Pathophysiology Midterm Study Guide Questions
with 100% Verified Correct Answers
During a patient's admission assessment prior to reduction mammoplasty surgery, the nurse notes a
reference to a Leiden mutation in the patient's history. The nurse would recognize the patient's
increased rick for:
A. Hemorrhage
B. Myocardial Infarction
C. Hemophilia A or B
D. Deep vein thrombosis - Correct Answer D
A 69-year-old patient who is obese and has a diagnosis of angina pectoris has been prescribed
clopidogrel (Plavix) by his PCP. The patient's medication achieves its therapeutic effect in which of the
following ways?
A. Prevention of platelet aggregation
B. Activation of plasminogen
C. Inhibition of the intrinsic clotting pathway
D. Deactivation of factor X - Correct Answer A
Which of the following patients likely faces the highest risk of an acquired hypocoagulation disorder
and vitamin K deficiency?
A. A patient who has a diagnosis of liver failure secondary to alcohol abuse
B. A patient who has chronic renal failure as a result of type 1 diabetes mellitus
C. A patient who is immunocompromised as a result of radiation therapy for the treatment of lung
cancer
D. A patient with dehydration and hypokalemia that have resulted from Clostridium difficile-
associated diarrhea - Correct Answer A
Increased platelet function, and the consequent hypercoagulability, can be caused by:
A. Factor V mutation
B. platelet sensitivity
C. Vascular wall damage
D. Decreased platelet numbers - Correct Answer C
, Immune thrombocytopenia (ITP) is a/an ___________ disorder that destroys _______.
A. allergic; fibrinogen
B. Alloimmune; factor VIII
C. Autoimmune; platelets
D. Immunoglobulin; B cells - Correct Answer C
A patient has acidosis that is suspected to be respiratory in etiology. Which of the following is the
major cause of acute respiratory acidosis?
A. Decreased CO2 retention
B. Increased metabolic acids
C. Renal bicarbonate retention
D. Impaired alveolar ventilation - Correct Answer D
The syndrome of inappropriate ADH is characterized by:
A. increased osmolarity
B. Excessive water thirst
C. Copious dilute urination
D. Dilutional hyponatremia - Correct Answer D
A health care provider who is caring for a patient with a diagnosis of diabetes insipidus should
prioritize the close monitoring of serum levels of which of the following electrolytes?
A. Potassium
B. Sodium
C. Magnesium
D. Calcium - Correct Answer B
Hypoparathyroidism causes hypocalcemia by:
A. Increasing serum magnesium
B. Increasing phosphate excretion
C. Blocking bone release of calcium
D. Blocking action of intestinal vitamin D - Correct Answer C
with 100% Verified Correct Answers
During a patient's admission assessment prior to reduction mammoplasty surgery, the nurse notes a
reference to a Leiden mutation in the patient's history. The nurse would recognize the patient's
increased rick for:
A. Hemorrhage
B. Myocardial Infarction
C. Hemophilia A or B
D. Deep vein thrombosis - Correct Answer D
A 69-year-old patient who is obese and has a diagnosis of angina pectoris has been prescribed
clopidogrel (Plavix) by his PCP. The patient's medication achieves its therapeutic effect in which of the
following ways?
A. Prevention of platelet aggregation
B. Activation of plasminogen
C. Inhibition of the intrinsic clotting pathway
D. Deactivation of factor X - Correct Answer A
Which of the following patients likely faces the highest risk of an acquired hypocoagulation disorder
and vitamin K deficiency?
A. A patient who has a diagnosis of liver failure secondary to alcohol abuse
B. A patient who has chronic renal failure as a result of type 1 diabetes mellitus
C. A patient who is immunocompromised as a result of radiation therapy for the treatment of lung
cancer
D. A patient with dehydration and hypokalemia that have resulted from Clostridium difficile-
associated diarrhea - Correct Answer A
Increased platelet function, and the consequent hypercoagulability, can be caused by:
A. Factor V mutation
B. platelet sensitivity
C. Vascular wall damage
D. Decreased platelet numbers - Correct Answer C
, Immune thrombocytopenia (ITP) is a/an ___________ disorder that destroys _______.
A. allergic; fibrinogen
B. Alloimmune; factor VIII
C. Autoimmune; platelets
D. Immunoglobulin; B cells - Correct Answer C
A patient has acidosis that is suspected to be respiratory in etiology. Which of the following is the
major cause of acute respiratory acidosis?
A. Decreased CO2 retention
B. Increased metabolic acids
C. Renal bicarbonate retention
D. Impaired alveolar ventilation - Correct Answer D
The syndrome of inappropriate ADH is characterized by:
A. increased osmolarity
B. Excessive water thirst
C. Copious dilute urination
D. Dilutional hyponatremia - Correct Answer D
A health care provider who is caring for a patient with a diagnosis of diabetes insipidus should
prioritize the close monitoring of serum levels of which of the following electrolytes?
A. Potassium
B. Sodium
C. Magnesium
D. Calcium - Correct Answer B
Hypoparathyroidism causes hypocalcemia by:
A. Increasing serum magnesium
B. Increasing phosphate excretion
C. Blocking bone release of calcium
D. Blocking action of intestinal vitamin D - Correct Answer C
