1|Page
MN551 MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||JUST OUT!!!
Which of the following patients on a medical unit of a hospital
is most likely to be experiencing health problems that may be
attributable to kidney disease? - ANSWER-An 81-year-old
female patient with osteoporosis and anemia
A 68-year-old woman with a new onset of vascular dementia
has recently begun retaining urine. Which of the following
physiological phenomena would her care providers most
realistically expect to be currently occurring as a result of her
urinary retention? - ANSWER-Hypertrophy of the bladder
muscle and increased bladder wall thickness
A 4-year-old boy who has been deaf since birth and has bilateral
cataracts has been brought to the emergency department by
his mother because she noticed blood in the toilet after he last
voided. Urinalysis confirms heavy microscopic hematuria as well
as proteinuria. What will the care team's initial differential
diagnosis most likely be? - ANSWER-Alport syndrome
A 31-year-old patient with a diagnosis of end-stage liver failure
has been admitted to the intensive care unit of a hospital.
Arterial blood gas sampling indicates that the man has an acid-
,2|Page
base imbalance. Which of the following situations is most likely
to result in an inappropriate pH? - ANSWER-Low albumin and
plasma globulin levels
Which of the following individuals are displaying identified risk
factors for the development of lower urinary tract obstruction?
- ANSWER-A 68-year-old man who has been diagnosed with
benign prostatic hyperplasia (BPH)
A patient is brought to the emergency department with
complaints of shortness of breath. Assessment reveals a full,
bounding pulse, severe edema, and audible crackles in the
lower lung fields bilaterally. What is the patient's most likely
diagnosis? - ANSWER-Fluid volume excess
A 61-year-old woman who has had an upper respiratory
infection for several weeks has presented to her nurse
practitioner with complaints of a recent onset of urinary
retention. She reveals to her nurse practitioner that she has
been taking over-the-counter cold medications at higher than
the suggested dose for the past two weeks. Which of the
following phenomena will her nurse practitioner most likely
suspect is contributing to her urinary retention? - ANSWER-The
anticholinergic effects of the medication are impairing normal
bladder function.
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Following several days in an acidotic state, a hospital patient
has returned to the desired pH. Which of the following
processes could have contributed to the resolution of the
patient's health problem? - ANSWER-Phosphate and ammonia
buffer systems in the renal tubules
An 81-year-old female has long-standing hypocalcemia
secondary to kidney disease and will shortly be moving into an
assisted living facility from her own apartment. Which of the
following findings should staff at the facility be instructed to
observe for? - ANSWER-Muscular spasms and complaints of
cramps
A 25-year-old Asian American man arrives at the emergency
department in a panic. Except for a bout with bronchitis a week
earlier, he has been healthy his entire life; today he has blood in
his urine. What is the most likely cause of his hematuria and
how should it be treated? - ANSWER-His immunoglobulin A
(IgA) nephropathy has no known effective treatments.
Which of the following individuals is at the highest risk for
developing a urinary tract infection (UTI)? - ANSWER-A 30-year-
old obese woman with poorly controlled diabetes mellitus
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A 22-year-old female with a history of intermittent flank pain,
repeated UTIs, and hematuria has been diagnosed with
autosomal dominant polycystic kidney disease (ADPKD). Which
of the following phenomena has most likely contributed to the
development of her health problem? - ANSWER-She has
inherited a tendency for epithelial cell in her tubules to
proliferate inappropriately.
A nurse educator is orientating new nurses to a renal unit of a
hospital. Which of the following teaching points should the
nurse include as part of a review of normal glomerular
function? - ANSWER-"Glomerular filtrate is very similar in
composition to blood plasma found elsewhere in circulation."
Which of the following statements best captures an aspect of
the process of fat digestion and absorption? - ANSWER-Simple
forms of fats are absorbed in the upper jejunum.
Chronic anxiety and stress contribute to ulcers. Which of the
following effects of the sympathetic nervous system is most
responsible for this effect? - ANSWER-Inhibition of the actions
of Brunner glands
MN551 MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||JUST OUT!!!
Which of the following patients on a medical unit of a hospital
is most likely to be experiencing health problems that may be
attributable to kidney disease? - ANSWER-An 81-year-old
female patient with osteoporosis and anemia
A 68-year-old woman with a new onset of vascular dementia
has recently begun retaining urine. Which of the following
physiological phenomena would her care providers most
realistically expect to be currently occurring as a result of her
urinary retention? - ANSWER-Hypertrophy of the bladder
muscle and increased bladder wall thickness
A 4-year-old boy who has been deaf since birth and has bilateral
cataracts has been brought to the emergency department by
his mother because she noticed blood in the toilet after he last
voided. Urinalysis confirms heavy microscopic hematuria as well
as proteinuria. What will the care team's initial differential
diagnosis most likely be? - ANSWER-Alport syndrome
A 31-year-old patient with a diagnosis of end-stage liver failure
has been admitted to the intensive care unit of a hospital.
Arterial blood gas sampling indicates that the man has an acid-
,2|Page
base imbalance. Which of the following situations is most likely
to result in an inappropriate pH? - ANSWER-Low albumin and
plasma globulin levels
Which of the following individuals are displaying identified risk
factors for the development of lower urinary tract obstruction?
- ANSWER-A 68-year-old man who has been diagnosed with
benign prostatic hyperplasia (BPH)
A patient is brought to the emergency department with
complaints of shortness of breath. Assessment reveals a full,
bounding pulse, severe edema, and audible crackles in the
lower lung fields bilaterally. What is the patient's most likely
diagnosis? - ANSWER-Fluid volume excess
A 61-year-old woman who has had an upper respiratory
infection for several weeks has presented to her nurse
practitioner with complaints of a recent onset of urinary
retention. She reveals to her nurse practitioner that she has
been taking over-the-counter cold medications at higher than
the suggested dose for the past two weeks. Which of the
following phenomena will her nurse practitioner most likely
suspect is contributing to her urinary retention? - ANSWER-The
anticholinergic effects of the medication are impairing normal
bladder function.
,3|Page
Following several days in an acidotic state, a hospital patient
has returned to the desired pH. Which of the following
processes could have contributed to the resolution of the
patient's health problem? - ANSWER-Phosphate and ammonia
buffer systems in the renal tubules
An 81-year-old female has long-standing hypocalcemia
secondary to kidney disease and will shortly be moving into an
assisted living facility from her own apartment. Which of the
following findings should staff at the facility be instructed to
observe for? - ANSWER-Muscular spasms and complaints of
cramps
A 25-year-old Asian American man arrives at the emergency
department in a panic. Except for a bout with bronchitis a week
earlier, he has been healthy his entire life; today he has blood in
his urine. What is the most likely cause of his hematuria and
how should it be treated? - ANSWER-His immunoglobulin A
(IgA) nephropathy has no known effective treatments.
Which of the following individuals is at the highest risk for
developing a urinary tract infection (UTI)? - ANSWER-A 30-year-
old obese woman with poorly controlled diabetes mellitus
, 4|Page
A 22-year-old female with a history of intermittent flank pain,
repeated UTIs, and hematuria has been diagnosed with
autosomal dominant polycystic kidney disease (ADPKD). Which
of the following phenomena has most likely contributed to the
development of her health problem? - ANSWER-She has
inherited a tendency for epithelial cell in her tubules to
proliferate inappropriately.
A nurse educator is orientating new nurses to a renal unit of a
hospital. Which of the following teaching points should the
nurse include as part of a review of normal glomerular
function? - ANSWER-"Glomerular filtrate is very similar in
composition to blood plasma found elsewhere in circulation."
Which of the following statements best captures an aspect of
the process of fat digestion and absorption? - ANSWER-Simple
forms of fats are absorbed in the upper jejunum.
Chronic anxiety and stress contribute to ulcers. Which of the
following effects of the sympathetic nervous system is most
responsible for this effect? - ANSWER-Inhibition of the actions
of Brunner glands
