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NURS 6531 FINAL EXAM, PART TWO LATEST UPDATE 2026
WITH CORRECT QUESTIONS AND ANSWERS, GUARANTEED
PASS
This patient has a high probability of OSA without significant comorbidities or use of medications
that may cause central sleep apnea, so this test, which has more limited measures than a full PSG,
may be performed. Full overnight PSG is used when the cause of sleep apnea is less certain to help
determine whether there is a central cause. The multiple sleep latency test is used to test EDS
symptoms.
Overnight pulse oximetry is not sufficiently sensitive to be a reliable screening for sleep apnea.
A patient is diagnosed with mild restless leg syndrome (RLS) which occasionally interferes with
sleep. Which initial treatment will be helpful?
a. A continuous positive airway pressure (CPAP) devices
b. A dopaminergic agonist
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c. Hot baths and exercise
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d. Supplemental iron - CORRECT ANSWER-ANS: C
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Patients with mild restless leg syndrome (RLS) may benefit from massage, hot baths, exercise, and
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good sleep hygiene. CPAP is used for obstructive sleep apnea. Dopaminergic agonists are useful
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medications but have a risk of rebound or augmentation of effects.
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Supplemental iron is used in patients with low ferritin levels.
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with drooping and
tearing in one eye. The patient has a history of a recent viral illness but is otherwise healthy. During
the exam, the provider notes that there is unilateral full-face paralysis on the right side. What is the
initial intervention for this patient?
a. Perform confirmatory diagnostic tests.
b. Prescribe oral corticosteroids.
c. Recommend wearing an eye patch.
d. Refer the patient to a neurologist. - CORRECT ANSWER-ANS: B
Steroids are highly effective and increase the probability of complete nerve recovery and should
be started within 72 hours of onset. There are no confirmatory diagnostic tests, but other tests
may be performed to rule out certain causes. Patients may be instructed to tape the eye closed at
night, but
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eye patches are not recommended. A neurology referral is needed only if patients have an atypical
presentation or other comorbid conditions.
What is recommended to prevent ophthalmic complications in patients with Bell's palsy?
a. Acupuncture
b. Lubricating eye drops
c. Patching of the eye
d. Sunglasses - CORRECT ANSWER-ANS: B
Exposure keratitis from drying of the eye can result in blindness. Lubricating eye drops should be
used every 2 hours. Acupuncture has not been sufficiently studied. Patching is not recommended.
Protective eyewear to prevent moisture loss is recommended.
Which symptoms may occur with Bell's palsy? (Select all that apply.)
a. Alteration in taste
b. Decreased hearing
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c. Drooling
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d. Inability to open the eye
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e. Tinnitus - CORRECT ANSWER-ANS: A, C, E
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Bell's palsy may cause altered taste, drooling, and tinnitus. It causes increased sensitivity to noises
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and an inability to close the eye.
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 of the neck. What type of cerebrovascular event is most likely? a.
Hemorrhagic stroke
b. Hypertensive intracerebral hemorrhage
c. Ischemic stroke
d. Transient ischemic attack (TIA) - CORRECT ANSWER-ANS: C
Patients with ischemic stroke typically do not have headache; if they do, it is milder than with
hemorrhagic stroke. A TIA resolves within minutes.
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