WALDEN UNIVERSITY NURS 6560 EXIT EXAM|
QUESTIONS AND CORRECT ANSWERS 2025/2026
(VERIFIED ANSWERS) WALDEN UNIVERSITY
1. You see a 73-year-old woman with a 40 pack year smoking history, chronic obstruction
pulmonary disease and peripheral artery disease who presents with an ulcer on the soul of
her left foot. The also has an irregular edge and pale face and punched out appearance,
with the surrounding skin white and shiny. The patient states that the pain is worse at night
in bed and when the legs are elevated. The most likely diagnosis is:
-arterial ulcer
2. Hey 75-year-old man presents with chief complaints of headache, Nausea, and muscle
weakness. His creatinine level is 2.1 MG/DLNGFR is 30 ML/MIN/1.73 m2. He currently
takes a thiazides diuretic for the management of hypertension. Which of the following
statements is false regarding the use of diuretics in the elderly?
-loop diuretics are contraindicated when GFR is <40 ml/min/1.73 m2
,3. All of the following practices are recommended when prescribing medication with
confusing or similar-sounding names except:
- including either the generic or brand name on the prescription order, but not both
4. A 19-year-old is diagnosed with meningococcal meningitis. In order to prevent secondary
infections among adults who had close contact with the patient, all of the following are
recommended except:
- Prophylaxis with acyclovir (Zovirax)
5. A 38-year-old woman comes to the emergency department complaining of a rapid
heartbeat, tremors, and chest tightness. She reports early in the day she was feeling a
migraine starting so she took a pill giving to her by her friend who also experience
migraines. Her medical history reveals that she is currently taking a monoamine oxidase
inhibitor for depression. Which migraine medication did see most likely take?
-Almotriptan ( alert)
6. 826-year-old woman presents with uncomplicated UTI. She is otherwise healthy, has not
received any systematic anti microbials in the past year and it’s not taking any medications.
She is currently not pregnant and is using etonogestrel/ estradiol vaginal ring for
contraception. The local E. Coli resistance rate to TMP/SMX is about 12%. The preferred
therapy for this patient is:
- Trimethoprim-sulfamethoxazole
7. As part of the Deficit reduction act of 2005, Medicare will incorporate quality payment
adjustments for certain hospitals-acquired conditions, including all of the following except:
-Myocardial ischemic
8. Which of the following example describes a potential malpractice scenario?
-A post-myocardial infraction patient is prescribed an inappropriate dose clopidogrel and
experience a severe blessing episode.
9. A 57-year-old woman presents for a flu shot as she has heard reports that it will be “a bad
flu season’. She has had no primary care for more than 10 years she like health insurance.
She admits to a 30 pack here cigarette smoking history, currently smoking one pack for a
day. Her history and examination are unremarkable. Which screening test would you
recommend?
- Mammography
10. A 28-year-old woman presents who complains of tugging chest pain unrelated to
physical activity. She is generally in good health and non-smoker has a BMI of 23 KG/M2,
and denies dyspnea of dizziness. Physical examination reveals a grade 2/6 late systolic
murmur that follows a midsystoloc click at the 5th intercostal space, mid-clavicular line. An
echocardiogram Fails to reveal mitral valve tissue redundancy. This can you go presentation
is most consistent with:
- Mitral Valve prolapse
, 11. A quality improvement plan characterized by Limiting variability and removing defects in
a process best describes:
- six sigma
12. Laboratory findings of a 28-year-old male suspected of a heart stroke can include all of
the following except:
- Hypermatremia
13. A 42-year-old male presents with a sudden onset of inability to tightly close the eye lid,
frown, or smile on the right side. His examination is otherwise unremarkable and past
medical history is unremarkable. This likely represent paralysis of cranial nerve:
- VII
14. You see a 71-year-old man with atrial fibrillation and chronic obstructive pulmonary
Disease who is diagnosed with community-acquired Pneumonia. His medical history does
not show any drug allergies and he completed a course of respiratory fluoroquindore for the
treatment of acute bacterial sinuses within the past month. Which of the following would you
consider The most appropriate choice of anti-microbial?
-High dose amoxicillin
15. According to the Consolidated Omnibus Reconciliation Act ( CORBA), The spouse of an
eligible employee will be eligible for COBRA coverage in all of the following circumstances
except when the eligible employee:
- is terminated for misconduct
16. A 43-year-old woman presents in the emergency department with a chief complaint of
swelling of the ankles, hands, and face. She also reports urine dad is darkly colored and
foamy. Her blood pressure is 184/118 mm hg. All of the following urinalysis findings will
support a diagnosis of glomerulonephritis except:
- Elevated levels of ketones
17. A 78-year-old male is being treated for hypoglycemia episode. He has a long history of
type 2 diabetes mellitus as well as congestive heart failure and COPD. He is currently taking
basal insulin with a sulfonylurea. What is the acceptable a A1C goal for this patient?
- <8%
18. Tertiary Prevention activities for a 69-year-old woman with congestive heart failure and
type 2 diabetes mellitus include:
- Adjusting therapy to minimize dyspnea
19. A physicians employs an NP to provide service at a satellite acute care clinic. If the
physician is never present at the clinic, which of the following statements is true?
- The NP services should be billed under the NP’s provider number.
20. You see a 48-year-old man with a chief complaint of pain during urination. Imaging
reveals the presence of a kidney stone in the ureter. Do you consider all of the following
QUESTIONS AND CORRECT ANSWERS 2025/2026
(VERIFIED ANSWERS) WALDEN UNIVERSITY
1. You see a 73-year-old woman with a 40 pack year smoking history, chronic obstruction
pulmonary disease and peripheral artery disease who presents with an ulcer on the soul of
her left foot. The also has an irregular edge and pale face and punched out appearance,
with the surrounding skin white and shiny. The patient states that the pain is worse at night
in bed and when the legs are elevated. The most likely diagnosis is:
-arterial ulcer
2. Hey 75-year-old man presents with chief complaints of headache, Nausea, and muscle
weakness. His creatinine level is 2.1 MG/DLNGFR is 30 ML/MIN/1.73 m2. He currently
takes a thiazides diuretic for the management of hypertension. Which of the following
statements is false regarding the use of diuretics in the elderly?
-loop diuretics are contraindicated when GFR is <40 ml/min/1.73 m2
,3. All of the following practices are recommended when prescribing medication with
confusing or similar-sounding names except:
- including either the generic or brand name on the prescription order, but not both
4. A 19-year-old is diagnosed with meningococcal meningitis. In order to prevent secondary
infections among adults who had close contact with the patient, all of the following are
recommended except:
- Prophylaxis with acyclovir (Zovirax)
5. A 38-year-old woman comes to the emergency department complaining of a rapid
heartbeat, tremors, and chest tightness. She reports early in the day she was feeling a
migraine starting so she took a pill giving to her by her friend who also experience
migraines. Her medical history reveals that she is currently taking a monoamine oxidase
inhibitor for depression. Which migraine medication did see most likely take?
-Almotriptan ( alert)
6. 826-year-old woman presents with uncomplicated UTI. She is otherwise healthy, has not
received any systematic anti microbials in the past year and it’s not taking any medications.
She is currently not pregnant and is using etonogestrel/ estradiol vaginal ring for
contraception. The local E. Coli resistance rate to TMP/SMX is about 12%. The preferred
therapy for this patient is:
- Trimethoprim-sulfamethoxazole
7. As part of the Deficit reduction act of 2005, Medicare will incorporate quality payment
adjustments for certain hospitals-acquired conditions, including all of the following except:
-Myocardial ischemic
8. Which of the following example describes a potential malpractice scenario?
-A post-myocardial infraction patient is prescribed an inappropriate dose clopidogrel and
experience a severe blessing episode.
9. A 57-year-old woman presents for a flu shot as she has heard reports that it will be “a bad
flu season’. She has had no primary care for more than 10 years she like health insurance.
She admits to a 30 pack here cigarette smoking history, currently smoking one pack for a
day. Her history and examination are unremarkable. Which screening test would you
recommend?
- Mammography
10. A 28-year-old woman presents who complains of tugging chest pain unrelated to
physical activity. She is generally in good health and non-smoker has a BMI of 23 KG/M2,
and denies dyspnea of dizziness. Physical examination reveals a grade 2/6 late systolic
murmur that follows a midsystoloc click at the 5th intercostal space, mid-clavicular line. An
echocardiogram Fails to reveal mitral valve tissue redundancy. This can you go presentation
is most consistent with:
- Mitral Valve prolapse
, 11. A quality improvement plan characterized by Limiting variability and removing defects in
a process best describes:
- six sigma
12. Laboratory findings of a 28-year-old male suspected of a heart stroke can include all of
the following except:
- Hypermatremia
13. A 42-year-old male presents with a sudden onset of inability to tightly close the eye lid,
frown, or smile on the right side. His examination is otherwise unremarkable and past
medical history is unremarkable. This likely represent paralysis of cranial nerve:
- VII
14. You see a 71-year-old man with atrial fibrillation and chronic obstructive pulmonary
Disease who is diagnosed with community-acquired Pneumonia. His medical history does
not show any drug allergies and he completed a course of respiratory fluoroquindore for the
treatment of acute bacterial sinuses within the past month. Which of the following would you
consider The most appropriate choice of anti-microbial?
-High dose amoxicillin
15. According to the Consolidated Omnibus Reconciliation Act ( CORBA), The spouse of an
eligible employee will be eligible for COBRA coverage in all of the following circumstances
except when the eligible employee:
- is terminated for misconduct
16. A 43-year-old woman presents in the emergency department with a chief complaint of
swelling of the ankles, hands, and face. She also reports urine dad is darkly colored and
foamy. Her blood pressure is 184/118 mm hg. All of the following urinalysis findings will
support a diagnosis of glomerulonephritis except:
- Elevated levels of ketones
17. A 78-year-old male is being treated for hypoglycemia episode. He has a long history of
type 2 diabetes mellitus as well as congestive heart failure and COPD. He is currently taking
basal insulin with a sulfonylurea. What is the acceptable a A1C goal for this patient?
- <8%
18. Tertiary Prevention activities for a 69-year-old woman with congestive heart failure and
type 2 diabetes mellitus include:
- Adjusting therapy to minimize dyspnea
19. A physicians employs an NP to provide service at a satellite acute care clinic. If the
physician is never present at the clinic, which of the following statements is true?
- The NP services should be billed under the NP’s provider number.
20. You see a 48-year-old man with a chief complaint of pain during urination. Imaging
reveals the presence of a kidney stone in the ureter. Do you consider all of the following
