NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 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/red cell, platelet count of 268,000/microliter, and WBC
count of 6800/microliter. The serum haptoglobin level is normal, and the serum
iron concentration is 20 micrograms/dL. The total iron binding capacity is 195
micrograms/dL, and the 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- thalassemia major
B. Anemia of chronic disease
C. Acute blood loss anemia D. Iron deficiency anemia Anemia of chronic
disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals scattered petechial hemorrhages but is negative for 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%, mean cell volume (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. Overwhelming bacterial infection
B. Acute lymphocytic (or lymphoblastic) leukemia
C. Acute myeloid leukemia
D. Aplastic anemia
Overwhelming bacterial infection
A 31-year-old male has a history of chronic anemia and painful crises with joint
and abdominal pain. A head computed tomography (CT) scan reveals several
small remote infarctions. During one of these acute crises, he is admitted with
severe dyspnea. A CBC is performed. Which of the following morphologic findings
for RBCs is most likely to be seen on the peripheral blood smear?
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 2026
A. Tear drop cells
B. Schistocytes
C. Sickle cells D. Spherocy
tes Sickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition
remains untreated for years, which of the following cardiovascular alterations will
be seen on a transthoracic echocardiogram and ECG?
A. Left Ventricular Hypertrophy
B. Left Ventricular Atrophy
C. Left Atrial Atrophy
D. Right Ventricular Hypertrophy Left ventricular 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. Physical examination reveals a fourth heart 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 syncopal
episodes?
A. Mitral regurgitation
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 medical history is positive for HTN X 20 years. VS: HR
105, BP 160/105, RR 17. On physical examination, the NP notices that her pedal
and radial pulses are not equal. What is the most likely cause of her chest pain?
A. Unstable angina
B. Aortic dissection
C. Prinzmetal angina D. Acute myocardial infarction Aortic dissection
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 2026
A 45-year-old male collapsed suddenly while playing basketball. Bystander CPR
and defibrillation was performed using an automatic external defibrillator or
AED. When EMS
, NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 2026
arrived, the gentleman was awake and alert. The recorded rhythm strip on the
AED shows tachycardia with AV dissociation (rate, approximately 220 bpm).
Which arrhythmia induced his arrest?
A. Nonsustained supraventricular tachycardia
B. Sustained wide complex atrial tachycardia
C. Wide complex ventricular tachycardia D. Narrow complex ventricular
tachycardia Wide complex tachycardia
A 44-year-old previously healthy male presents to the office complaining of
increasing dyspnea on exertion and exercise intolerance over the last six months.
The NP order a chest XRAY and transthoracic echocardiogram. The chest XRAY
shows an enlarged heart and mild pulmonary edema. The echocardiogram
reveals four-chamber cardiac dilation with an ejection fraction of 30% and mitral
and tricuspid valve regurgitation. The patient is referred to the cardiologist who
orders a CAT scan of the coronary arteries which is negative for obstructive
coronary artery disease. What is the most likely underlying cause of the
dyspnea?
A. Idiopathic dilated cardiomyopathy
B. Rheumatic heart disease
C. Hemochromatosis
D. Chagas disease
Idiopathic dilated cardiomyopathy
A 72-year-old female with a known cardiac history of coronary artery disease
presents to the emergency room following a syncopal episode. She received a
stent to the right coronary artery in 2017 and was noted to have an ejection
fraction of 40% at that time. A 12 lead ECG reveals a regular rhythm with a rate of
35. What is the most likely cause of her bradycardia?
A. Blocked pathway at or below the AV node
B. Blocked pathway at or below the SA node
C. Reentry pathway at or near the SA node
D. Reentry pathway at or near the
AV node Blocked pathway at or
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 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/red cell, platelet count of 268,000/microliter, and WBC
count of 6800/microliter. The serum haptoglobin level is normal, and the serum
iron concentration is 20 micrograms/dL. The total iron binding capacity is 195
micrograms/dL, and the 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- thalassemia major
B. Anemia of chronic disease
C. Acute blood loss anemia D. Iron deficiency anemia Anemia of chronic
disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals scattered petechial hemorrhages but is negative for 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%, mean cell volume (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. Overwhelming bacterial infection
B. Acute lymphocytic (or lymphoblastic) leukemia
C. Acute myeloid leukemia
D. Aplastic anemia
Overwhelming bacterial infection
A 31-year-old male has a history of chronic anemia and painful crises with joint
and abdominal pain. A head computed tomography (CT) scan reveals several
small remote infarctions. During one of these acute crises, he is admitted with
severe dyspnea. A CBC is performed. Which of the following morphologic findings
for RBCs is most likely to be seen on the peripheral blood smear?
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 2026
A. Tear drop cells
B. Schistocytes
C. Sickle cells D. Spherocy
tes Sickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition
remains untreated for years, which of the following cardiovascular alterations will
be seen on a transthoracic echocardiogram and ECG?
A. Left Ventricular Hypertrophy
B. Left Ventricular Atrophy
C. Left Atrial Atrophy
D. Right Ventricular Hypertrophy Left ventricular 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. Physical examination reveals a fourth heart 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 syncopal
episodes?
A. Mitral regurgitation
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 medical history is positive for HTN X 20 years. VS: HR
105, BP 160/105, RR 17. On physical examination, the NP notices that her pedal
and radial pulses are not equal. What is the most likely cause of her chest pain?
A. Unstable angina
B. Aortic dissection
C. Prinzmetal angina D. Acute myocardial infarction Aortic dissection
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 2026
A 45-year-old male collapsed suddenly while playing basketball. Bystander CPR
and defibrillation was performed using an automatic external defibrillator or
AED. When EMS
, NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A 2026
arrived, the gentleman was awake and alert. The recorded rhythm strip on the
AED shows tachycardia with AV dissociation (rate, approximately 220 bpm).
Which arrhythmia induced his arrest?
A. Nonsustained supraventricular tachycardia
B. Sustained wide complex atrial tachycardia
C. Wide complex ventricular tachycardia D. Narrow complex ventricular
tachycardia Wide complex tachycardia
A 44-year-old previously healthy male presents to the office complaining of
increasing dyspnea on exertion and exercise intolerance over the last six months.
The NP order a chest XRAY and transthoracic echocardiogram. The chest XRAY
shows an enlarged heart and mild pulmonary edema. The echocardiogram
reveals four-chamber cardiac dilation with an ejection fraction of 30% and mitral
and tricuspid valve regurgitation. The patient is referred to the cardiologist who
orders a CAT scan of the coronary arteries which is negative for obstructive
coronary artery disease. What is the most likely underlying cause of the
dyspnea?
A. Idiopathic dilated cardiomyopathy
B. Rheumatic heart disease
C. Hemochromatosis
D. Chagas disease
Idiopathic dilated cardiomyopathy
A 72-year-old female with a known cardiac history of coronary artery disease
presents to the emergency room following a syncopal episode. She received a
stent to the right coronary artery in 2017 and was noted to have an ejection
fraction of 40% at that time. A 12 lead ECG reveals a regular rhythm with a rate of
35. What is the most likely cause of her bradycardia?
A. Blocked pathway at or below the AV node
B. Blocked pathway at or below the SA node
C. Reentry pathway at or near the SA node
D. Reentry pathway at or near the
AV node Blocked pathway at or
