NU 665 Final Actual Exam|
Updated 2026/2027| A Review of
Real 609 Past Papers Exam Questions
With Correct Detailed Answers|
Guaranteed 100% Pass
1. Which of the following characteristics separates anaphylaxis from a
vasovagal reaction? - ANSWER✔️-Severe bronchoconstriction
2. Delayed serum sickness-type reactions in response to multiple bee, wasp, or
fire ant stings can be managed with which of the following? - ANSWER✔️-
A corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered over
2 weeks
3. After a head injury, what is it called when air enters into the cerebrospinal
fluid (CSF)-filled spaces within the head? - ANSWER✔️-Pneumocephalus
4. Cerebrospinal fluid (CSF) may leak through the cribriform plate region of
the skull following a head injury and cause which of the following? -
ANSWER✔️-Nasal CSF rhinorrhea
5. Which classic feature of an epidural hematoma may distinguish it from other
skull hematomas? - ANSWER✔️-A brief loss of consciousness, then a brief
"lucid" moment, followed by momentary unconsciousness minutes after the
injury
6. A patient with a basilar skull fracture may experience an impaired downward
gaze or diplopia from which affected cranial nerve? - ANSWER✔️-CN IV
7. The parents of a 4-year-old boy are concerned because he has begun twisting
and pulling out his hair, especially when he is tired or stressed. What will the
primary care pediatric nurse practitioner recommend as part of an initial
, approach to treat this behavior? - ANSWER✔️-Cutting his hair so that it is
too short to pull
8. A newly divorced mother of a toddler reports that the child began having
difficulty sleeping and nightmares along with exhibiting angry outbursts and
tantrums 2 months prior. The primary care pediatric nurse practitioner learns
that the child refuses to play with usual playmates and often spends time
sitting quietly. What will the nurse practitioner do initially? - ANSWER✔️-
Ask the mother about the child's relationship with the father.
9. An adolescent has recently begun doing poorly in school and has stopped
participating in sports and other extracurricular activities. During the history
interview, the adolescent reports feeling tired, having difficulty
concentrating, and experiencing a loss of appetite for the past few weeks but
cannot attribute these changes to any major life event. Which is an important
next step in managing this patient? - ANSWER✔️-Determining suicidal
ideation and risk of suicide
10.An adolescent is diagnosed with major depression, and the mental health
specialist has prescribed fluoxetine. What other treatment is important to
protect against suicide risk? - ANSWER✔️-Cognitive behavioral therapy
11.A 13-year-old child has exhibited symptoms of mild depression for several
weeks. The parent reports feeling relieved that the symptoms have passed
but concerned that the child now seems to have boundless energy and an
inability to sit still. What will the primary care pediatric nurse practitioner
do? - ANSWER✔️-Refer the child to a child psychiatrist for evaluation of
bipolar disorder.
12.A toddler has begun hitting and biting other children at a day care center and
is exhibiting temper tantrums and bad language at home. The parent reports
that these behaviors began shortly after a sibling was born. What will the
primary care pediatric nurse practitioner do? - ANSWER✔️-Engage the
parent in positive parenting strategies to facilitate appropriate child coping.
13.A 14-year-old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of
expected for height and age. The mother reports that her daughter often
, throws up and refuses to eat most foods. Which condition does the primary
care pediatric nurse practitioner suspect? - ANSWER✔️-Anorexia nervosa
14.Which type of heat-related illness involves a core body temperature of at
least 104.9°F, acute mental status changes, absent sweat, and tachypnea? -
ANSWER✔️-Heat stroke
15.What percentage of burns is involved using the rule of nines if both front
legs are burned? - ANSWER✔️-18%
16.Which drug commonly prescribed for burns is active against a wide
spectrum of microbial pathogens and is the most frequently used agent for
partial- and full-thickness thermal injuries? - ANSWER✔️-Silver
sulfadiazine (Silvadene)
17.A sunscreen with a sun-protection factor of at least what number will block
most harmful ultraviolet radiation? - ANSWER✔️-15
18.Which clinical feature is the first to be affected in increased intracranial
pressure? - ANSWER✔️-Decrease in level of consciousness
19.What is the normal number for the Glasgow Coma Scale? - ANSWER✔️-15
20.Which diagnostic test is the best to diagnose a subdural hematoma? -
ANSWER✔️-Magnetic resonance imaging (MRI)
21.Patients with a spontaneous pneumothorax should be counseled that up to
what percentage may experience a reoccurrence at some point? -
ANSWER✔️-30%
22.Most adult poisonings are: - ANSWER✔️-Intentional and self-inflicted
23.Which method is used to remove heavy metals, such as lead, that are
ingested as poisons? - ANSWER✔️-Chelation
24.If a previously frostbitten area becomes frostbitten again after it has healed,
what might occur? - ANSWER✔️-Permanent tissue damage may occur,
resulting in necrosis to that body part.
, 25.What percentage of all visits to the emergency department (ED) are related
to wounds? - ANSWER✔️-12%
26.Which solution should be used when irrigating lacerated tissue over a wound
on the arm? - ANSWER✔️-Saline irrigation or soapy water
27.Which type of burn injury results in destruction of the epidermis with most
of the dermis, yet the epidermal cells lining hair follicles and sweat glands
remain intact? - ANSWER✔️-Deep partial-thickness burns
28.Which carboxyhemoglobin (COHb) level correlates with the clinical
symptoms of confusion, lethargy, and ST-segment depression on the
electrocardiogram? - ANSWER✔️-30% COHb
29.Which causes the greatest percentage of mammalian bites? - ANSWER✔️-
Dogs
30.Which arthropod bite can contain cytotoxic and hemolytic toxins that may
destroy tissue? - ANSWER✔️-Brown recluse spider
31.A history of overuse or excessive force, as opposed to a fall, hyperextension,
or the twisting of a joint, is more likely related to which musculoskeletal
injury? - ANSWER✔️-A strain
32.In a healthy adult, the process of remodeling after a fracture of the humerus
takes how long? - ANSWER✔️-2 months
33.A patient who sustains blunt chest trauma and/or penetrating chest trauma
must have which of the following imaging examinations? - ANSWER✔️-
Upright chest x-ray film
34.Josie, age 30, has a pneumothorax. It may be treated conservatively without
a chest tube if it is deflated by what percentage? - ANSWER✔️-30%
35.Hepatic necrosis with jaundice may occur after ingesting massive doses of
which medication? - ANSWER✔️-Acetaminophen
Updated 2026/2027| A Review of
Real 609 Past Papers Exam Questions
With Correct Detailed Answers|
Guaranteed 100% Pass
1. Which of the following characteristics separates anaphylaxis from a
vasovagal reaction? - ANSWER✔️-Severe bronchoconstriction
2. Delayed serum sickness-type reactions in response to multiple bee, wasp, or
fire ant stings can be managed with which of the following? - ANSWER✔️-
A corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered over
2 weeks
3. After a head injury, what is it called when air enters into the cerebrospinal
fluid (CSF)-filled spaces within the head? - ANSWER✔️-Pneumocephalus
4. Cerebrospinal fluid (CSF) may leak through the cribriform plate region of
the skull following a head injury and cause which of the following? -
ANSWER✔️-Nasal CSF rhinorrhea
5. Which classic feature of an epidural hematoma may distinguish it from other
skull hematomas? - ANSWER✔️-A brief loss of consciousness, then a brief
"lucid" moment, followed by momentary unconsciousness minutes after the
injury
6. A patient with a basilar skull fracture may experience an impaired downward
gaze or diplopia from which affected cranial nerve? - ANSWER✔️-CN IV
7. The parents of a 4-year-old boy are concerned because he has begun twisting
and pulling out his hair, especially when he is tired or stressed. What will the
primary care pediatric nurse practitioner recommend as part of an initial
, approach to treat this behavior? - ANSWER✔️-Cutting his hair so that it is
too short to pull
8. A newly divorced mother of a toddler reports that the child began having
difficulty sleeping and nightmares along with exhibiting angry outbursts and
tantrums 2 months prior. The primary care pediatric nurse practitioner learns
that the child refuses to play with usual playmates and often spends time
sitting quietly. What will the nurse practitioner do initially? - ANSWER✔️-
Ask the mother about the child's relationship with the father.
9. An adolescent has recently begun doing poorly in school and has stopped
participating in sports and other extracurricular activities. During the history
interview, the adolescent reports feeling tired, having difficulty
concentrating, and experiencing a loss of appetite for the past few weeks but
cannot attribute these changes to any major life event. Which is an important
next step in managing this patient? - ANSWER✔️-Determining suicidal
ideation and risk of suicide
10.An adolescent is diagnosed with major depression, and the mental health
specialist has prescribed fluoxetine. What other treatment is important to
protect against suicide risk? - ANSWER✔️-Cognitive behavioral therapy
11.A 13-year-old child has exhibited symptoms of mild depression for several
weeks. The parent reports feeling relieved that the symptoms have passed
but concerned that the child now seems to have boundless energy and an
inability to sit still. What will the primary care pediatric nurse practitioner
do? - ANSWER✔️-Refer the child to a child psychiatrist for evaluation of
bipolar disorder.
12.A toddler has begun hitting and biting other children at a day care center and
is exhibiting temper tantrums and bad language at home. The parent reports
that these behaviors began shortly after a sibling was born. What will the
primary care pediatric nurse practitioner do? - ANSWER✔️-Engage the
parent in positive parenting strategies to facilitate appropriate child coping.
13.A 14-year-old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of
expected for height and age. The mother reports that her daughter often
, throws up and refuses to eat most foods. Which condition does the primary
care pediatric nurse practitioner suspect? - ANSWER✔️-Anorexia nervosa
14.Which type of heat-related illness involves a core body temperature of at
least 104.9°F, acute mental status changes, absent sweat, and tachypnea? -
ANSWER✔️-Heat stroke
15.What percentage of burns is involved using the rule of nines if both front
legs are burned? - ANSWER✔️-18%
16.Which drug commonly prescribed for burns is active against a wide
spectrum of microbial pathogens and is the most frequently used agent for
partial- and full-thickness thermal injuries? - ANSWER✔️-Silver
sulfadiazine (Silvadene)
17.A sunscreen with a sun-protection factor of at least what number will block
most harmful ultraviolet radiation? - ANSWER✔️-15
18.Which clinical feature is the first to be affected in increased intracranial
pressure? - ANSWER✔️-Decrease in level of consciousness
19.What is the normal number for the Glasgow Coma Scale? - ANSWER✔️-15
20.Which diagnostic test is the best to diagnose a subdural hematoma? -
ANSWER✔️-Magnetic resonance imaging (MRI)
21.Patients with a spontaneous pneumothorax should be counseled that up to
what percentage may experience a reoccurrence at some point? -
ANSWER✔️-30%
22.Most adult poisonings are: - ANSWER✔️-Intentional and self-inflicted
23.Which method is used to remove heavy metals, such as lead, that are
ingested as poisons? - ANSWER✔️-Chelation
24.If a previously frostbitten area becomes frostbitten again after it has healed,
what might occur? - ANSWER✔️-Permanent tissue damage may occur,
resulting in necrosis to that body part.
, 25.What percentage of all visits to the emergency department (ED) are related
to wounds? - ANSWER✔️-12%
26.Which solution should be used when irrigating lacerated tissue over a wound
on the arm? - ANSWER✔️-Saline irrigation or soapy water
27.Which type of burn injury results in destruction of the epidermis with most
of the dermis, yet the epidermal cells lining hair follicles and sweat glands
remain intact? - ANSWER✔️-Deep partial-thickness burns
28.Which carboxyhemoglobin (COHb) level correlates with the clinical
symptoms of confusion, lethargy, and ST-segment depression on the
electrocardiogram? - ANSWER✔️-30% COHb
29.Which causes the greatest percentage of mammalian bites? - ANSWER✔️-
Dogs
30.Which arthropod bite can contain cytotoxic and hemolytic toxins that may
destroy tissue? - ANSWER✔️-Brown recluse spider
31.A history of overuse or excessive force, as opposed to a fall, hyperextension,
or the twisting of a joint, is more likely related to which musculoskeletal
injury? - ANSWER✔️-A strain
32.In a healthy adult, the process of remodeling after a fracture of the humerus
takes how long? - ANSWER✔️-2 months
33.A patient who sustains blunt chest trauma and/or penetrating chest trauma
must have which of the following imaging examinations? - ANSWER✔️-
Upright chest x-ray film
34.Josie, age 30, has a pneumothorax. It may be treated conservatively without
a chest tube if it is deflated by what percentage? - ANSWER✔️-30%
35.Hepatic necrosis with jaundice may occur after ingesting massive doses of
which medication? - ANSWER✔️-Acetaminophen
