmonary
disease. Which of the following phenomena regarding his alveoli would his care team
have most reasonably expected in the weeks prior to his death? Smokers often
retain large numbers of carbon-filled macrophages in their septal connective
tissue. NK cell proliferation is not a noted phenomenon in the alveoli, and
tubercles are associated specifically with tuberculosis infection. Type I
alveoli are incapable of regeneration.
Proliferation of natural killer (NK) cells in the alveolar lumen
Large numbers of alveolar macrophages in septal connective tissue
The presence of tubercles in the intra-alveolar spaces
Compensatory regeneration of type I alveolar cells
Question 10.10. A
21-year-old male patient has suffered a head injury during a crash on his
motorcycle, and a deficit that assessments have revealed is an impaired
swallowing mechanism. He has also developed aspiration pneumonia. Which of the
following statements most accurately capture an aspect of his condition? (The
vocal folds contribute to blocking of the airways during swallowing; compromise
to this function is likely to allow food to enter the lungs. The epiglottis is
performing its normal, protective role against aspiration when it covers the
larynx, and the vocal folds contribute to sound enunciation, not swallowing or
protection against aspiration. Tracheobronchial obstruction would not
contribute to aspiration.
His oropharynx is obstructed.
His epiglottis is covering his larynx
His vocal folds have been compromised.
His tracheobronchial tree is intermittently obstructed
Question 11.11. A
short, nonsmoking middle-aged man presents to the emergency department with
left-sided chest pain and a cough. He says that the pain started abruptly, just
after lunch, and that breathing and coughing make it worse. He denies recent
injury. He is breathing shallowly and rapidly and expresses fear that he may be
having a heart attack. Breath sounds are normal, and he is not cyanotic. Which
condition is most likely causing his symptoms?
Pleuritis, which
frequently accompanies infections that cause cough, is unilateral, starts
abruptly, and is worsened by coughing or deep breathing. The client’s shallow,
rapid breathing may be due to anxiety but also is a way of maintaining adequate
air intake while avoiding deep breathing, which exacerbates the pain of
pleuritis. His cough may be an indication of infection, especially as he is not
a smoker. The pain of myocardial infarction is not worsened by deep breathing
or coughing. Spontaneous pneumothorax would be very unlikely in a short, nonsmoking
middle-aged man. Tachypnea might indicate obstructive atelectasis, but normal
breath sounds and lack of cyanosis argue against it.
Myocardial infarction
Spontaneous pneumothorax
Pleuritis related to infection
Obstructive atelectasis
Question 12.12.
Which of the following statements best conveys an aspect of the respiratory
pressures that govern ventilation? Negative intrapleural pressure holds the
lungs in place against the chest wall and prevents their natural elastic
properties from causing them to collapse. Intrapleural pressure is negative in
relation to the inflated lung, and the chest wall exerts negative pressure on
the lungs that keeps them from contracting and contributes to inspiration.
Intrapulmonary pressure oscillates between positive and negative relative to
atmospheric pressure with expiration and inspiration.
Intrapleural pressure slightly exceeds that of the inflated lung
The chest wall exerts positive pressure
on the lungs that contributes to expiration
The
lungs are prevented from collapsing by constant positive intrapulmonary
pressure
Negative
intrapleural pressure holds the lungs against the chest wall
MN551
Unit 6 Quiz
1. A 35yearold female patient is seen in the clinic complaining
of abdominal pain. Which of the following should be included in the history and
physical exam?
Digital rectal exam
Pelvic exam
Sexual history
All of the above
Hiatal hernia – protrusion of the stomach or regurgitation of the
stomach contents into the esophagus
2. A patient is seen in the office and is complaining of
constipation. The patient lists all of the following medications. Which drug
could be responsible for the constipation?
Multivitamin
Magnesium hydroxide
PeptoBismol
Ibuprofen
3. A patient with complaints of diarrhea is seen. Which of the
following should be included on the differential diagnosis list for a patient
with diarrhea?
Gastroenteritis
Inflammatory bowel disease
Lactase deficiency
All of the above
4. Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189
pounds. He reports that he has had intermittent heartburn for several months
for which he takes Tums with temporary relief. He has been waking during the
night with a burning sensation in his chest. Which additional information would
lead you to believe that gastroesophageal reflux disease (GERD) is the cause of
his pain?
The pain seems better when he smokes to relieve his nerves.
Coffee and fried foods do not bother him.
He awakens at night coughing with a bad taste in his mouth.
All of the above
MN551
Unit 7 Quiz
MN551 – Quiz 7 Pathophysiology across the life span
Question 1. A
4-year-old boy has had otitis media with effusion (OME) for several weeks and his condition has recently progressed to
acute otitis media (AOM). Which of
the following factors could have contributed to his AOM?
Reflux of fluid
from the boy’s nose into his middle ear
A deficiency in immunoglobulin G
Accumulation of cerumen in the external
acoustic meatus
Sensorineural deficits in the auditory control
apparatus
Exposure to respiratory syncytial virus (RSV)
Question 2. Which
of the following statements best captures the role of the adrenal cortex in maintaining homeostasis?
The adrenal cortex
is responsible for the production of epinephrine and norepinephrine, which are
part of the sympathetic nervous system.
The adrenal cortical hormones are primarily
steroids and sex hormones.
Redundant, secondary production of adrenal
cortical hormones can compensate for the loss of the adrenal glands.
Normal sexual function is dependent on
adequate adrenal cortical function.
Question 3. A
29-year-old wom
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.