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NR 571 MIDTERM EXAM LATEST 2026 ACTUAL
EXAM| COMPLEX DIAGNOSIS & MANAGEMENT IN
ACUTE CARE MIDTERM EXAM REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (BRAND NEW!!)
A 72-year-old patient with a history of CAD presents to the ER with
unstable angina. TIMI score is 5. The nurse practitioner should expect
which of the following is the next step in the care for this patient?
a. coronary angiography
b. CABG
c. notify family that death is imminent
d. tPA -Correct Answer- a. coronary angiography
A 54-year-old woman was admitted with COVID-19 pneumonia, she has
no prior medical history or comorbidities. Which of the following is
recommended for hospitalized VTE non-surgical patients?
a. Low molecular weight heparin (LMWH)
b. Prophylaxis is not needed because the patient is young and has no
risk-factors
c. Mechanical compression boots
d. Direct oral anticoagulant (DOAC) -Correct Answer- a. Low molecular
weight heparin (LMWH)
pg. 1
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Which of the following cardiomyopathies is likely to be associated with
a sustained PMI, a systolic murmur, and enlargement of the
intraventricular septum?
a. Dilated
b. Restricted
c. Ischemic
d Hypertrophic -Correct Answer- d Hypertrophic
A 72-year-old male with a past history of CAD, HTN, HLD, tobacco
use, and Type 2 DM presents to the ED with complaints of sudden onset
of severe pain to his left lower leg that started about two hours earlier.
Vital signs are as follows: BP 148/92, HR 105, T 99.1 F. Lab work is
notable for lactic acid of 3.4 and CBC with WBC count of 14,000.
Physical exam reveals cool, pale LLE that is hairless and smooth. Pedal
pulses are absent with doppler ultrasound. The patient does not have any
sensation in his toes or his calf. Which of the following is the suspected
diagnosis?
a. diabetic neuropathy
b. deep vein thrombosis
c. acute limb ischemia
d. peripheral artery disease -Correct Answer- c. acute limb ischemia
Which of the following is the first step in the management of the patient
with acute limb ischemia?
a. initiate a heparin drip
pg. 2
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b. obtain immediate vascular surgery consultation
c. start broad-spectrum antibiotics
d. administer pain medication -Correct Answer- b. obtain immediate
vascular surgery consultation
Which of the following tests provide the best evaluation of acuteness
and severity of a COPD exacerbation?
a. alpha 1-antitrypsin measurement
b. serum chemistry
c. sputum culture
d. arterial blood gas (ABG) analysis -Correct Answer- d. arterial blood
gas (ABG) analysis
A 16-year-old patient with a history of mild, intermittent asthma is seen
in the emergency room complaining of shortness of breath. She normally
only needs her albuterol inhaler before exercise, but she is using it now
2-3 times per day for 3 days. Upon examination, the AGACNP notes the
patient's appearance as calm but tachypneic. HR is 108, O2 saturation on
room air is 91 %. A bedside peak expiratory flow measurement reveals
FEV1 at 58 % of her personal best. The AGACNP should classify this
patient's asthma as which of the following?
a. life-threatening
b. severe
c. mild/moderate
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d. the severity cannot be determined with the information given -Correct
Answer- c. mild/moderate
All of the following are common symptoms of community-acquired
pneumonia in adults except:
a. Consolidation on chest x-ray
b. Sputum production
c. Bradycardia
d. Fever -Correct Answer- c. bradycardia
Mr. C is a 75-year-old male with a recent history of an ischemic stroke.
He is being cared for at home and has home health assistance. Residual
effects of his stroke include dysphasia and right-sided weakness. He
presents today for evaluation secondary to fever, chills, and productive
cough. His CXR demonstrates the following:
What is the most likely cause of this finding?
a. Aspiration pneumonia
b. Viral pneumonia
c. COPD
d. Bacterial pneumonia -Correct Answer- a. aspiration pna
A hospitalized patient is noted to have an ulcer over the left ischial
tuberosity. Assessment reveals it to be partial thickness with a fluid-
pg. 4
NR 571 MIDTERM EXAM LATEST 2026 ACTUAL
EXAM| COMPLEX DIAGNOSIS & MANAGEMENT IN
ACUTE CARE MIDTERM EXAM REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (BRAND NEW!!)
A 72-year-old patient with a history of CAD presents to the ER with
unstable angina. TIMI score is 5. The nurse practitioner should expect
which of the following is the next step in the care for this patient?
a. coronary angiography
b. CABG
c. notify family that death is imminent
d. tPA -Correct Answer- a. coronary angiography
A 54-year-old woman was admitted with COVID-19 pneumonia, she has
no prior medical history or comorbidities. Which of the following is
recommended for hospitalized VTE non-surgical patients?
a. Low molecular weight heparin (LMWH)
b. Prophylaxis is not needed because the patient is young and has no
risk-factors
c. Mechanical compression boots
d. Direct oral anticoagulant (DOAC) -Correct Answer- a. Low molecular
weight heparin (LMWH)
pg. 1
,2|Page
Which of the following cardiomyopathies is likely to be associated with
a sustained PMI, a systolic murmur, and enlargement of the
intraventricular septum?
a. Dilated
b. Restricted
c. Ischemic
d Hypertrophic -Correct Answer- d Hypertrophic
A 72-year-old male with a past history of CAD, HTN, HLD, tobacco
use, and Type 2 DM presents to the ED with complaints of sudden onset
of severe pain to his left lower leg that started about two hours earlier.
Vital signs are as follows: BP 148/92, HR 105, T 99.1 F. Lab work is
notable for lactic acid of 3.4 and CBC with WBC count of 14,000.
Physical exam reveals cool, pale LLE that is hairless and smooth. Pedal
pulses are absent with doppler ultrasound. The patient does not have any
sensation in his toes or his calf. Which of the following is the suspected
diagnosis?
a. diabetic neuropathy
b. deep vein thrombosis
c. acute limb ischemia
d. peripheral artery disease -Correct Answer- c. acute limb ischemia
Which of the following is the first step in the management of the patient
with acute limb ischemia?
a. initiate a heparin drip
pg. 2
,3|Page
b. obtain immediate vascular surgery consultation
c. start broad-spectrum antibiotics
d. administer pain medication -Correct Answer- b. obtain immediate
vascular surgery consultation
Which of the following tests provide the best evaluation of acuteness
and severity of a COPD exacerbation?
a. alpha 1-antitrypsin measurement
b. serum chemistry
c. sputum culture
d. arterial blood gas (ABG) analysis -Correct Answer- d. arterial blood
gas (ABG) analysis
A 16-year-old patient with a history of mild, intermittent asthma is seen
in the emergency room complaining of shortness of breath. She normally
only needs her albuterol inhaler before exercise, but she is using it now
2-3 times per day for 3 days. Upon examination, the AGACNP notes the
patient's appearance as calm but tachypneic. HR is 108, O2 saturation on
room air is 91 %. A bedside peak expiratory flow measurement reveals
FEV1 at 58 % of her personal best. The AGACNP should classify this
patient's asthma as which of the following?
a. life-threatening
b. severe
c. mild/moderate
pg. 3
, 4|Page
d. the severity cannot be determined with the information given -Correct
Answer- c. mild/moderate
All of the following are common symptoms of community-acquired
pneumonia in adults except:
a. Consolidation on chest x-ray
b. Sputum production
c. Bradycardia
d. Fever -Correct Answer- c. bradycardia
Mr. C is a 75-year-old male with a recent history of an ischemic stroke.
He is being cared for at home and has home health assistance. Residual
effects of his stroke include dysphasia and right-sided weakness. He
presents today for evaluation secondary to fever, chills, and productive
cough. His CXR demonstrates the following:
What is the most likely cause of this finding?
a. Aspiration pneumonia
b. Viral pneumonia
c. COPD
d. Bacterial pneumonia -Correct Answer- a. aspiration pna
A hospitalized patient is noted to have an ulcer over the left ischial
tuberosity. Assessment reveals it to be partial thickness with a fluid-
pg. 4
