UNE PATHOPHYSIOLOGY FINAL EXAM
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Am77myearmoldmlifetimemsmokermhasmbeenmdiagnosedmwithmamtumorminmhismlungmatmthemsitemofmanm
oldmtuberclemscarringmsite,mlocatedminmamperipheralmareamofmhismbronchiolarmtissue.mWhatmismthism
client'smmostmlikelymdiagnosis?m
A.mAdenocarcinoma
B.mSquamosmcellmcarcinoma
C.mSmallmcellmlungmcancer
D.mLargemCellmCarcinomam-mCORRECTmANSWERmAdenocarcinoma
Whenmeducatingmamstudentmwhomlivesminmamcrowdedmapartmentmandmdiagnosedmwithmtuberculos
is,mthemcollegemschoolmnursemwillmemphasis,
A.mOncemyourmfevermgoesmaway,myoumcansmtopmtakingmthemstreptomycinminjection.m
B.mIfmisoniazidmmakesmyoumnauseous,mwemcanmsubstitutemsomethingmmilder.m
C.mTomdestroymthismbacteriummyoummustmstrictlymadheremtomamlongmtermmdrugmregiment
D.mYoumwillmhavemtomwearmanmN95mmaskmwhilemonmcampusmatmallmtimes.m-
mCORRECTmANSWERmTomdestroymthismbacterium,myoummustmstrictlymadheremtomamlongmtermmdrugm
regiment.
AmpatientmwithmsmallmcellmlungmcancermhasmdevelopedmamparaneoplasticmsyndromemcalledmCushin
gmsyndrome.mBasedmonmthismnewmcomplication,mthemnursemwillmlikelymassessmwhichmofmthemfollowi
ngmmanifestationsmofmthismsyndrome?m
A.mWeightmgain,mmoonmfacemandmbuffalomhumpmandmpurplemstriaemonmthemabdomen
B.mBilateralmedemaminmthemarms,mswollenmface,mandmprotrudingmeyes
C.mSeverembone/jointmpain,mnausea/vomitingmandmpolyuria
,Tetany,mnewmonsetmseizuremactivity,memotionalmlability,mandmextrampyramidal.m-
mCORRECTmANSWERmA.mWeightmgain,mmoonmfacemandmbuffalomhumpmandmpurplemstriaemonmthema
bdomen
ThemneonatalmICUmnursemismawaremthatmtypemIImalveolarmcellsmproducemsurfactant,mandmtheymusua
llymdevelopmatmhowmmanymweeksmofmgestation?m
A.m17-18
B.m19-20
C.m24-28m
D.m34-38m-mCORRECTmANSWERmC.m24-28
Ampatientmwhomhasmbeenmonmamhigh-
proteinmdietmcomesmtomthememergencymdepartmentmwithmrespiratorymsymptoms.mUponmanalysism
ofmarterialmbloodmgasesm(ABGs),mthempatientmismdiagnosedmwithmhypercapnia.mThemnursemwillmnot
emthemABGmresultsmthatmconfirmmthismdiagnosisminclude:mSelectmallmthatmapply.
m
pHm7.31m(normalm7.35mtom7.45).
PO2mofm97%.
PCO2mofm58mmmmHgm(normalm38mtom42).
SerummHCO3mofm33mmEq/Lm(normalm22mtom28).
SerummK+m(potassium)ofm3.6mmmol/Lm(normalm3.5mtom5.0).m-
mCORRECTmANSWERmpHm7.31m(normalm7.35mtom7.45).
PCO2mofm58mmmmHgm(normalm38mtom42).
SerummHCO3mofm33mmEq/Lm(normalm22mtom28).
Am51-year-
oldmfemalemclientmwhomism2mdaysmpostoperativeminmamsurgicalmunitmofmamhospitalmismatmriskmofmdev
elopingmatelectasismasmamresultmofmbeingmlargelymimmobile.mWhichmofmthemfollowingmteachingmpoi
ntsmbymhermnursemismmostmappropriate?
, "Youmshouldmbreathemdeeplymandmcoughmtomhelpmyourmlungsmexpandmasmmuchmasmpossiblemwhilem
you'reminmbed."
"Beingminmbedmincreasesmthemriskmofmfluidmaccumulatingmbetweenmyourmlungsmandmtheirmlining,ms
omit'smimportantmformyoumtomchangempositionsmoften."
"Makemsuremthatmyoumstaymhydratedmandmwalkmasmsoonmasmpossiblemtomavoidmusmhavingmtominsert
mamchestmtube."
"I'llmproscribembronchodilatormmedicationsmthatmwillmhelpmopenmupmyourmairwaysmandmallowmmor
emoxygenmin."m-
mCORRECTmANSWERm"Youmshouldmbreathemdeeplymandmcoughmtomhelpmyourmlungsmexpandmasmmu
chmasmpossiblemwhilemyou'reminmbed."
AmpatientmarrivesminmthemEDmaftermanmautomobilemaccident.mWhichmofmthemfollowingmclinicalmman
ifestationsmleadmthemnursemtomsuspectmampneumothorax?mSelectmallmthatmapply.m
Respiratorymratem34
Asymmetricalmchestmmovements,mespeciallymonminspiration
Diminishedmbreathmsoundsmovermthempainfulmchestmarea
Pulsemoximetrym98%
ABGmpHmlevelmofm7.38m-mCORRECTmANSWERmRespiratorymratem34
m
Asymmetricalmchestmmovements,mespeciallymonminspiration
m
Diminishedmbreathmsoundsmovermthempainfulmchestmarea
UponmadmissionmtomthemICU,mampatientmwithmamhistorymofmcormpulmonalemwillmlikelymbemexhibiting
mwhichmofmthemfollowingmclinicalmmanifestationsmofmrightmheartmfailure?mSelectmallmthatmapply.
Finemcracklesmthroughoutmbothmlungmfieldsm
+4mpittingmedemaminmlowermextremities
Expectoratingmcopiousmamountsmofmfrothy,mpinkmsputum
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Am77myearmoldmlifetimemsmokermhasmbeenmdiagnosedmwithmamtumorminmhismlungmatmthemsitemofmanm
oldmtuberclemscarringmsite,mlocatedminmamperipheralmareamofmhismbronchiolarmtissue.mWhatmismthism
client'smmostmlikelymdiagnosis?m
A.mAdenocarcinoma
B.mSquamosmcellmcarcinoma
C.mSmallmcellmlungmcancer
D.mLargemCellmCarcinomam-mCORRECTmANSWERmAdenocarcinoma
Whenmeducatingmamstudentmwhomlivesminmamcrowdedmapartmentmandmdiagnosedmwithmtuberculos
is,mthemcollegemschoolmnursemwillmemphasis,
A.mOncemyourmfevermgoesmaway,myoumcansmtopmtakingmthemstreptomycinminjection.m
B.mIfmisoniazidmmakesmyoumnauseous,mwemcanmsubstitutemsomethingmmilder.m
C.mTomdestroymthismbacteriummyoummustmstrictlymadheremtomamlongmtermmdrugmregiment
D.mYoumwillmhavemtomwearmanmN95mmaskmwhilemonmcampusmatmallmtimes.m-
mCORRECTmANSWERmTomdestroymthismbacterium,myoummustmstrictlymadheremtomamlongmtermmdrugm
regiment.
AmpatientmwithmsmallmcellmlungmcancermhasmdevelopedmamparaneoplasticmsyndromemcalledmCushin
gmsyndrome.mBasedmonmthismnewmcomplication,mthemnursemwillmlikelymassessmwhichmofmthemfollowi
ngmmanifestationsmofmthismsyndrome?m
A.mWeightmgain,mmoonmfacemandmbuffalomhumpmandmpurplemstriaemonmthemabdomen
B.mBilateralmedemaminmthemarms,mswollenmface,mandmprotrudingmeyes
C.mSeverembone/jointmpain,mnausea/vomitingmandmpolyuria
,Tetany,mnewmonsetmseizuremactivity,memotionalmlability,mandmextrampyramidal.m-
mCORRECTmANSWERmA.mWeightmgain,mmoonmfacemandmbuffalomhumpmandmpurplemstriaemonmthema
bdomen
ThemneonatalmICUmnursemismawaremthatmtypemIImalveolarmcellsmproducemsurfactant,mandmtheymusua
llymdevelopmatmhowmmanymweeksmofmgestation?m
A.m17-18
B.m19-20
C.m24-28m
D.m34-38m-mCORRECTmANSWERmC.m24-28
Ampatientmwhomhasmbeenmonmamhigh-
proteinmdietmcomesmtomthememergencymdepartmentmwithmrespiratorymsymptoms.mUponmanalysism
ofmarterialmbloodmgasesm(ABGs),mthempatientmismdiagnosedmwithmhypercapnia.mThemnursemwillmnot
emthemABGmresultsmthatmconfirmmthismdiagnosisminclude:mSelectmallmthatmapply.
m
pHm7.31m(normalm7.35mtom7.45).
PO2mofm97%.
PCO2mofm58mmmmHgm(normalm38mtom42).
SerummHCO3mofm33mmEq/Lm(normalm22mtom28).
SerummK+m(potassium)ofm3.6mmmol/Lm(normalm3.5mtom5.0).m-
mCORRECTmANSWERmpHm7.31m(normalm7.35mtom7.45).
PCO2mofm58mmmmHgm(normalm38mtom42).
SerummHCO3mofm33mmEq/Lm(normalm22mtom28).
Am51-year-
oldmfemalemclientmwhomism2mdaysmpostoperativeminmamsurgicalmunitmofmamhospitalmismatmriskmofmdev
elopingmatelectasismasmamresultmofmbeingmlargelymimmobile.mWhichmofmthemfollowingmteachingmpoi
ntsmbymhermnursemismmostmappropriate?
, "Youmshouldmbreathemdeeplymandmcoughmtomhelpmyourmlungsmexpandmasmmuchmasmpossiblemwhilem
you'reminmbed."
"Beingminmbedmincreasesmthemriskmofmfluidmaccumulatingmbetweenmyourmlungsmandmtheirmlining,ms
omit'smimportantmformyoumtomchangempositionsmoften."
"Makemsuremthatmyoumstaymhydratedmandmwalkmasmsoonmasmpossiblemtomavoidmusmhavingmtominsert
mamchestmtube."
"I'llmproscribembronchodilatormmedicationsmthatmwillmhelpmopenmupmyourmairwaysmandmallowmmor
emoxygenmin."m-
mCORRECTmANSWERm"Youmshouldmbreathemdeeplymandmcoughmtomhelpmyourmlungsmexpandmasmmu
chmasmpossiblemwhilemyou'reminmbed."
AmpatientmarrivesminmthemEDmaftermanmautomobilemaccident.mWhichmofmthemfollowingmclinicalmman
ifestationsmleadmthemnursemtomsuspectmampneumothorax?mSelectmallmthatmapply.m
Respiratorymratem34
Asymmetricalmchestmmovements,mespeciallymonminspiration
Diminishedmbreathmsoundsmovermthempainfulmchestmarea
Pulsemoximetrym98%
ABGmpHmlevelmofm7.38m-mCORRECTmANSWERmRespiratorymratem34
m
Asymmetricalmchestmmovements,mespeciallymonminspiration
m
Diminishedmbreathmsoundsmovermthempainfulmchestmarea
UponmadmissionmtomthemICU,mampatientmwithmamhistorymofmcormpulmonalemwillmlikelymbemexhibiting
mwhichmofmthemfollowingmclinicalmmanifestationsmofmrightmheartmfailure?mSelectmallmthatmapply.
Finemcracklesmthroughoutmbothmlungmfieldsm
+4mpittingmedemaminmlowermextremities
Expectoratingmcopiousmamountsmofmfrothy,mpinkmsputum
