Test Bank For Applied Pathophysiology for the Advanced Practice Nurse, First EditionLucie Dlugasch, Lachel Story

Test Bank For Applied Pathophysiology for the Advanced Practice Nurse, First EditionLucie Dlugasch, Lachel Story.Chapter 3 Assessment Quiz Import Settings: Base Settings: Brownstone Default Information Field: Complexity Information Field: Ahead Information Field: Subject Information Field: Title Information Field: Feedback Information Field: Taxonomy Information Field: Objective Highest Answer Letter: E Multiple Keywords in Same Paragraph: No NAS ISBN13: 9781284182903, add to Ahead, Title tags Chapter: Chapter 03 - Quiz Multiple Choice 1. Which of the following coenzymes is(are) necessary for normal red blood cell nuclear maturation and DNA synthesis pathway? A) Vitamin D B) Folate C) Calcium D) Vitamin B12 (cobalamin) E) Both folate and vitamin B12 (cobalamin) Ans: E Complexity: Easy Ahead: Hematopoietic System Subject: Chapter 3 Title: Hematopoietic Function 2. von Willebrand factor is directly involved in: A) platelet adhesion and aggregation. B) platelet production. C) formation of the fibrin clot. D) clot dissolution. Ans: A Complexity: Easy Ahead: Hematopoietic System Subject: Chapter 3 Title: Hematopoietic Function 3. __________ are two important cofactors necessary in the coagulation cascade. A) Fibrinogen and von Willebrand factor B) Thromboxane A2 and calcium C) Fibrin and thrombin Test Bank For Applied Pathophysiology for the Advanced Practice Nurse, First EditionLucie Dlugasch, Lachel Story Chapter 3 Assessment Quiz D) Fibrinogen and calcium Ans: D Complexity: Easy Ahead: Hematopoietic System Subject: Chapter 3 Title: Hematopoietic Function 4. A 50-year-old man is having an acute myocardial infarction and will be administered recombinant tissue plasminogen activator (t-PA). The medication activates plasminogen in order to: A) decrease platelet adhesion. B) increase clotting time. C) promote fibrinolysis. D) promote coronary vasodilation. Ans: C Complexity: Easy Ahead: Hematopoietic System Subject: Chapter 3 Title: Hematopoietic Function 5. A 25-year-old woman comes in complaining of night sweats and at times gets chills. She is losing weight unintentionally. She has no other complaints. A lymph node in her neck that measures 3 cm and is painless is palpated. The most likely diagnosis is: A) non-Hodgkin lymphoma. B) Hodgkin lymphoma. C) Burkitt lymphoma. D) multiple myeloma. Ans: B Complexity: Moderate Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 6. In Hodgkin lymphoma, B cells can become defective as a result of: A) T-cell inactivation of B cells. B) premature apoptosis due to lack of differentiation. C) errors in immunoglobulin gene arrangements. D) enhanced conversion into plasma B memory cells. Ans: C Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 7. A 30-year-old man is complaining of cough, difficulty breathing, and fatigue that he has had for about a month. The cough is nonproductive and he denies fever. He attributes his symptoms to his asthma, which he had as a child. He borrowed an inhaler like he would use for his asthma but he states it doesn’t seem to be working. A chest X-ray reveals a mediastinal mass and mediastinal nodes. Based on these findings, which type of cancer is the most likely diagnosis? A) Hodgkin lymphoma Chapter 3 Assessment Quiz B) Non-Hodgkin lymphoma C) Myelodysplastic syndrome D) Ewing sarcoma Ans: A Complexity: Difficult Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 8. Which of the following is a characteristic of non-Hodgkin lymphoma in comparison to Hodgkin lymphoma? A) It accounts for only 10% of all lymphomas. B) Reed-Sternberg cells are generally present. C) Multiple lymph nodes are usually involved. D) Incidence is higher in young adults. Ans: C Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 9. A mother brings in her 7-year-old son for an evaluation. The mother states her son has not been eating well. When questioned, the boy states he is not eating because he feels “bumps” in his neck and like his face is getting big. The mother notes that his face looks different. The family just moved from Africa. The vital signs are normal and his height and weight are appropriate for his age. Physical exam findings are unremarkable except for enlarged tonsils and asymmetrical facial bone distortion and nontender, enlarged lymph nodes palpated in his head and neck region. Based on these findings, which type of childhood lymphoma is the most likely diagnosis? A) Burkitt lymphoma B) Large-cell lymphoma C) Lymphoblastic lymphoma D) Hodgkin lymphoma Ans: A Complexity: Difficult Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 10. Abnormal immunoglobulins known as M proteins and free light chains produced by plasma cells are characteristic of: A) non-Hodgkin lymphoma. B) multiple myeloma. C) myelodysplastic syndrome. D) acute myelogenous leukemia. Ans: B Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function Chapter 3 Assessment Quiz 11. Most lymphomas arise in: A) T cells. B) Reed-Sternberg cells. C) B cells. D) NK cells. Ans: C Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 12. A 66-year-old black man comes in complaining of back pain. Diagnostic tests are done and include an X-ray, a complete blood count with differential, and a comprehensive metabolic panel (e.g., glucose, potassium, calcium, albumin). Which findings are consistent with multiple myeloma? A) Hypocalcemia B) High platelet level C) High neutrophil count D) Diffuse well-defined “punched out” lytic lesions Ans: D Complexity: Moderate Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 13. A patient with myelodysplastic syndrome is at risk for the development of which of the following types of hematologic cancer? A) Acute myelogenous leukemia B) Acute lymphocytic leukemia C) Multiple myeloma D) Chronic lymphocytic leukemia Ans: A Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 14. Which chromosomal abnormality is commonly associated with chronic myelogenous leukemia? A) Nondisjunction of chromosome 21 B) Defects in the TP53 tumor suppressor gene C) Inversion at chromosome 22 D) Translocation of chromosome 9 and 22 leading to a fusion protein known as BCR-ABL Ans: D Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function Chapter 3 Assessment Quiz 15. Abnormalities in which immature precursor leukocyte cells are associated with leukemia are known as: A) bands. B) blasts. C) reticulocytes. D) granulocytes. Ans: B Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 16. A 5-year-old child is brought in by his parents who report that she has not been eating well, and they think she is losing weight even though her belly looks bloated. They also noticed that she is limping when she walks. Physical examination reveals a pale, quiet girl. Small bruises are noted on her shins and upper arms. Her heart sounds and lung sounds are normal. She has hepatomegaly and splenomegaly. The remainder of the exam is normal. Which type of hematologic cancer should be suspected? A) Acute lymphoblastic leukemia B) Acute myelogenous leukemia C) Myeloblastic syndrome D) Non-Hodgkin lymphoma Ans: A Complexity: Moderate Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 17. Iron-deficiency anemia is characterized by red blood cells that are: A) normocytic and normochromic. B) microcytic and hypochromic. C) macrocytic and normochromic. D) microcytic and normochromic. Ans: B Complexity: Easy Ahead: Diseases of the Red Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 18. A 60-year-old woman is diagnosed with iron deficiency anemia. The transferrin level is high with this type of anemia because: A) the microcytic RBCs are defective. B) there is not enough iron to bind. C) the body is trying to deliver more iron. D) more iron is stored. Ans: C Complexity: Easy Chapter 3 Assessment Quiz Ahead: Diseases of the Red Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 19. A 5-year-old male child has a bleeding disease that is characterized by areas of hemorrhage in the joints and muscles after minor injuries. Laboratory tests reveal a deficiency of a coagulation factor active in the early phase of blood coagulation (formation of intrinsic thromboplastin). What is the most likely diagnosis? A) Thrombocytopenia B) Hemophilia C) Disseminated intravascular coagulation syndrome D) Protein C deficiency Ans: B Complexity: Moderate Ahead: Diseases of Coagulation or Hemostasis Subject: Chapter 3 Title: Hematopoietic Function 20. A 55-year-old woman has a hypochromic, microcytic anemia. The most likely cause is: A) vitamin B12 or folic acid deficiency. B) hemolysis of red blood cells due to autoantibodies. C) iron deficiency resulting from chronic gastrointestinal blood loss. D) replacement of bone marrow by metastatic tumor. Ans: C Complexity: Moderate Ahead: Diseases of the Red Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 21. Which of the following is a common feature of all forms of leukemia? A) Reduction in leukocytes leading to bone marrow destruction B) Proliferation of malignant lymphocytes altering leukocyte production C) Tumor cell masses in the bone marrow that usually result in bone destruction D) Uncontrolled proliferation of malignant leukocytes causing an overcrowding of bone marrow and abnormal hematopoiesis Ans: D Complexity: Easy Ahead: Diseases of the White Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 22. A patient is diagnosed with a vitamin B12 deficiency. What dietary recommendations should be made to increase his B12 levels? A) Increase red meat consumption. B) Consume more lactose free products. C) Increase vegetable and reduce meat consumption. D) Increase fiber consumption. Chapter 3 Assessment Quiz Ans: A Complexity: Easy Ahead: Diseases of the Red Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 23. Parents just learned that their infant son has sickle cell anemia based on newborn screening. They want to know what kind of symptoms he might get from the disease. What would the parents be told? A) Symptoms at first usually consists of low back pain. B) Your baby’s hands and feet may swell. C) Your baby may become insensitive to pain. D) Your baby may develop a heart murmur. Ans: B Complexity: Easy Ahead: Diseases of the Red Blood Cells Subject: Chapter 3 Title: Hematopoietic Function 24. Which of the following triggers can precipitate a sickle cell crisis? A) Fever B) Overhydration C) Dehydration D) Stress E) Fever, dehydration, and stress Ans: E Complexity: Easy Ahead: Diseases of the Red Blood Cells Subject: Chapter 3 Title: Hematopoietic Function True/False 1. True or False? Large amounts of folic acid are stored in the body for long periods of time. Ans: False Complexity: Easy Ahead: Hematopoietic System Subject: Chapter 3 Title: Hematopoietic Function Chapter 4 Assessment Quiz Import Settings: Base Settings: Brownstone Default Information Field: Complexity Information Field: Ahead Information Field: Subject Information Field: Title Information Field: Feedback Information Field: Taxonomy Information Field: Objective Highest Answer Letter: E Multiple Keywords in Same Paragraph: No NAS ISBN13: 9781284182903, add to Ahead, Title tags Chapter: Chapter 04 - Quiz Multiple Choice 1. Cardiac cells are able to generate an impulse to contract even without an external stimulus. This is called: A) excitability. B) action potential. C) automaticity. D) chronotropic effect. Ans: C Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 4 Title: Cardiovascular Function 2. On an electrocardiogram (EKG), the P wave represents: A) atrial depolarization. B) ventricular depolarization. C) atrial repolarization. D) ventricular repolarization. Ans: A Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 4 Title: Cardiovascular Function 3. The QRS wave of an electrocardiogram (EKG) is produced by: A) depolarization of the atria. B) repolarization of the atria. C) depolarization of the ventricles. D) repolarization of the ventricles. Chapter 4 Assessment Quiz Ans: C Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 4 Title: Cardiovascular Function 4. Stimulation of alpha receptors results in: A) vasoconstriction (alpha 1) and vasodilation (alpha 2). B) vasodilation (alpha 1) and vasoconstriction (alpha 2). C) bronchodilation and increased heart rate. D) increased heart rate (alpha 1) and increased contractility (alpha 2). Ans: A Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 4 Title: Cardiovascular Function