NUR 504 PATHOPHYSIOLOGY MIDTERM EXAM
2024/2025 QUESTIONS AND ANSWERS GRADED
A+
A patient cuts his finger. Which fibers transmit the pain signal?
A-delta fibers
Where is the gate located that is referred to in the gate control theory of pain?
Substantia gelatinosa
Massage therapy relieves pain by stimulating the _____ that close the pain gate.
A-beta fibers
When caring for a person who has had pain for 3 days, what physiologic signs of pain would a nurse
expect to find?
Increased heart rate and respiratory rate with diaphoresis
Which is a description of Cheyne-Stokes respirations?
A smooth increase in rate and depth followed by a gradual smooth decrease in rate and depth
,NUR 504 PATHOPHYSIOLOGY EXAM
Which is a characteristic of brainstem death?
Apnea
Which description is consistent with a complex partial seizure?
Consciousness is impaired as well as the ability to respond to exogenous stimuli
The body compensates to a rise in intracranial pressure by first displacing:
Cerebrospinal fluid (CSF).
What pathologic alteration produces tremors at rest, rigidity, akinesia, and postural abnormalities?
Atrophy of neurons in the substantia nigra that produce dopamine
Which neurologic disorder is characterized by cortical nerve cell processes that have become twisted
and dilated?
Alzheimer disease
A blunt force injury to the forehead would result in a contrecoup injury to the _____ region.
Occipital lobe
,NUR 504 PATHOPHYSIOLOGY EXAM
What damage is most likely to occur to the brain in a classic cerebral concussion (grade IV)?
Diffuse cerebral disconnection from the reticular activating system
The signs of thyroid crisis resulting from Graves disease include:
Hyperthermia and tachycardia.
The level of thyroid-stimulating hormone (TSH) in Graves disease is usually:
Low
Palpation of the neck of a person with Graves disease would detect a thyroid that is:
Enlarged diffusely.
What are clinical manifestations of hypothyroidism?
Constipation, decreased heat rate, and lethargy
A person with type 1 diabetes experiences hunger, lightheadedness, tachycardia, pallor, headache, and
confusion. The most probable cause of these symptoms is:
Hypoglycemia caused by increased exercise.
, NUR 504 PATHOPHYSIOLOGY EXAM
Hyperkalemia develops in the presence of diabetic ketoacidosis because:
Hydrogen ions shift into the cell in exchange for potassium to compensate for metabolic acidosis.
Which of the following hormones will not raise blood glucose?
Glucagon
Parathyroid hormone
Epinephrine
Cortisol
Glucocorticoids
Growth hormone
Parathyroid hormone.
The polyuria associated with diabetic nephropathy is caused by
Increased protein excretion.
Of the following people, who is at highest risk for a cerebrovascular accident (CVA)?
Black women older than 70 years of age
Atrial fibrillation, rheumatic heart disease, and valvular prosthetics are risk factors for which type of
stroke?
Embolic
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