Page 1 of 221
Nsg 5003 Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
Knowledge check Exam With Complete 100%
Guaranteed Pass ||Complete A+
1. A patient with chronic anemia presents with fatigue and
pallor. Which cellular adaptation is most likely occurring in
response to decreased oxygen delivery?
A. Hyperplasia
B. Hypertrophy
C. Atrophy
D. Metaplasia
Answer: B. Hypertrophy
Rationale: Hypertrophy is an increase in cell size due to
increased workload or demand (e.g., chronic hypoxia). In
anemia, cardiac myocytes hypertrophy to maintain output.
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Scenario: A 55-year-old with iron deficiency anemia has an
enlarged heart on echocardiogram – this is compensatory
hypertrophy.
2. A chronic smoker develops squamous metaplasia in the
bronchi. Which best describes this change?
A. Reversible replacement of one differentiated cell type with
another
B. Irreversible loss of specialized cells
C. Increase in cell number
D. Decrease in cell size
Answer: A. Reversible replacement of one differentiated cell
type with another
Rationale: Metaplasia is reversible and occurs in response to
chronic irritation (e.g., smoking), often as an adaptive
response.
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3. Which cellular change is most likely to become malignant
if the stimulus persists?
A. Physiologic hypertrophy
B. Dysplasia
C. Hyperplasia of the thyroid
D. Atrophy of the liver
Answer: B. Dysplasia
Rationale: Dysplasia is disordered growth and is considered a
precursor to cancer, especially in cervical and respiratory
epithelium.
4. During a session, a patient says, “I feel nothing about
my father’s death.” The PMHNP responds, “And yet your
fists are clenched.” Which technique is being used?
• A) Confrontation
• B) Interpretation
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• C) Clarification
• D) Containment
Correct Answer: A
Rationale: Confrontation gently points out a discrepancy
between affect and verbal content. Interpretation explains
unconscious meaning; clarification seeks more detail.
Domain 3: Cognitive-Behavioral Therapy (CBT)
5. A patient with social anxiety reports, “If I stutter during
my presentation, everyone will think I’m incompetent.” The
PMHNP asks the patient to examine the evidence for and
against this thought. This is an example of:
• A) Behavioral activation
• B) Cognitive restructuring
• C) Exposure therapy
• D) Relaxation training
Nsg 5003 Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
Knowledge check Exam With Complete 100%
Guaranteed Pass ||Complete A+
1. A patient with chronic anemia presents with fatigue and
pallor. Which cellular adaptation is most likely occurring in
response to decreased oxygen delivery?
A. Hyperplasia
B. Hypertrophy
C. Atrophy
D. Metaplasia
Answer: B. Hypertrophy
Rationale: Hypertrophy is an increase in cell size due to
increased workload or demand (e.g., chronic hypoxia). In
anemia, cardiac myocytes hypertrophy to maintain output.
,Page 2 of 221
Scenario: A 55-year-old with iron deficiency anemia has an
enlarged heart on echocardiogram – this is compensatory
hypertrophy.
2. A chronic smoker develops squamous metaplasia in the
bronchi. Which best describes this change?
A. Reversible replacement of one differentiated cell type with
another
B. Irreversible loss of specialized cells
C. Increase in cell number
D. Decrease in cell size
Answer: A. Reversible replacement of one differentiated cell
type with another
Rationale: Metaplasia is reversible and occurs in response to
chronic irritation (e.g., smoking), often as an adaptive
response.
,Page 3 of 221
3. Which cellular change is most likely to become malignant
if the stimulus persists?
A. Physiologic hypertrophy
B. Dysplasia
C. Hyperplasia of the thyroid
D. Atrophy of the liver
Answer: B. Dysplasia
Rationale: Dysplasia is disordered growth and is considered a
precursor to cancer, especially in cervical and respiratory
epithelium.
4. During a session, a patient says, “I feel nothing about
my father’s death.” The PMHNP responds, “And yet your
fists are clenched.” Which technique is being used?
• A) Confrontation
• B) Interpretation
, Page 4 of 221
• C) Clarification
• D) Containment
Correct Answer: A
Rationale: Confrontation gently points out a discrepancy
between affect and verbal content. Interpretation explains
unconscious meaning; clarification seeks more detail.
Domain 3: Cognitive-Behavioral Therapy (CBT)
5. A patient with social anxiety reports, “If I stutter during
my presentation, everyone will think I’m incompetent.” The
PMHNP asks the patient to examine the evidence for and
against this thought. This is an example of:
• A) Behavioral activation
• B) Cognitive restructuring
• C) Exposure therapy
• D) Relaxation training
