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NURS 3366 PATHOPHYSIOLOGY EXAM 2 COMPLETE 350 QUESTIONS AND VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR

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NURS 3366 PATHOPHYSIOLOGY EXAM 2
COMPLETE 350 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE
THIS YEAR




QUESTION: An RN is taking care of cocaine addict who has just given birth to a baby with a

teratogenic defect. A student nurse asks him what the probable etiology was. The RN shows

understanding of genetic disordered when he says... - ANSWER-"It's hard to know the exact

cause, but it's likely that fetal chromosomal devo was impaired by the mom's intra-pregnancy

cocaine ingestion."




QUESTION: A pt is diagnosed with sickle cell dz (SSD). Which genetic scenario would result in

the inheritance of this dz? - ANSWER-aa




QUESTION: A child with sickle cell anemia presents with pain all over, especially the joints.

Which option best links the patho with S/S? - ANSWER-A single-gene mutation causes

malfunction in RBC O2-carrying capacity, leading to ischemic pain in the joint tissues.




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QUESTION: The parents of a new baby with Down's Syndrome ask their nurse what to expect.

She bases her answer on her understanding that the child will have - ANSWER-developmental

problems brought on by the pathologic interaction of 3 chromosomes where there should only

be two.




QUESTION: A child is brought to her HCP. Her parents state that no matter how much she eats,

she keeps losing weight. She appears quite thin. Her blood sugar is markedly elevated. She is

diagnosed with type I diabetes mellitus (DM 1). Which explanation best links the patho with

S/S? In DM the pancreas _____ - ANSWER-Quits producing insulin so that glucose cannot be

used as energy in the cells, thus causing the body to burn up fat and protein for energy.




QUESTION: A child is brought to her HCP. Her parents state that no matter how much she eats,

she keeps losing weight. She appears quite thin. Her blood sugar is markedly elevated. She is

diagnosed with type I diabetes mellitus (DM 1). If ABGs were done on this pt, you would expect

all the following EXCEPT: - ANSWER-a HCO3 of 30 b/c the low numbers of acids in her body

stimulate an increase in HCO3.




QUESTION: A pt is diagnosed with metabolic acidosis. Which compensatory response would you

expect? - ANSWER-Hyperventilation -- increased RR -- to blow off CO2; this is the lungs way to

get rid of acids



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A 55 year old man with emphysema (lung dz) who has smoked 2 packs of cigs per day for 40

years is hospitalized for acute onset cough with bloody sputum. After a few days of testing and

treatment, the patient's nurse read a physician's note on the chat: "I have told the pt the

etiologies of his presenting problem are: 1) exacerbation of his chronic emphysema and 2) the

new diagnosis of lung cancer. The onset of both was contributed to by his longstanding

smoking". The patient asks the nurse for more information about his illness. Which explanation,

by the nurse, indicates a full understanding of the pt situation? - ANSWER-" The coughing up of

blood is caused by a worsening of a dz you've had for a long time plus a new prolbem -- lung

cancer."




QUESTION: A 55 year old man with emphysema (lung dz) who has smoked 2 packs of cigs per

day for 40 years is hospitalized for acute onset cough with bloody sputum. After a few days of

testing and treatment, the patient's nurse read a physician's note on the chat: "I have told the

pt the etiologies of his presenting problem are: 1) exacerbation of his chronic emphysema and

2) the new diagnosis of lung cancer. The onset of both was contributed to by his longstanding

smoking". The patient asks the nurse for more information about his illness. Based on the

information you have on the pt, which statement is most likely correct? - ANSWER-Heavy

cigarette smoking was a risk factor in the pt developing emphysema and lung cancer.




QUESTION: An 80 yo pt has experienced a massive blood loss following an accident. His vital

signs are: BP 80/50, HR 120, RR 20, temp 98.6. In assessing the pt, the nurse understands that


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the abnormal HR is - ANSWER-due to the pt hear compensating for low blood volume by

pumping faster.




QUESTION: An 80 yo pt has experienced a massive blood loss following an accident. His vital

signs are: BP 80/50, HR 120, RR 20, temp 98.6. The pt would also most likely have all of the

following EXCEPT: - ANSWER-A risk factor of shock




QUESTION: A young, otherwise healthy pt is admitted to the hospital with a diagnosis of HF of

unknown cause. The etiology of the HF would be termed - ANSWER-Idiopathic




QUESTION: A busy student, with very few financial resources, has body aches, a fever, cough

and nasal congestions and difficulty breathing through their nose. The direct patho etiology of

these symptoms is most likely related to - ANSWER-Exposure to a microbe




QUESTION: A busy student, with very few financial resources, has body aches, a fever, cough,

and nasal congestion and difficulty breathing through their nose. The precipitating factors

related to the illness include all options EXCEPT: - ANSWER-having a cough and nasal congestion




4

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