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NURS 617 EXAM 1 2025 NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALE | TEXAS A&M UNIVERSITY SCHOOL OF NURSING - TAMU$22.99
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NURS 617 EXAM 1 2025 NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALE | TEXAS A&M UNIVERSITY SCHOOL OF NURSING - TAMU
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Course
NURS 617
Institution
NURS 617
NURS 617 EXAM 1 2025 NEWEST
ACTUAL EXAM COMPLETE 150
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALE |
TEXAS A&M UNIVERSITY SCHOOL OF
NURSING - TAMU
NURS 617 EXAM 1 2025 NEWEST
ACTUAL EXAM COMPLETE 150
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALE | 2024-2025
TEXAS A&M UNIVERSITY SCHOOL OF
NURSING - TAMU
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 two years. What response
by the healthcare professional is most appropriate?
a. "Were they all men or both men and women?"
b. "This condition is not transmitted genetically."
c. "Familial thromboses tend to be very severe."
d. "We can test your blood for factor V Leiden." Correct
Answer d. "We can test your blood for factor V Leiden."
Rationale: Factor V Leiden results from a single
nucleotide mutation of guanine to adenine at
nucleotide 1691 (G1691A) and is the most common
hereditary thrombophilia. It is autosomal dominant so
would not be confined to one sex. Most people with
this disorder do not have clinically significant events.
A patient has been diagnosed with acute lymphocytic
leukemia (ALL) and ask the healthcare professional to
,describe it. What description by the professional is most
accurate?
a. In (ALL), immature blasts cells replace normal
myelocytic cells, megakaryocytes, and erythrocytes.
b. (ALL) is a progressive neoplasm defined by the
presence of greater than 30% lymphoblasts in the bone
marrow or blood.
c. The translocation of genetic material from genes 9 and
22 create an abnormal, fused gene identified as BCR-
ABL.
d. B cells fail to mature into plasma cells that synthesize
immunoglobulins Correct Answer b. (ALL) is a progressive
neoplasm defined by the presence of greater than 30%
lymphoblasts in the bone marrow or blood.
Rationale: (ALL) is a progressive neoplasm defined by
the presence of greater than 30% lymphoblasts in the
bone marrow or blood. Leukemia is a malignant
disorder of leukocytes and does not involve
immunoglobulins. The BCR-ABL gene has been
identified in chronic myelogenous leukemia, no acute
lymphocytic leukemia (ALL).
Which description is consistent with chronic myelogenous
leukemia (CML)?
a. Defects exist in the ras oncogene, TP53 tumor-
suppressor gene, and INK4A, the gene encoding a cell-
cycle regulatory protein.
,b. The translocation of genetic material from genes 9 and
22 creates an abnormal, fused protein identified as BCR-
ABL1.
c. B cells fail to mature into plasma cells that synthesize
immunoglobulins.
d. Leukocytosis and a predominance of blast cells
characterize the bone marrow and peripheral blood. As
the immature blasts increase, they replace normal
myelocytic cells, megakaryocytes, and erythrocytes.
Correct Answer b. The translocation of genetic material
from genes 9 and 22 creates an abnormal, fused protein
identified as BCR-ABL1.
Rationale: The presence of the BCR-ABL1 fusion gene
distinguishes CML from other myeloproliferative
disorders.
Reed-Sternberg (RS) cells represent malignant
transformation and proliferation of which of these?
a. B cells
b. Interleukin (IL)-1, IN-2, IL-5, and IL-6
c. T cells
d. Tumor necrosis factor-beta Correct Answer a. B cells
Rationale: Reed-Sternberg cells are associated with
Hodgkin lymphoma and represent a malignant
transformation of B cells. They are not related to
interleukins, tumor necrosis factor-beta, or T cells.
, Local signs and symptoms of Hodgkin disease-related
lymphadenopathy are a result of what?
a. Inflammation and pressure
b. Pressure and ischemia
c. Pressure and obstruction
d. Inflammation and ischemia Correct Answer c. Pressure
and obstruction
Rationale: Local symptoms caused by pressure and
obstruction of the lymph nodes are the result of
lymphadenopathy. The other options do not
contribute to the lymphadenopathy associated with
Hodgkin disease.
A person comes to the healthcare clinic and reports night
sweats and fever. The healthcare professional obtains a
chest x-ray which shows a mediastinal mass. What other
assessment or diagnostic test does the professional
provide as a priority?
a. Arrange for familial DNA testing
b. Assess the patient's skin
c. Listen to heart sounds
d. Test for blood anemia Correct Answer c. Listen to heart
sounds
Rationale: This patient has signs of Hodgkin
lymphoma (HL) Pericardial involvement can lead to
pericardial friction rub and pericardial effusion. The
professional should listen to the patient's heart for the
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