WGU Pathophysiology Study Guide: D236 Pathophysiology EXAM QUESTIONS Completed with Correct ANSWERS

WGU Pathophysiology Study Guide: D236 Pathophysiology EXAM QUESTIONS Completed with Correct ANSWERS Question 1 1. A bedridden client has frequent gastrointestinal reflux. Which condition might the client develop due to gastrointestinal reflux? A. Aspiration Pneumonia B. Hypotension C. Hyperthermia D. Constipation 4 points Question 2 1. A client displays behaviors that involve a desire for perfection and success in academics, and psychiatric characteristics, such as being socially isolated and emotional, and having a severely restricted diet. Which disorder could the client possibly have? A. Anorexia nervosa B. Bulimia nervosa C. Binge eating D. Purging disorder 4 points Question 3 1. A client complains of headaches during morning hours and sleep, and also rhinorrhea and tearing of the eye. Which type of headache is likely to be diagnosed for the client? A. Tension headache B. Migraine C. Cluster headache D. Cephalgia 4 points Question 4 1. A client has +3 pitting edema on the feet and also has ascites. What is the most important clinical feature to be monitored given this condition? A. Hemoglobin level B. Serum albumin level C. Red blood cells count D. White blood cells count 4 points Question 5 1. Which is a physical assessment finding of respiratory acidosis? A. Cyanosis B. Tachycardia C. Hypotension D. Hypertension 4 points Question 6 1. The nurse practitioner is assessing the medical records of different clients with diabetes. Client Client 1 Client 2 Client 3 Client 4 Blood pressure (BP) 130/90 mm Hg 128/90 mm Hg 115/75 mm Hg 140/90 mm Hg Low-density lipid (LDL) levels 140 mg/dL 120 mg/dL 100 mg/dL 130 mg/dL High-density lipid (HDL) levels 40 mg/dL 50 mg/dL 70 mg/dL 45 mg/dL Triglycerides 170 mg/dL 160 mg/dL 140 mg/dL 175 mg/dL Which client has a reduced risk of cardiovascular disease? A. Client 1 B. Client 2 C. Client 3 D. Client 4 4 points Question 7 1. A nurse practitioner is teaching a client with a decubitus ulcer about the nutrients required for wound healing. Which statement made by the client indicates effective learning? A. “Consuming orange juice will improve wound healing.” B. “Consuming dairy products will encourage rapid wound healing.” C. “Adding zinc to the diet will help with wound healing.” D. None of the above 4 points Question 8 1. A 27-year-old male client tells a nurse practitioner that his siblings have sickle cell anemia, and he is concerned that his children might be affected by sickle cell anemia in the future. Which is the most appropriate advice the nurse practitioner should provide the client? A. “Your partner and you should consult a genetic counselor.” B. “You will not pass sickle cell anemia to your offspring, so relax.” C. “You might pass sickle cell anemia to your offspring, so adopt a child.” D. None of the above. 4 points Question 9 1. What is a supportive treatment for a client with disseminated intravascular coagulation? A. Transfuse fresh frozen plasma. B. Maintain fluid and electrolyte balance. C. Start prophylactic treatment with phenytoin. D. Start a heparin infusion. 4 points Question 10 1. A registered nurse practitioner is teaching nursing students about ischemic cardiomyopathy. Which statement made by one of the student nurses indicates effective learning? A. “Ischemic cardiomyopathy is the disorder that restricts the ventricle’s ability to fully expand.” B. “Ischemic cardiomyopathy is the enlargement and hypertrophy of the left or right ventricles.” C. interventricular septal“Ischemic cardiomyopathy wall.” is a genetic predisposition for the muscularenlargement of the D. “insufficiency.”Ischemic cardiomyopathy is the scarring of the heart muscle caused by coronary artery 4 points Question 11 1. A registered nurse practitioner is teaching nursing students about the renin- angiotensin-aldosterone system (RAAS). Which statement made by the nursing student indicates effective learning? A. “RAAS is a mechanism that regulates arterial blood pressure.” B. “RAAS is a mechanism with detrimental effects that decrease workload for the left ventricle.” Question 12 1. A 60-year-old client who complains of swelling in the ankles and fingers, abdominal swelling, fullness of the stomach, and a weight gain of 2 lbs. or more per day is diagnosed with mild or moderate heart failure. What are the symptoms that could be observed secondary to decreased cerebral perfusion? A. Confusion, difficulty concentrating, and headache B. Dyspnea and nocturnal cough C. None of the above D. Cold, pale legs and feet 4 points Question 13 1. How should a nurse practitioner distinguish a grade 5 heart murmur from a grade 6 heart murmur? A grade 5 heart murmur is moderately loud, while a grade 6 heart murmur is loud and has a A. palpable thrill. B. A grade 5 heart murmur is faint, while a grade 6 heart murmur is moderately loud. A grade 5 heart murmur may be heard when a stethoscope is partly off the C. chest wall, while a grade 6 heart murmur is heard when a stethoscope is off the chest wall. A grade 5 heart murmur is heard with the diaphragm of a stethoscope, while a grade 6 heart D. murmur is heard with the bell of a stethoscope. 4 points Question 14 1. need for further learning? A nurse practitioner is teaching student nurses about the epidemiology of urolithiasis. Which statement made by a student nurse indicates the A. “Urolithiasis occurs in 1 to 3 per 1,000 in men.” B. “The incidence of recurrence of calculi is 52% at 10 years after the initial incident.” C. “The incidence of urolithiasis increases among men in their twenties.” D. “The incidence of urolithiasis in women peaks in the late fifties.”