NURS 6550 FINAL EXAM TESTBANK
2024/2025
QUESTION 1
1. Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley
catheter was inserted intraoperatively and remains in place. His urine output has
declined markedly despite continued IV fluid infusion. Today his morning labs
reveal a BUN of 19 mg/dL and a creatinine of 2 mg/dL. A leading differential
includes:
A. Foley lodged in the urethra causing post-renal failure
B. Decreased renal perfusion causing prerenal failure
C. Age-related decreased eGFR causing prerenal failure
D. Post-surgical rhabdomyolysis causing intrarenal failure
Answer:
• D. Post-surgical rhabdomyolysis causing intrarenal failure
During surgery, muscles and injured. This can result into rhabdomyolysis, which is
the breakdown of muscles to release proteins. The excess proteins causes an
increased level of creatinine.
Mr. Jeffers is from surgery (post-surgical) and his creatinine levels are above
normal. The normal creatinine levels range from 0.6mg/dl to 1.2mg/dl. Thus, the
most likely differential is: Post-surgical rhabdomyolysis causing intrarenal
failure.
,1 points
QUESTION 2
1. Janet is admitted with symptomatic tachycardia. Her pulse is 160 b.p.m.
and she is weak, diaphoretic, and anxious. Physical examination reveals a 5’4” 107
lb black female who is awake, alert, and oriented, anxious, with moist skin and
racing pulse. Her blood pressure is 140/100 mm Hg. Temperature and respiratory
rate are within normal limits. The patient admits to having a “thyroid condition”
but she never followed up on it when she was advised to see an endocrinologist.
The AGACNP anticipates a diagnosis of:
A. Hashimoto’s thyroiditis
B. Cushing’s syndrome
C. Grave’s disease
D. Addison’s
disease 1 points
Answer:
C. Grave's disease
,QUESTION 3
1. Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune
disorder that can prevent with a wide variety of manifestations. Which clinical
triad should prompt an evaluation for SLE?
A. Fever, normal white count, elevated sedimentation rate
B. Hyperkalemia, hyponatremia, low blood pressure
C. Leukocytosis, hyperglycemia, hypokalemia
D. Joint pain, rash,
fever 1 points
QUESTION 4
1. A patient presents with profound vertigo of acute onset yesterday. She
can barely turn her head without becoming very vertiginous; she is nauseous and
just doesn’t want to move. This morning when she tried to get out of bed she felt
like she was pushed back down. The vertigo is reproducible with cervical
rotation. The patient denies any hearing loss or tinnitus, she has no fever or
other symptoms. The AGACNP knows that the most helpful intervention will
probably be:
A. Meclizine
B. Diazepam
, C. Bed rest
D. Epley’s
maneuvers 1 points
Answer:
• D. Epley's maneuvers
The patient is likely suffering from benign paroxysmoly positioning vertigo. This is
indicated by inability to turn her head and to get up from the lying position in bed.
The best intervention for benign paroxysmal positioning vertigo is Epley's
maneuvers. These maneuvers effectively clear the inner ear to relieve symptoms of
vertigo
QUESTION 5
1. Mrs. Mireya is an 85-year-old female who is admitted for evaluation of
acute mental status change from the long term care facility. She is normally
ambulatory and participates in lots of facility activities. Today a nursing
assistant found her in her room, appearing confused and disconnected from
her environment. When she tried to get up she fell down. Her vital signs are
stable excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that
the most likely cause of her symptoms is:
2024/2025
QUESTION 1
1. Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley
catheter was inserted intraoperatively and remains in place. His urine output has
declined markedly despite continued IV fluid infusion. Today his morning labs
reveal a BUN of 19 mg/dL and a creatinine of 2 mg/dL. A leading differential
includes:
A. Foley lodged in the urethra causing post-renal failure
B. Decreased renal perfusion causing prerenal failure
C. Age-related decreased eGFR causing prerenal failure
D. Post-surgical rhabdomyolysis causing intrarenal failure
Answer:
• D. Post-surgical rhabdomyolysis causing intrarenal failure
During surgery, muscles and injured. This can result into rhabdomyolysis, which is
the breakdown of muscles to release proteins. The excess proteins causes an
increased level of creatinine.
Mr. Jeffers is from surgery (post-surgical) and his creatinine levels are above
normal. The normal creatinine levels range from 0.6mg/dl to 1.2mg/dl. Thus, the
most likely differential is: Post-surgical rhabdomyolysis causing intrarenal
failure.
,1 points
QUESTION 2
1. Janet is admitted with symptomatic tachycardia. Her pulse is 160 b.p.m.
and she is weak, diaphoretic, and anxious. Physical examination reveals a 5’4” 107
lb black female who is awake, alert, and oriented, anxious, with moist skin and
racing pulse. Her blood pressure is 140/100 mm Hg. Temperature and respiratory
rate are within normal limits. The patient admits to having a “thyroid condition”
but she never followed up on it when she was advised to see an endocrinologist.
The AGACNP anticipates a diagnosis of:
A. Hashimoto’s thyroiditis
B. Cushing’s syndrome
C. Grave’s disease
D. Addison’s
disease 1 points
Answer:
C. Grave's disease
,QUESTION 3
1. Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune
disorder that can prevent with a wide variety of manifestations. Which clinical
triad should prompt an evaluation for SLE?
A. Fever, normal white count, elevated sedimentation rate
B. Hyperkalemia, hyponatremia, low blood pressure
C. Leukocytosis, hyperglycemia, hypokalemia
D. Joint pain, rash,
fever 1 points
QUESTION 4
1. A patient presents with profound vertigo of acute onset yesterday. She
can barely turn her head without becoming very vertiginous; she is nauseous and
just doesn’t want to move. This morning when she tried to get out of bed she felt
like she was pushed back down. The vertigo is reproducible with cervical
rotation. The patient denies any hearing loss or tinnitus, she has no fever or
other symptoms. The AGACNP knows that the most helpful intervention will
probably be:
A. Meclizine
B. Diazepam
, C. Bed rest
D. Epley’s
maneuvers 1 points
Answer:
• D. Epley's maneuvers
The patient is likely suffering from benign paroxysmoly positioning vertigo. This is
indicated by inability to turn her head and to get up from the lying position in bed.
The best intervention for benign paroxysmal positioning vertigo is Epley's
maneuvers. These maneuvers effectively clear the inner ear to relieve symptoms of
vertigo
QUESTION 5
1. Mrs. Mireya is an 85-year-old female who is admitted for evaluation of
acute mental status change from the long term care facility. She is normally
ambulatory and participates in lots of facility activities. Today a nursing
assistant found her in her room, appearing confused and disconnected from
her environment. When she tried to get up she fell down. Her vital signs are
stable excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that
the most likely cause of her symptoms is:
