NUR 507 - EXAM
NUR 507 - EXAM 3 NEWEST 2025/2026
COMPLETE ALL 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A+||ALREADY
GRADED A+
The mother of an 11-year-old boy with sickle cell anemia calls on the phone because her son
woke up with a painful penile erection that will not go away. The nurse practitioner's most
appropriate intervention is:
A) Insert a Foley catheter and measure the child's intake and output for the next 24 hours
B) Insert a Foley catheter to obtain a specimen for a urinalysis and urine for C&S (culture and
sensitivity)
C) Recommend an increase in the child's fluid intake
D) Recommend immediate referral to the emergency department
D) Recommend immediate referral to the emergency department
Priapism (painful penile erection not related to sexual activity) is a true urological
emergency that may lead to permanent erectile dysfunction and penile necrosis if not
treated appropriately. It can be associated with a number of medical conditions (sickle cell
anemia, leukemia, or spinal cord injury) and/or some pharmacological agents.
An 8-year-old boy with type 1 diabetes is being seen for a 3-day history of urinary frequency
and nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood
and nitrites but is positive for a large amount of leukocytes and ketones. He has a trace
amount of protein. Which of the following is the best test to order initially?
A) Urine for culture and sensitivity
B) 24-hour urine for protein and creatinine clearance
C) 24-hour urine for microalbumin
D) Intravenous pyelogram
A) Urine for culture and sensitivity
An 8-year-old male patient with the diagnosis of diabetes has a high risk of urinary tract
infections (UTIs). A large amount of leukocytes in the urinalysis is abnormal, and he has been
having symptoms of frequency and nocturia for the past 3 days. The urine culture would be
A+ TEST BANK 1
, NUR 507 - EXAM
ordered because he has a high risk of infection. The urine culture and sensitivity (C&S) is the
best evaluation for diagnosing a UTI.
.!
A patient with a history of mitral valve prolapse (MVP) is requesting prophylaxis before her
dental surgery. Which of the following would you prescribe this patient?
A) Amoxicillin a half hour before and 2 hours after the procedure
B) Amoxicillin 1 hour before the procedure
C) Amoxicillin 1 hour before and 3 hours after the procedure
D) Prophylaxis is not recommended for this patient
D) Prophylaxis is not recommended for this patient
Current American Heart Association guidelines (2017) do not recommend endocarditis
prophylaxis for most
patients with aortic or mitral valve disease, including those with mitral valve prolapse with
regurgitation or for patients with hypertrophic cardiomyopathy. Patients at highest risk for
infective endocarditis (IE) are those with prosthetic heart valves, including mechanical,
bioprosthetic, and homograft valves; prior history of IE; unrepaired cyanotic congenital
heart disease; prosthetic material used for valvular repair; repaired congenital heart disease
with residual shunts or with catheter-based intervention; and others. The high-risk
procedures are dental work with manipulation of tissue, tooth extractions, and certain
respiratory tract procedures.
.!
The nurse practitioner who suspects that one of her hypertensive patients has Cushing's
syndrome would expect to find which of the following laboratory results?
A) Hyponatremia
B) Hypoglycemia
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids
A+ TEST BANK 2
, NUR 507 - EXAM
C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen in patients with Cushing's syndrome.
A 14-year-old girl who is sexually active is brought to the health clinic by her mother for an
immunization update. According to the mother, her daughter has had one dose of hepatitis
B vaccine. Which of the following vaccines would you administer at this visit?
A) Tdap, hepatitis B, and HPV vaccine
B) DTaP (diphtheria, tetanus, acellular pertussis) and hepatitis B
C) Hepatitis B only
D) MMR (measles, mumps, rubella), Td, and HPV vaccine
A) Tdap, hepatitis B, and HPV vaccine
There are two types of HPV vaccine. Gardasil can be used for both girls and boys, but
Cervarix can only be used for females. HPV vaccine is recommended for preteen boys and
girls at age 11 or 12 years. Young women can get HPV vaccine until age 27 years and men can
get the HPV vaccine until age 22 years.
You would advise an 18-year-old female student who has been given a booster dose of MMR
at the college health clinic that:
A) She might have a low-grade fever during the first 24 to 48 hours
B) She should not get pregnant within the next 4 weeks
C) Her arm will be very sore at the injection site for 24 to 48 hours
D) Her arm will have some induration at the injection site in 24 to 48 hours
B) She should not get pregnant within the next 4 weeks
MMR should not be administered to women known to be pregnant. In addition, women
should be counseled to avoid becoming pregnant for 28 days following vaccination.
A 14-year-old female adolescent is worried that she has not started to menstruate like most
of her friends. During the gynecological examination, the nurse practitioner tells the mother,
who is in the room with the patient, that her daughter is starting Tanner
stage II. What are the physical exam findings during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly pubic hair
D) No breast tissue and no pubic hair
A) Breast buds and some straight pubic hair
A+ TEST BANK 3
, NUR 507 - EXAM
Tanner stage II in females is noted for breast and papilla elevated as a small mound and
increased areola diameter (breast buds). Tanner II pubic hair for females is sparse, lightly
pigmented straight hair along the medial border of the labia.
.!
All of the following agents are used to control the inflammatory changes seen in the lungs of
asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal)
A) Albuterol inhaler (Proventil)
Albuterol is a short-acting bronchodilator that is used for immediate relief of shortness of
breath in patients with asthma. It works by opening the air passages but does not have any
steroidal/anti-inflammatory effect such as triamcinolone (Azmacort), nor an effect such as a
leukotriene blocker (Singulair). Steroids and leukotrienes help the inflamed channels to
remain open and clear but take longer to get into the system to work.
When evaluating the blood pressure on both the arms and legs of an infant who has a
diagnosis of coarctation of the aorta, which of the following is the correct finding?
A) The blood pressure is higher in the arms than in the legs
B) Only the diastolic blood pressure is higher in the legs than in the arms
C) The blood pressure is higher in the legs than the arms
D) The blood pressure is lower in both arms than in the legs
A) The blood pressure is higher in the arms than in the legs
In coarctation of the aorta, blood pressure is higher in the arms than in the legs due to the
narrowing in the aorta. Blood pressure must rise to get adequate blood flow to the lower
extremities; therefore, the blood pressure above the coarctation rises to compensate for
this.
.!
A+ TEST BANK 4
NUR 507 - EXAM 3 NEWEST 2025/2026
COMPLETE ALL 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A+||ALREADY
GRADED A+
The mother of an 11-year-old boy with sickle cell anemia calls on the phone because her son
woke up with a painful penile erection that will not go away. The nurse practitioner's most
appropriate intervention is:
A) Insert a Foley catheter and measure the child's intake and output for the next 24 hours
B) Insert a Foley catheter to obtain a specimen for a urinalysis and urine for C&S (culture and
sensitivity)
C) Recommend an increase in the child's fluid intake
D) Recommend immediate referral to the emergency department
D) Recommend immediate referral to the emergency department
Priapism (painful penile erection not related to sexual activity) is a true urological
emergency that may lead to permanent erectile dysfunction and penile necrosis if not
treated appropriately. It can be associated with a number of medical conditions (sickle cell
anemia, leukemia, or spinal cord injury) and/or some pharmacological agents.
An 8-year-old boy with type 1 diabetes is being seen for a 3-day history of urinary frequency
and nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood
and nitrites but is positive for a large amount of leukocytes and ketones. He has a trace
amount of protein. Which of the following is the best test to order initially?
A) Urine for culture and sensitivity
B) 24-hour urine for protein and creatinine clearance
C) 24-hour urine for microalbumin
D) Intravenous pyelogram
A) Urine for culture and sensitivity
An 8-year-old male patient with the diagnosis of diabetes has a high risk of urinary tract
infections (UTIs). A large amount of leukocytes in the urinalysis is abnormal, and he has been
having symptoms of frequency and nocturia for the past 3 days. The urine culture would be
A+ TEST BANK 1
, NUR 507 - EXAM
ordered because he has a high risk of infection. The urine culture and sensitivity (C&S) is the
best evaluation for diagnosing a UTI.
.!
A patient with a history of mitral valve prolapse (MVP) is requesting prophylaxis before her
dental surgery. Which of the following would you prescribe this patient?
A) Amoxicillin a half hour before and 2 hours after the procedure
B) Amoxicillin 1 hour before the procedure
C) Amoxicillin 1 hour before and 3 hours after the procedure
D) Prophylaxis is not recommended for this patient
D) Prophylaxis is not recommended for this patient
Current American Heart Association guidelines (2017) do not recommend endocarditis
prophylaxis for most
patients with aortic or mitral valve disease, including those with mitral valve prolapse with
regurgitation or for patients with hypertrophic cardiomyopathy. Patients at highest risk for
infective endocarditis (IE) are those with prosthetic heart valves, including mechanical,
bioprosthetic, and homograft valves; prior history of IE; unrepaired cyanotic congenital
heart disease; prosthetic material used for valvular repair; repaired congenital heart disease
with residual shunts or with catheter-based intervention; and others. The high-risk
procedures are dental work with manipulation of tissue, tooth extractions, and certain
respiratory tract procedures.
.!
The nurse practitioner who suspects that one of her hypertensive patients has Cushing's
syndrome would expect to find which of the following laboratory results?
A) Hyponatremia
B) Hypoglycemia
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids
A+ TEST BANK 2
, NUR 507 - EXAM
C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen in patients with Cushing's syndrome.
A 14-year-old girl who is sexually active is brought to the health clinic by her mother for an
immunization update. According to the mother, her daughter has had one dose of hepatitis
B vaccine. Which of the following vaccines would you administer at this visit?
A) Tdap, hepatitis B, and HPV vaccine
B) DTaP (diphtheria, tetanus, acellular pertussis) and hepatitis B
C) Hepatitis B only
D) MMR (measles, mumps, rubella), Td, and HPV vaccine
A) Tdap, hepatitis B, and HPV vaccine
There are two types of HPV vaccine. Gardasil can be used for both girls and boys, but
Cervarix can only be used for females. HPV vaccine is recommended for preteen boys and
girls at age 11 or 12 years. Young women can get HPV vaccine until age 27 years and men can
get the HPV vaccine until age 22 years.
You would advise an 18-year-old female student who has been given a booster dose of MMR
at the college health clinic that:
A) She might have a low-grade fever during the first 24 to 48 hours
B) She should not get pregnant within the next 4 weeks
C) Her arm will be very sore at the injection site for 24 to 48 hours
D) Her arm will have some induration at the injection site in 24 to 48 hours
B) She should not get pregnant within the next 4 weeks
MMR should not be administered to women known to be pregnant. In addition, women
should be counseled to avoid becoming pregnant for 28 days following vaccination.
A 14-year-old female adolescent is worried that she has not started to menstruate like most
of her friends. During the gynecological examination, the nurse practitioner tells the mother,
who is in the room with the patient, that her daughter is starting Tanner
stage II. What are the physical exam findings during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly pubic hair
D) No breast tissue and no pubic hair
A) Breast buds and some straight pubic hair
A+ TEST BANK 3
, NUR 507 - EXAM
Tanner stage II in females is noted for breast and papilla elevated as a small mound and
increased areola diameter (breast buds). Tanner II pubic hair for females is sparse, lightly
pigmented straight hair along the medial border of the labia.
.!
All of the following agents are used to control the inflammatory changes seen in the lungs of
asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal)
A) Albuterol inhaler (Proventil)
Albuterol is a short-acting bronchodilator that is used for immediate relief of shortness of
breath in patients with asthma. It works by opening the air passages but does not have any
steroidal/anti-inflammatory effect such as triamcinolone (Azmacort), nor an effect such as a
leukotriene blocker (Singulair). Steroids and leukotrienes help the inflamed channels to
remain open and clear but take longer to get into the system to work.
When evaluating the blood pressure on both the arms and legs of an infant who has a
diagnosis of coarctation of the aorta, which of the following is the correct finding?
A) The blood pressure is higher in the arms than in the legs
B) Only the diastolic blood pressure is higher in the legs than in the arms
C) The blood pressure is higher in the legs than the arms
D) The blood pressure is lower in both arms than in the legs
A) The blood pressure is higher in the arms than in the legs
In coarctation of the aorta, blood pressure is higher in the arms than in the legs due to the
narrowing in the aorta. Blood pressure must rise to get adequate blood flow to the lower
extremities; therefore, the blood pressure above the coarctation rises to compensate for
this.
.!
A+ TEST BANK 4
