1|Page
NRNP 6550 MIDTERM EXAM (WALDEN) NEWEST 2025
ACTUAL EXAM TEST BANK| NRNP 6550 MIDTERM
EXAM REVIEW WITH 250 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
What is the primary risk factor for pulmonary embolus? - ANSWER - 1.
DVT
DVT risks: polycythemia and stasis.
Differentiate between dementia types - ANSWER - Alzheimer's: long
trajectory that progresses to confabulations
Lewy Body: rapid progression w/angry demeanor
Vascular: depressive affect, no confabulations, PMHx of vascular
disease
Parkinson's: PMHx of parkinson's
What testing assesses for macular degeneration? - ANSWER - Amsler
Grid- assessment of central vision changes seen in MD.
What is the Woods Lamp used for? - ANSWER - Illuminate FUNGI,
BACTERIA ,PIGMENTATION and other skin problems
Can also be used to detect corneal abrasions.
pg. 1
,2|Page
A 55-year-old female presents with acute onset left sided facial pain and
an inability to move the left side of her face. She cannot smile, raise her
eyebrow or even close her left eye, The immediate approach to this
patient should include: - ANSWER - Corticosteroids
She has Bell's Palsy
A 78-year-old male present for a physical examination. He has no
discomfort or complaints other than a general decrease in vision, but it
helps when he puts things under a bright light to read. He admits that
while driving at night the streetlights appear to be a bit distorted and his
night vision is pretty poor. What is his likely diagnosis an expected
physical exam findings? - ANSWER - Diminished Red reflex;
Dx: Cataracts
A patient with HIV/AIDS is being managed for sepsis and was recently
extubated 3 days ago. He has an NGT, PICC, and foley. Visual
inspection of all tubes are normal (UA neg) with improving pneumonia
on Chest XR, but the patient is still having low grade fevers. What
should the NP order next? - ANSWER - Maxillofacial CT scan;
NGT is a risk factor for HIV patients to develop a sinus infection.
What is the last thing that should be assessed when looking at a chest
XR? - ANSWER - Lungs are LAST.
Correct order:
1. Mediastinum and hila
2. thoracic cage
pg. 2
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3. Extrathoracic bones and soft tissues
4. Lungs
What is the correct order of interpreting an EKG? - ANSWER - 1. Rate
2. Rhythm
3. Intervals
4. Axis
5.Morphology
The Short Confusion Assessment Method (Short-CAM) assesses
delirium in hospitalized patients. What is observed with this method? -
ANSWER - 1. Acuity of Onset
2. Inattention
3. Disorganized Thinking
4. Level of Consciousness
What should be included for diagnostic evaluation for hospital acquired
pneumonia? - ANSWER - Sputum culture
ABG
Blood cultures.
What theory addresses the inevitability of death as a part of the aging
process? - ANSWER - Levinson's Theory
pg. 3
, 4|Page
What genetic risk factors increase a patient's likelihood for pulmonary
embolus? - ANSWER - Factor V
Protein C & S deficiencies
A patient is diagnosed with acute descending aortic aneurysm and
hypertension should be immediately started on which medication
pending surgical evaluation? - ANSWER - Beta adrenergic antagonist
(aka beta blockers): decreases force of contraction, decreases force on
aortic aneurysm preventing aortic dissection.
When should a patient with asthma be admitted from the ER? -
ANSWER - If FEV1 remains below 70% after one hour of emergency
care.
Patient can be discharged if FEV1>70%
What is an indication for intubating a patient with acute asthma
exacerbation? - ANSWER - FEV1 not improving after treatment and
approaching 40%.
What are the most common causes of pulmonary obstructive shock? -
ANSWER - Pulmonary embolus, cardiac tamponade, & pneumothorax
What is the best indicator of imminent death following a patient who is
extubated but still maintains respirations past 24 hours? - ANSWER -
Cessation of urine output as it is a predictor of imminent cardiac arrest
pg. 4
NRNP 6550 MIDTERM EXAM (WALDEN) NEWEST 2025
ACTUAL EXAM TEST BANK| NRNP 6550 MIDTERM
EXAM REVIEW WITH 250 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
What is the primary risk factor for pulmonary embolus? - ANSWER - 1.
DVT
DVT risks: polycythemia and stasis.
Differentiate between dementia types - ANSWER - Alzheimer's: long
trajectory that progresses to confabulations
Lewy Body: rapid progression w/angry demeanor
Vascular: depressive affect, no confabulations, PMHx of vascular
disease
Parkinson's: PMHx of parkinson's
What testing assesses for macular degeneration? - ANSWER - Amsler
Grid- assessment of central vision changes seen in MD.
What is the Woods Lamp used for? - ANSWER - Illuminate FUNGI,
BACTERIA ,PIGMENTATION and other skin problems
Can also be used to detect corneal abrasions.
pg. 1
,2|Page
A 55-year-old female presents with acute onset left sided facial pain and
an inability to move the left side of her face. She cannot smile, raise her
eyebrow or even close her left eye, The immediate approach to this
patient should include: - ANSWER - Corticosteroids
She has Bell's Palsy
A 78-year-old male present for a physical examination. He has no
discomfort or complaints other than a general decrease in vision, but it
helps when he puts things under a bright light to read. He admits that
while driving at night the streetlights appear to be a bit distorted and his
night vision is pretty poor. What is his likely diagnosis an expected
physical exam findings? - ANSWER - Diminished Red reflex;
Dx: Cataracts
A patient with HIV/AIDS is being managed for sepsis and was recently
extubated 3 days ago. He has an NGT, PICC, and foley. Visual
inspection of all tubes are normal (UA neg) with improving pneumonia
on Chest XR, but the patient is still having low grade fevers. What
should the NP order next? - ANSWER - Maxillofacial CT scan;
NGT is a risk factor for HIV patients to develop a sinus infection.
What is the last thing that should be assessed when looking at a chest
XR? - ANSWER - Lungs are LAST.
Correct order:
1. Mediastinum and hila
2. thoracic cage
pg. 2
,3|Page
3. Extrathoracic bones and soft tissues
4. Lungs
What is the correct order of interpreting an EKG? - ANSWER - 1. Rate
2. Rhythm
3. Intervals
4. Axis
5.Morphology
The Short Confusion Assessment Method (Short-CAM) assesses
delirium in hospitalized patients. What is observed with this method? -
ANSWER - 1. Acuity of Onset
2. Inattention
3. Disorganized Thinking
4. Level of Consciousness
What should be included for diagnostic evaluation for hospital acquired
pneumonia? - ANSWER - Sputum culture
ABG
Blood cultures.
What theory addresses the inevitability of death as a part of the aging
process? - ANSWER - Levinson's Theory
pg. 3
, 4|Page
What genetic risk factors increase a patient's likelihood for pulmonary
embolus? - ANSWER - Factor V
Protein C & S deficiencies
A patient is diagnosed with acute descending aortic aneurysm and
hypertension should be immediately started on which medication
pending surgical evaluation? - ANSWER - Beta adrenergic antagonist
(aka beta blockers): decreases force of contraction, decreases force on
aortic aneurysm preventing aortic dissection.
When should a patient with asthma be admitted from the ER? -
ANSWER - If FEV1 remains below 70% after one hour of emergency
care.
Patient can be discharged if FEV1>70%
What is an indication for intubating a patient with acute asthma
exacerbation? - ANSWER - FEV1 not improving after treatment and
approaching 40%.
What are the most common causes of pulmonary obstructive shock? -
ANSWER - Pulmonary embolus, cardiac tamponade, & pneumothorax
What is the best indicator of imminent death following a patient who is
extubated but still maintains respirations past 24 hours? - ANSWER -
Cessation of urine output as it is a predictor of imminent cardiac arrest
pg. 4
