MN 551 Week 10 final Exam –BRAND NEW STUDY
GUIDE FOR 2025/2026 ALREADY GRADED A+
A 32-year-old man is complaining of burning, itching, photophobia, and severe
pain in his right eye after swimming in the ocean. To determine that the eye
condition is corneal rather than a conjunctival disease, which of the following
would be the distinguishing symptom?
A.) Burning
B.) Itching
c.) photophobia
D.) Severe pain - answer-Severe pain
A woman with a diagnosis of type 2 diabetes has been ordered by her primary
care provider to have a hemoglobin A1C test for the first time. The woman states,
"I don't see why you want to test my blood cells when it's sugar that's the
problem." What aspect of physiology will underlie the care provider's response to
the patient?
A.)The amount of glucose attached to A1C cells reflects the average blood glucose
levels over the life of the cell.
B)Hemoglobin synthesis by the bone marrow is inversely proportionate to blood
glucose levels, with low A1C indicating hyperglycemia.
,C)The high metabolic needs of red cells and their affinity for free glucose indicate
the amount of glucose that has been available over 6 to 12 weeks.
D)Insulin is a glucose receptor agonist on the hemoglobin molecule, and high
glucose suggests low insulin levels. - answer-The amount of glucose attached to
A1C cells reflects the average blood glucose levels over the life of the cell.
A 30 year old man with a diagnosis of type 1 diabetes is aware of the multiple
effects that insulin has on his metabolism. Which of the following physiological
processes are actions of insulin? - answer-Facilitating triglycerides from glucose in
fat cells
A 32-year-old mother who complains of intermittent abdominal pain that persists
even after defecation. - answer-A 51-year-old male who states that his stomach
pain is in his lower abdomen, "comes and goes," and "feels more like a cramp
than a dull ache."
While on tour, a 32-year-old male musician has presented to the emergency
department of a hospital after a concert complaining of severe and sudden
abdominal pain. He admits to a history of copious alcohol use in recent years, and
his vital signs include a temperature of 38.8°C (101.8°F), blood pressure of 89/48
mm Hg, and heart rate of 116 beats per minute. Blood work indicates that his
serum levels of C-reactive protein, amylase, and lipase are all elevated. Which of
the following diagnoses would the care team first suspect?
Acute pancreatitis
,Liver cirrhosis
Cholecystitis
Hepatitis C - answer-Acute pancreatitis
A 55-year-old man has been diagnosed with a hiatal hernia, in which the function
of the lower esophageal sphincter is compromised. Which of the following
consequences of this condition is most likely?
Inappropriate release of gastric enzymes
Protrusion of the stomach or regurgitation of stomach contents into the
esophagus
Impaired control of the gastric emptying rate
Decreased absorption of ingested foods and fluids - answer-Protrusion of the
stomach or regurgitation of stomach contents into the esophagus
The mother of a 19-week-old infant has brought her baby to a nurse practitioner
for assessment because of the baby's persistent weight loss and diarrhea. An
intestinal biopsy has confirmed a diagnosis of celiac disease, and the child's
mother is anxious to know what caused the disease. Which of the following
aspects of the etiology of celiac disease would underlie the explanation that the
nurse practitioner provides?
, Inability to process or absorb the fat content of breast milk results in malnutrition
and deficiency of fat-soluble vitamins.
Neurogenic or muscular inhibition of peristalsis results in inappropriate motility of
ingested food in the lower small intestine and the colon.
An inappropriate T-cell mediated response results in increased levels of
antibodies and an inflammatory response.
Bacterial or chemical invasion of the peritoneum leads to decreased nutrient
absorption and transport. - answer-An inappropriate T-cell mediated response
results in increased levels of antibodies and an inflammatory response.
A female neonate has been in respiratory distress since delivery and is
unresponsive to oxygen therapy. Endoscopy has confirmed a diagnosis of
esophageal atresia and tracheoesophageal fistula (EA/TEF). Which of the
following explanations should the care team provide to the infant's parents?
The priority in our immediate treatment prior to her surgery will be pain
management, as the contents of her stomach can burn her lungs."
"The biggest risk that will face your daughter until this is fixed is the danger of
malnutrition and dehydration."
"This problem will require respiratory therapy and supplementary feeding, but it
will likely resolve itself over time."
GUIDE FOR 2025/2026 ALREADY GRADED A+
A 32-year-old man is complaining of burning, itching, photophobia, and severe
pain in his right eye after swimming in the ocean. To determine that the eye
condition is corneal rather than a conjunctival disease, which of the following
would be the distinguishing symptom?
A.) Burning
B.) Itching
c.) photophobia
D.) Severe pain - answer-Severe pain
A woman with a diagnosis of type 2 diabetes has been ordered by her primary
care provider to have a hemoglobin A1C test for the first time. The woman states,
"I don't see why you want to test my blood cells when it's sugar that's the
problem." What aspect of physiology will underlie the care provider's response to
the patient?
A.)The amount of glucose attached to A1C cells reflects the average blood glucose
levels over the life of the cell.
B)Hemoglobin synthesis by the bone marrow is inversely proportionate to blood
glucose levels, with low A1C indicating hyperglycemia.
,C)The high metabolic needs of red cells and their affinity for free glucose indicate
the amount of glucose that has been available over 6 to 12 weeks.
D)Insulin is a glucose receptor agonist on the hemoglobin molecule, and high
glucose suggests low insulin levels. - answer-The amount of glucose attached to
A1C cells reflects the average blood glucose levels over the life of the cell.
A 30 year old man with a diagnosis of type 1 diabetes is aware of the multiple
effects that insulin has on his metabolism. Which of the following physiological
processes are actions of insulin? - answer-Facilitating triglycerides from glucose in
fat cells
A 32-year-old mother who complains of intermittent abdominal pain that persists
even after defecation. - answer-A 51-year-old male who states that his stomach
pain is in his lower abdomen, "comes and goes," and "feels more like a cramp
than a dull ache."
While on tour, a 32-year-old male musician has presented to the emergency
department of a hospital after a concert complaining of severe and sudden
abdominal pain. He admits to a history of copious alcohol use in recent years, and
his vital signs include a temperature of 38.8°C (101.8°F), blood pressure of 89/48
mm Hg, and heart rate of 116 beats per minute. Blood work indicates that his
serum levels of C-reactive protein, amylase, and lipase are all elevated. Which of
the following diagnoses would the care team first suspect?
Acute pancreatitis
,Liver cirrhosis
Cholecystitis
Hepatitis C - answer-Acute pancreatitis
A 55-year-old man has been diagnosed with a hiatal hernia, in which the function
of the lower esophageal sphincter is compromised. Which of the following
consequences of this condition is most likely?
Inappropriate release of gastric enzymes
Protrusion of the stomach or regurgitation of stomach contents into the
esophagus
Impaired control of the gastric emptying rate
Decreased absorption of ingested foods and fluids - answer-Protrusion of the
stomach or regurgitation of stomach contents into the esophagus
The mother of a 19-week-old infant has brought her baby to a nurse practitioner
for assessment because of the baby's persistent weight loss and diarrhea. An
intestinal biopsy has confirmed a diagnosis of celiac disease, and the child's
mother is anxious to know what caused the disease. Which of the following
aspects of the etiology of celiac disease would underlie the explanation that the
nurse practitioner provides?
, Inability to process or absorb the fat content of breast milk results in malnutrition
and deficiency of fat-soluble vitamins.
Neurogenic or muscular inhibition of peristalsis results in inappropriate motility of
ingested food in the lower small intestine and the colon.
An inappropriate T-cell mediated response results in increased levels of
antibodies and an inflammatory response.
Bacterial or chemical invasion of the peritoneum leads to decreased nutrient
absorption and transport. - answer-An inappropriate T-cell mediated response
results in increased levels of antibodies and an inflammatory response.
A female neonate has been in respiratory distress since delivery and is
unresponsive to oxygen therapy. Endoscopy has confirmed a diagnosis of
esophageal atresia and tracheoesophageal fistula (EA/TEF). Which of the
following explanations should the care team provide to the infant's parents?
The priority in our immediate treatment prior to her surgery will be pain
management, as the contents of her stomach can burn her lungs."
"The biggest risk that will face your daughter until this is fixed is the danger of
malnutrition and dehydration."
"This problem will require respiratory therapy and supplementary feeding, but it
will likely resolve itself over time."
