Verified And Well Analyzed Exam Questions (Actual Exam 2026-2027)
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What is the pathological mechanism of this disorder? -ANSWER-Thick mucus
causing progressive clogging of the bronchi and bronchioles
An older adult patient presents with an exacerbation of chronic obstructive
pulmonary disease (COPD). An advanced practice registered nurse (APRN) notes
that despite using medications as prescribed, the patient feels much worse during
these exacerbations than in the past.
Which response should the APRN provide to this patient? -ANSWER-The effects of
aging contribute to decreased lung function.
A patient with severe chronic obstructive pulmonary disease (COPD) is admitted
to a hospital with pneumonia and acute respiratory failure. The patient has a
history of CO2 retention. An advanced practice registered nurse (APRN) needs to
assess for rising CO2 levels.
Which form of monitoring should the APRN use for this purpose? -ANSWER-
Continuous capnography monitoring
An advanced practice registered nurse (APRN) examines an older adult patient
diagnosed with a bronchial tumor and notes the following:
cyanosis
fever
tachycardia
,cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella pneumoniae
Which treatment should the APRN prescribe for this condition? -ANSWER-
Antimicrobials and chest tube
An advanced practice registered nurse (APRN) assesses a patient with a long
history of infections, mood swings, and gastrointestinal complaints. The patient
complains of increasing fatigue, difficulty walking, and a sore tongue. Lab results
indicate a hemoglobin of 7.8 g/dL.
Which type of anemia should the APRN consider? -ANSWER-Pernicious anemia
An advanced practice registered nurse (APRN) is evaluating a male patient.
Findings include a painless supraclavicular adenopathy, a nonproductive cough,
fatigue, anorexia, weight loss, fever, night sweats, pruritus, and the findings of
Reed-Sternberg cells on a lab microscopic exam.
Which disease should be suspected by the APRN? -ANSWER-Hodgkin lymphoma
An advanced practice registered nurse (APRN) is evaluating an anemic patient
with stage 4 renal disease.
Which pathological mechanism should the APRN note? -ANSWER-Suppressed
production of erythropoietin
A patient presents to a clinic with complaints of frequent nosebleeds. An
advanced practice registered nurse (APRN) does an assessment and notes areas
of ecchymosis and petechiae. The APRN questions the patient about current
activities and medications and orders lab studies.
, Which lab exam should the APRN order for this patient? -ANSWER-Platelet count
A patient presents to an emergency department with complaints of shortness of
breath and confusion. An advanced practice registered nurse (APRN) assesses the
patient, reviews the lab results, and diagnoses the patient with hypoxia due to
anemia.
Which compensatory mechanism supports this diagnosis? -ANSWER-Increased
heart rate
A 34-year-old patient is diagnosed with primary hypertension, and an advanced
practice registered nurse (APRN) is reviewing the causes of the problem with the
patient.
What is a cause of this diagnosis? -ANSWER-Genetics
An advanced practice registered nurse (APRN) is meeting with an older adult with
complicated hypertension and a strong family history of cardiovascular disease.
The patient is reluctant to consider medications for blood pressure control and
would like to know the anticipated effect if the blood pressure remains
moderately elevated.
What is the anticipated pathological outcome for this patient if this condition
continues? -ANSWER-Hypertrophy of left ventricle
A 56-year-old patient presents to an emergency department with acute chest
pain on the day after the funeral of a spouse. Diagnostic results reveal ST
elevation and elevated troponins.
What is the probable diagnosis of these symptoms? -ANSWER-Takotsubo
cardiomyopathy