NURS 6501 / NURS6501 Final Exam Advanced Pathophysiology Latest 2020 Graded A

NURS 6501 Advanced Pathophysiology Final Exam • Question 1 1 out of 1 points A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina? • Question 2 1 out of 1 points A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial: • Question 3 1 out of 1 points A nurse monitors the patient for _____ when rapid onset of malignant hypertension results. • Question 4 1 out of 1 points A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the: • Question 5 1 out of 1 points A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse? • Question 6 1 out of 1 points Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)? • Question 7 1 out of 1 points 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: • Question 8 1 out of 1 points Which of the following patients is at highest risk for developing pulmonary embolism (PE)? • Question 9 1 out of 1 points A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing: • Question 10 1 out of 1 points A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause: • Question 11 1 out of 1 points A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood pressure. The nurse understands this is most likely caused by: • Question 12 1 out of 1 points Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunction? • Question 13 1 out of 1 points Which condition should cause the nurse to assess for high-output failure in a patient? • Question 14 1 out of 1 points A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by: • Question 15 1 out of 1 points A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the: • Question 16 1 out of 1 points A 32-year-old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition? • Question 17 1 out of 1 points A 52-year-old male presents with pooling of blood in the veins of the lower extremities and edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of this disorder is: • Question 18 1 out of 1 points An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing? • Question 19 1 out of 1 points A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage? • Question 20 1 out of 1 points A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of: • Question 21 1 out of 1 points A 30-year-old Caucasian female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis? • Question 22 1 out of 1 points A 60-year-old male is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located? • Question 23 1 out of 1 points When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do? • Question 24 1 out of 1 points Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension. • Question 25 1 out of 1 points A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart? • Question 26 1 out of 1 points A 50-year-old male is diagnosed with orthostatic hypotension. Which of the following symptoms would he most likely experience? • Question 27 1 out of 1 points A 52-year-old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient? • Question 28 1 out of 1 points Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching? • Question 29 1 out of 1 points When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for? • Question 30 1 out of 1 points A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by: • Question 31 • 1 out of 1 points A 50-year-old male is diagnosed with orthostatic hypotension. Which of the following symptoms would he most likely experience? • Question 32 1 out of 1 points A nurse monitors the patient for _____ when rapid onset of malignant hypertension results. • Question 33 1 out of 1 points A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood pressure. The nurse understands this is most likely caused by: • Question 34 1 out of 1 points A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing: • Question 35 out of 1 points A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse? • Question 36 1 out of 1 points A 65-year-old male presents for a routine checkup. A blood pressure check reveals a systolic pressure of 160 mm Hg and a diastolic pressure of 70 mm Hg. Which of the following is the most likely cause of this type of pressure elevation? • Question 37 1 out of 1 points A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina? • Question 38 1 out of 1 points An 80-year-old female is in the hospital for a bone fracture. While there she develops a large, nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow? • Question 39 1 out of 1 points A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by: • Question 40 1 out of 1 points A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage? • Question 41 1 out of 1 points A 50-year-old female presents with a low heart rate and low blood pressure. She is given an intravenous (IV) infusion of fluids. The increase in atrial distension results in: • Question 42 1 out of 1 points When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for? • Question 43 1 out of 1 points 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: • Question 44 1 out of 1 points Which condition should cause the nurse to assess for high-output failure in a patient? • Question 45 1 out of 1 points A 35-year-old male presents with pulmonary hypertension. Testing reveals he is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart? • Question 46 1 out of 1 points Which characteristic changes should the nurse keep in mind while caring for a patient with left heart failure? As left heart failure progresses: • Question 47 1 out of 1 points A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause: • Question 48 1 out of 1 points Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)? • Question 49 1 out of 1 points A 60-year-old male is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located? • Question 50 1 out of 1 points A 50-year-old obese male with hypertension and coronary artery disease visits a nutritionist for food counseling. He has an elevated level of low-density lipoprotein (LDL) and a low level of high-density lipoprotein (HDL). Which of the following should the nurse advise him to avoid? • Question 51 1 out of 1 points An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing? • Question 52 1 out of 1 points A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the: • Question 53 1 out of 1 points Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching? • Question 54 1 out of 1 points A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse assess for in this patient? • Question 55 1 out of 1 points A 30-year-old Caucasian female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis? • Question 56 1 out of 1 points A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing measures would be most effective for preventing pulmonary embolism (PE) in this patient? • Question 57 1 out of 1 points A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of: • Question 58 1 out of 1 points A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial: • Question 59 1 out of 1 points While planning care for a patient with superior vena cava syndrome (SVCS), which principle should the nurse remember? SVCS is a progressive _____ of the superior vena cava (SVC) that leads to venous distention of the upper extremities and head. • Question 60 1 out of 1 points Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension. • Question 61 1 out of 1 points What term should the nurse document for a detached blood clot? • Question 62 1 out of 1 points Which of the following patients is at highest risk for developing pulmonary embolism (PE)? • Question 63 1 out of 1 points A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the: • Question 64 1 out of 1 points Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension. • Question 65 1 out of 1 points A 50-year-old female presents with a low heart rate and low blood pressure. She is given an intravenous (IV) infusion of fluids. The increase in atrial distension results in: • Question 66 1 out of 1 points A nurse monitors the patient for _____ when rapid onset of malignant hypertension results. • Question 67 1 out of 1 points A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial: • Question 68 1 out of 1 points A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse assess for in this patient? • Question 69 1 out of 1 points An 80-year-old female is in the hospital for a bone fracture. While there she develops a large, nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow? • Question 70 1 out of 1 points A 30-year-old Caucasian female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis? • Question 71 1 out of 1 points Which condition should cause the nurse to assess for high-output failure in a patient? • Question 72 1 out of 1 points A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by: • Question 73 1 out of 1 points A 52-year-old male presents with pooling of blood in the veins of the lower extremities and edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of this disorder is: • Question 74 1 out of 1 points When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for? • Question 75 1 out of 1 points A 60-year-old male is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located? • Question 76 1 out of 1 points Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)? • Question 77 1 out of 1 points An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing? • Question 78 1 out of 1 points A 56-year-old male is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change? • Question 79 1 out of 1 points A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing: • Question 80 1 out of 1 points 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? • Question 81 1 out of 1 points Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching? • Question 82 1 out of 1 points A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart? • Question 83 1 out of 1 points A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following? • Question 84 1 out of 1 points A 50-year-old male is diagnosed with orthostatic hypotension. Which of the following symptoms would he most likely experience? • Question 85 1 out of 1 points When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do? • Question 86 1 out of 1 points A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the: • Question 87 1 out of 1 points A 52-year-old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient? • Question 88 1 out of 1 points A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following symptoms most likely occurred before treatment? • Question 89 A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina? • Question 90 1 out of 1 points A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage?