• NSG 530 ACTUAL 09/16/2026
EXAM
NSG 530 ACTUAL EXAM 2026 1/2027 | Advanced
Pathophysiology – Wilkes University | Exams 1-4
Comprehensive Bank | Verified Q&A with Detailed
Rationales | Pass Guaranteed - A+ Graded
The nurse is teaching a client with maple syrup urine disease (MSUD), an autosomal recessive disorder, about
the inheritance pattern. Which information should the nurse provide?
a) This recessive disorder is carried only on the X chromosome.
P 1
, • NSG 530 ACTUAL 09/16/2026
EXAM
b) Occurrences mainly affect males and heterozygous females.
c) Both genes of a pair must be abnormal for the disorder to occur.
d) One copy of the abnormal gene is required for this disorder. –
Correct Answer :c) Both genes of a pair must be abnormal for the disorder to occur.
-
Maple syrup urine disease (MSUD) is a type of autosomal recessive inheritance disorder in which both genes of a
pair must be abnormal for the disorder to be expressed.
The parents of a child with hemophilia A ask the nurse about their probability of having another child with
hemophilia A. Which information is the basis for the nurse's response? (Select all that apply.)
a) Autosomal dominance occurs with this disorder.
b) Sons of female carriers have a 50% chance of inheriting hemophilia.
c) Men with hemophilia have sons who also manifest the disease.
d) The disease occurs in daughters of men with hemophilia.
e) Hemophilia is an X-linked recessive disorder.
- Correct Answer :b) Sons of female carriers have a 50% chance of inheriting hemophilia.
e) Hemophilia is an X-linked recessive disorder.
-
Hemophilia is an inherited disease that manifests in male children whose mother is a carrier. With each
pregnancy there is a 50% chance that a male child will inherit the defective gene and manifest hemophilia A,
which is an X-linked recessive disorder. Hemophilia A is not an autosomal dominance disorder and it is inherited
by male offspring of female carriers . Daughters do not manifest the disease, but have a 50% chance of being a
carrier.
P 2
, • NSG 530 ACTUAL 09/16/2026
EXAM
The nurse reviews the complete blood count (CBC) findings of an adolescent with acute myelogenous leukemia
(AML). The hemoglobin is 13.8 g/dl, hematocrit is 36.7%, white blood cell count is 8,200 mm 3 , and platelet
count is 115,000 mm 3 . Based on these findings, what is the priority nursing diagnosis for this client's plan of
care?
a) Impaired gas exchange.
b) Risk for infection.
c) Risk for injury.
d) Risk for activity intolerance. - Correct Answer :c) Risk for injury.
-
A client with AML is at risk for anemia, neutropenia, and thrombocytopenia. These CBC findings indicate that the
platelet count is low (normal 250,000 to 400,000 mm3), which places this client at an increased risk for injury,
usually manifested as bruising or bleeding.
A middle-aged male client asks the nurse what findings from his digital rectal examination (DRE) prompted the
healthcare provider to prescribe a repeat serum prostatic surface antigen (PSA) level. What information should
the nurse provide?
a) A uniformly enlarged prostate is benign prostatic hypertrophy that occurs with aging.
b) The spongy or elastic texture of the prostate is normal and requires no further testing.
c) An infection is usually present when the prostate indents when a finger is pressed on it.
d) Stony, irregular nodules palpated on the prostate should be further evaluated. - Correct Answer :d) Stony,
irregular nodules palpated on the prostate should be further evaluated.
-
PSA levels are prescribed to screen for prostatic cancer which is often detected by DRE and manifested as small,
hard, or stony, irregularly-shaped nodules on the surface of the prostate. Although PSA levels are prescribed for
routine screening, the findings suggestive of BPH normal texture or infection do not suggest cancer of the
prostate which requires further evaluation.
Several hours after surgical repair of an abdominal aortic aneurysm (AAA), the client develops left flank pain. The
nurse determines the client's urinary output is 20 ml/hr for the past 2 hours. The nurse should conclude that
these findings support which complication?
P 3
, • NSG 530 ACTUAL 09/16/2026
EXAM
a) Infection.
b) Hypovolemia.
c) Intestinal ischemia.
d) Renal artery embolization. - Correct Answer :d) Renal artery embolization.
-
Postoperative complications of surgical repair of AAA are related to the location of resection, graft, or stent
placement along the abdominal aorta. Embolization of a fragment of thrombus or plaque from the aorta into a
renal artery can compromise blood flow in one of the renal arteries, resulting in renal ischemia that precipitates
unilateral flank pain.
Muscular Dystrophy is characterized by which pathophysiological condition?
a) Stressed induced tremor and trembling.
b) Cardiac damage.
c) Seizure activity.
d) Skeletal muscle degeneration. - Correct Answer :d) Skeletal muscle degeneration.
-
Skeletal muscle degeneration is a classic symptom of Muscular Dystrophy. The other options are not classic or
exclusive to Muscular Dystrophy.
Physical examination of a comatose client reveals decorticate posturing. Which statement is accurate regarding
this client's status based upon this finding?
a) A cerebral infectious process is causing the posturing.
b) Severe dysfunction of the cerebral cortex has occurred.
c) There is a probable dysfunction of the midbrain.
d) The client is exhibiting signs of a brain tumor. - Correct Answer :b) Severe dysfunction of the cerebral cortex
has occurred.
-
P 4
EXAM
NSG 530 ACTUAL EXAM 2026 1/2027 | Advanced
Pathophysiology – Wilkes University | Exams 1-4
Comprehensive Bank | Verified Q&A with Detailed
Rationales | Pass Guaranteed - A+ Graded
The nurse is teaching a client with maple syrup urine disease (MSUD), an autosomal recessive disorder, about
the inheritance pattern. Which information should the nurse provide?
a) This recessive disorder is carried only on the X chromosome.
P 1
, • NSG 530 ACTUAL 09/16/2026
EXAM
b) Occurrences mainly affect males and heterozygous females.
c) Both genes of a pair must be abnormal for the disorder to occur.
d) One copy of the abnormal gene is required for this disorder. –
Correct Answer :c) Both genes of a pair must be abnormal for the disorder to occur.
-
Maple syrup urine disease (MSUD) is a type of autosomal recessive inheritance disorder in which both genes of a
pair must be abnormal for the disorder to be expressed.
The parents of a child with hemophilia A ask the nurse about their probability of having another child with
hemophilia A. Which information is the basis for the nurse's response? (Select all that apply.)
a) Autosomal dominance occurs with this disorder.
b) Sons of female carriers have a 50% chance of inheriting hemophilia.
c) Men with hemophilia have sons who also manifest the disease.
d) The disease occurs in daughters of men with hemophilia.
e) Hemophilia is an X-linked recessive disorder.
- Correct Answer :b) Sons of female carriers have a 50% chance of inheriting hemophilia.
e) Hemophilia is an X-linked recessive disorder.
-
Hemophilia is an inherited disease that manifests in male children whose mother is a carrier. With each
pregnancy there is a 50% chance that a male child will inherit the defective gene and manifest hemophilia A,
which is an X-linked recessive disorder. Hemophilia A is not an autosomal dominance disorder and it is inherited
by male offspring of female carriers . Daughters do not manifest the disease, but have a 50% chance of being a
carrier.
P 2
, • NSG 530 ACTUAL 09/16/2026
EXAM
The nurse reviews the complete blood count (CBC) findings of an adolescent with acute myelogenous leukemia
(AML). The hemoglobin is 13.8 g/dl, hematocrit is 36.7%, white blood cell count is 8,200 mm 3 , and platelet
count is 115,000 mm 3 . Based on these findings, what is the priority nursing diagnosis for this client's plan of
care?
a) Impaired gas exchange.
b) Risk for infection.
c) Risk for injury.
d) Risk for activity intolerance. - Correct Answer :c) Risk for injury.
-
A client with AML is at risk for anemia, neutropenia, and thrombocytopenia. These CBC findings indicate that the
platelet count is low (normal 250,000 to 400,000 mm3), which places this client at an increased risk for injury,
usually manifested as bruising or bleeding.
A middle-aged male client asks the nurse what findings from his digital rectal examination (DRE) prompted the
healthcare provider to prescribe a repeat serum prostatic surface antigen (PSA) level. What information should
the nurse provide?
a) A uniformly enlarged prostate is benign prostatic hypertrophy that occurs with aging.
b) The spongy or elastic texture of the prostate is normal and requires no further testing.
c) An infection is usually present when the prostate indents when a finger is pressed on it.
d) Stony, irregular nodules palpated on the prostate should be further evaluated. - Correct Answer :d) Stony,
irregular nodules palpated on the prostate should be further evaluated.
-
PSA levels are prescribed to screen for prostatic cancer which is often detected by DRE and manifested as small,
hard, or stony, irregularly-shaped nodules on the surface of the prostate. Although PSA levels are prescribed for
routine screening, the findings suggestive of BPH normal texture or infection do not suggest cancer of the
prostate which requires further evaluation.
Several hours after surgical repair of an abdominal aortic aneurysm (AAA), the client develops left flank pain. The
nurse determines the client's urinary output is 20 ml/hr for the past 2 hours. The nurse should conclude that
these findings support which complication?
P 3
, • NSG 530 ACTUAL 09/16/2026
EXAM
a) Infection.
b) Hypovolemia.
c) Intestinal ischemia.
d) Renal artery embolization. - Correct Answer :d) Renal artery embolization.
-
Postoperative complications of surgical repair of AAA are related to the location of resection, graft, or stent
placement along the abdominal aorta. Embolization of a fragment of thrombus or plaque from the aorta into a
renal artery can compromise blood flow in one of the renal arteries, resulting in renal ischemia that precipitates
unilateral flank pain.
Muscular Dystrophy is characterized by which pathophysiological condition?
a) Stressed induced tremor and trembling.
b) Cardiac damage.
c) Seizure activity.
d) Skeletal muscle degeneration. - Correct Answer :d) Skeletal muscle degeneration.
-
Skeletal muscle degeneration is a classic symptom of Muscular Dystrophy. The other options are not classic or
exclusive to Muscular Dystrophy.
Physical examination of a comatose client reveals decorticate posturing. Which statement is accurate regarding
this client's status based upon this finding?
a) A cerebral infectious process is causing the posturing.
b) Severe dysfunction of the cerebral cortex has occurred.
c) There is a probable dysfunction of the midbrain.
d) The client is exhibiting signs of a brain tumor. - Correct Answer :b) Severe dysfunction of the cerebral cortex
has occurred.
-
P 4
