2023 NR 507 MIDTERM WEEK 4 ACTUAL EXAM 1
– QUESTIONS AND ANSWERS
1. A 10 year old male is stung by a bee while playing in the yard. He experiences a severe allergic
reaction and has to go to the ER. The nurse providing care realizes this reaction is the result of:
a. IgE
2. Chronic bronchitis is characterized by:
. Right ventricular hypertrophy
3. A 6 year old female is diagnosed with a bacterial infection of the respiratory system. Which of
the following will most likely try to fight the antigen?
. Antibodies
4. A 52 year old male is diagnosed with urinary tract obstruction. While designing the treatment
plan, the nurse realizes that the patient is expected to have hydronephrosis and a decreased
glomerular filtration rate caused by:
. Dilation of the renal pelvis and calyces proximal to a blockage
5. Which hormone is synthesized and secreted by the kidneys to stimulate bone marrow
production of red blood cells?
. Erythropoietin
6. A 4 year old male is diagnosed with nephrotic syndrome. Which of the following assessment
findings accompanies this condition?
. Proteinuria
7. During which stage of human development does the role of epigenetics have the greatest
impact on the development of epigenetic abnormalities?
. In utero
8. Under most circumstances, increased work of breathing results in:
. Oxygenated blood is transported from the lungs to the heart via the pulmonary veins
9. The renin-angiotensin system will be activated by:
. Decreased blood pressure in the afferent arterioles
10. A nurse realizes glucose will be excreted in the urine when:
. The carrier molecules have reached their maximum
11. The FNP is giving an example of inflammation as an etiology for cancer development. What is
the best example the FNP should give?
. Ulcerative colitis and colon cancer
, 12. Which type of nephron determines the concentration of the urine?
. Juxtamedullary
13. A 22 year old was recently diagnosed with acquired immunodeficiency syndrome (AIDS). Which
decreased lab finding would be expected to accompany this virus?
. CD4 + T-helper
14. What type of phagocytic cell lies between the layers of the renal capillaries?
. Mesangial cells
15. A 35 year old hypertensive male begins taking a diuretic. Which of the following common side
effects of this medication should the nurse monitor?
. Hypokalemia
16. The movement of blood info and out of the capillary beds of the lungs to the body tissues and
cells describes the process of:
. Perfusion
17. Which of the following terms should the nurse use when there is a balance between outward
recoil of the chest wall and inward recoil of lungs at rest?
. Functional residual capacity (FRC) is reached
18. Upon examination of the male infant, it is determined that the urethral meatus is located
undersurface of the penis. The nurse will document this condition as:
. Hypospadias
19. If the FNP wants to obtain the best estimate of renal function, which test should the nurse
monitor?
. Glomerular filtration rate (GFR)
20. A 54 year old male with a long history of smoking complains of excessive tiredness, shortness of
breath, and overall ill feelings. Lab results reveal decreased pH, increased CO2, and normal
bicarbonate ion. These findings help to confirm the diagnosis of:
. Respiratory acidosis
21. A 5 year old male presents with low-set ears, a fish-shaped mouth, and involuntary rapid
muscular contraction. Laboratory testing reveals decreased calcium levels. Which of the
following diagnosis is most likely?
. T-lymphocyte deficiency
22. When the FNP is checking the urinalysis, plasma proteins should be absent from the urine
because:
. The negative charge of the glomerular filtration membrane repels the plasma proteins
23. A 55 year old female reports urinary retention. Tests reveal a lower urinary tract obstruction.
Which of the following is of most concern to the nurse?
– QUESTIONS AND ANSWERS
1. A 10 year old male is stung by a bee while playing in the yard. He experiences a severe allergic
reaction and has to go to the ER. The nurse providing care realizes this reaction is the result of:
a. IgE
2. Chronic bronchitis is characterized by:
. Right ventricular hypertrophy
3. A 6 year old female is diagnosed with a bacterial infection of the respiratory system. Which of
the following will most likely try to fight the antigen?
. Antibodies
4. A 52 year old male is diagnosed with urinary tract obstruction. While designing the treatment
plan, the nurse realizes that the patient is expected to have hydronephrosis and a decreased
glomerular filtration rate caused by:
. Dilation of the renal pelvis and calyces proximal to a blockage
5. Which hormone is synthesized and secreted by the kidneys to stimulate bone marrow
production of red blood cells?
. Erythropoietin
6. A 4 year old male is diagnosed with nephrotic syndrome. Which of the following assessment
findings accompanies this condition?
. Proteinuria
7. During which stage of human development does the role of epigenetics have the greatest
impact on the development of epigenetic abnormalities?
. In utero
8. Under most circumstances, increased work of breathing results in:
. Oxygenated blood is transported from the lungs to the heart via the pulmonary veins
9. The renin-angiotensin system will be activated by:
. Decreased blood pressure in the afferent arterioles
10. A nurse realizes glucose will be excreted in the urine when:
. The carrier molecules have reached their maximum
11. The FNP is giving an example of inflammation as an etiology for cancer development. What is
the best example the FNP should give?
. Ulcerative colitis and colon cancer
, 12. Which type of nephron determines the concentration of the urine?
. Juxtamedullary
13. A 22 year old was recently diagnosed with acquired immunodeficiency syndrome (AIDS). Which
decreased lab finding would be expected to accompany this virus?
. CD4 + T-helper
14. What type of phagocytic cell lies between the layers of the renal capillaries?
. Mesangial cells
15. A 35 year old hypertensive male begins taking a diuretic. Which of the following common side
effects of this medication should the nurse monitor?
. Hypokalemia
16. The movement of blood info and out of the capillary beds of the lungs to the body tissues and
cells describes the process of:
. Perfusion
17. Which of the following terms should the nurse use when there is a balance between outward
recoil of the chest wall and inward recoil of lungs at rest?
. Functional residual capacity (FRC) is reached
18. Upon examination of the male infant, it is determined that the urethral meatus is located
undersurface of the penis. The nurse will document this condition as:
. Hypospadias
19. If the FNP wants to obtain the best estimate of renal function, which test should the nurse
monitor?
. Glomerular filtration rate (GFR)
20. A 54 year old male with a long history of smoking complains of excessive tiredness, shortness of
breath, and overall ill feelings. Lab results reveal decreased pH, increased CO2, and normal
bicarbonate ion. These findings help to confirm the diagnosis of:
. Respiratory acidosis
21. A 5 year old male presents with low-set ears, a fish-shaped mouth, and involuntary rapid
muscular contraction. Laboratory testing reveals decreased calcium levels. Which of the
following diagnosis is most likely?
. T-lymphocyte deficiency
22. When the FNP is checking the urinalysis, plasma proteins should be absent from the urine
because:
. The negative charge of the glomerular filtration membrane repels the plasma proteins
23. A 55 year old female reports urinary retention. Tests reveal a lower urinary tract obstruction.
Which of the following is of most concern to the nurse?
