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NSG 550/ NSG550 Exam 1 – Diagnostic Reasoning for Nurse Practitioners Review| Wilkes (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NSG 550/ NSG550 Exam 1 – Diagnostic Reasoning for Nurse Practitioners Review| Wilkes (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION What are ultrasounds ordered for? Answer: -Vessels (venous + arterial duplex) good for measuring DVT and carotid arteries for stenosis. -Also, gold standard for ovaries/testes (reproductive organs) -Soft tisse abnormalities such as abscess, cysts, thyroid (mass/nodules on thyroid), inflammation of muscles (if you have an abscess that has invaded into the muscle) QUESTION What are MRI's ordered for? Answer: In depth imaging at bones, tissues, vessels -Also very expensive and takes the longest QUESTION What tests can be sent to microscopy? Answer: Culture and sensitivity; blood cultures, wound cultures, UA QUESTION What are xrays ordered for? Answer: Bones and bone densitometry (type of xray) QUESTION What does nuclear med do? Answer: Bone scan, thyroid scans (scintography) QUESTION What is a urinalysis? (physical, chemical, microscopic) Answer: examination of physical and chemical properties of urine Physical: V O C C S -volume, odor, clarity, color, specific gravity Chemical: pH, RBC, WBC, protein, glucose, urobili, bili, ketones, leukocytes, esterase, nitrates Microscopic: M C C C -microorganisms, casts, cells, crystals *lipase is not a UA* QUESTION What is the best indicator for a UTI? Answer: WBC's QUESTION What is important about serum Co2? Answer: Located on chemistry panel, assists in acid/base balance. Can be an early indication of acid base status as it is an indirect measurement of HCo3/bicarb. Kidneys remove acid and and maintain balance of Hco3. -Low serum co2 can be an early indicator for infection, early respiratory compromise, if creatinine is beginning to elevate as well it could be an early indicator for renal failure. QUESTION What is important about serum PSA? Answer: PSA is secreted by ALL prostates, but dependent on age.. the older you get, the more your PSA will increase and still be normal. This can be a great screening tool because it is so specific!

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NSGl 550/l NSG550l Examl 1l –l Diagnosticl
Reasoningl forl Nursel Practitionersl
Review|l Wilkesl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A


Q:l Whatl arel ultrasoundsl orderedl for?

Answer:
-Vesselsl (venousl +l arteriall duplex)l goodl forl measuringl DVTl andl carotidl arteriesl forl
stenosis.l
-Also,l goldl standardl forl ovaries/testesl (reproductivel organs)
-Softl tissel abnormalitiesl suchl asl abscess,l cysts,l thyroidl (mass/nodulesl onl thyroid),l
inflammationl ofl musclesl (ifl youl havel anl abscessl thatl hasl invadedl intol thel muscle)




Q:l Whatl arel MRI'sl orderedl for?

Answer:
Inl depthl imagingl atl bones,l tissues,l vesselsl
-Alsol veryl expensivel andl takesl thel longest




Q:l Whatl testsl canl bel sentl tol microscopy?

Answer:
Culturel andl sensitivity;l bloodl cultures,l woundl cultures,l UA

,Q:l Whatl arel xraysl orderedl for?

Answer:
Bonesl andl bonel densitometryl (typel ofl xray)




Q:l Whatl doesl nuclearl medl do?

Answer:
Bonel scan,l thyroidl scansl (scintography)




Q:l Whatl isl al urinalysis?l (physical,l chemical,l microscopic)

Answer:
examinationl ofl physicall andl chemicall propertiesl ofl urine

Physical:l Vl Ol Cl Cl Sl
-volume,l odor,l clarity,l color,l specificl gravityl

Chemical:l pH,l RBC,l WBC,l protein,l glucose,l urobili,l bili,l ketones,l leukocytes,l esterase,l
nitrates

Microscopic:l Ml Cl Cl Cl
-microorganisms,l casts,l cells,l crystals



*lipasel isl notl al UA*

, Q:l Whatl isl thel bestl indicatorl forl al UTI?

Answer:
WBC's




Q:l Whatl isl importantl aboutl seruml Co2?

Answer:
Locatedl onl chemistryl panel,l assistsl inl acid/basel balance.l Canl bel anl earlyl indicationl ofl
acidl basel statusl asl itl isl anl indirectl measurementl ofl HCo3/bicarb.l Kidneysl removel acidl
andl andl maintainl balancel ofl Hco3.

-Lowl seruml co2l canl bel anl earlyl indicatorl forl infection,l earlyl respiratoryl compromise,l
ifl creatininel isl beginningl tol elevatel asl welll itl couldl bel anl earlyl indicatorl forl renall
failure.




Q:l Whatl isl importantl aboutl seruml PSA?

Answer:
PSAl isl secretedl byl ALLl prostates,l butl dependentl onl age..l thel olderl youl get,l thel morel
yourl PSAl willl increasel andl stilll bel normal.l Thisl canl bel al greatl screeningl tooll becausel
itl isl sol specific!




Q:l Whatl isl importantl aboutl seruml creatinine?

Answer:
Bestl determinationl ofl kidneyl function.l Bestl labl valuel tol trendl overtime,l youl canl alsol
calculatel GFRl andl andl CrCll froml creatinine.

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