NU551 Midterm/Final EXAM
QUESTIONS WITH ANSWERS.
"Inflammation helps your body to produce the right antibodies to fight the infection." -
CORRECT ANSWERS✅✅A 23-year-old man has received a recent diagnosis of
appendicitis following 24 hours of acute abdominal pain. The nurse practitioner
providing care for the man is explaining that while it is unpleasant, the inflammation of
his appendix is playing a role in his body's fight against the underlying infectious
process. Which of the following teaching points should the nurse practitioner eliminate
from his teaching for the patient?
"Interferon can bolster your father's immune system by stimulating natural killer cells
that attack viruses." - CORRECT ANSWERS✅✅A 60-year-old male patient with an
acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the
family of the patient about the diverse actions of the treatment and the ways that it
differs from other anti-infective therapies. Which of the following teaching points should
the nurse practitioner exclude?
"My baby could become infected either across the placenta or during the birth itself." -
CORRECT ANSWERS✅✅A nurse practitioner is providing prenatal care and education
for a first-time expectant mother, 22 weeks' gestation, who has a diagnosis of a sexually
transmitted infection. Which of the following statements by the expectant mother
demonstrates an adequate understanding of vertical disease transmission and
congenital infections?
"Stem cells can be used as a source of reserve cells for the entire blood production
system." - CORRECT ANSWERS✅✅A couple who are expecting their first child have
been advised by friends to consider harvesting umbilical cord blood in order to have a
future source of stem cells. The couple have approached their nurse practitioner with
this request and are seeking clarification of exactly why stem cells are valuable and
what they might expect to gain from harvesting them. How can the nurse practitioner
best respond to the couple's inquiry?
A 13-year-old female is undergoing rapid development of her breasts after experiencing
menarche several months ago. Which of the following hormones are NOT active in the
development of her breasts?
Question options:
Prolactin
Oxytocin
,Estrogen
Follicle-stimulating hormone
Progesterone - CORRECT ANSWERS✅✅Oxytocin
A 13-year-old patient undergoing puberty is alarmed to find small, white bumps
surrounding the areolae on her nipples. You reassure her that these are a normal sign
of her sexual maturation and tell her that they are which of the following:
Question options:
Cooper ligaments
Montgomery tubercles
Bartholin glands
Skene glands - CORRECT ANSWERS✅✅Montgomery tubercles
A 14-year-old boy has been brought to the emergency department by his mother in
excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart
rate is 122 beats per minute and he vomited twice before arrival at the hospital.
Examination reveals that his scrotum is reddened and slightly swollen and the testes
are firm to the touch and tender, with extensive cremaster muscle contraction noted.
What is the boy's most likely diagnosis?
Question options:
Varicocele
Testicular torsion
Hydrocele
Epididymitis - CORRECT ANSWERS✅✅Testicular torsion
A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the
following pathophysiological phenomena is most responsible for his symptoms? -
CORRECT ANSWERS✅✅Viruses are killing some of his B cells and becoming
incorporated into the genomes of others.
A 14-year-old boy who appears to be intoxicated is brought to the emergency
department by ambulance. The EMTs report that the boy has denied consuming
anything out of the ordinary, but an open antifreeze container was found in the boy's
room. Which of the following is likely to be used to treat the patient's symptoms? -
CORRECT ANSWERS✅✅Fomepizole
,A 16-year-old female has been brought to her primary care nurse practitioner by her
mother due to the girl's persistent sore throat and malaise. Which of the following facts
revealed in the girl's history and examination would lead the nurse practitioner to rule
out infectious mononucleosis? - CORRECT ANSWERS✅✅Chest auscultation reveals
crackles in her lower lung fields bilaterally.
A 17-year-old female is suspected of having narcolepsy. Which of the following aspects
of her medical history and sleep analysis would contribute to a confirmation of the
diagnosis?
Question options:
She repeatedly moves her large toe, ankle, and knee during sleep.
She complains of a powerful urge to move her legs when in bed at night.
She has frequently awakened unable to move or speak.
She believes that she experiences auditory hallucinations when she awakens.
Her sleep latency is normally around 1 hour. - CORRECT ANSWERS✅✅She has
frequently awakened unable to move or speak.
A 2-year-old girl has had repeated ear and upper respiratory tract infections since she
was born. A pediatrician has determined a diagnosis of transient
hypogammaglobulinemia of infancy. What is the physiological origin of the child's
recurrent infections? - CORRECT ANSWERS✅✅Antibody production by plasma cells
is compromised because of impaired communication between B and T cells.
A 20-year-old male college student has recently finished a Thanksgiving dinner of
heroic proportions while home for the holiday weekend. Which of the following
phenomena would most likely have produced his sensation of satiety? - CORRECT
ANSWERS✅✅Cholecystokinin and glucagon-like peptide-1 suppress the hunger
impulse.
A 20-year-old male has been diagnosed with a chlamydial infection, and his primary
care provider is performing teaching in an effort to prevent the patient from infecting
others in the future. Which of the following statements by the patient demonstrates the
best understanding of his health problem?
Question options:
"Even if I spread it to someone else, there's a good chance she won't have any
symptoms or know she has it."
"Each of the three stages of the disease seems to be worse than the previous one."
"Even though I couldn't end up sterile, a woman that I give it to certainly could."
, "Either me or a partner could end up with an eye infection from chlamydia that could
make us blind." - CORRECT ANSWERS✅✅"Even if I spread it to someone else,
there's a good chance she won't have any symptoms or know she has it."
A 20-year-old male has been diagnosed with testicular cancer and is seeking
information about his diagnosis from a number of websites. Which of the following
statements that he has read is most plausible?
Question options:
"Recent developments in the treatment of testicular cancer mean that few men now
need to have a testicle removed."
"For most men with testicular cancer, bloody urine is their first sign that something is
wrong."
"Men with cryptorchidism—the term for an undescended testicle—are known to have a
higher risk of developing testicular cancer."
"Testicular cancer is a leading cause of death among males who should be in the prime
of their lives." - CORRECT ANSWERS✅✅"Men with cryptorchidism—the term for an
undescended testicle—are known to have a higher risk of developing testicular cancer."
A 20-year-old male who is addicted to crystal methamphetamine has been admitted to
the hospital with a diagnosis of protein-calorie malnutrition after many months of
inadequate food intake. Which of the following treatment plans would the care team
most likely favor? - CORRECT ANSWERS✅✅Incremental feeding combined with
vitamin and mineral supplementation
A 21-year-old female is suspected of having inadequate function of her hypothalamic-
pituitary-thyroid system. Her care provider is planning to inject thyrotropin-releasing
hormone (TRH) and then measure her levels of TSH. Which of the following diagnostic
tests is being performed?
Question options:
Metabolite excretion test
Stimulation test
Radioimmunoassay (RIA) test
Suppression test - CORRECT ANSWERS✅✅Stimulation test
A 21-year-old male patient has suffered a head injury during a crash on his motorcycle,
and a deficit that assessments have revealed is an impaired swallowing mechanism. He
has also developed aspiration pneumonia. Which of the following statements most
QUESTIONS WITH ANSWERS.
"Inflammation helps your body to produce the right antibodies to fight the infection." -
CORRECT ANSWERS✅✅A 23-year-old man has received a recent diagnosis of
appendicitis following 24 hours of acute abdominal pain. The nurse practitioner
providing care for the man is explaining that while it is unpleasant, the inflammation of
his appendix is playing a role in his body's fight against the underlying infectious
process. Which of the following teaching points should the nurse practitioner eliminate
from his teaching for the patient?
"Interferon can bolster your father's immune system by stimulating natural killer cells
that attack viruses." - CORRECT ANSWERS✅✅A 60-year-old male patient with an
acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the
family of the patient about the diverse actions of the treatment and the ways that it
differs from other anti-infective therapies. Which of the following teaching points should
the nurse practitioner exclude?
"My baby could become infected either across the placenta or during the birth itself." -
CORRECT ANSWERS✅✅A nurse practitioner is providing prenatal care and education
for a first-time expectant mother, 22 weeks' gestation, who has a diagnosis of a sexually
transmitted infection. Which of the following statements by the expectant mother
demonstrates an adequate understanding of vertical disease transmission and
congenital infections?
"Stem cells can be used as a source of reserve cells for the entire blood production
system." - CORRECT ANSWERS✅✅A couple who are expecting their first child have
been advised by friends to consider harvesting umbilical cord blood in order to have a
future source of stem cells. The couple have approached their nurse practitioner with
this request and are seeking clarification of exactly why stem cells are valuable and
what they might expect to gain from harvesting them. How can the nurse practitioner
best respond to the couple's inquiry?
A 13-year-old female is undergoing rapid development of her breasts after experiencing
menarche several months ago. Which of the following hormones are NOT active in the
development of her breasts?
Question options:
Prolactin
Oxytocin
,Estrogen
Follicle-stimulating hormone
Progesterone - CORRECT ANSWERS✅✅Oxytocin
A 13-year-old patient undergoing puberty is alarmed to find small, white bumps
surrounding the areolae on her nipples. You reassure her that these are a normal sign
of her sexual maturation and tell her that they are which of the following:
Question options:
Cooper ligaments
Montgomery tubercles
Bartholin glands
Skene glands - CORRECT ANSWERS✅✅Montgomery tubercles
A 14-year-old boy has been brought to the emergency department by his mother in
excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart
rate is 122 beats per minute and he vomited twice before arrival at the hospital.
Examination reveals that his scrotum is reddened and slightly swollen and the testes
are firm to the touch and tender, with extensive cremaster muscle contraction noted.
What is the boy's most likely diagnosis?
Question options:
Varicocele
Testicular torsion
Hydrocele
Epididymitis - CORRECT ANSWERS✅✅Testicular torsion
A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the
following pathophysiological phenomena is most responsible for his symptoms? -
CORRECT ANSWERS✅✅Viruses are killing some of his B cells and becoming
incorporated into the genomes of others.
A 14-year-old boy who appears to be intoxicated is brought to the emergency
department by ambulance. The EMTs report that the boy has denied consuming
anything out of the ordinary, but an open antifreeze container was found in the boy's
room. Which of the following is likely to be used to treat the patient's symptoms? -
CORRECT ANSWERS✅✅Fomepizole
,A 16-year-old female has been brought to her primary care nurse practitioner by her
mother due to the girl's persistent sore throat and malaise. Which of the following facts
revealed in the girl's history and examination would lead the nurse practitioner to rule
out infectious mononucleosis? - CORRECT ANSWERS✅✅Chest auscultation reveals
crackles in her lower lung fields bilaterally.
A 17-year-old female is suspected of having narcolepsy. Which of the following aspects
of her medical history and sleep analysis would contribute to a confirmation of the
diagnosis?
Question options:
She repeatedly moves her large toe, ankle, and knee during sleep.
She complains of a powerful urge to move her legs when in bed at night.
She has frequently awakened unable to move or speak.
She believes that she experiences auditory hallucinations when she awakens.
Her sleep latency is normally around 1 hour. - CORRECT ANSWERS✅✅She has
frequently awakened unable to move or speak.
A 2-year-old girl has had repeated ear and upper respiratory tract infections since she
was born. A pediatrician has determined a diagnosis of transient
hypogammaglobulinemia of infancy. What is the physiological origin of the child's
recurrent infections? - CORRECT ANSWERS✅✅Antibody production by plasma cells
is compromised because of impaired communication between B and T cells.
A 20-year-old male college student has recently finished a Thanksgiving dinner of
heroic proportions while home for the holiday weekend. Which of the following
phenomena would most likely have produced his sensation of satiety? - CORRECT
ANSWERS✅✅Cholecystokinin and glucagon-like peptide-1 suppress the hunger
impulse.
A 20-year-old male has been diagnosed with a chlamydial infection, and his primary
care provider is performing teaching in an effort to prevent the patient from infecting
others in the future. Which of the following statements by the patient demonstrates the
best understanding of his health problem?
Question options:
"Even if I spread it to someone else, there's a good chance she won't have any
symptoms or know she has it."
"Each of the three stages of the disease seems to be worse than the previous one."
"Even though I couldn't end up sterile, a woman that I give it to certainly could."
, "Either me or a partner could end up with an eye infection from chlamydia that could
make us blind." - CORRECT ANSWERS✅✅"Even if I spread it to someone else,
there's a good chance she won't have any symptoms or know she has it."
A 20-year-old male has been diagnosed with testicular cancer and is seeking
information about his diagnosis from a number of websites. Which of the following
statements that he has read is most plausible?
Question options:
"Recent developments in the treatment of testicular cancer mean that few men now
need to have a testicle removed."
"For most men with testicular cancer, bloody urine is their first sign that something is
wrong."
"Men with cryptorchidism—the term for an undescended testicle—are known to have a
higher risk of developing testicular cancer."
"Testicular cancer is a leading cause of death among males who should be in the prime
of their lives." - CORRECT ANSWERS✅✅"Men with cryptorchidism—the term for an
undescended testicle—are known to have a higher risk of developing testicular cancer."
A 20-year-old male who is addicted to crystal methamphetamine has been admitted to
the hospital with a diagnosis of protein-calorie malnutrition after many months of
inadequate food intake. Which of the following treatment plans would the care team
most likely favor? - CORRECT ANSWERS✅✅Incremental feeding combined with
vitamin and mineral supplementation
A 21-year-old female is suspected of having inadequate function of her hypothalamic-
pituitary-thyroid system. Her care provider is planning to inject thyrotropin-releasing
hormone (TRH) and then measure her levels of TSH. Which of the following diagnostic
tests is being performed?
Question options:
Metabolite excretion test
Stimulation test
Radioimmunoassay (RIA) test
Suppression test - CORRECT ANSWERS✅✅Stimulation test
A 21-year-old male patient has suffered a head injury during a crash on his motorcycle,
and a deficit that assessments have revealed is an impaired swallowing mechanism. He
has also developed aspiration pneumonia. Which of the following statements most
