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MN551 MIDTERM EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
A 70-year-old male patient presents to the emergency department
complaining of pain in his calf that is exacerbated when he walks.
His pedal and popliteal pulses are faintly palpable and his leg
distal to the pain is noticeably reddened. What would his care
provider's preliminary diagnosis and anticipated treatment most
likely be? - ANSWER-Atherosclerotic occlusive disease
necessitating thrombolytic therapy
A nurse practitioner has ordered the measurement of a cardiac
patient's electrolyte levels as part of the patient's morning blood
work. Which of the following statements best captures the
importance of potassium in the normal electrical function of the
patient's heart? - ANSWER-Potassium is central to establishing
and maintaining the resting membrane potential of cardiac muscle
cells.
A number of patients have presented to the emergency
department in the last 24 hours with complaints that are
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preliminarily indicative of myocardial infarction. Which of the
following patients is least likely to have an ST-segment
myocardial infarction (STEMI)? - ANSWER-A 71-year-old man
who has moist skin, fever, and chest pain that is excruciating
when he moves but relieved when at rest
An 81-year-old male resident of a long-term care facility has a
long-standing diagnosis of heart failure. Which of the following
short-term and longer-term compensatory mechanisms is least
likely to decrease the symptoms of his heart failure? - ANSWER-
AV node pacemaking activity and vagal nerve suppression
A 22-year-old male is experiencing hypovolemic shock following a
fight in which his carotid artery was cut with a broken bottle. What
immediate treatments are likely to most benefit the man? -
ANSWER-Infusion of normal saline of Ringer lactate to maintain
the vascular space
A nurse practitioner is providing care for several patients on a
medical unit of a hospital. In which of the following patient
situations would the nurse practitioner be most likely to rule out
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hypertension as a contributing factor? - ANSWER-A 61-year-old
man who has a heart valve infection and recurrent fever
An older adult female patient has presented with a new onset of
shortness of breath, and the patient's nurse practitioner has
ordered measurement of her BNP levels along with other
diagnostic tests. What is the most accurate rationale for the nurse
practitioner's choice of blood work? - ANSWER-BNP is released
as a compensatory mechanism during heart failure and
measuring it can help differentiate the patient's dyspnea from a
respiratory pathology.
A formerly normotensive woman, pregnant for the first time,
develops hypertension and headaches at 26 weeks' gestation.
Her blood pressure is 154/110 mm Hg and she has proteinuria.
What other labs should be ordered for her? - ANSWER-Platelet
count, serum creatinine, and liver enzymes
A patient in the intensive care unit has a blood pressure of 87/39
and has warm, flushed skin accompanying his sudden decline in
level of consciousness. The patient also has arterial and venous
, 4|Page
dilation and a decrease in systemic vascular resistance. What is
this patient's most likely diagnosis? - ANSWER-Septic shock
A nurse practitioner is instructing a group of older adults about the
risks associated with high cholesterol. Which of the following
teaching points should the participants try to integrate into their
lifestyle after the teaching session? - ANSWER-"Your family
history of hypercholesterolemia is important, but there are things
you can do to compensate for a high inherited risk."
A 66-year-old obese man with a diagnosis of ischemic heart
disease has been diagnosed with heart failure that his care team
has characterized as attributable to systolic dysfunction. Which of
the following assessment findings is inconsistent with his
diagnosis? - ANSWER-Ventricular dilation and wall tension are
significantly lower than normal.
A physical assessment of a 28-year-old female patient indicates
that her blood pressure in her legs is lower than that in her arms
and that her brachial pulse is weaker in her left arm than in her
right. In addition, her femoral pulses are weak bilaterally. Which of
MN551 MIDTERM EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
A 70-year-old male patient presents to the emergency department
complaining of pain in his calf that is exacerbated when he walks.
His pedal and popliteal pulses are faintly palpable and his leg
distal to the pain is noticeably reddened. What would his care
provider's preliminary diagnosis and anticipated treatment most
likely be? - ANSWER-Atherosclerotic occlusive disease
necessitating thrombolytic therapy
A nurse practitioner has ordered the measurement of a cardiac
patient's electrolyte levels as part of the patient's morning blood
work. Which of the following statements best captures the
importance of potassium in the normal electrical function of the
patient's heart? - ANSWER-Potassium is central to establishing
and maintaining the resting membrane potential of cardiac muscle
cells.
A number of patients have presented to the emergency
department in the last 24 hours with complaints that are
,2|Page
preliminarily indicative of myocardial infarction. Which of the
following patients is least likely to have an ST-segment
myocardial infarction (STEMI)? - ANSWER-A 71-year-old man
who has moist skin, fever, and chest pain that is excruciating
when he moves but relieved when at rest
An 81-year-old male resident of a long-term care facility has a
long-standing diagnosis of heart failure. Which of the following
short-term and longer-term compensatory mechanisms is least
likely to decrease the symptoms of his heart failure? - ANSWER-
AV node pacemaking activity and vagal nerve suppression
A 22-year-old male is experiencing hypovolemic shock following a
fight in which his carotid artery was cut with a broken bottle. What
immediate treatments are likely to most benefit the man? -
ANSWER-Infusion of normal saline of Ringer lactate to maintain
the vascular space
A nurse practitioner is providing care for several patients on a
medical unit of a hospital. In which of the following patient
situations would the nurse practitioner be most likely to rule out
,3|Page
hypertension as a contributing factor? - ANSWER-A 61-year-old
man who has a heart valve infection and recurrent fever
An older adult female patient has presented with a new onset of
shortness of breath, and the patient's nurse practitioner has
ordered measurement of her BNP levels along with other
diagnostic tests. What is the most accurate rationale for the nurse
practitioner's choice of blood work? - ANSWER-BNP is released
as a compensatory mechanism during heart failure and
measuring it can help differentiate the patient's dyspnea from a
respiratory pathology.
A formerly normotensive woman, pregnant for the first time,
develops hypertension and headaches at 26 weeks' gestation.
Her blood pressure is 154/110 mm Hg and she has proteinuria.
What other labs should be ordered for her? - ANSWER-Platelet
count, serum creatinine, and liver enzymes
A patient in the intensive care unit has a blood pressure of 87/39
and has warm, flushed skin accompanying his sudden decline in
level of consciousness. The patient also has arterial and venous
, 4|Page
dilation and a decrease in systemic vascular resistance. What is
this patient's most likely diagnosis? - ANSWER-Septic shock
A nurse practitioner is instructing a group of older adults about the
risks associated with high cholesterol. Which of the following
teaching points should the participants try to integrate into their
lifestyle after the teaching session? - ANSWER-"Your family
history of hypercholesterolemia is important, but there are things
you can do to compensate for a high inherited risk."
A 66-year-old obese man with a diagnosis of ischemic heart
disease has been diagnosed with heart failure that his care team
has characterized as attributable to systolic dysfunction. Which of
the following assessment findings is inconsistent with his
diagnosis? - ANSWER-Ventricular dilation and wall tension are
significantly lower than normal.
A physical assessment of a 28-year-old female patient indicates
that her blood pressure in her legs is lower than that in her arms
and that her brachial pulse is weaker in her left arm than in her
right. In addition, her femoral pulses are weak bilaterally. Which of
