Robinmarie Rivera
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Nursing Quiz on Module 1 - Patho (Ch. 1-4), created by Robinmarie Rivera on 22/01/2017.

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Robinmarie Rivera
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Module 1 - Patho (Ch. 1-4)

Question 1 of 30

1

When a nurse observes muscle stiffening occurring within 6-14 hours after death, the nurse should document this finding as _____ present.

Select one of the following:

  • Gangrene

  • Rigor mortis

  • Livor mortis

  • Algor mortis

Explanation

Question 2 of 30

1

A 75-year-old male presents with chest pain on exertion. The chest pain is most likely due to hypoxic injury secondary to:

Select one of the following:

  • Free radicals

  • Malnutrition

  • Chemical toxicity

  • Ischemia

Explanation

Question 3 of 30

1

A 55-year-old male with a 30-year history of smoking is examined for respiratory disturbance. Examination of his airway (bronchial) reveals that stratified squamous epithelial cells have replaced the normal columnar ciliated cells. This type of cellular adaptation is called:

Select one of the following:

  • Dysplasia

  • Hyperplasia

  • Metaplasia

  • Anaplasia

Explanation

Question 4 of 30

1

After a geneticist talks to the patient about being a chromosomal mosaic, the patient asks the nurse what that means. How should the nurse respond? You may _____ genetic disease(s).

Select one of the following:

  • Have a mild form of the

  • Have two

  • Only be a carrier of the

  • Be sterile as a result of the

Explanation

Question 5 of 30

1

A 40-year-old female is diagnosed with cervical cancer after a Pap smear. Which of the following cellular changes would the nurse most likely see on the report?

Select one of the following:

  • Atrophy

  • Dysplasia

  • Metaplasia

  • Hypertrophy

Explanation

Question 6 of 30

1

A family presents to their primary care provider reporting headache, nausea, weakness, and vomiting. Which of the following would be the most likely explanation for these symptoms?

Select one of the following:

  • Mercury poisoning

  • Carbon monoxide poisoning

  • Lead exposure

  • Ethanol poisoning

Explanation

Question 7 of 30

1

A child is born with blue eyes (bb). The child's mother has blue eyes and the father has brown eyes. Which of the following represents the father?

Select one of the following:

  • BB

  • Bb

  • bb

  • Bbb

Explanation

Question 8 of 30

1

A group of prison inmates developed tuberculosis following exposure to an infected inmate. On examination, tissues were soft and granular (like clumped cheese). Which of the following is the most likely cause?

Select one of the following:

  • Liquefactive necrosis

  • Autonecrosis

  • Coagulative necrosis

  • Caseous necrosis

Explanation

Question 9 of 30

1

A 50-year-old female became infected with Clostridium bacteria and died a week later. Examination of her red blood cells revealed lysis of membranes. Which of the following was the most likely cause of her death?

Select one of the following:

  • Fat necrosis

  • Gas gangrene

  • Wet gangrene

  • Gangrenous necrosis

Explanation

Question 10 of 30

1

A couple has three offspring: one child with an autosomal dominant disease trait and two who are normal. The father is affected by the autosomal dominant disease, but the mother does not have the disease gene. What is the recurrence risk of this autosomal dominant disease for their next child?

Select one of the following:

  • Impossible to determine

  • 25%

  • 33%

  • 50%

Explanation

Question 11 of 30

1

A 20-year-old pregnant female gives birth to a stillborn child. Autopsy reveals that the fetus has 92 chromosomes. What term may be on the autopsy report to describe this condition?

Select one of the following:

  • biploidy

  • tetraploidy

  • aneuploidy

  • triploidy

Explanation

Question 12 of 30

1

Which of the following mutations have the most significant effect on protein synthesis?

Select one of the following:

  • Silent mutations

  • Frameshift mutations

  • Base pair substitutions

  • Intron mutations

Explanation

Question 13 of 30

1

The condition in which an extra portion of a chromosome is present in each cell is called:

Select one of the following:

  • Down syndrome

  • Inversion

  • Partial trisomy

  • Reciprocal translocation

Explanation

Question 14 of 30

1

When homologous chromosomes fail to separate during meiosis, which of the following occurs?

Select one of the following:

  • Conjoined twins

  • Polyploidy

  • Neurofibromatosis

  • Nondisjunction

Explanation

Question 15 of 30

1

A nurse recalls the basic components of DNA are:

Select one of the following:

  • Codons, oxygen, and cytosine

  • A phosphate molecule, deoxyribose, and four nitrogenous bases

  • Adenine, guanine, and purine

  • Pentose sugars and four phosphate bases

Explanation

Question 16 of 30

1

The gradual increase in height among the human population over the past 100 years is an example of:

Select one of the following:

  • A polygenic trait

  • Crossing over

  • Recombination

  • A multifactorial trait

Explanation

Question 17 of 30

1

To express a polygenic trait:

Select one of the following:

  • Several genes must act together.

  • Penetrance must occur.

  • Genes must interact with the environment.

  • Multiple mutations must occur in the same family.

Explanation

Question 18 of 30

1

A patient has a heart attack that leads to progressive cell injury that causes cell death with severe cell swelling and breakdown of organelles. What term would the nurse use to define this process?

Select one of the following:

  • Pathologic calcification

  • Apoptosis

  • Necrosis

  • Adaptation

Explanation

Question 19 of 30

1

A 50-year-old male was recently diagnosed with Huntington disease. Transmission of this disease is associated with:

Select one of the following:

  • Expressivity

  • Delayed age of onset

  • Penetrance

  • Recurrence risk

Explanation

Question 20 of 30

1

A normal male and a female carrier for red-green color blindness mate. Given that red-green color blindness is an X-linked recessive trait, what is the likelihood of their children being affected?

Select one of the following:

  • Females most affected; no males affected

  • 50%

  • 25%

  • Males most affected; no females affected

Explanation

Question 21 of 30

1

A 52-year-old male suffered a myocardial infarction secondary to atherosclerosis and ischemia. Once oxygen returned to the damaged heart, reperfusion injury occurred as a result of:

Select one of the following:

  • Lipid acceptor proteins

  • Free radical formation

  • Vacuolation

  • Increased metabolic state

Explanation

Question 22 of 30

1

While reading a textbook, the student reads the term, "apoptosis." The student recalls that apoptosis is a condition in which cells program themselves to:

Select one of the following:

  • Atrophy

  • Age

  • Regenerate

  • Die

Explanation

Question 23 of 30

1

During childhood, the thymus decreases in size, and this is referred to as _____ atrophy.

Select one of the following:

  • Disuse

  • Pathologic

  • Neurogenic

  • Physiologic

Explanation

Question 24 of 30

1

A 55-year-old male has swelling of the feet. Which of the following aided in development of swelling?

Select one of the following:

  • Decreased oncotic pressure

  • Increased ATP

  • Chloride movement out of the cell

  • Na+ movement into the cell

Explanation

Question 25 of 30

1

A 50-year-old male sustained a closed head injury as a result of a motor vehicle accident. CT scan revealed a collection of blood between the inner surface of the dura mater and the surface of the brain. Which type of injury will the nurse be caring for?

Select one of the following:

  • Epidural hematoma

  • Abrasion

  • Contusion

  • Subdural hematoma

Explanation

Question 26 of 30

1

Mutations that do not change the amino acid sequence and thus have no consequence are termed _____ mutations.

Select one of the following:

  • Silent

  • Frameshift

  • Spontaneous

  • Missense

Explanation

Question 27 of 30

1

A report comes back indicating that muscular atrophy has occurred. A nurse recalls that muscular atrophy involves a decrease in muscle cell:

Select one of the following:

  • Vacuoles

  • Number

  • Size

  • Lipofuscin

Explanation

Question 28 of 30

1

Which of these conditions follows a multifactorial pattern of inheritance?

Select one of the following:

  • Marfan syndrome

  • Down syndrome

  • Coronary artery disease

  • Tay-Sachs disease

Explanation

Question 29 of 30

1

A person's phenotype can be best described as:

Select one of the following:

  • Traits that are observable or apparent

  • Traits that are inherited in a dominant pattern

  • Traits that are inherited in a recessive pattern

  • The genetic make up of an individual

Explanation

Question 30 of 30

1

The nurse is teaching staff about the most common cause of Down syndrome. What is the nurse describing?

Select one of the following:

  • Maternal nondisjunction

  • Paternal translocations

  • Maternal translocations

  • Paternal nondisjunction

Explanation