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NSG 550 Exam 1 Diagnostic Reasoning for Nurse Practitioners Reviewed 2026/2027 All Questions with Correct Answers

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A concise diagnostic reasoning reference for NSG 550 Exam 1, covering essential lab values including urinalysis (pH, specific gravity, casts, glucose), renal function (BUN, creatinine, eGFR), endocrine markers (TSH, T4, cortisol, ACTH), and key clinical interpretations for conditions like UTI, diabetes insipidus, SIADH, glomerulonephritis, and osteoporosis. Title: NSG 550 Exam 1 Diagnostic Reasoning for Nurse Practitioners Reviewed 2026/2027 All Questions with Correct Answers 1. Ph of urine - ANSWER-4.6-8 2. Protein in urine - ANSWER-0-8 mg/dl 3. 50-80 mg/24 hr (at rest) 4. Specific gravity of urine in adult - ANSWER-1.005-1.030 5. Specific gravity in new born baby - ANSWER-1.001-1.020 6. Specific gravity in SIADH? - ANSWER-elevated 7. Specific gravity in diabetes insipidus - ANSWER-decreased 8. UTI leukocyte esterase - ANSWER-100,000 9. If ketones in urine - ANSWER-poorly controlled DM, hyperglycemia, infection, ketoacidosis r/t alcoholism, fasting, aspirin toxicity, anesthesia 10. Urobilinogen in urine - ANSWER-0.01-1 Alkaline urine: higher levels Acidic urine: lower levels 11. Hyaline or granular cast - ANSWER-strenuous exercise 12. Fatty casts - ANSWER-glomerular disease 13. Waxy casts - ANSWER-chronic renal disease 14. Epithelia (renal tubular) - ANSWER-renal tubular disease or toxicity 15. Glucose (24 hour urine specimen) - ANSWER-50-300 mg/24 hour 0.3-1.7 mmol/24 hour 16. Wbcs in urine - ANSWER-0-4 per low-power field 17. WBC casts in urine - ANSWER-upper UTI 18. Rbcs in urine - ANSWER-less than or equal to 2 19. RBC casts in urine - ANSWER-Glomerulonephritis Interstitial nephritis Acute tubular necrosis pyelonephritis Renal trauma Or Renal tumor

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NSG 550 Exam 1 Diagnostic Reasoning
for Nurse Practitioners Reviewed 2026/2027
All Questions with Correct Answers

1. Ph of urine - ANSWER-4.6-8

2. Protein in urine - ANSWER-0-8 mg/dl
3. 50-80 mg/24 hr (at rest)

4. Specific gravity of urine in adult - ANSWER-1.005-1.030

5. Specific gravity in new born baby - ANSWER-1.001-1.020

6. Specific gravity in SIADH? - ANSWER-elevated

7. Specific gravity in diabetes insipidus - ANSWER-decreased

8. UTI leukocyte esterase - ANSWER->100,000

9. If ketones in urine - ANSWER-poorly controlled DM, hyperglycemia,
infection, ketoacidosis r/t alcoholism, fasting, aspirin toxicity, anesthesia

10.Urobilinogen in urine - ANSWER-0.01-1
Alkaline urine: higher levels
Acidic urine: lower levels

11.Hyaline or granular cast - ANSWER-strenuous exercise

12.Fatty casts - ANSWER-glomerular disease

13.Waxy casts - ANSWER-chronic renal disease

14.Epithelia (renal tubular) - ANSWER-renal tubular disease or toxicity

15.Glucose (24 hour urine specimen) - ANSWER-50-300 mg/24 hour
0.3-1.7 mmol/24 hour

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