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NURSING 213 FINAL EXAM AND PRACTICE EXAM NEWEST 2025 COMPLETE 130 QUESTIONS AND ANSWERS

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NURSING 213 FINAL EXAM AND PRACTICE EXAM NEWEST 2025 COMPLETE 130 QUESTIONS AND ANSWERS

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NURSING 213
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NURSING 213

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March 14, 2025
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Written in
2024/2025
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NURSING 213 FINAL EXAM AND PRACTICE EXAM NEWEST 2025 COMPLETE 130 QUESTIONS AND
ANSWERS

Disease process - (answer) etiology, pathogenesis, morphologic changes, clinical manifestations,
diagnosis, and clinical course



immunosenescence - (answer) the weakening of both the innate and adaptive immune system with
increasing age



Multicausality - (answer) the combination of internal processes and influences from the environment
that cause cell changes with aging



physiological reserve - (answer) decrease in the ability to repair damage



Senescence - (answer) progressive loss of ability to replicate over time



Apoptosis - (answer) genetically programmed cell death. ex ovaries during menopause



necrosis - (answer) cells die due to stressors



infarction - (answer) consequence of prolonged ischemia . ex- myocardial infarction



gangrene - (answer) prolonged ischemia infarction and necrosis then are exposed to bacteria that
thrive on dead tissue



atrophy - (answer) cells revert to smaller size. loss of hormonal stimulation, malnutrition, ischemia, age



hypertrophy - (answer) increase in cell size

physiological- normal with exercise

pathological- increase without increase in supportive structures (high bp higher workload for LV)



hyperplasia - (answer) increase in number of cells. pregnancy stimulates mitotic division of breast
gland cells. keloid

,NURSING 213 FINAL EXAM AND PRACTICE EXAM NEWEST 2025 COMPLETE 130 QUESTIONS AND
ANSWERS



metaplasia - (answer) replacement of one type of tissue into a form that is not normally found there.
ex. GERD



dysphagia - (answer) deranges cell growth, precancerous. ex. cervical plasia seen in pap smear..



anaplasia - (answer) cancerous



hypoxic cell injury - (answer) most common; ischemia, anemia, low oxygen environments, pneumonia,
suffocation, airway obstruction



free radical cell injury - (answer) oxidative phosphorylation, small amount of reactive o2 molecules are
byproducts. present in cigarette smoke and toxins. damages the cells DNA. counteract with antioxidants
(vitamins A,E,C)



Acute inflammation stage 1 - (answer) vascular permeability; histamine and bradykinin enable
vasodilation, more permeable permitting fluids, WBC, and platelets to travel in. Area is warm and red
(erythema) and swollen.



acute inflammation stage 2 - (answer) cellular chemotaxis; chemical signal attracts more platelets and
WBC to site. WBC-cytokines, modulate by activating or inhibiting response. margination- wbc line up



acute inflammation stage 3 - (answer) systemic response; symptoms throughout body, fever, pain
lymphadenopathy, lethargy, etc



chonic inflammation - (answer) characterized by macrophages; cause tissue damage. granuloma-
where macrophages have aggregated and transform into epithelial like cells leading to tubercle.



Acute inlammation - (answer) characterized by neutrophils; first to site



Skin wound healing (3 processes) - (answer) 1-inflammation

,NURSING 213 FINAL EXAM AND PRACTICE EXAM NEWEST 2025 COMPLETE 130 QUESTIONS AND
ANSWERS

2-proliferation, fibroblast synthesizes collagen, form granulation tissue.

3-maturation and remodeling



exudate - (answer) purulent drainage. fluid leaving capillaries is protein rich filtrate containing wbc,
microbial organisms, and cellular debris



primary intention - (answer) -Clean laceration that requires simple re-epithelialization when edges are
approximated



•Example: Surgical Laceration



secondary intention - (answer) -A wound with a large gap in tissue

-some of the tissue has been gouged out

Ex. decubitus ulcer



tertiary intention - (answer) large gap from missing tissue has been contaminated and needs drainage
tube while healing requires skingraft



mast cells - (answer) release histamine



histamine - (answer) -inflammatory mediator released from basophils, platelets, and mast cells.

-causes vasodilation

-sneezing, runny nose, eye tearing are consequences of histamine released in URT

-benedryl is antihistamine



5 cardinal signs of inflammation - (answer) heat, redness, swelling, pain, loss of function



Chromosomal abberation - (answer) alteration in the chromosome structure; breakage

, NURSING 213 FINAL EXAM AND PRACTICE EXAM NEWEST 2025 COMPLETE 130 QUESTIONS AND
ANSWERS

-polyploidy; more than the diploid number of each chromosome. triploid (3 copies) tetraploid (4 copies).
Neither survive



-aneuploidy; does not contain multiple of 23. trisomy (3 copies of 1 chromosome) monosomy (1 copy of
any chromosome)



Autosomal Aneuploidy - (answer) Down syndrome (trisomy 21)



not sex linked



80% have lower IQ, 40% have heart disease, leukemia risk, weak immune system, adults susceptible to
early Alzheimers disease, all males sterile



Sex Chromosome Aneuploidy - (answer) Turner syndrome; females with one X. underdeveloped
breasts, short stature, edema, webbing of the neck, broad chest, wide nipples



Klinefelter syndrome; at least 2 X's and one Y (XXY), abnormalities increase with each additional X.
testosterone deficiency, develop male breasts (gynomastia), small testes sparse body hair, decrease
muscle mass, osteoporosis.



Single Gene Disorders - (answer) autosominal dominant



autosominal recessive



sex linked



Autosominal dominant - (answer) -no carries

-Marfans syndrome; connective tissue disorder. mostly in males, long arms and fingers concave chest.
hypermoble ligaments, risk for valve failure

-Huntingtons disease; degeneration of specific neurons in basal ganglia and cortex, chorea (movement
disorder) flailing of extremities

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