NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
A 65-year-old female presents to your office complaining of fatigue. She has a long of
rheumatoid arthritis. A CBC reveals the following: Hgb=11.6 g/dL, Hct=34.8%,
MCV=87 fL/redcell, platelet count of 268,000/microliter,WBC
and count of
6800/microliter.The serum haptoglobin level is normal, and the serum iron
concentration is 20 micrograms/dL. The total iron binding
capacityis 195
micrograms/dL, andthe percent saturation is 10.2. The serum ferritin concentration is
317 ng/mL. No fibrin split products are detected. The reticulocyte concentration is 1.1%.
What is the most likely
diagnosis?
A. Beta- thalassemiamajor
B. Anemia of chronic disease
C. Acute bloodloss anemia
D. Iron deficiency
anemiaAnemiaof
chronic disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals
scatteredpetechial hemorrhagesbut is negativefor enlargement of the liver or spleen or
lymph nodes.
Bone marrow examination does not show any abnormal cells. The complete blood
count (CBC)demonstrates a hemoglobin concentration (HgB) of 13.2 g/dL, hematocrit
(Hct) of 38.9%, meancellvolume (MCV) of 93 fL, platelet count of 175,000/microliter,
and white blood cell (WBC) count of 1850/microliter, with the differential count
showing 1 segmented neutrophil, 98 lymphocytes, and 1 monocyte per 100 WBCs.
What is the most likely cause of these findings?
A. Overwhelmingbacterialinfection
B. Acute lymphocytic(or lymphoblastic)leukemia
C. Acutemyeloidleukemia
D. Aplastic anemia
Overwhelmingbacterial
infection
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
A 31-year-old male has a history of chronic anemia and painful crises with jointand
abdominalpain. A headcomputedtomography(CT) scan reveals several small remote
infarctions. During one of these acute crises, he is
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
admittedwith severe dyspnea. A CBC is performed.Which of thefollowing morphologic
findings for RBCs is most likely to be seen on the peripheral blood smear?
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
A. Tear dropcells
B.SchistocytesC.Sickle
cells D.Spherocy
tesSickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition remains
untreatedfor years, which of the following cardiovascular
alterationswill beseenon a
transthoracic echocardiogram and ECG?
A. Left VentricularHypertrophy
B. Left VentricularAtrophy
C. Left Atrial Atrophy
D.Right Ventricular
HypertrophyLeftventricular
hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the office for
evaluation of syncope. His vital signs are temperature=98.3, Pulse=85,
RR=17,
BP=165/85.Physicalexaminationrevealsa fourthheart sound and a 4/6 crescendo -
decrescendo murmur heard at the right upper sternal border with radiation to the
carotid arteries. His ECG reveals enlarged QRS waves, consistent with left ventricular
hypertrophy. What is the most likely cause of his syncopalepisodes?
A. Mitralregurgitation
B.Mitral Stenosis
C.Aortic regurgitation
D.Aortic
stenosis Aortic
stenosis
A 63-year-old female presents to the emergency room with sudden onset of severe chest
and back pain. She describes the pain as sharp and different
from her anginal pain.Her
past medicalhistoryis positive forHTN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
A 65-year-old female presents to your office complaining of fatigue. She has a long of
rheumatoid arthritis. A CBC reveals the following: Hgb=11.6 g/dL, Hct=34.8%,
MCV=87 fL/redcell, platelet count of 268,000/microliter,WBC
and count of
6800/microliter.The serum haptoglobin level is normal, and the serum iron
concentration is 20 micrograms/dL. The total iron binding
capacityis 195
micrograms/dL, andthe percent saturation is 10.2. The serum ferritin concentration is
317 ng/mL. No fibrin split products are detected. The reticulocyte concentration is 1.1%.
What is the most likely
diagnosis?
A. Beta- thalassemiamajor
B. Anemia of chronic disease
C. Acute bloodloss anemia
D. Iron deficiency
anemiaAnemiaof
chronic disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals
scatteredpetechial hemorrhagesbut is negativefor enlargement of the liver or spleen or
lymph nodes.
Bone marrow examination does not show any abnormal cells. The complete blood
count (CBC)demonstrates a hemoglobin concentration (HgB) of 13.2 g/dL, hematocrit
(Hct) of 38.9%, meancellvolume (MCV) of 93 fL, platelet count of 175,000/microliter,
and white blood cell (WBC) count of 1850/microliter, with the differential count
showing 1 segmented neutrophil, 98 lymphocytes, and 1 monocyte per 100 WBCs.
What is the most likely cause of these findings?
A. Overwhelmingbacterialinfection
B. Acute lymphocytic(or lymphoblastic)leukemia
C. Acutemyeloidleukemia
D. Aplastic anemia
Overwhelmingbacterial
infection
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
A 31-year-old male has a history of chronic anemia and painful crises with jointand
abdominalpain. A headcomputedtomography(CT) scan reveals several small remote
infarctions. During one of these acute crises, he is
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
admittedwith severe dyspnea. A CBC is performed.Which of thefollowing morphologic
findings for RBCs is most likely to be seen on the peripheral blood smear?
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND PRACTICE
EXAM TEST BANK | VERIFIED QUESTIONS WITH DETAILED
ANSWERS | GRADED A||UPDATED 2025/2026
A. Tear dropcells
B.SchistocytesC.Sickle
cells D.Spherocy
tesSickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition remains
untreatedfor years, which of the following cardiovascular
alterationswill beseenon a
transthoracic echocardiogram and ECG?
A. Left VentricularHypertrophy
B. Left VentricularAtrophy
C. Left Atrial Atrophy
D.Right Ventricular
HypertrophyLeftventricular
hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the office for
evaluation of syncope. His vital signs are temperature=98.3, Pulse=85,
RR=17,
BP=165/85.Physicalexaminationrevealsa fourthheart sound and a 4/6 crescendo -
decrescendo murmur heard at the right upper sternal border with radiation to the
carotid arteries. His ECG reveals enlarged QRS waves, consistent with left ventricular
hypertrophy. What is the most likely cause of his syncopalepisodes?
A. Mitralregurgitation
B.Mitral Stenosis
C.Aortic regurgitation
D.Aortic
stenosis Aortic
stenosis
A 63-year-old female presents to the emergency room with sudden onset of severe chest
and back pain. She describes the pain as sharp and different
from her anginal pain.Her
past medicalhistoryis positive forHTN
