APEA Pathophysiology Exam
APEA Pathophysiology Exam 3 STUDYGUIDE
(3 IN ONE DOCUMENT) latest ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
ANSWERS with DETAILED RATIONALES
GRADED A+ GUARANTEED PASS- ACE YOUR
EXAM
Which of the following patients is at highest risk for developing pulmonary embolism (PE)?
a. 21-year-old male with a hemophilia bleeding disorder
b. 28-year-old woman who had a baby 6 months earlier
c. 36-year-old woman with a history of alcohol abuse who is recovering from a gastric ulcer
d. 72-year-old male who is recovering from hip replacement surgery in the hospital
d. 72-year-old male who is recovering from hip replacement surgery in the hospital
Rationale: The 72-year-old is at risk for immobility and at increased risk for PE.
An 80-year-old female is in the hospital for a bone fracture. While there she develops a large,
nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to
pulmonary blood flow?
a. Pulmonary hypertension
b. Systemic hypertension
A+ TEST BANK 1
, APEA Pathophysiology Exam
c. Pulmonary edema
d. Risk of cerebral emboli
a. Pulmonary hypertension
Rationale: Significant obstruction of the pulmonary vasculature leads to increased pulmonary
artery pressures (pulmonary hypertension).
The pressure is in the pulmonary bed; it is not systemic.
Pulmonary edema occurs secondary to heart failure.
Pulmonary emboli obstruct blood flow in the pulmonary vasculature, they do not increase the
risk of cerebral emboli.
When a patient has a massive pulmonary embolism (PE), what complications will the nurse
monitor for?
a. Damage to the lung microcapillaries
b. Chronic obstructive pulmonary disease (COPD)
c. Disseminated intravascular coagulation (DIC)
d. Shock and death
d. Shock and death
A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following
symptoms most likely occurred before treatment?
a. Dry cough and inspiratory crackles
b. Shallow respirations and wheezing
c. Chest pain and shortness of breath
d. Kussmaul respirations and back pain
A+ TEST BANK 2
, APEA Pathophysiology Exam
c. Chest pain and shortness of breath
Rationale: An individual with PE usually presents with the sudden onset of pleuritic chest pain,
dyspnea, tachypnea, tachycardia, and unexplained anxiety.
A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing
measures would be most effective for preventing pulmonary embolism (PE) in this patient?
a. Ensure that patient uses supplemental oxygen.
b. Prevent deep vein thrombosis formation.
c. Check hematocrit and hemoglobin levels frequently during the postoperative period.
d. Promote aggressive fluid intake.
b. Prevent deep vein thrombosis formation.
Rationale: PE most commonly results from embolization of a clot from deep venous
thrombosis (DVT) involving the lower leg; thus preventing these will help prevent pulmonary
emboli.
A 50-year-old male with a 30-year history of smoking was diagnosed with lung cancer. He was
previously exposed to air pollution, asbestos, and radiation at his job. Which of the following
should the nurse realize had the greatest impact on the development of his cancer?
a. Radiation
b. Cigarette smoke
c. Asbestos
d. Air pollution
b. Cigarette smoke
A+ TEST BANK 3
, APEA Pathophysiology Exam
A 60-year-old male with a 40-year history of smoking presents with chest pain, cough, sputum
production, and pneumonia. Tests reveal widespread metastatic cancer, and the primary care
provider plans radiation therapy. Which of following is the most likely type of cancer to be
documented on the chart?
a. Adenoma
b. Non-small cell carcinoma
c. Small cell carcinoma
d. Basal cell carcinoma
b. Non-small cell carcinoma
Rationale: For individuals with non-small cell carcinoma, adjunctive radiation and
chemotherapy may improve outcomes.
Which of the following assessment findings would be expected in pulmonary embolism (PE)?
(Select all that apply.)
a. Chest pain
b. Tachycardia
c. Tachypnea
d. Fever
e. Hemoptysis
A, B, C, D, E
Rationale: An individual with PE usually presents with the sudden onset of pleuritic chest pain,
dyspnea, tachypnea, tachycardia, and unexplained anxiety. Occasionally syncope (fainting) or
hemoptysis occurs. With large emboli, a pleural friction rub, pleural effusion, fever, and
leukocytosis may be noted. Recurrent small emboli may not be detected until progressive
incapacitation, precordial pain, anxiety, dyspnea, and right ventricular enlargement are
exhibited. Massive occlusion causes severe pulmonary hypertension and shock.
A+ TEST BANK 4
APEA Pathophysiology Exam 3 STUDYGUIDE
(3 IN ONE DOCUMENT) latest ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
ANSWERS with DETAILED RATIONALES
GRADED A+ GUARANTEED PASS- ACE YOUR
EXAM
Which of the following patients is at highest risk for developing pulmonary embolism (PE)?
a. 21-year-old male with a hemophilia bleeding disorder
b. 28-year-old woman who had a baby 6 months earlier
c. 36-year-old woman with a history of alcohol abuse who is recovering from a gastric ulcer
d. 72-year-old male who is recovering from hip replacement surgery in the hospital
d. 72-year-old male who is recovering from hip replacement surgery in the hospital
Rationale: The 72-year-old is at risk for immobility and at increased risk for PE.
An 80-year-old female is in the hospital for a bone fracture. While there she develops a large,
nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to
pulmonary blood flow?
a. Pulmonary hypertension
b. Systemic hypertension
A+ TEST BANK 1
, APEA Pathophysiology Exam
c. Pulmonary edema
d. Risk of cerebral emboli
a. Pulmonary hypertension
Rationale: Significant obstruction of the pulmonary vasculature leads to increased pulmonary
artery pressures (pulmonary hypertension).
The pressure is in the pulmonary bed; it is not systemic.
Pulmonary edema occurs secondary to heart failure.
Pulmonary emboli obstruct blood flow in the pulmonary vasculature, they do not increase the
risk of cerebral emboli.
When a patient has a massive pulmonary embolism (PE), what complications will the nurse
monitor for?
a. Damage to the lung microcapillaries
b. Chronic obstructive pulmonary disease (COPD)
c. Disseminated intravascular coagulation (DIC)
d. Shock and death
d. Shock and death
A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following
symptoms most likely occurred before treatment?
a. Dry cough and inspiratory crackles
b. Shallow respirations and wheezing
c. Chest pain and shortness of breath
d. Kussmaul respirations and back pain
A+ TEST BANK 2
, APEA Pathophysiology Exam
c. Chest pain and shortness of breath
Rationale: An individual with PE usually presents with the sudden onset of pleuritic chest pain,
dyspnea, tachypnea, tachycardia, and unexplained anxiety.
A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing
measures would be most effective for preventing pulmonary embolism (PE) in this patient?
a. Ensure that patient uses supplemental oxygen.
b. Prevent deep vein thrombosis formation.
c. Check hematocrit and hemoglobin levels frequently during the postoperative period.
d. Promote aggressive fluid intake.
b. Prevent deep vein thrombosis formation.
Rationale: PE most commonly results from embolization of a clot from deep venous
thrombosis (DVT) involving the lower leg; thus preventing these will help prevent pulmonary
emboli.
A 50-year-old male with a 30-year history of smoking was diagnosed with lung cancer. He was
previously exposed to air pollution, asbestos, and radiation at his job. Which of the following
should the nurse realize had the greatest impact on the development of his cancer?
a. Radiation
b. Cigarette smoke
c. Asbestos
d. Air pollution
b. Cigarette smoke
A+ TEST BANK 3
, APEA Pathophysiology Exam
A 60-year-old male with a 40-year history of smoking presents with chest pain, cough, sputum
production, and pneumonia. Tests reveal widespread metastatic cancer, and the primary care
provider plans radiation therapy. Which of following is the most likely type of cancer to be
documented on the chart?
a. Adenoma
b. Non-small cell carcinoma
c. Small cell carcinoma
d. Basal cell carcinoma
b. Non-small cell carcinoma
Rationale: For individuals with non-small cell carcinoma, adjunctive radiation and
chemotherapy may improve outcomes.
Which of the following assessment findings would be expected in pulmonary embolism (PE)?
(Select all that apply.)
a. Chest pain
b. Tachycardia
c. Tachypnea
d. Fever
e. Hemoptysis
A, B, C, D, E
Rationale: An individual with PE usually presents with the sudden onset of pleuritic chest pain,
dyspnea, tachypnea, tachycardia, and unexplained anxiety. Occasionally syncope (fainting) or
hemoptysis occurs. With large emboli, a pleural friction rub, pleural effusion, fever, and
leukocytosis may be noted. Recurrent small emboli may not be detected until progressive
incapacitation, precordial pain, anxiety, dyspnea, and right ventricular enlargement are
exhibited. Massive occlusion causes severe pulmonary hypertension and shock.
A+ TEST BANK 4
