NURS 6501 ADVANCED PATHOPHYSIOLOGY
MIDTERM EXAM AND PRACTICE EXAM | 2025
ACTUAL EXAM WITH QUESTIONS AND
DETAILED ANSWERS TEST BANK |
GUARANTEED EXCELLENCE PASS
A previously healthy nurse practitioner student has headaches for
several weeks. She has increasing malaise. A head CT scan shows no
abnormalities. A lumbar puncture yields clear, colorless CSF with
normal glucose and minimally elevated protein levels. A few
lymphocytes are present, but no neutrophils. A CSF gram stain is
negative as is the India ink preparation. Her condition gradually
improves over the next several months. Serum serologic test are most
likely to reveal an elevated titer of antibodies to:
A. Toxoplasma gondii
B. Echo virus
C. Listeria monocytogenes
D. Neisseria meningitis - ✔✔✔ Correct Answer > B
,A 26-year-old woman is examined by a neurologist for decreased vision
in her left eye. Clinical history reveals an episode of weakness several
months earlier, which she attributed to job stress and fatigue. The
neurological examination reveals mild residual weakness in her right
lower extremity. The spinal fluid tap reveals increased IgG levels with
prominent oligoclonal bands in the CSF. A brain MRI scan reveal small,
scattered, o.5 cm areas consistent with demyelination, mostly located
in periventricular white matter. What should the nurse practitioner tell
the patient?
A. Relapses and remissions will occur over many years
B. No further neurological problems will be experienced
C. This disease can be passed on to children
D. Further debilitation and death will occur within 5 years - ✔✔✔
Correct Answer > A
A 44-year-old male injection drug user is admitted with a 1 day history
of increasing headache and high fever. Head computed tomography
(CT) does not reveal a mass lesion or midline shift. A lumbar puncture is
performed; the cerebral spinal fluid (CSF) protein concentration is
,increased, but the glucose level is decreased. Which of the following
infectious agents is most likely to account for these findings?
A. Mycobacterium
B. Staphylococcus aureus
C. Toxoplasma gondii
D. Herpes simplex virus - ✔✔✔ Correct Answer > B
A 59 y/o white male is seen at the ER. He presents with shortness of
breath. Upon examination, the nurse practitioner notes crackles in
lungs, a systolic murmur at the midclavicular 5th intercostal space,
irregular heart rate, and decreased distal pulses. ECHO is performed,
but appears normal. LVH is noted on EKG. What is the most likely
diagnosis for this patient?
A. Restrictive Cardiomyopathy
B. Hypertrophic Cardiomyopathy
C. pneumonia
, D. Dilated Cardiomyopathy - ✔✔✔ Correct Answer > Hypertrophic
cardiomyopathy
A 66-year-old female presents after a transient episode of visual loss in
her right eye. She reports that she had right sided headaches for
several months, for which she takes ibuprofen, with some relief. On
physical examination, she has tenderness over her scalp in the left
temporal region and complains that her jaw "get tired with chewing."
Neurological examination is normal with no focal deficits. Vital signs are
as follows: temperature=101.1, pulse=72, RR=16, BP=140/82. What is
the most likely diagnosis?
A. Temporal arteritis
B. Migraine headache
C. Tension headache
D. Cluster headache - ✔✔✔ Correct Answer > A
A 4-year-old girl has been irritable for the past 2 days. She has not
received her vaccinations. She has a temperature of 39.1 C. A lumbar
puncture is performed, and the CSF shows numerous neutrophils, a
MIDTERM EXAM AND PRACTICE EXAM | 2025
ACTUAL EXAM WITH QUESTIONS AND
DETAILED ANSWERS TEST BANK |
GUARANTEED EXCELLENCE PASS
A previously healthy nurse practitioner student has headaches for
several weeks. She has increasing malaise. A head CT scan shows no
abnormalities. A lumbar puncture yields clear, colorless CSF with
normal glucose and minimally elevated protein levels. A few
lymphocytes are present, but no neutrophils. A CSF gram stain is
negative as is the India ink preparation. Her condition gradually
improves over the next several months. Serum serologic test are most
likely to reveal an elevated titer of antibodies to:
A. Toxoplasma gondii
B. Echo virus
C. Listeria monocytogenes
D. Neisseria meningitis - ✔✔✔ Correct Answer > B
,A 26-year-old woman is examined by a neurologist for decreased vision
in her left eye. Clinical history reveals an episode of weakness several
months earlier, which she attributed to job stress and fatigue. The
neurological examination reveals mild residual weakness in her right
lower extremity. The spinal fluid tap reveals increased IgG levels with
prominent oligoclonal bands in the CSF. A brain MRI scan reveal small,
scattered, o.5 cm areas consistent with demyelination, mostly located
in periventricular white matter. What should the nurse practitioner tell
the patient?
A. Relapses and remissions will occur over many years
B. No further neurological problems will be experienced
C. This disease can be passed on to children
D. Further debilitation and death will occur within 5 years - ✔✔✔
Correct Answer > A
A 44-year-old male injection drug user is admitted with a 1 day history
of increasing headache and high fever. Head computed tomography
(CT) does not reveal a mass lesion or midline shift. A lumbar puncture is
performed; the cerebral spinal fluid (CSF) protein concentration is
,increased, but the glucose level is decreased. Which of the following
infectious agents is most likely to account for these findings?
A. Mycobacterium
B. Staphylococcus aureus
C. Toxoplasma gondii
D. Herpes simplex virus - ✔✔✔ Correct Answer > B
A 59 y/o white male is seen at the ER. He presents with shortness of
breath. Upon examination, the nurse practitioner notes crackles in
lungs, a systolic murmur at the midclavicular 5th intercostal space,
irregular heart rate, and decreased distal pulses. ECHO is performed,
but appears normal. LVH is noted on EKG. What is the most likely
diagnosis for this patient?
A. Restrictive Cardiomyopathy
B. Hypertrophic Cardiomyopathy
C. pneumonia
, D. Dilated Cardiomyopathy - ✔✔✔ Correct Answer > Hypertrophic
cardiomyopathy
A 66-year-old female presents after a transient episode of visual loss in
her right eye. She reports that she had right sided headaches for
several months, for which she takes ibuprofen, with some relief. On
physical examination, she has tenderness over her scalp in the left
temporal region and complains that her jaw "get tired with chewing."
Neurological examination is normal with no focal deficits. Vital signs are
as follows: temperature=101.1, pulse=72, RR=16, BP=140/82. What is
the most likely diagnosis?
A. Temporal arteritis
B. Migraine headache
C. Tension headache
D. Cluster headache - ✔✔✔ Correct Answer > A
A 4-year-old girl has been irritable for the past 2 days. She has not
received her vaccinations. She has a temperature of 39.1 C. A lumbar
puncture is performed, and the CSF shows numerous neutrophils, a
