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PATHOPHYSIOLOGY NURSING

Total questions: 30

Worksheet time: 31mins

Name
Class
Date
1.

Patient Rachel was hospitalized after experiencing too much stress from employment, family and heath. The nurse knows that the following are signs of fight or flight response:

a)

Patient developed anxiety, depression, headaches, insomnia

b)
  • Organ damage, cardiovascular diseases or death.

c)
  • Hypertension, tachycardia, hyperglycemia, diaphoresis, muscle spasm

d)

Patient develops adaptive or maladaptive coping

2.

Patient Rachel was hospitalized after experiencing too much stress from employment, family and heath. The nurse knows that the following statement is TRUE about stage 2 response in the stages of General Adaptation Syndrome (GAS)

a)

A period of a prolonged or overwhelming stressor.

b)
  • Body used all types of coping mechanisms (physical, biochemical and psychological)

c)
  • Activation of SNS. Release of cortisol and catecholamines.

d)
  • SNS and cortisol returns to normal, causing fight or flight symptoms to disappear

3.

Patient Mena was brought to the emergency room after experiencing high fever and chills. The infection control nurse knows that the following statement is TRUE about monocytes as part of the White Blood Cell (WBC) differential count?

a)
  • Second line of defense in the second hour of infection.

b)
  • First line of defense in the first hour of infection.

c)
  • Fights parasitic infection.

d)
  • Fight against inflammation, allergic reaction

4.

Patient Mena was brought to the emergency room after experiencing high fever and chills. The infection control nurse knows that the following statement is TRUE about B lymphocyte cell as part of the White Blood Cell (WBC) differential count?

a)
  • Fights antigen by producing antibodies

b)
  • Fights cancer and tumor cells.

c)
  • Fights antigen and foreign substances

d)
  • Fights bacteria and virus

5.

Patient Mena was brought to the emergency room after experiencing redness, fever and swelling in infected wound. The pain nurse specialist knows that redness and swelling from wound is produced by which of the body's innate defense

a)
  • Mast cells, prostaglandin

b)
  • Macrophage and pyrogen

c)
  • Interferons

d)
  • Complement proteins

6.

Patient Mena was brought to the emergency room after experiencing redness, fever and swelling in infected wound. The nurse specialist knows that the following is the action of interferon as part of the body's innate defense

a)
  • Promotes vasodilation to release mediators

b)
  • Released during bacterial infection to produce fever

c)

Fights viral infection and prevent viral replication

d)
  • Promote antibody action to attack bacteria

7.

The public health nurse is conducting health education to her local community. Which of the following BEST exemplify an active acquired immunity.

a)
  • Prior exposure to chickenpox and measles

b)
  • Maternal-fetal transfer thru placenta

c)

Vaccine/immunization hesitancy

d)
  • Breastfeeding (milk and colostrum)

8.

The public health nurse is conducting health education to her local community. Which of the following BEST exemplify a Type 2 hypersensitive reaction (cytotoxic)

a)
  • Autoimmune disease (lupus, psoriasis)

b)
  • Blood transfusion reaction

c)

Allergies to food, drugs

d)
  • Organ transplane reaction/ rejection

9.

The nurse is caring for a postoperative patient who was having organ transplant after bone surgery. The nurse knows that the following BEST describes autologous category in donor-recipient transplant?

a)

Similar species and tissue)

b)

Same person

c)

Identical twins

d)

Another species (animal)

10.

The nurse is caring for a postoperative patient who was having organ transplant after bone surgery. The nurse knows that the following BEST describes hyper acute tissue rejection after an organ transplant?

a)

Within 3 days

b)

Day 4 to 3 months

c)

4 months to 1 year

d)

After 1 year

11.

The nurse educator is reviewing basic concepts to his students on anatomy and physiology. The nursing student knows that the following patient situation BEST exemplifies "Positive feedback mechanism"

a)

A patient develops hyperglycemia (high blood sugar level) after a week of stress

b)

A female patient suddenly develops high blood pressure.

c)

A teenager patient develops fever and chills a week after attending concert.

d)

A pregnant mother preparing for labor and delivery.

12.

The nurse educator is reviewing basic concepts to his students on pathophysiology. The nursing student knows that the following patient situation BEST exemplifies "congenital disease"

a)

A diabetic patient develops lung cancer after taking insulin for a decade

b)

A female patient with family history of hypertension develops high blood pressure

c)

A teenager patient develops unusual type of cancer with no known cause.

d)

A person with determination have no arms (upper extremities) since birth

13.

The nurse educator is reviewing basic concepts to his students on pathophysiology. The nursing student knows that the following patient situations exemplify "exacerbation" EXCEPT

a)

A patient with fracture who is about to remove his cast after 6 months.

b)

An HIV patient who develops pneumonia and tuberculosis

c)

A pediatric patient returns again to the hospital after asthmatic attack

d)

An asthmatic patient who develops respiratory distress syndrome after days in the hospital

14.

The nurse educator is reviewing basic concepts to his students on pathophysiology. The nursing student knows that the following patient situation exemplifies "Inflammatory disease"

a)

A patient with uncontrolled diabetes who develops pancreatic cancer

b)

An elderly patient who develops gout and arthritis.

c)

A pediatric patient diagnosed with mild autism

d)

A patient diagnosed with ACS who develops unstable angina and heart attack

15.

Patient Cara was diagnosed with Hodgkin diseases after observing 0.5 inch of mass in the neck area. The doctor mentioned it is just beginning as cancer cells have not yet reached the lymph and adjacent tissue organs. The oncology nurse knows that the following patient situation best reflect which tumor staging?

a)

Tumor

b)

Node

c)

Metastasis

d)

All of the above

16.

The nurse educator is reviewing basic concepts to his students on anatomy and physiology. The nursing student knows that all of the following statement are true about cellular function EXCEPT

a)

Cell membrane is the outer protective layer of the cell.

b)

Nucleus is control center of the cell.

c)

Mitochondria is the power house of the cell.

d)

Organelles are internal structures supported by nucleoplasm.

17.

The nurse educator is reviewing basic concepts to his students on pathophysiology. The nursing student knows that the following is the correct order of steps in carcinogenesis.

a)

Progression, Initiation, and Promotion

b)

Promotion, Initiation, and Progression

c)

Initiation, Progression and Promotion

d)
  • Initiation, Promotion and Progression

18.

A nurse was assigned to take care of the newly admitted patient diagnosed with cancer. Which of the following statement best reflects hyperplasia

a)

Increase in cell size

b)

Increase in cell number

c)

Increase in cell size, shape, appearance.

d)

Decrease in cell size and number

19.

A nurse was assigned to take care of the newly admitted patient diagnosed with cancer. Which of the following statement best reflects atrophy

a)

Person develops beefy and big body after regular going to gym.

b)

Bedridden patient becomes very thin after 1 year in being on bed

c)

Patient develops scars after series of injection

d)

Patient with bulimia develops esophageal cancer

20.

The newly hired nurse was assigned by her supervisor to take care of set of patients in the general ward. Which of the following set of medical conditions BEST pertain to "neoplastic diseases"?

a)

Aneurysm, Cancer and Hypertension

b)

Lung cancer, Colorectal cancer and Uterine cancer

c)

Diabetes, hypothyroidism and Hyperthyroidism

d)

Gout, Arthritis and Lupus

21.

The incoming shift nurse during endorsement receives the latest laboratory results from outgoing shift nurse. Based from the laboratory results, which of the following is TRUE about pancytopenia?

a)

WBC count is 3,000

b)

Platelet count is 90,000

c)

All of the above

d)

RBC count is 3,500,000

22.

The incoming shift nurse during endorsement receives the latest laboratory results from outgoing shift nurse. Based from the laboratory results, which of the following is TRUE about polycythemia vera?

a)

WBC count is 30,000

b)

Platelet count is 600,000

c)

RBC count is 7,000,000

d)

RBC count is 3,500,000

23.

The hematologic nurse was assigned to take care of patients diagnosed with anemia. Which of the following patient situation is TRUE about aplastic anemia?

a)

Vitamin B12 and intrinsic factor deficiency

b)

Iron deficiency

c)

Bone marrow suppression

d)

Hemoglobin protein (alpha or beta) deficiency

24.

The hematologic nurse was assigned to take care of patients diagnosed with bleeding disorders. Which of the following clinical manifestations are evident to a patient diagnosed with disseminated intravascular coagulation (DIC)

a)

Reddish skin and hypertension

b)

Bruising and petechia

c)

Purpura, bleeding

d)

Blood clots and bleeding

25.

The hematologic nurse was assigned to take care of patients diagnosed with anemia. Which of the following clinical manifestations are evident to a patient diagnosed with sickle cell anemia

a)

Loss of deep tendon reflex, anemia, diarrhea

b)

Spleenomegaly, hepatomegaly,. delayed growth

c)

bleeding, infection, anemia

d)

abdominal pain, body pain, anemia

26.

The hematologic nurse was assigned to take care of patients diagnosed with anemia. Which of the following clinical manifestations are evident to a patient diagnosed with thalassemia

a)

Loss of deep tendon reflex, anemia, diarrhea

b)

Spleenomegaly, hepatomegaly,. delayed growth

c)

bleeding, infection, anemia

d)

abdominal pain, body pain, anemia

27.

The hematologic nurse was assigned to take care of patients diagnosed with anemia. Which of the following are causative factors of hemolytic anemia?

a)

Autoimmune, blood transfusion reaction, blood incompatibilities

b)

Genetics, dehydration, high altitudes

c)

Autoimmune, viral infection, chemotherapy drugs

d)

Low intake of iron, bleeding, GI disorder

28.

The hematologic nurse was assigned to take care of patients diagnosed with bleeding disorder. Which of the following are causative factors of hemophilia?

a)

Chemical, viral, radiation

b)

Genetics, absent clotting factor 8 (VIII)

c)

Autoimmune, viral infection, immunodeficiency

d)

Absent von Willebrand factor, hyper coagulation, cancer

29.

The oncology nurse was assigned to take care of patients diagnosed with different types of cancer. Which of the following are causative factors of non-hodgkin?

a)

Chemical, viral, radiation

b)

Epstein Barr virus, + Reed-Sternberg cells, Immunodeficiency

c)

Autoimmune, - Reed-Sternberg cells, HIV

d)

Bone marrow cancer, radiation, spleen destruction

30.

The oncology nurse was assigned to take care of patients diagnosed with different types of cancer. Which of the following are clinical manifestations experienced by the patient diagnosed with multiple myeloma?

a)

All of the above

b)

Bone pain, fracture, kidney problems

c)

Painless node, enlarged lymph node, recurrent infection

d)

Anemia, bleeding, lymphadenopathy