NURS 640 FINAL EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || 100% GUARANTEED PASS NEWEST VERSION

NURS 640 FINAL EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || 100% GUARANTEED PASS NEWEST VERSION 1. BPH treatment - ANSWER Alpha Blockade: Tamsulosin (FLomax) Doxazosin (Cardura) Prazosin (Minipress) 2. Most common urologic emergency - ANSWER Acute urinary retention 3. Urinary retention volume - ANSWER 300 cc ; Overflow incontinence when chronic 4. When to leave urinary catheter in or str8 catheter - ANSWER 400 cc 5. Anxiety disorders include - ANSWER Panic disorders Phobia disorders OCD - obsessive-compulsive disorder GAD - Generalized anxiety disorder PTSD 6. mood disorders - ANSWER depression, bipolar disorder, & Dysthymia, suicidal risk 7. dysthymic disorder - ANSWER A chronic depression that is insufficient in severity to merit diagnosis of a major depressive episode. 8. psychotic disorder - ANSWER schizophrenia, schizoaffective, Delusional 9. PTSD symptoms - ANSWER - Flashback episodes, where the event seems to be happening again and again. - Repeated upsetting memories of the event; repeated nightmares of the event. - Emotional "numbing"; feeling detached; inability to remember important aspects of the trauma. - Having a lack of interest in normal activities. - Social anxiety: Avoiding places, people, or thoughts that remind you of the event. - Hyper-vigilance: Difficulty concentrating. - Agitation or excitability; insomnia. 10. PTSD treatment - ANSWER SSRIs and CBT, Alpha blockers, Beta blockers, Nor adrenergic agents, anti-seizure, Benzos 11. Ex Question: A patient presents with nightmares, hypervigilance, insomnia, and social avoidance. The patient drinks 2 drinks/day. What is the suspected dx? and treatment plan? - ANSWER PTSD. Treatment: psych-behavioral therapy. May include SSRI, beta-blockers, alpha-blockers, benzos. 12. Procedural anxiety - ANSWER First line: Benzos IV: midazolam IV or Po: Diazepam 30-90 min pre-procedure. 50% dose reduction for adults older than 60 - watch for concomitant opioids and hepatic insufficiency. SE: RESPIRATORY DEPRESSION - drowsiness - dizziness - cognitive impairment - motor incoordination melatonin 3 mg may be repeat x1 13. Chronic Panic Disorder - ANSWER Treat with non - opioid pain therapies first - BY SINGLE CLINICIAN - Ex: consult Pain service 14. tricyclic antidepressants need for EKG pre-use - ANSWER TCAs have important effects on the heart, related to their anticholinergic and quinidine like properties. 15. The major side effects in therapeutic dosage include Tachycardia, postural hypotension, and slight prolongation of the intraventricular conduction time and QT interval (prolonged QTc interval). 16. Lithium use in Mood disorders need Renal monitoring due to: - ANSWER Lithium may cause problems with KIDNEY HEALTH. Kidney damage due to lithium may include acute (sudden) or chronic (long-term) kidney disease and kidney cysts. The amount of kidney damage depends on how long you have been taking lithium 17. Suicidal Risk Assessment - ANSWER HIGH RISK: - MEN 50 yrs - Acute stressors - Mental illness: Severe depression - Schizophrenia SCREENING: SLAP mnemonic: Social support, Lethality, Access to means, Plan and previous attempts, & family history and 1 hr a day thinking of suicide - Specific plans - Hopelessness, delusional thoughts, near-complete loss of interest in life / ability to experience pleasure 18. Hematuria - ANSWER work up: infection/anticoagulation 19. Urinary stone disease - ANSWER most common Ca s/s: hematuria/ severe colic, acute flank pain, N&V Testing: Ultrasound or spiral non contract CT. 20. BPH (benign prostatic hyperplasia) - ANSWER noncancerous enlargement of the prostate s/s hesitancy DRE (digital rectal exam): enlarged prostate. Med: alpha blockers procedures: TURP 21. Acute Urinary retention - ANSWER cause: BPH or medication S/S: lower abdomen/ suprapubic discomfort. urine output less than 300cc Admit for urosepsis, malignancy, acute myelopathy, acute renal failure. 400cc leave cath in place 22. Most common UTI organism - ANSWER e. coli, pseudomonas, klebsiella, staphylococci, candida 23. Urine Dipstick - ANSWER Screening test for infection with some limitations in diagnostic value - Best paired with clinical history / findings - Negative findings does not necessarily rule out infection in symptomatic patient - Lower detection of infection for some parameters • Key Findings - Leukocyte esterase (presence) - Nitrates (presence) - Blood (≥ 1+) - Protein (≥ 3+) 24. Urine Microscopy (UA) - ANSWER Key findings • Pyuria - WBCs or pus - Cloudy urine is not necessarily pyuria - Supports diagnosis of UTI but can have other causes and negative results do not rule out trial of empiric antibiotics in clinically likely UTI • WBCs - 5 WBCs per HPF suggests infection • Alternatively 8,000-10,000 / mL or 8 -10 per uL (note different units) - WBC casts indicate inflammation that may or may not be infectious • Bacteria - Bacteria in any amount suggests infection - Bacteria without pyuria can be contamination • RBC's - 5 RBC's per HPF • Elevated epithelial cells can suggest contamination • Low bacterial count may be associated with antibiotic exposure, urine dilution 25. Uncomplicated Acute Cystitis treatment - ANSWER Cephalexin, nitrofurantoin or trimethoprimsulfametho