NURS 617 FINAL EXAM REVIEW | KEY
QUESTIONS AND ANSWERS | 2026 UPDATE |
100% CORRECT - MCNEESE STATE UNIVERSITY.
146 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NURS 617 FINAL EXAM REVIEW | KEY QUESTIONS AND ANSWERS | 2026 UPDATE | 100% CORRECT -
MCNEESE STATE UNIVERSITY.. It contains 146 carefully selected questions that reflect the most current exam
content and testing strategies. Each question is accompanied by a correct answer and a detailed rationale that
explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 146 Questions
Foundations - Application - NURS 617 Review KEY AND 2026 Update 100 Correct - Mcneese State
University Advanced Nursing Comprehensive Review Graduate Master OF Science IN Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Advanced Health 1-25 Prescribed, Laboratory, Receiving, Teaching, Prevent
Assessment AND Diagnostic
Reasoning
Pathophysiology AND 26-50 Finding, Prescribed, Receiving, Seconds, Warfarin
Pharmacotherapeutics FOR
Advanced
Primary CARE Management 51-75 Heart Failure, Prescribed, Finding, Indicates, Medication
OF Acute AND Chronic
Conditions
Health Promotion Disease 76-100 Receiving, Teaching, Heart Failure, Prescribed, Finding
Prevention AND Population
Health
Clinical Decision-making 101-125 Prescribed, Finding, Medication, Indicates, Appropriate
AND Evidence-based
Professional ROLE 126-146 Prescribed, Finding, Requires, Indicates, Warfarin
Development Ethics AND
Health Policy
TOTAL 146 All questions include answers and detailed rationales
,Section A - Advanced Health Assessment AND Diagnostic
Reasoning
Q1.
A patient with heart failure is prescribed sacubitril/valsartan. Which laboratory value
requires immediate follow-up?
A. Potassium 4.0 mEq/L B. Creatinine 2.8 mg/dL
C. Sodium 138 mEq/L D. Hemoglobin 12 g/dL
Correct: B - Creatinine 2.8 mg/dL
Rationale:Sacubitril/valsartan can cause renal impairment and hyperkalemia. A creatinine of
2.8 mg/dL indicates significant renal dysfunction, requiring immediate evaluation and possible
dose adjustment. The other values are within normal limits and do not necessitate urgent
action.
Why the other answers are wrong:
A. Potassium 4.0 mEq/L is normal; sacubitril/valsartan may increase potassium, but this value
is not alarming.
C. Sodium 138 mEq/L is within normal range and not a concern with this medication.
D. Hemoglobin 12 g/dL is normal and not directly affected by sacubitril/valsartan.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 46
Q2.
Which statement best describes the role of the advanced practice nurse in health policy
advocacy?
A. Advocating for policies that improve B. Focusing solely on direct patient care
patient outcomes and access to care without engaging in policy
C. Delegating policy activities to D. Limiting advocacy to institutional
administrators committees
Correct: A - Advocating for policies that improve patient outcomes and access to care
Rationale:APRNs are expected to engage in health policy advocacy to improve patient
outcomes and access. This includes activities at local, state, and national levels. The other
options reflect a limited or nonexistent advocacy role.
Why the other answers are wrong:
B. APRNs must engage in policy; focusing solely on direct care neglects the broader role.
C. Delegating policy to administrators abdicates the APRN's responsibility.
D. Limiting advocacy to institutional committees restricts the APRN's influence on broader
health policy.
Page 3
, Section A - Advanced Health Assessment AND Diagnostic Reasoning
Reference: Hamric, A.B. et al. (2023). Advanced Practice Nursing: An Integrative Approach, 7th Ed., Ch. 10
Q3.
A patient presents with sudden onset of severe abdominal pain, distension, and absent
bowel sounds. Which diagnostic finding is most consistent with a mechanical bowel
obstruction?
A. Dilated bowel loops with air-fluid levels on B. Normal abdominal X-ray
abdominal X-ray
C. Elevated serum lipase D. Decreased white blood cell count
Correct: A - Dilated bowel loops with air-fluid levels on abdominal X-ray
Rationale:Mechanical bowel obstruction typically shows dilated bowel loops and air-fluid
levels on imaging. Elevated lipase suggests pancreatitis, and normal X-ray or decreased
WBC are not characteristic.
Why the other answers are wrong:
B. A normal X-ray would not support obstruction; dilated loops are expected.
C. Elevated lipase indicates pancreatic inflammation, not obstruction.
D. Decreased WBC is not typical; obstruction may cause leukocytosis if ischemia occurs.
Reference: McCance, K.L. & Huether, S.E. (2024). Pathophysiology: The Biologic Basis for Disease, 9th
Ed., Ch. 41
Q4.
Which method is most appropriate for assessing the reliability of a new pain scale in a
research study?
A. Cronbach's alpha B. Content validity index
C. Pearson correlation with an existing scale D. Factor analysis
Correct: A - Cronbach's alpha
Rationale:Cronbach's alpha measures internal consistency, a key aspect of reliability.
Content validity and factor analysis assess validity, while correlation with another scale
assesses criterion validity.
Why the other answers are wrong:
B. Content validity index assesses validity, not reliability.
C. Correlation with an existing scale assesses criterion validity, not reliability.
D. Factor analysis assesses construct validity, not reliability.
Reference: Polit, D.F. & Beck, C.T. (2024). Nursing Research: Generating and Assessing Evidence, 12th
Ed., Ch. 14
Page 4
QUESTIONS AND ANSWERS | 2026 UPDATE |
100% CORRECT - MCNEESE STATE UNIVERSITY.
146 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NURS 617 FINAL EXAM REVIEW | KEY QUESTIONS AND ANSWERS | 2026 UPDATE | 100% CORRECT -
MCNEESE STATE UNIVERSITY.. It contains 146 carefully selected questions that reflect the most current exam
content and testing strategies. Each question is accompanied by a correct answer and a detailed rationale that
explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 146 Questions
Foundations - Application - NURS 617 Review KEY AND 2026 Update 100 Correct - Mcneese State
University Advanced Nursing Comprehensive Review Graduate Master OF Science IN Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Advanced Health 1-25 Prescribed, Laboratory, Receiving, Teaching, Prevent
Assessment AND Diagnostic
Reasoning
Pathophysiology AND 26-50 Finding, Prescribed, Receiving, Seconds, Warfarin
Pharmacotherapeutics FOR
Advanced
Primary CARE Management 51-75 Heart Failure, Prescribed, Finding, Indicates, Medication
OF Acute AND Chronic
Conditions
Health Promotion Disease 76-100 Receiving, Teaching, Heart Failure, Prescribed, Finding
Prevention AND Population
Health
Clinical Decision-making 101-125 Prescribed, Finding, Medication, Indicates, Appropriate
AND Evidence-based
Professional ROLE 126-146 Prescribed, Finding, Requires, Indicates, Warfarin
Development Ethics AND
Health Policy
TOTAL 146 All questions include answers and detailed rationales
,Section A - Advanced Health Assessment AND Diagnostic
Reasoning
Q1.
A patient with heart failure is prescribed sacubitril/valsartan. Which laboratory value
requires immediate follow-up?
A. Potassium 4.0 mEq/L B. Creatinine 2.8 mg/dL
C. Sodium 138 mEq/L D. Hemoglobin 12 g/dL
Correct: B - Creatinine 2.8 mg/dL
Rationale:Sacubitril/valsartan can cause renal impairment and hyperkalemia. A creatinine of
2.8 mg/dL indicates significant renal dysfunction, requiring immediate evaluation and possible
dose adjustment. The other values are within normal limits and do not necessitate urgent
action.
Why the other answers are wrong:
A. Potassium 4.0 mEq/L is normal; sacubitril/valsartan may increase potassium, but this value
is not alarming.
C. Sodium 138 mEq/L is within normal range and not a concern with this medication.
D. Hemoglobin 12 g/dL is normal and not directly affected by sacubitril/valsartan.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 46
Q2.
Which statement best describes the role of the advanced practice nurse in health policy
advocacy?
A. Advocating for policies that improve B. Focusing solely on direct patient care
patient outcomes and access to care without engaging in policy
C. Delegating policy activities to D. Limiting advocacy to institutional
administrators committees
Correct: A - Advocating for policies that improve patient outcomes and access to care
Rationale:APRNs are expected to engage in health policy advocacy to improve patient
outcomes and access. This includes activities at local, state, and national levels. The other
options reflect a limited or nonexistent advocacy role.
Why the other answers are wrong:
B. APRNs must engage in policy; focusing solely on direct care neglects the broader role.
C. Delegating policy to administrators abdicates the APRN's responsibility.
D. Limiting advocacy to institutional committees restricts the APRN's influence on broader
health policy.
Page 3
, Section A - Advanced Health Assessment AND Diagnostic Reasoning
Reference: Hamric, A.B. et al. (2023). Advanced Practice Nursing: An Integrative Approach, 7th Ed., Ch. 10
Q3.
A patient presents with sudden onset of severe abdominal pain, distension, and absent
bowel sounds. Which diagnostic finding is most consistent with a mechanical bowel
obstruction?
A. Dilated bowel loops with air-fluid levels on B. Normal abdominal X-ray
abdominal X-ray
C. Elevated serum lipase D. Decreased white blood cell count
Correct: A - Dilated bowel loops with air-fluid levels on abdominal X-ray
Rationale:Mechanical bowel obstruction typically shows dilated bowel loops and air-fluid
levels on imaging. Elevated lipase suggests pancreatitis, and normal X-ray or decreased
WBC are not characteristic.
Why the other answers are wrong:
B. A normal X-ray would not support obstruction; dilated loops are expected.
C. Elevated lipase indicates pancreatic inflammation, not obstruction.
D. Decreased WBC is not typical; obstruction may cause leukocytosis if ischemia occurs.
Reference: McCance, K.L. & Huether, S.E. (2024). Pathophysiology: The Biologic Basis for Disease, 9th
Ed., Ch. 41
Q4.
Which method is most appropriate for assessing the reliability of a new pain scale in a
research study?
A. Cronbach's alpha B. Content validity index
C. Pearson correlation with an existing scale D. Factor analysis
Correct: A - Cronbach's alpha
Rationale:Cronbach's alpha measures internal consistency, a key aspect of reliability.
Content validity and factor analysis assess validity, while correlation with another scale
assesses criterion validity.
Why the other answers are wrong:
B. Content validity index assesses validity, not reliability.
C. Correlation with an existing scale assesses criterion validity, not reliability.
D. Factor analysis assesses construct validity, not reliability.
Reference: Polit, D.F. & Beck, C.T. (2024). Nursing Research: Generating and Assessing Evidence, 12th
Ed., Ch. 14
Page 4
