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NUR
Essentials of Pathophysiology
Complete Mock Exam
Questions & Answers
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Question 2
1 / 1 pts
If an ovum has chromosomal nondisjunction, which conditions(s) could result
in the embryo?
Monosomies and trisomies
Nondisjunction, or failure of a chromosome to separate during meiosis,
results in an ovum with two copies of the chromosome and an ovum with
no copies of the chromosome. When these ova encounter a male
gamete (sperm), the resulting embryo will have either an extra copy of
the chromosome (trisomy) or one copy of the chromosome (monosomy).
Chromosomal translocation
Broken chromosomes
Normal cell division
Question 3
1 / 1 pts
If a patient has Gaucher disease, which of the following organ(s) should the
nurse monitor?
Liver
Spleen
CNS/brain
All of the above
Gaucher disease is caused by the accumulation of a fatty substance
called glucocerebroside in the spleen, liver, and CNS. It also affects the
lungs and brain.
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Question 6
1 / 1 pts
The nurse is caring for a new mother who just gave birth to a baby with Down
syndrome. The nurse explains that this syndrome is a result of trisomy with
which chromosome?
The karyotype of an individual with Down syndrome shows trisomy 21.
Question 7
1 / 1 pts
The nurse documents "tattooing and stippling" in a trauma patient. Which
type of injury does this patient have?
Asphyxial injuries
Blunt force injuries
Gunshot wounds
Tattooing and stippling are caused by gunpowder and occur on the skin
surrounding the entrance wound. Asphyxial injuries are caused by a
failure of cells to receive or use oxygen. Blunt force injuries involve
tearing, shearing, or crushing of tissues. Injury to cells due to pathogens
are referred to as "infectious injuries."
Infectious injuries
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Question 10
1 / 1 pts
Question 8
1 / 1 pts
Which information indicates that the nurse has a good understanding of
clastogens? Clastogens are agents that cause:
chromosomal duplications.
single gene mutations.
chromosomal breakage.
Clastogens are harmful agents that cause chromosomal breakage. As a
result, sections of the chromosome have additions, deletions, or are
rearranged.
sex chromosome aneuploidies.
Question 9
1 / 1 pts
Which of the following statements by a clinician about mutations is correct?
Mutations always lead to genetic disease.
Spontaneous mutations occur as a result of exposure to a mutagen.
Mutations are alterations in a normal DNA sequence.
Mutations are alterations in a normal DNA sequence.
Mutations are always inherited.
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Question 14
1 / 1 pts
A couple has two offspring; one child has an autosomal recessive disease
trait and one is normal. What most likely conclusions can the nurse make
about the parents?
Only one parent must have the autosomal recessive disease.
Question 13
1 / 1 pts
If a patient has liquefactive necrosis, which organ should the nurse assess
first?
Brain
Hypoxic injury to the brain results in liquefactive necrosis because the
central nervous system contains little connective tissue.
Heart
Adrenals
Pancreas
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Question 16
1 / 1 pts
A nurse is describing primary immune deficiency. Which primary deficiencies
should the nurse include?
Question 15
1 / 1 pts
The nurse is caring for a patient with a genetic disease that is transmitted
through autosomal recessive inheritance. Which is the most likely diagnosis
for this patient?
Duchenne muscular dystrophy
Cystic fibrosis
Cystic fibrosis is an autosomal recessive disease.
Hemophilia
Huntington disease
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Question 20
1 / 1 pts
A patient asks a nurse what leukotrienes do. Which of the following is the
best answer? Leukotrienes:
cause smooth muscle relaxation.
Question 19
1 / 1 pts
What is the role of plasmin in the inflammatory response cycle?
It inhibits the complement system.
It directly stimulates mast cell degranulation.
It stimulates proliferation of fibrocytes.
It controls clotting by breaking down fibrin.
Plasmin is an enzyme that will degrade fibrin during clot dissolution or at
the resolution of inflammation.
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Question 21
1 / 1 pts
What term does the nurse use to describe the process of endocytosis?
Defensins
Chronic inflammation
Engulfment
Engulfment is the term for endocytosis.
Wound healing
Question 22
1 / 1 pts
Which substance is released during a viral infection and signals neighboring
cells to enhance viral defenses?
Histamine
Interferon
Typical allergic responses are characterized as type I hypersensitivity
reactions.
Type II
Type III
Type IV
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Question 26
1 / 1 pts
The nurse is planning a community teaching event about systemic lupus
erythematosus (SLE). To which population should the teaching be primarily
targeted?
Question 25
0 / 1 pts
The nurse is caring for a patient with B-lymphocyte deficiency. The nurse
should protect the patient primarily from:
capsulated viruses.
T-lymphocyte deficiencies result in virus infections. B-lymphocyte
deficiencies result in an increased susceptibility to infection, especially
those caused by encapsulated bacteria.
fermented yeast.
wet fungi.
er
encapsulated bacteria.
activated by:
While discussing the complement system, which information should the
nurse include? The alternative pathway of the complement system is
1 / 1 pts
Question 28
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Question 27
1 / 1 pts
A nurse wants to teach about the most common primary immune deficiency
condition. Which of the following should the nurse describe?
Phagocyte deficiency
IgG subclass deficiency
Selective immunoglobulin A deficiency
Common variable immune deficiency
The three most commonly diagnosed deficiencies are common variable
immune deficiency (34%), selective immunoglobulin A (IgA) deficiency
(24%), and IgG subclass deficiency (17%).
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Score for this attempt: 29 out of 30
Submitted Apr 11 at 4:59pm
This attempt took 17 minutes.
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Question 1
1 / 1 pts
Which intervertebral disks should the nurse assess first for herniation?
C5-C
T6-T
T12-L
L4-S
Because of the loads and strain the lower back endures, the disks of
L4-L5 and L5-S1 are the most likely to herniate.
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Question 2
1 / 1 pts
A patient has a saccular aneurysm. What term can the nurse use to
describe this type of aneurysm?
Fusiform
Berry
Saccular aneurysms can be called berry aneurysms.
Radiculopathy
Penetrating
Question 3
1 / 1 pts
A patient with a spinal cord injury (T6 level) reports a headache. The
patient's blood pressure is 296 systolic, and the patient is sweating.
Which intervention is most appropriate?
Prepare the patient for surgery.
Administer pain medication for headache.
Start CPR.
Check the patient's bladder.
The most common cause is a distended bladder or rectum, but any
sensory stimulation can elicit autonomic hyperreflexia.
Alzheimer disease and spinal stenosis.
Parkinson disease and low back pain.
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Question 6
1 / 1 pts
Which of the following may cause an attack or an exacerbation of
symptoms for a patient with multiple sclerosis?
Cool environment
Administration of corticosteroids
Increased calcium levels
Conditions that cause short-lived attacks include minor increases in
body temperature or serum calcium (Ca++) concentration.
Decreased stress levels
Question 7
1 / 1 pts
While reviewing a patient’s health history, which finding will most alert the
nurse to the possible development of a chronic subdural hematoma?
Peripheral nerve trauma
Brain cancer
Prior brain atrophy
Prior brain atrophy is a major risk factor in the development of
chronic subdural hematomas.
Meningitis
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Question 9
1 / 1 pts
A patient's forehead hit the steering wheel during a motor vehicle
accident. Which part of the brain received the coup injury?
Occipital
Left hemisphere
Question 8
1 / 1 pts
A nurse is teaching the staff about classic cerebral concussions. Which
information should the nurse include? A classic cerebral concussion is
defined as a temporary axonal disturbance with loss of consciousness
lasting less than:
6 hours.
In classic cerebral concussion, consciousness is lost for up to 6
hours.
8 hours.
10 hours.
12 hours.