NSG6001 FINAL EXAM ADVANCED
NURSING PRACTICE II THREE VERSIONS
EXAMINATION TEST 2026 FULL QUESTIONS
AND VERIFIED SOLUTIONS GRADED A+
⩥ Which is a pre-renal cause of acute kidney injury? Answer: A.
Anaphylactic shock interferes with perfusion of the kidney, which is a
pre-renal cause of AKI. Hydronephrosis and renal calculi are post-renal
causes leading to obstruction to renal pelvis, ureters, bladder, or urethra.
Hypertension is an intrinsic cause.REF: Pathophysiology
⩥ A primary care provider sees a new patient who reports having a
diagnosis of chronic kidney disease for several years. The patient is
taking one medication for hypertension which has been prescribed since
the diagnosis was made. The provider orders laboratory tests to evaluate
the status of this patient. Which laboratory finding indicates a need to
refer the patient to a nephrologist? Answer: A. e. ACR of 325 mg/g
Rationale: An albumin/creatinine ratio greater than 300 mg/g warrants
referral. A specialist is necessary for persistent hypertension refractory to
treatment with four or more agents, a GFR of less than 30, and urine
RBC greater than 20/hpf.REF: Specialist Referral
⩥ Which tests should be monitored regularly in order to monitor for
complications of chronic renal disease?
Select all that apply. Answer: B Parathyroid hormone levels
,D. Serum lipids
E .Vitamin D levels
B, C, E Rationale: CKD can cause hyperparathyroidism, hyperlipidemia,
and alterations in vitamin D, calcium, and phosphorus metabolism, so
these should be monitored. Liver function and serum glucose are not
affected by CKD.REF: Box 149-1: Major Complications of Stage 4-5
CKD
⩥ Which is a pre-renal cause of acute kidney injury? Answer: A.
Anaphylactic shock interferes with perfusion of the kidney, which is a
pre-renal cause of AKI. Hydronephrosis and renal calculi are post-renal
causes leading to obstruction to renal pelvis, ureters, bladder, or urethra.
Hypertension is an intrinsic cause.REF: Pathophysiology
⩥ The provider orders the oral phosphodiesterase type 5 inhibitor
sildenafil to treat erectile dysfunction in a 65-year-old male patient.
What will be included when teaching this patient about taking this
medication?
Select all that apply. Answer: A. The medication is best taken on an
empty stomach.
D. This medication has a rapid onset and short duration of action.
Rationale: Sildenafil has a rapid onset and short duration of action and
should be taken on an empty stomach. Fatty foods may delay or interfere
with absorption. This medication is given when sexual activity is desired
and not once daily.REF: Management
, ⩥ A 50-year-old man reports having erectile dysfunction. What is an
important response by the provider when developing a plan of care for
this patient? Answer: B Evaluating the patient for cardiovascular disease
Rationale: Men under age 60 years with ED are at higher risk for
cardiovascular disease, so this patient should be evaluated for this
condition. Until the underlying cause is found, prescribing medications
or hormones is not indicated. Psychotherapy and counseling are used
when psychogenic ED is present.REF: Management
⩥ Which is true about hypoactive sexual desire in older men? Answer: c.
Men with hypoactive sexual desire may have normal excitement and
orgasm.
Rationale: Men with hypoactive sexual desire have diminished response
in the desire phase of the sexual response cycle but may still experience
normal excitement and orgasm. Sexual aversion and hypoactive desire
are not related. Many people with normal sexual desires choose not to
have sexual relations; hypoactive desire is a physiological condition.
Only 16% of men have hypoactive desire.REF: Introduction
⩥ A young adult male reports a dull pain in the right scrotum and the
provider notes a bluish color showing through the skin on the affected
side. Palpation reveals a bag of worms on the proximal spermatic cord.
What is an important next step in managing this patient? Answer: b.
Consideration of underlying causes of this finding
Rationale: This patient has symptoms of varicocele. Because varicocele
is rare on the right side, the provider should look for underlying causes
of these findings. Anti-infective therapy is indicated for epididymitis.
NURSING PRACTICE II THREE VERSIONS
EXAMINATION TEST 2026 FULL QUESTIONS
AND VERIFIED SOLUTIONS GRADED A+
⩥ Which is a pre-renal cause of acute kidney injury? Answer: A.
Anaphylactic shock interferes with perfusion of the kidney, which is a
pre-renal cause of AKI. Hydronephrosis and renal calculi are post-renal
causes leading to obstruction to renal pelvis, ureters, bladder, or urethra.
Hypertension is an intrinsic cause.REF: Pathophysiology
⩥ A primary care provider sees a new patient who reports having a
diagnosis of chronic kidney disease for several years. The patient is
taking one medication for hypertension which has been prescribed since
the diagnosis was made. The provider orders laboratory tests to evaluate
the status of this patient. Which laboratory finding indicates a need to
refer the patient to a nephrologist? Answer: A. e. ACR of 325 mg/g
Rationale: An albumin/creatinine ratio greater than 300 mg/g warrants
referral. A specialist is necessary for persistent hypertension refractory to
treatment with four or more agents, a GFR of less than 30, and urine
RBC greater than 20/hpf.REF: Specialist Referral
⩥ Which tests should be monitored regularly in order to monitor for
complications of chronic renal disease?
Select all that apply. Answer: B Parathyroid hormone levels
,D. Serum lipids
E .Vitamin D levels
B, C, E Rationale: CKD can cause hyperparathyroidism, hyperlipidemia,
and alterations in vitamin D, calcium, and phosphorus metabolism, so
these should be monitored. Liver function and serum glucose are not
affected by CKD.REF: Box 149-1: Major Complications of Stage 4-5
CKD
⩥ Which is a pre-renal cause of acute kidney injury? Answer: A.
Anaphylactic shock interferes with perfusion of the kidney, which is a
pre-renal cause of AKI. Hydronephrosis and renal calculi are post-renal
causes leading to obstruction to renal pelvis, ureters, bladder, or urethra.
Hypertension is an intrinsic cause.REF: Pathophysiology
⩥ The provider orders the oral phosphodiesterase type 5 inhibitor
sildenafil to treat erectile dysfunction in a 65-year-old male patient.
What will be included when teaching this patient about taking this
medication?
Select all that apply. Answer: A. The medication is best taken on an
empty stomach.
D. This medication has a rapid onset and short duration of action.
Rationale: Sildenafil has a rapid onset and short duration of action and
should be taken on an empty stomach. Fatty foods may delay or interfere
with absorption. This medication is given when sexual activity is desired
and not once daily.REF: Management
, ⩥ A 50-year-old man reports having erectile dysfunction. What is an
important response by the provider when developing a plan of care for
this patient? Answer: B Evaluating the patient for cardiovascular disease
Rationale: Men under age 60 years with ED are at higher risk for
cardiovascular disease, so this patient should be evaluated for this
condition. Until the underlying cause is found, prescribing medications
or hormones is not indicated. Psychotherapy and counseling are used
when psychogenic ED is present.REF: Management
⩥ Which is true about hypoactive sexual desire in older men? Answer: c.
Men with hypoactive sexual desire may have normal excitement and
orgasm.
Rationale: Men with hypoactive sexual desire have diminished response
in the desire phase of the sexual response cycle but may still experience
normal excitement and orgasm. Sexual aversion and hypoactive desire
are not related. Many people with normal sexual desires choose not to
have sexual relations; hypoactive desire is a physiological condition.
Only 16% of men have hypoactive desire.REF: Introduction
⩥ A young adult male reports a dull pain in the right scrotum and the
provider notes a bluish color showing through the skin on the affected
side. Palpation reveals a bag of worms on the proximal spermatic cord.
What is an important next step in managing this patient? Answer: b.
Consideration of underlying causes of this finding
Rationale: This patient has symptoms of varicocele. Because varicocele
is rare on the right side, the provider should look for underlying causes
of these findings. Anti-infective therapy is indicated for epididymitis.
