d115 advanced pathophysiology with correct answers 20252026

d115 advanced pathophysiology with
correct answers 2025>2026

Anvadvancedvpracticevregisteredvnursev(APRN)visvcaringvforvanvadultvpatientvwhovfellvoffvavladderva
ndvhasvavT5vcompressionvandvavcompoundvfracturevofvthevfemur.

Thevfollowingvassessmentvdatavisvnoted:

Vitalvsigns:vBPv102/52

Apicalvpulse:v48

Weakvperipheralvpulses

Flaccidvlowervextremities

Severevbruisingvofvthevfemur

WhichvtypevofvshockvshouldvthevAPRNvsuspect?v-vvcorrectvanswersvNeurogenic



Anvadvancedvpracticevregisteredvnursev(APRN)visvcaringvforvavpatientvwhovexperiencedvav20%vtotalv
bodyvsurfacevareav(TBSA)vburnvinjury.vCurrentvassessmentvfindingsvincludevmassivevevaporativevw
atervlosses,vavfluxvofvlargevamountsvofvfluidvandvelectrolytesvinvthevtissues,vgeneralizedvedema,vand
vcirculatoryvhypovolemia.vThevAPRNvneedsvtovtakevimmediatevactionvtovpreventvirreversiblevhypov


olemicvshockvandvdeath.

WhichvpriorityvactionvshouldvbevtakenvbyvthevAPRN?v-
vvcorrectvanswersvAdministervupvtov30vLvofvlactatedvringervsolutionvoverv24vhours




Anvadultvpatientvhasvexperiencedvavthird-
degreevburn.vAnvadvancedvpracticevregisteredvnursev(APRN)visvattemptingvtovcalculatevthevtotalvbo

, dyvsurfacevareavaffectedvusingvthevrulevofvnines.vThevareasvinvolvedvincludevthevanteriorvandvposte
riorvrightvarmvandvlegvandvthevgroin.

WhatvisvthevestimatedvtotalvbodyvsurfacevareavthatvwillvbevassignedvbyvthevAPRN?v-
vvcorrectvanswersv28%




Anvadvancedvpracticevregisteredvnursev(APRN)vassessesvavschool-
agedvchildvwithvsepsisvwhovisvexperiencingvnewvsymptomsvofvhyperthermia,vtachycardia,vandvtach
ypnea.

WhichvadditionalvdiagnosisvshouldvthevAPRNvconsider?v-
vvcorrectvanswersvSystemicvinflammatoryvresponsevsyndrome




Avfemalevpatientvpresentsvwithvabnormalvhairvgrowthvonvthevfacevandvbodyvandvreportsvthatvthevh
airvonvhervheadvisvreceding.vAnvadvancedvpracticevregisteredvnursev(APRN)vdeterminesvthatvthevpa
tientvhasvhirsutism.

WhichvothervdiagnosisvassociatedvwithvthisvconditionvshouldvbevconsideredvbyvthevAPRN?v-
vvcorrectvanswersvPolycysticvovarianvsyndrome




Whenvdiscussingvsunvprotectionvwithvanvoldervpatient,vanvadvancedvpracticevregisteredvnursevrec
ommendsvthevimportancevofvusingvsunblockvtovprotectvagingvskinvfromvultravioletvexposurevwhenv
thevpatientvwillvbevinvthevsun.

Whichvpathologicvchangesvduevtovagingvofvthevintegumentaryvsystemvisvthisvrecommendationvbas
edvon?v-
vvcorrectvanswersvDecreasedvmelanocytesvandvclearancevofvoxidativevsubstancesvfromvthevdermis




Anvadvancedvpracticevregisteredvnursev(APRN)visvworkingvwithvavbedboundvpatientvwhovhasvanvar
eavofvskinvtissuevobscuredvbyvsloughvorvescharvovervthevleftvgreatervtrochanter.

WhichvwayvshouldvthisvpressurevinjuryvbevstagedvbyvthevAPRNvforvtreatment?v-
vvcorrectvanswersvUnstageable




Avfive-year-
oldvchildvpresentsvtovavclinicvwithvrightvinnervthighvandvgroinvpainvthatvradiatesvtovthevknee.vThevpa