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Nursing Pathophysiology Final Review Exams – Verified Questions and Answers Comprehensive Study

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This comprehensive study guide reviews the major pathophysiology concepts commonly tested on nursing final examinations, including cellular adaptations, inflammation, immune function, fluid and electrolyte balance, acid-base disorders, cardiovascular, respiratory, renal, endocrine, neurologic, gastrointestinal, and hematologic conditions. It contains verified practice questions with detailed answers to strengthen clinical reasoning, reinforce disease mechanisms, and support comprehensive final exam preparation. The material is organized for efficient review and aligns with the foundational concepts emphasized in nursing pathophysiology courses.

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Institution
NURSING PATHOPHYSIOLOGY
Course
NURSING PATHOPHYSIOLOGY

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NURSING PATHOPHYSIOLOGY FINAL
REVIEW EXAMS WITH VERIFIED
QUESTIONS AND ANSWERS
While viewing the electrocardiogram, the nurse recalls the _____ conducts action

potentials down the atrioventricular septum. - ANSWER-Bundle of His



Which of the following patient would be most prone to metabolic acidosis? A patient with: - ANSWER-
Diabetes whose glucoses are uncontrolled



A 76-year-old patient had the following arterial blood gas sample after his stomach surgery in

which his gastric content and fluid were removed: pH 7.55, PCO2 50, HCO3 35. What acidbase

imbalance is most likely in this patient? - ANSWER-Metabolic alkalosis, compensating



A 50-year-old male visits the cardiologist for an EKG. Results indicate that he has no

PR interval and a variable QRS rate with rhythm irregularity. Which of the following is

the most likely diagnosis to be recorded on the chart? - ANSWER-Atrial fibrillation



A 65-year-old male is transported to the ER for chest pain. An electrocardiogram

reveals a prolonged QRS interval. What is the nurse monitoring when the nurse

observes the QRS complex on the electrocardiogram? The QRS complex reflects: - ANSWER-Ventricular
activity



Which is one of the acid/base conditions that would cause the nurse to monitor for hyperkalemia? -
ANSWER-metabolic acidosis

,A 20-year-old male is in acute pain with restlessness and anxiety. An arterial blood gas

reveals decreased carbon dioxide (CO2) levels. Which of the following does the nurse

suspect is the most likely cause? - ANSWER-hyperventilation



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 34-year-old was diagnosed with malignant tumor (cancer). The nurse teaches the patient

about malignant cells. Which of the following is most appropriate explanation when describing

malignant cells? - ANSWER-Malignant cells are dysplastic cells and are irreversible



A characteristic of a malignant tumor includes that it: - ANSWER-can spread far from the tissue of origin



A 25-year-old male develops cancer of the breast glandular tissue. What type of cancer does he

have? - ANSWER-adenocarcinoma



When planning care for a cardiac patient, the nurse knows that in response to an increased

workload, cardiac myocardial cells will: - ANSWER-Increase in size



The term apoptosis is appropriately defined as: - ANSWER-programmed cell death



A report comes back indicating that muscular atrophy has occurred. A nurse recalls that

muscular atrophy involves a decrease in muscle cell - ANSWER-size

, A nursing student is studying about cancer and the associated risks for cancer. The instructor

knows the student understands cancer when which of the following are associated risks for

cancer? - ANSWER--Epstein-Barr virus (EBV)

-hepatitis C virus (HCV)

-hepatitis B virus (HBV)

-human papillomavirus (HPV)



A primary care provider is attempting to diagnose cancer and is looking for a tumor marker.

Which of the following could be a possible marker? - ANSWER-Enzymes



A 30-year-old homeless was seen in the emergency room with productive cough of bloodtinged

sputum. His chest x-ray showed granulomatous disease. Upon further questioning, he

was found to have had tuberculosis (TB) in distant past. TB infections are likely to result in

which of the following forms of necrosis? - ANSWER-caseous



When discussing body fluid, it is correct to state that: - ANSWER-Two-thirds of the body's water is
intracellular.



Rationale: One-third is extracellular. There are two components of the extracellular compartment:
interstitial and intravascular. Total body water is about 60% of body weight.



Which of the following statements is TRUE? When discussing body fluid movement, it is correct to state
that:

A) Potassium is the most abundant extracellular fluid (ECF) ion.

B) Sodium maintains the osmotic balance of the intracellular fluid (ICF) space.

C) Water moves freely across membranes.

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Institution
NURSING PATHOPHYSIOLOGY
Course
NURSING PATHOPHYSIOLOGY

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Number of pages
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Written in
2025/2026
Type
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