MN 551 BUNDLED EXAMS SET 2026 FULL
SOLUTION
◉ The family of a 68-year-old man who is in the end stages of small cell
lung cancer is distraught at his visible body wasting that has worsened in
recent weeks. Which of the following phenomena best accounts for the
patient's anorexia and cachexia? Answer: Products of the tumor itself as
well as a hypermetabolic state cause cachexia
◉ Which of the following statements best conveys an aspect of the
respiratory pressures that govern ventilation?
Question options:. Answer: Negative intrapleural pressure holds the
lungs against the chest wall
◉ Following a course of measles, a 5-year-old girl developed scattered
bruising over numerous body surfaces and was diagnosed with immune
thrombocytopenic purpura (ITP). As part of her diagnostic workup,
blood work was performed. Which of the following results is most likely
to be considered unexpected by the health care team? Answer: Increased
thrombopoietin levels
◉ Which of the following situations related to the transition from fetal
to perinatal circulation would be most likely to necessitate medical
intervention? Answer: Pulmonary vascular resistance, related to muscle
,regression in the pulmonary arteries, rises over the course of the infant's
first week.
◉ At which of the following locations in the nephron would a nurse
practitioner first expect blood to be largely free of plasma proteins?
Answer: Bowman Space
◉ 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?
Question options:. Answer: "You should breathe deeply and cough to
help your lungs expand as much as possible while you're in bed."
◉ A 66-year-old patient's echocardiogram reveals a hypertrophied left
ventricle, normal chamber volume, and a normal ejection fraction from
the heart. What is this patient's most likely diagnosis? Answer: Aortic
valve stenosis
◉ 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 nurse
practitioner with this request and are seeking clarification of exactly why
stem cells are valuable and what they might expect to gain from
harvesting them. How can the nurse practitioner best respond to the
couple's inquiry? Answer: "Stem cells can be used as a source of reserve
cells for the entire blood production system."
,◉ A child possesses a trait that is the result of the interaction of two
different genes, neither of which could have produced the trait
independently. Which of the following explanations best captures the
genetic explanation for this? Answer: The outcome is the result of the
interaction between collaborative genes.
◉ A 55-year-old man has made an appointment to see his nurse
practitioner because he has been awakening three to four times nightly to
void and often has a sudden need to void with little warning during the
day. What is the man's most likely diagnosis and possible underlying
pathophysiologic problem? Answer: Overactive bladder that may result
from both neurogenic and myogenic sources
◉ As a result of dehydration, a patient's epithelial cells are producing
insufficient amounts of mucus. Consequently, the patient's mucociliary
blanket is compromised. Which of the following changes would a care
provider most reasonably anticipate as a direct result of this change?
Answer: Increased amounts of bacteria in the lungs. The primary role of
the mucociliary blanket is to trap foreign particles and bacteria and thus
prevent their entry into the lungs. The impaired ciliary function may
result in an inadequate mucociliary blanket, but the opposite relationship
is unlikely. Decreased oxygen and increased carbon dioxide levels may
eventually result, but not as a direct or immediate consequence.
◉ An 81-year-old female patient 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? Answer: Blood
backs up into the jugular vein because there are no valves at the point of
entry into the heart.
◉ Sputum samples from a patient 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:.
Answer: bacterial
◉ A 45-year-old patient who experienced exposure to radiation during
an industrial accident several years prior is being assessed. Which of the
following phenomena may underlie the genetic changes that have been
noted in the patient? Answer: Base pairs may have been rearranged by
the radiation exposure.
◉ A child has been diagnosed with thalassemia. Which of the following
other health problems is the child at risk for? Answer: splenomegaly and
hepatomegaly
◉ Which of the following pregnant women has most likely encountered
the greatest increase in the risk that her child will have a fetal anomaly?
Answer: A woman who has herpes simplex and recently recovered from
endocarditis
SOLUTION
◉ The family of a 68-year-old man who is in the end stages of small cell
lung cancer is distraught at his visible body wasting that has worsened in
recent weeks. Which of the following phenomena best accounts for the
patient's anorexia and cachexia? Answer: Products of the tumor itself as
well as a hypermetabolic state cause cachexia
◉ Which of the following statements best conveys an aspect of the
respiratory pressures that govern ventilation?
Question options:. Answer: Negative intrapleural pressure holds the
lungs against the chest wall
◉ Following a course of measles, a 5-year-old girl developed scattered
bruising over numerous body surfaces and was diagnosed with immune
thrombocytopenic purpura (ITP). As part of her diagnostic workup,
blood work was performed. Which of the following results is most likely
to be considered unexpected by the health care team? Answer: Increased
thrombopoietin levels
◉ Which of the following situations related to the transition from fetal
to perinatal circulation would be most likely to necessitate medical
intervention? Answer: Pulmonary vascular resistance, related to muscle
,regression in the pulmonary arteries, rises over the course of the infant's
first week.
◉ At which of the following locations in the nephron would a nurse
practitioner first expect blood to be largely free of plasma proteins?
Answer: Bowman Space
◉ 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?
Question options:. Answer: "You should breathe deeply and cough to
help your lungs expand as much as possible while you're in bed."
◉ A 66-year-old patient's echocardiogram reveals a hypertrophied left
ventricle, normal chamber volume, and a normal ejection fraction from
the heart. What is this patient's most likely diagnosis? Answer: Aortic
valve stenosis
◉ 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 nurse
practitioner with this request and are seeking clarification of exactly why
stem cells are valuable and what they might expect to gain from
harvesting them. How can the nurse practitioner best respond to the
couple's inquiry? Answer: "Stem cells can be used as a source of reserve
cells for the entire blood production system."
,◉ A child possesses a trait that is the result of the interaction of two
different genes, neither of which could have produced the trait
independently. Which of the following explanations best captures the
genetic explanation for this? Answer: The outcome is the result of the
interaction between collaborative genes.
◉ A 55-year-old man has made an appointment to see his nurse
practitioner because he has been awakening three to four times nightly to
void and often has a sudden need to void with little warning during the
day. What is the man's most likely diagnosis and possible underlying
pathophysiologic problem? Answer: Overactive bladder that may result
from both neurogenic and myogenic sources
◉ As a result of dehydration, a patient's epithelial cells are producing
insufficient amounts of mucus. Consequently, the patient's mucociliary
blanket is compromised. Which of the following changes would a care
provider most reasonably anticipate as a direct result of this change?
Answer: Increased amounts of bacteria in the lungs. The primary role of
the mucociliary blanket is to trap foreign particles and bacteria and thus
prevent their entry into the lungs. The impaired ciliary function may
result in an inadequate mucociliary blanket, but the opposite relationship
is unlikely. Decreased oxygen and increased carbon dioxide levels may
eventually result, but not as a direct or immediate consequence.
◉ An 81-year-old female patient 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? Answer: Blood
backs up into the jugular vein because there are no valves at the point of
entry into the heart.
◉ Sputum samples from a patient 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:.
Answer: bacterial
◉ A 45-year-old patient who experienced exposure to radiation during
an industrial accident several years prior is being assessed. Which of the
following phenomena may underlie the genetic changes that have been
noted in the patient? Answer: Base pairs may have been rearranged by
the radiation exposure.
◉ A child has been diagnosed with thalassemia. Which of the following
other health problems is the child at risk for? Answer: splenomegaly and
hepatomegaly
◉ Which of the following pregnant women has most likely encountered
the greatest increase in the risk that her child will have a fetal anomaly?
Answer: A woman who has herpes simplex and recently recovered from
endocarditis
