NURS 6501 Final Exam Revision

NURS 6501 Final Exam Revision

In this unit, you will be required to review all 8 modules. You are required to be conversant with the foundational concepts of pathophysiology contained in all the modules. You should review the cellular processes and the genetic environment, where you should be able to evaluate all the cellular processes and cell alterations, as well as evaluate the impact of the genetic environment in the development and progress of disease. You should be able to explain how healthy cells lead to good health in an individual. Review the case studies provided and ensure that you respond correctly to the questions raised.

Next, you will examine the alterations in the immune systems and the disease processes that result. Ensure that you are conversant with the racial and ethnic factors that contribute to the physiological functioning of an individual. Read about how patient characteristics influence disorders and lead to altered physiology. Go through the resources provided under this module and ensure you grasp the main concepts presented.

The next module is on Cardiovascular and Respiratory Disorders. Review the fundamental concepts of cellular processes that usually contribute to alterations in respiratory and cardiovascular disorders. Delve into how the genetic environment is involved in the development of these disorders. Explore the common disorders and diseases that affect these two systems, such as pneumonia, heart disease, myocardial infarction, endocarditis, valvular disorder, and COPD, among others.

Ensure that you understand the common terminology used when describing the pathophysiology and the management of these conditions. Consider and apply the information acquired from the previous modules on the racial and ethnic variables that cause illnesses and apply it to explain how they influence the disorders affecting these two systems. You should familiarize yourself with the medications prescribed for these conditions, the diagnostic tests to perform, and the parameters to monitor for when the patient is under medication.

Under module 3, you will read about the processes involved in hepatobiliary and gastrointestinal disorders. Again, you will be required to explain how racial, ethnic, and patient characteristics lead to the development of disorders of these systems. Read extensively on the common conditions that affect these systems, such as gastrointestinal reflux disease (GERD), Ulcers, pancreatitis, Liver failure, and Gall bladder disease.

You should explain the pathophysiology of endocrine disorders and the factors that predispose patients to these conditions. Review the major endocrine disorders such as diabetes mellitus, adrenal disorders, parathyroidism, diabetic ketoacidosis, and thyroid disorders. Review your scores from the midterm exam and ensure that you get the correct responses to the questions, as they may be present in the coming exam.

Module 5 delves into Neurological and Musculoskeletal disorders. Review the pathophysiology of the disorders that affect this system, including the patient characteristics and ethnic and racial factors that you learned in the previous modules. Explore the common disorders and be able to apply the concepts and key terms that healthcare workers can use to explain the nature of these disorders to the patients. Remember to review the resources provided for this topic and ensure you are conversant with the information presented.

Some of the topics that you should cover include stroke, transient ischemic attack, multiple sclerosis, seizure disorders, head injury, and spinal cord injuries, among others. Ensure that you should be able to differentiate the different types of spinal cord injuries and explain their pathophysiology, as they are confusing sometimes. Read about the three basic bone formations: osteoblasts, osteocytes, and osteoclasts. Analyze the different case scenarios presented in this module and ensure you find the correct responses to the prompts, as you will likely encounter similar case studies in the final exam.

Module 6 is about psychological disorders. You will be required to review the pathophysiology and factors that influence the development of common psychological disorders such as generalized anxiety disorder (GAD), bipolar disorders, depression, schizophrenia, obsessive compulsion disorder (OCD), dementia and delirium. Ensure that you understand the differences between Bipolar I and Bipolar II. Review the different systems affected by each condition and the resultant disease processes. Consider the factors that can lead to altered physiology and the physiological functioning of individuals who are suffering from these conditions.

Module 7 is about women’s and men’s health, infections, and hematologic disorders. Start by exploring the different characteristics and differences between men and women that influence their predisposition to certain infections and hematologic disorders. Explore the commonest disorders and understand the key terms and concepts used when describing each. Utilize the media resources provided in this module to help you understand the concepts better relating to hematological and reproductive systems.

Essential topics that you should pay attention to include sexually transmitted infections (STIs), epididymitis, prostate, factors affecting fertility, anemia, DIC, ITP, and TTP. You can create an outline to help you ensure that all the topics presented in the course outline are covered during revision. Revise the case studies you submitted for the assignment and countercheck for the correctness of the responses.

Module 8 is on pediatrics, which marks the final week of the course. Under this module, you will explore the concepts of disorders that affect infants, children, and adolescents. You should have an excellent understanding of topics such as growth and development, normal growth patterns, Kawasaki disease, congenital disorders, sudden infant death syndrome, asthma, sickle cell disease, PDAs, hemophilia, and alterations in children. Countercheck with the course outline to ensure that all topics are adequately covered.

After reviewing all the eight modules in this course, undoubtedly, you will be prepared to tackle the final exam. Ensure that you take adequate rest and sleep during your revision to help you retain the studied content. Utilize study aids such as concept maps and flashcards to help you remember the concepts easily. You can also engage in peer study groups with your classmates to promote a deeper understanding of the material. Whenever you face any challenges, you should contact your supervisor for help.

NURS 6501 Final Exam Revision Sample

Question 1                       1 pts

Which statement by the healthcare professional accurately describes childhood asthma?

Group of answer choices

An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation                              

A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging               

A pulmonary disorder involving an abnormal expression of a protein, producing viscous mucus that lines the airways, pancreas, sweat ducts, and vas deferens                 

An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency      

With this exam done, the next class is likely to be NURS 6512C Advanced Health Assessment & Diagnostic Reasoning, which begins with NURS 6512 Discussion: Building a Health History.

Question 2                       1 pts

What is the primary cause of respiratory distress syndrome (RDS) of the newborn?

Group of answer choices

Immature immune system      

Small alveoli                           

Surfactant deficiency             

Anemia                             

Question 3                   1 pts

Which bones are affected in Legg-Calvé-Perthes disease?

Group of answer choices

Heads of the femur                

Distal femurs                          

Heads of the humerus            

Distal tibias                     

Question 4        1 pts

What does the student learn distinguishes kwashiorkor from marasmus?

Group of answer choices

All nutrients, proteins, fats, and carbohydrates are reduced in kwashiorkor.

Physical growth of children is stunted in kwashiorkor but not in marasmus.

Muscle wasting, diarrhea, low hemoglobin, and infection characterize kwashiorkor.

Subcutaneous fat, hepatomegaly, and fatty liver are present in kwashiorkor.

Question 5                    1 pts

A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?

Group of answer choices

Hypernatremia                        

Hyponatremia                         

Hyperkalemia                         

Hypokalemia                 

Question 6                                    1 pts

Which cells function to maintain bone matrix?

Group of answer choices

Osteoclasts                             

Osteocytes                              

Osteoblasts                             

Osteophytes                

Question 71 pts

A professor explains to a class that the reason lymph nodes enlarge and become tender during infection is because of what reason?

Group of answer choices

B lymphocytes proliferate.

The nodes are inflamed.

The nodes fill with purulent exudate.

The nodes are not properly functioning.

Question 81 pts

What is the most abundant class of plasma protein?

Group of answer choices

Globulin                                  

Albumin                                 

Clotting factors                      

Complement proteins           

Question 91 pts

Which of the following are positive clinical manifestations of schizophrenia? 

Group of answer choices

Social withdraw, blunted affect, and failure to respond to simple questions 

Hallucinations, delusions, and incoherent speech

Hallucinations, blunted affect, and social withdraw 

Delusions, hallucinations, and failure to respond to simple questions

Question 101 pts

A patient has been hospitalized for a large deep vein thrombosis and states he is the third person in his family to have this condition in the last 2 years. What response by the healthcare professional is most appropriate?

Group of answer choices

This condition is not transmitted genetically.                    

We can test your blood for factor V Leiden.                     

Were they all men or both men and women?                     

Familial thromboses tend to be very severe.         

Question 111 pts

Monoamine neurotransmission is hypothesized to be _______________ during mania.   

Group of answer choices

increased 

decreased 

absent 

suspended 

Question 121 pts

A healthcare professional works with recent refugees. A mother brings in her children who have been diagnosed with iron deficiency anemia. What action by the professional is most appropriate?

Group of answer choices

Educate the mother on an iron-rich diet.

Arrange to test for parasitic infections.

Explain the weekly iron infusions.

Teach the mother to give iron supplements.

Question 131 pts

A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk?

Group of answer choices

IgA     

IgE     

IgG     

IgM    

Question 141 pts

Which condition is considered a clinical cause of amenorrhea?

Group of answer choices

Disorder in the endometrium 

Obstruction of the fallopian tubes               

Lack of physical exercise       

Failure to ovulate                   

Question 151 pts

The APRN is assessing a patient that states that Napoleon Bonaparte is the King of France even thought he has a book that says he is dead.   This is an example of: 

Group of answer choices

Delusion

Hallucination

Anhedonia 

Pressured speech 

Question 16     1 pts

Mary, 47 presents to her primary care provider and reports nocturia x 6, urgency, frequency, voiding with laughing and coughing. She drinks one pot of coffee daily and does not drink much water daily. She reports this has impacting her quality of life and she frequently has embarrassing moments while out. Mary is possibly experiencing:

Group of answer choices

The patient should have a full workup, that includes history, physical, and diagnostics which include a u/a, c/s, postvoid residual assessment. It is possible that she is experiencing overactive bladder concerns.

The patient will need a full workup, that includes a history, physical and diagnostics which include a u/a, c/s, postvoid residual and urine cytology. It is possible that she is experiencing a urinary tract infection

The patient may be experiencing urethritis, which can occur as a result of gastrointestinal bacteria spreading from the anus to the urethra.

Because of her uncontrolled diabetes, she has an impaired immune system, which has resulted in her developing a urinary tract infection.

Question 17                          1 pts

A patient in the hospital has been receiving heparin injections. The platelet count on admission was 222,000/mm and four days later is 113,000/mm 3. What action by the healthcare professional is best?

Group of answer choices

Prepare to transfuse the patient with platelets.

Do nothing; this is an expected side effect.

Switch the heparin to lepirudin                    

Stop all the patient’s medications.

Question 18    1 pts

A healthcare professional is caring for a patient who has a spinal cord injury at T5. The patient exhibits severe hypertension, a heart rate of 32 beats/min, and sweating above the spinal cord lesion. How does the professional chart this event?

Group of answer choices

Craniosacral dysreflexia         

Parasympathetic dysreflexia  

Autonomic hyperreflexia        

Retrograde hyperreflexia       

Question 19                      1 pts

A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional?

Group of answer choices

Sexual partners should be treated only if symptoms are present.

Sexual partners should be treated even if they are asymptomatic.

Infections in men are self-limiting even without treatment.

Sexual partners should be treated to prevent infection.

Question 20               1 pts

A patient has pernicious anemia and asks the healthcare professional to explain the disease. Which statement by the professional is most accurate?

Group of answer choices

The lack of certain foods in your diet          

Your body cannot absorb vitamin B 12.

You are not getting enough vitamin C.

Your bone marrow has stopped working.