NURS 8022 ADVANCED PATHOPHYSIOLOGY
EXAM 6 FINAL PAPER 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ Thrombocytopenia may be: Answer: Congenital or acquired
The condition may also be either congenital or acquired and may be
either primary or secondary to other conditions.x
◉ A 30-year-old female presents with hematuria, menorrhagia, and
bleeding gums. She is diagnosed with immune thrombocytic
purpura (ITP). A nurse realizes the most likely cause is: Answer:
Antibody destruction of platelets
The majority of cases of ITP are due to immune driven destruction of
platelets.
◉ A 50-year-old female is diagnosed with primary
thrombocythemia. A nurse would expect the blood smear to reveal
_____ platelets. Answer: Overproduced
Thrombocythemia is characterized by a platelet count more than
400,000 platelets/mm3 of blood and is symptomatic when the count
,exceeds 1,000,000/ mm3, at which time the risk for intravascular
clotting (thrombosis) is high.
◉ A 52-year-old male IV drug user was diagnosed with hepatitis C 5
years ago. He is now experiencing impaired blood clotting. The
nurse suspects a decrease in which of the following vitamins?
Answer: K
Lack of vitamin K interferes with clotting.
◉ A nurse checks individuals with liver disease for clotting problems
because: Answer: Clotting factors are produced in the liver
Clotting factors are produced by the liver.
◉ K A 40-year-old female develops disseminated intravascular
coagulation (DIC). Upon obtaining the history, which finding is the
most likely cause of this condition? Answer: Sepsis
◉ A nurse is teaching the staff about disseminated intravascular
coagulation (DIC). Which information should the nurse include? The
sequence of events in DIC is initiated by the release of: Answer:
Tissue factor
,Regardless of the underlying disease that initiates DIC, the common
pathway appears to be excessive and widespread exposure of tissue
factor.
◉ In disseminated intravascular coagulation (DIC), the nurse
assesses for active bleeding after intravascular clotting because:
Answer: Clotting factors are depleted
Intravascular clotting leads to depletion of clotting factors.
DIC is due to depletion of clotting factors, not activation of
prothrombin.
◉ A 22-year-old female just delivered a healthy baby girl. She
suffered from eclampsia during her pregnancy, and on the second
postpartum day she complained of bleeding gums and bruising on
her arms and legs. Hematology lab tests indicate that she had
disseminated intravascular coagulation (DIC). Further review of lab
tests by the nurse revealed an increase in: Answer: Fibrin
degradation products (FDPs)
Patients with DIC have high levels of FDPs.
◉ When the nurse sees a diagnosis of hereditary hemochromatosis
on the chart, the nurse knows this is a disorder of: Answer: iron
overload
, ◉ A patient has microcytic hypochromic anemia. Which of the
following pathogenic mechanisms may cause anemia in this patient?
(Select all that apply.) Answer: - Decreased erythrocyte life span
- Failure of mechanisms of compensatory erythropoiesis
- Disturbances of the iron cycled
◉ A 15-year-old male is diagnosed with infectious mononucleosis.
Which of the following assessment findings would he most likely
demonstrate? (Select all that apply.) Answer: - Lymph node
enlargement
- Fever and sore throat
- Fatigue
- Enlargement of liver and spleen
◉ A patient wants to know about risk factors for acute leukemia.
Which of the following should the nurse include? (Select all that
apply.) Answer: Chemotherapy treatment for other cancers
Excessive ultraviolet radiation exposure
Ovarian Cancer
◉ A 35-year-old male was diagnosed with hepatitis B. Further tests
revealed neutropenia characterized by a neutrophil count less than
_____ per milliliter. Answer: 2000
EXAM 6 FINAL PAPER 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ Thrombocytopenia may be: Answer: Congenital or acquired
The condition may also be either congenital or acquired and may be
either primary or secondary to other conditions.x
◉ A 30-year-old female presents with hematuria, menorrhagia, and
bleeding gums. She is diagnosed with immune thrombocytic
purpura (ITP). A nurse realizes the most likely cause is: Answer:
Antibody destruction of platelets
The majority of cases of ITP are due to immune driven destruction of
platelets.
◉ A 50-year-old female is diagnosed with primary
thrombocythemia. A nurse would expect the blood smear to reveal
_____ platelets. Answer: Overproduced
Thrombocythemia is characterized by a platelet count more than
400,000 platelets/mm3 of blood and is symptomatic when the count
,exceeds 1,000,000/ mm3, at which time the risk for intravascular
clotting (thrombosis) is high.
◉ A 52-year-old male IV drug user was diagnosed with hepatitis C 5
years ago. He is now experiencing impaired blood clotting. The
nurse suspects a decrease in which of the following vitamins?
Answer: K
Lack of vitamin K interferes with clotting.
◉ A nurse checks individuals with liver disease for clotting problems
because: Answer: Clotting factors are produced in the liver
Clotting factors are produced by the liver.
◉ K A 40-year-old female develops disseminated intravascular
coagulation (DIC). Upon obtaining the history, which finding is the
most likely cause of this condition? Answer: Sepsis
◉ A nurse is teaching the staff about disseminated intravascular
coagulation (DIC). Which information should the nurse include? The
sequence of events in DIC is initiated by the release of: Answer:
Tissue factor
,Regardless of the underlying disease that initiates DIC, the common
pathway appears to be excessive and widespread exposure of tissue
factor.
◉ In disseminated intravascular coagulation (DIC), the nurse
assesses for active bleeding after intravascular clotting because:
Answer: Clotting factors are depleted
Intravascular clotting leads to depletion of clotting factors.
DIC is due to depletion of clotting factors, not activation of
prothrombin.
◉ A 22-year-old female just delivered a healthy baby girl. She
suffered from eclampsia during her pregnancy, and on the second
postpartum day she complained of bleeding gums and bruising on
her arms and legs. Hematology lab tests indicate that she had
disseminated intravascular coagulation (DIC). Further review of lab
tests by the nurse revealed an increase in: Answer: Fibrin
degradation products (FDPs)
Patients with DIC have high levels of FDPs.
◉ When the nurse sees a diagnosis of hereditary hemochromatosis
on the chart, the nurse knows this is a disorder of: Answer: iron
overload
, ◉ A patient has microcytic hypochromic anemia. Which of the
following pathogenic mechanisms may cause anemia in this patient?
(Select all that apply.) Answer: - Decreased erythrocyte life span
- Failure of mechanisms of compensatory erythropoiesis
- Disturbances of the iron cycled
◉ A 15-year-old male is diagnosed with infectious mononucleosis.
Which of the following assessment findings would he most likely
demonstrate? (Select all that apply.) Answer: - Lymph node
enlargement
- Fever and sore throat
- Fatigue
- Enlargement of liver and spleen
◉ A patient wants to know about risk factors for acute leukemia.
Which of the following should the nurse include? (Select all that
apply.) Answer: Chemotherapy treatment for other cancers
Excessive ultraviolet radiation exposure
Ovarian Cancer
◉ A 35-year-old male was diagnosed with hepatitis B. Further tests
revealed neutropenia characterized by a neutrophil count less than
_____ per milliliter. Answer: 2000
