NSG6001 FINAL EXAM ADVANCED
NURSING PRACTICE II THREE VERSIONS
FINAL PAPER 2026 COMPLETE SOLUTIONS
AND ACCURATE ANSWERS GRADED A+
⩥ Intravenous fluid resuscitation with an isotonic solution. Answer: A
high school athlete is brought to the emergency department after
collapsing during outdoor practice on a hot day. The patient is weak,
irritable, and confused. Serum NA is 152 mEq/ml and has dry mucous
membranes and tachycardia. What is the initial approach for rehydration
in this patient?
⩥ Emergency volume repletion with 3% NaCl. Answer: An elderly
patient who is taking thiazide diuretic has been ill with nausea and
vomiting and is brought into the emergency department for evaluation.
An assessment reveals oliguria, hypertension, and tachycardia and serum
sodium is 118 mEq/ml. What is the treatment?
⩥ 0.2 Ulu/L. Answer: Which thyroid stimulating hormone level
indicates hyperthyroidism?
⩥ Thyroid ultrasound.. Answer: A patient has thyroid nodules and the
provider suspects thyroid cancer. To evaluate thyroid nodules for
potential malignancy, which test is performed?
,⩥ To evaluate cognition when neuro-diagnostic tests are normal.
Monitor changes in symptoms over time.. Answer: What are some
common goals of neuropsychiatric evaluation?
⩥ Ischemic stroke.. Answer: A patient exhibits visual field defect, ataxia,
and dysarthria and complains of a mild headache. A family member
reports that the symptoms began several hours prior. An examination
reveals normal range of motion in the neck. What type of
cerebrovascular event is most likely.
⩥ Neurosurgical consult.. Answer: An elderly patient is brought to the
emergency department after being found on the floor after a fall. The
patient has unilateral sagging to the face, marked slurring of speech, and
paralysis on one side of the body. The patient's blood pressure is 220/190
mmHg. What is the likely treatment for this patient?
⩥ Attend to hydration and toileting needs.
Decrease stimulation.
Discontinue any non-essential medications.. Answer: What are initial
approaches when managing delirium in a hospitalized patient who is
agitated and confused? Select all that apply.
⩥ Sundowner Syndrome. Answer: A previously lucid patient with early-
stage Alzheimer's disease is hospitalized after a surgical procedure and
exhibits distractibility and perceptual disturbances that occur only in the
late afternoon.
,⩥ Order brain imaging studies. Answer: An elderly patient has
symptoms of depression and the patient's daughter asks about possible
Alzheimer's disease since there is a family history of this disease. A
screening evaluation shows no memory loss. What is the initial step in
managing this patient?
⩥ Lewy body dementia. Answer: A patient with dementia experiences
agitation and visual hallucinations and is given haloperidol with
subsequent worsening of symptoms. Based on this response what is the
likely cause of the patient's symptoms?
⩥ Muscle relaxants
NSAIDS. Answer: Which medication maybe useful in treating tension-
type headaches?
⩥ Oxygen. Answer: A patient has recurrent cluster headaches and asks
about abortive therapy. Which therapy is effective for the majority of
patients with cluster headaches.
⩥ Occipital.. Answer: A patient with a seizure disorder has seizures
which begin with eye twitching and occasionally visual hallucinations.
Which site of the brain is the seizure focus?
, ⩥ Administer lorazepam and monitor cardiorespiratory status.. Answer:
A patient who has a seizure disorder and who takes levetiracetam is
brought to an emergency department with a seizure which has persisted
for 15 minutes and which immediately followed another 15-minute
seizure. What is the priority action for this patient?
⩥ Carbarmazepine.. Answer: Which drug is used to treat patients with
focal epilepsy?
⩥ Difficulty initiating urine stream.
Urinary hesitancy and urgency.
Sensations of full bladder and bladder spasms.
Incontinence and post void dribbling.. Answer: Benign prostate
hypertrophy is a common finding as men age. Classically, this condition
has many symptoms.
⩥ Prescribe and alpha adrenergic blocker. Answer: A 63-year old
presents to you with hematuria, hesitancy and dribbling. Digital rectal
examination (DRE) reveals a moderately enlarged prostate that is
smooth. The client's prostate specific antigen (PSA) is 1.2. What is the
most appropriate management strategy for the provider to follow at this
time?
⩥ Testicular torsin. Answer: A 15- year old client comes in with acute
abdominal pain. When taking his history the nurse practitioner finds that
he fell off his bike this morning and has vomited. Upon closer
NURSING PRACTICE II THREE VERSIONS
FINAL PAPER 2026 COMPLETE SOLUTIONS
AND ACCURATE ANSWERS GRADED A+
⩥ Intravenous fluid resuscitation with an isotonic solution. Answer: A
high school athlete is brought to the emergency department after
collapsing during outdoor practice on a hot day. The patient is weak,
irritable, and confused. Serum NA is 152 mEq/ml and has dry mucous
membranes and tachycardia. What is the initial approach for rehydration
in this patient?
⩥ Emergency volume repletion with 3% NaCl. Answer: An elderly
patient who is taking thiazide diuretic has been ill with nausea and
vomiting and is brought into the emergency department for evaluation.
An assessment reveals oliguria, hypertension, and tachycardia and serum
sodium is 118 mEq/ml. What is the treatment?
⩥ 0.2 Ulu/L. Answer: Which thyroid stimulating hormone level
indicates hyperthyroidism?
⩥ Thyroid ultrasound.. Answer: A patient has thyroid nodules and the
provider suspects thyroid cancer. To evaluate thyroid nodules for
potential malignancy, which test is performed?
,⩥ To evaluate cognition when neuro-diagnostic tests are normal.
Monitor changes in symptoms over time.. Answer: What are some
common goals of neuropsychiatric evaluation?
⩥ Ischemic stroke.. Answer: A patient exhibits visual field defect, ataxia,
and dysarthria and complains of a mild headache. A family member
reports that the symptoms began several hours prior. An examination
reveals normal range of motion in the neck. What type of
cerebrovascular event is most likely.
⩥ Neurosurgical consult.. Answer: An elderly patient is brought to the
emergency department after being found on the floor after a fall. The
patient has unilateral sagging to the face, marked slurring of speech, and
paralysis on one side of the body. The patient's blood pressure is 220/190
mmHg. What is the likely treatment for this patient?
⩥ Attend to hydration and toileting needs.
Decrease stimulation.
Discontinue any non-essential medications.. Answer: What are initial
approaches when managing delirium in a hospitalized patient who is
agitated and confused? Select all that apply.
⩥ Sundowner Syndrome. Answer: A previously lucid patient with early-
stage Alzheimer's disease is hospitalized after a surgical procedure and
exhibits distractibility and perceptual disturbances that occur only in the
late afternoon.
,⩥ Order brain imaging studies. Answer: An elderly patient has
symptoms of depression and the patient's daughter asks about possible
Alzheimer's disease since there is a family history of this disease. A
screening evaluation shows no memory loss. What is the initial step in
managing this patient?
⩥ Lewy body dementia. Answer: A patient with dementia experiences
agitation and visual hallucinations and is given haloperidol with
subsequent worsening of symptoms. Based on this response what is the
likely cause of the patient's symptoms?
⩥ Muscle relaxants
NSAIDS. Answer: Which medication maybe useful in treating tension-
type headaches?
⩥ Oxygen. Answer: A patient has recurrent cluster headaches and asks
about abortive therapy. Which therapy is effective for the majority of
patients with cluster headaches.
⩥ Occipital.. Answer: A patient with a seizure disorder has seizures
which begin with eye twitching and occasionally visual hallucinations.
Which site of the brain is the seizure focus?
, ⩥ Administer lorazepam and monitor cardiorespiratory status.. Answer:
A patient who has a seizure disorder and who takes levetiracetam is
brought to an emergency department with a seizure which has persisted
for 15 minutes and which immediately followed another 15-minute
seizure. What is the priority action for this patient?
⩥ Carbarmazepine.. Answer: Which drug is used to treat patients with
focal epilepsy?
⩥ Difficulty initiating urine stream.
Urinary hesitancy and urgency.
Sensations of full bladder and bladder spasms.
Incontinence and post void dribbling.. Answer: Benign prostate
hypertrophy is a common finding as men age. Classically, this condition
has many symptoms.
⩥ Prescribe and alpha adrenergic blocker. Answer: A 63-year old
presents to you with hematuria, hesitancy and dribbling. Digital rectal
examination (DRE) reveals a moderately enlarged prostate that is
smooth. The client's prostate specific antigen (PSA) is 1.2. What is the
most appropriate management strategy for the provider to follow at this
time?
⩥ Testicular torsin. Answer: A 15- year old client comes in with acute
abdominal pain. When taking his history the nurse practitioner finds that
he fell off his bike this morning and has vomited. Upon closer
