1
NR 569 / NR569 Final Exam Actual Exam
2026/2027 | Differential Diagnosis in
Acute Care Practicum | Chamberlain |
Questions with Verified Answers | 100%
Correct | Pass Guaranteed
Q001: A 67-year-old man arrives via EMS with crushing chest pain, diaphoresis,
and ST-segment elevation in leads II, III, aVF. HR 42 bpm, BP 78/50 mmHg.
Which immediate intervention is MOST critical?
Options:
A. Initiate heparin drip only
B. Administer atropine for bradycardia
C. Perform emergent PCI within 90 min
D. Start thrombolytics after CT head
ANSWER: C
Q002: A 54-year-old woman with COPD presents with acute dyspnea, HR 124, RR
32, SpO₂ 82% on 6 L NC, ABG pH 7.22, PaCO₂ 74, PaO₂ 48, HCO₃ 38. Which
ventilator setting should be prioritized?
Options:
A. High PEEP 15 cmH₂O
B. Low tidal volume 6 mL/kg
C. High FiO₂ 1.0
D. Rapid rate 30/min
, 2
ANSWER: B
Q003: A 28-year-old man is found unresponsive with pinpoint pupils, RR 6, BP
90/60. EMS gave naloxone 0.4 mg with transient arousal. Which next step is
MOST appropriate?
Options:
A. Repeat naloxone 0.4 mg IM
B. Infusion naloxone 0.5 mg/hr IV
C. Intubate for airway protection
D. Discharge after observation
ANSWER: B
Q004: A 72-year-old woman on warfarin (INR 4.8) develops acute facial droop,
arm drift, slurred speech within 2 h. CT shows no hemorrhage. Which intervention
is indicated?
Options:
A. tPA 0.9 mg/kg IV
B. Fresh frozen plasma
C. Vitamin K 10 mg IV
D. Protamine sulfate
ANSWER: A
Q005: A 45-year-old diabetic man presents with fever 39.5 °C, HR 125, RR 28, BP
88/50, lactate 5.2 mmol/L, WBC 18k. Which action is MOST urgent?
Options:
A. Obtain blood cultures then start broad-spectrum antibiotics within 1 h
B. Wait for cultures before antibiotics
C. Begin norepinephrine first
D. CT abdomen pelvis
, 3
ANSWER: A
Q006: A 60-year-old man post-MI develops sudden onset of chest pain,
asymmetrical BP (L 180/110, R 90/60), new aortic regurgitation murmur. Which
test is diagnostic?
Options:
A. Chest X-ray
B. CT aortogram
C. Echocardiogram
D. D-dimer
ANSWER: B
Q007: A 38-year-old woman presents with severe epigastric pain radiating to back,
amylase 1200, lipase 1800, HR 115, BP 90/60. Which finding indicates severe
acute pancreatitis?
Options:
A. Amylase > 1000
B. Hematocrit drop > 10%
C. Calcium 7.8 mg/dL
D. WBC 12k
ANSWER: C
Q008: A 55-year-old man with cirrhosis presents with hematemesis, BP 80/40, HR
130, Hgb 6.2 g/dL. Which immediate intervention is MOST critical?
Options:
A. EGD within 6 h
B. Transfuse 2 units PRBC immediately
C. Start octreotide 50 mcg IV bolus
D. Insert NG tube
NR 569 / NR569 Final Exam Actual Exam
2026/2027 | Differential Diagnosis in
Acute Care Practicum | Chamberlain |
Questions with Verified Answers | 100%
Correct | Pass Guaranteed
Q001: A 67-year-old man arrives via EMS with crushing chest pain, diaphoresis,
and ST-segment elevation in leads II, III, aVF. HR 42 bpm, BP 78/50 mmHg.
Which immediate intervention is MOST critical?
Options:
A. Initiate heparin drip only
B. Administer atropine for bradycardia
C. Perform emergent PCI within 90 min
D. Start thrombolytics after CT head
ANSWER: C
Q002: A 54-year-old woman with COPD presents with acute dyspnea, HR 124, RR
32, SpO₂ 82% on 6 L NC, ABG pH 7.22, PaCO₂ 74, PaO₂ 48, HCO₃ 38. Which
ventilator setting should be prioritized?
Options:
A. High PEEP 15 cmH₂O
B. Low tidal volume 6 mL/kg
C. High FiO₂ 1.0
D. Rapid rate 30/min
, 2
ANSWER: B
Q003: A 28-year-old man is found unresponsive with pinpoint pupils, RR 6, BP
90/60. EMS gave naloxone 0.4 mg with transient arousal. Which next step is
MOST appropriate?
Options:
A. Repeat naloxone 0.4 mg IM
B. Infusion naloxone 0.5 mg/hr IV
C. Intubate for airway protection
D. Discharge after observation
ANSWER: B
Q004: A 72-year-old woman on warfarin (INR 4.8) develops acute facial droop,
arm drift, slurred speech within 2 h. CT shows no hemorrhage. Which intervention
is indicated?
Options:
A. tPA 0.9 mg/kg IV
B. Fresh frozen plasma
C. Vitamin K 10 mg IV
D. Protamine sulfate
ANSWER: A
Q005: A 45-year-old diabetic man presents with fever 39.5 °C, HR 125, RR 28, BP
88/50, lactate 5.2 mmol/L, WBC 18k. Which action is MOST urgent?
Options:
A. Obtain blood cultures then start broad-spectrum antibiotics within 1 h
B. Wait for cultures before antibiotics
C. Begin norepinephrine first
D. CT abdomen pelvis
, 3
ANSWER: A
Q006: A 60-year-old man post-MI develops sudden onset of chest pain,
asymmetrical BP (L 180/110, R 90/60), new aortic regurgitation murmur. Which
test is diagnostic?
Options:
A. Chest X-ray
B. CT aortogram
C. Echocardiogram
D. D-dimer
ANSWER: B
Q007: A 38-year-old woman presents with severe epigastric pain radiating to back,
amylase 1200, lipase 1800, HR 115, BP 90/60. Which finding indicates severe
acute pancreatitis?
Options:
A. Amylase > 1000
B. Hematocrit drop > 10%
C. Calcium 7.8 mg/dL
D. WBC 12k
ANSWER: C
Q008: A 55-year-old man with cirrhosis presents with hematemesis, BP 80/40, HR
130, Hgb 6.2 g/dL. Which immediate intervention is MOST critical?
Options:
A. EGD within 6 h
B. Transfuse 2 units PRBC immediately
C. Start octreotide 50 mcg IV bolus
D. Insert NG tube
