MIDTERM NU551 Midterm
QUESTIONS WITH ANSWERS.
"Inflammation helps your body to produce the right antibodies to fight the infection." -
CORRECT ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅Oxytocin
A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the
following pathophysiological phenomena is most responsible for his symptoms? -
CORRECT ANSWER✅✅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 ANSWER✅✅Fomepizole
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 ANSWER✅✅She has
frequently awakened unable to move or speak.
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
ANSWER✅✅Cholecystokinin and glucagon-like peptide-1 suppress the hunger
impulse.
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 ANSWER✅✅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 ANSWER✅✅Stimulation test
A 22-year-old female college student is shocked to receive a diagnosis of myasthenia
gravis. What are the etiology and most likely treatment for her health problem?
Question options:
Excess acetylcholinesterase production; treatment with thymectomy
Cerebellar lesions; surgical and immunosuppressive treatment
A shortage of acetylcholine receptors; treatment with corticosteroids and intravenous
immunoglobulins
Autoimmune destruction of skeletal muscle cells; treatment with intensive physical
therapy and anabolic steroids - CORRECT ANSWER✅✅A shortage of acetylcholine
receptors; treatment with corticosteroids and intravenous immunoglobulins
A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-
deficiency anemia. Which of the following components of her diagnostic blood work
would be most likely to necessitate further investigation? - CORRECT
ANSWER✅✅Decreased erythropoietin levels
A 24-year-old woman has presented to an inner-city free clinic because of the copious,
foul vaginal discharge that she has had in recent days. Microscopy has confirmed the
presence of Trichomonas vaginalis. What is the woman's most likely treatment and
prognosis?
Question options:
Vaginal suppositories and topical ointments can provide symptom relief but cannot
eradicate the microorganism.
Antifungal medications are effective against the anovulation and risk of HIV that
accompany the infection.
Oral antibiotics can prevent complications such as infertility and pelvic inflammatory
disease.
, Abstinence will be required until the infection resolves, since treatments do not yet have
proven efficacy. - CORRECT ANSWER✅✅Oral antibiotics can prevent complications
such as infertility and pelvic inflammatory disease.
A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes.
Her blood work indicates neutrophilia with a shift to the left. She most likely has: -
CORRECT ANSWER✅✅A severe bacterial infection
A 24-year-old woman undergoing a premarital screening test is found to have elevated
levels of AST, ALT, and IgG, but no antibody-specific markers for viral hepatitis. A liver
biopsy reveals inflammation and cellular damage. Which of the following treatments is
most likely to be effective for her? - CORRECT ANSWER✅✅Corticosteroids and
immunosuppressant drugs
A 25-year-old Asian American man arrives at the emergency department in a panic.
Except for a bout with bronchitis a week earlier, he has been healthy his entire life;
today he has blood in his urine. What is the most likely cause of his hematuria and how
should it be treated? - CORRECT ANSWER✅✅His immunoglobulin A (IgA)
nephropathy has no known effective treatments.
A 28-year-old male who is 6 feet 11 inches tall has a diagnosis of acromegaly. The man
is explaining to a curious but sympathetic coworker exactly what accounts for his
extraordinary height. Which of the following explanations demonstrates a sound
understanding of his health problem?
Question 10 options:
"A tumor in my brain threw off my hormone levels after I was finished with
adolescence."
"My pituitary gland produced a much higher than normal amount of growth hormone
when I was a child."
T"The high sugar levels that go along with my diabetes made my pituitary gland
overproduce the hormones that cause you to grow."
"My liver is malfunctioning and produces too many of the hormones that ultimately
cause growth." - CORRECT ANSWER✅✅"A tumor in my brain threw off my hormone
levels after I was finished with adolescence."
A 29-year-old construction worker got a sliver under his fingernail four days ago. The
affected finger is now reddened, painful, swollen, and warm to the touch. Which of the
following hematological processes is most likely occurring in response to the infection? -
CORRECT ANSWER✅✅Proliferation of immature neutrophils
QUESTIONS WITH ANSWERS.
"Inflammation helps your body to produce the right antibodies to fight the infection." -
CORRECT ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅Oxytocin
A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the
following pathophysiological phenomena is most responsible for his symptoms? -
CORRECT ANSWER✅✅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 ANSWER✅✅Fomepizole
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 ANSWER✅✅She has
frequently awakened unable to move or speak.
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
ANSWER✅✅Cholecystokinin and glucagon-like peptide-1 suppress the hunger
impulse.
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 ANSWER✅✅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 ANSWER✅✅Stimulation test
A 22-year-old female college student is shocked to receive a diagnosis of myasthenia
gravis. What are the etiology and most likely treatment for her health problem?
Question options:
Excess acetylcholinesterase production; treatment with thymectomy
Cerebellar lesions; surgical and immunosuppressive treatment
A shortage of acetylcholine receptors; treatment with corticosteroids and intravenous
immunoglobulins
Autoimmune destruction of skeletal muscle cells; treatment with intensive physical
therapy and anabolic steroids - CORRECT ANSWER✅✅A shortage of acetylcholine
receptors; treatment with corticosteroids and intravenous immunoglobulins
A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-
deficiency anemia. Which of the following components of her diagnostic blood work
would be most likely to necessitate further investigation? - CORRECT
ANSWER✅✅Decreased erythropoietin levels
A 24-year-old woman has presented to an inner-city free clinic because of the copious,
foul vaginal discharge that she has had in recent days. Microscopy has confirmed the
presence of Trichomonas vaginalis. What is the woman's most likely treatment and
prognosis?
Question options:
Vaginal suppositories and topical ointments can provide symptom relief but cannot
eradicate the microorganism.
Antifungal medications are effective against the anovulation and risk of HIV that
accompany the infection.
Oral antibiotics can prevent complications such as infertility and pelvic inflammatory
disease.
, Abstinence will be required until the infection resolves, since treatments do not yet have
proven efficacy. - CORRECT ANSWER✅✅Oral antibiotics can prevent complications
such as infertility and pelvic inflammatory disease.
A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes.
Her blood work indicates neutrophilia with a shift to the left. She most likely has: -
CORRECT ANSWER✅✅A severe bacterial infection
A 24-year-old woman undergoing a premarital screening test is found to have elevated
levels of AST, ALT, and IgG, but no antibody-specific markers for viral hepatitis. A liver
biopsy reveals inflammation and cellular damage. Which of the following treatments is
most likely to be effective for her? - CORRECT ANSWER✅✅Corticosteroids and
immunosuppressant drugs
A 25-year-old Asian American man arrives at the emergency department in a panic.
Except for a bout with bronchitis a week earlier, he has been healthy his entire life;
today he has blood in his urine. What is the most likely cause of his hematuria and how
should it be treated? - CORRECT ANSWER✅✅His immunoglobulin A (IgA)
nephropathy has no known effective treatments.
A 28-year-old male who is 6 feet 11 inches tall has a diagnosis of acromegaly. The man
is explaining to a curious but sympathetic coworker exactly what accounts for his
extraordinary height. Which of the following explanations demonstrates a sound
understanding of his health problem?
Question 10 options:
"A tumor in my brain threw off my hormone levels after I was finished with
adolescence."
"My pituitary gland produced a much higher than normal amount of growth hormone
when I was a child."
T"The high sugar levels that go along with my diabetes made my pituitary gland
overproduce the hormones that cause you to grow."
"My liver is malfunctioning and produces too many of the hormones that ultimately
cause growth." - CORRECT ANSWER✅✅"A tumor in my brain threw off my hormone
levels after I was finished with adolescence."
A 29-year-old construction worker got a sliver under his fingernail four days ago. The
affected finger is now reddened, painful, swollen, and warm to the touch. Which of the
following hematological processes is most likely occurring in response to the infection? -
CORRECT ANSWER✅✅Proliferation of immature neutrophils
