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NUR 661 Exam (75+ Qs) | Renal, Cardiac, Electrolytes, Dysrhythmias, Pharmacology | 2025/2026 – Advanced Practice Nursing – Chamberlain University

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This comprehensive study document for NUR 661 includes over 75 expertly validated questions and answers for Test 4 of the 2025/2026 academic cycle at Chamberlain University, targeting students in advanced nursing practice programs. The questions are aligned with upper-level clinical and pathophysiological nursing competencies required for diagnosing, managing, and educating patients with acute and chronic renal, cardiovascular, and electrolyte disorders. Major topics covered include: Renal System: UTI in older adults, pyelonephritis, CKD, PKD, glomerulonephritis, kidney stone prevention and diagnostics, dialysis, post-transplant care Cardiac Conditions: Sinus brady/tachycardia, atrial fibrillation/flutter, PVCs, V-tach, V-fib, heart failure (left/right), valvular disorders (mitral/aortic stenosis/regurgitation), myocarditis, pericarditis, endocarditis Electrolytes & Labs: Potassium, sodium, creatinine, BUN, and BNP monitoring Pharmacology: Beta blockers, calcium channel blockers, ACE inhibitors, ARBs, diuretics (loop, thiazide, aldosterone antagonists), digoxin, phosphodiesterase inhibitors, nitrates, and more Advanced Diagnostics & Interventions: ECG interpretation, cardioversion, defibrillation, medication titration, patient education, surgical interventions (e.g., valve replacements), and hemodynamic monitoring Peripheral Vascular Disorders: PAD vs. PVD symptoms and nursing management, VTE prevention, and leg positioning strategies Ideal for students in: MSN and DNP programs Family Nurse Practitioner (FNP), Adult-Gerontology Acute/Primary Care NP, and Nurse Educator tracks Clinical Nurse Specialists, Nurse Residency Programs, and NCLEX-RN review students seeking advanced reinforcement The resource supports high-stakes exam preparation, clinical rotation readiness, and in-depth understanding of complex pathophysiological processes, especially for adult and geriatric populations. Answers include explanations, lab values, patient safety alerts, and pharmacological rationales. Keywords: NUR 661, nursing exam, CKD, PKD, UTI, AFib, V-fib, sinus tachycardia, heart failure, valvular disorders, pharmacology, electrolyte balance, cardiac rhythm, Chamberlain University, advanced practice nursing, nurse practitioner exam, nursing 2025, NCLEX prep, clinical decision-making

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Uploaded on
November 17, 2025
Number of pages
79
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NUR 661 - Test 4 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



examples of anticholinergics - 🧠ANSWER ✔✔oxybutynin


tolterodine

fesoterodine

darifenacin

salifenacin

trospium


Manifestations of UTI in older adults - 🧠ANSWER ✔✔Confusion/falls


Incontinence

Loss of appetite

,Nocturia and dysuria

Hypotension, tachycardia, tachypnea, and fever (urosepsis)


Patient education for UTIs - 🧠ANSWER ✔✔Phenazopyridine (Pyridium)

turns your urine orange/red, Can stain clothes - wear sanitary pads




Fluoroquinolones or sulfonamides increase risk of sun-sensitivity/sunburn




Report elevated temperature, flank pain, NV




Increase fluid intake




S/S of UTIs




Wipe front to back

Urinate before and after sex

,Use unsweetened cranberry for prevention


Kidney stone prevention - 🧠ANSWER ✔✔Encourage hydration




Urine output of 2L/day




Monitor urine color




Low sodium diet




Increase dietary intake of citrate




Avoid foods high in calcium oxalate

Foods high in calcium oxalate - to be avoided to prevent kidney stones -

🧠ANSWER ✔✔rhubard


chocolate

tea


3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED

, coffee

nuts

green leafy vegetables


Manifestions of pyelonephritis - 🧠ANSWER ✔✔CVA tenderness




Fever, chills, NV




Back or flank pain




Manifestations of UTI


First clinical sign of PKD - 🧠ANSWER ✔✔Hypertension


Manifestations of PKD - 🧠ANSWER ✔✔Hypertension




Hematuria




Cloudy urine

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