NURSl 5463/l NURS5463l Examl 1l (Newl
2026/l 2027l Update)l Adultl Gerontologyl
Acutel Carel Review|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l UTA
QUESTION
Orderl ofl surrogacy
Answer:
1.l Spousel orl domesticl partner
2.l Adultl child,l parent,l orl sibling
3.l Closel friend
QUESTION
Ptsl completel thisl withl theirl MDl whenl theyl havel al 1l yrl lifel expectancy
Answer:
Physicianl Ordersl forl Life-Sustainingl Treatmentl (POLST)
QUESTION
Sedationl thatl isl forl reliefl ofl heightenedl anxietyl andl doesl notl reducel consciousness
Answer:
Ordinaryl sedation
QUESTION
Sedationl thatl reducesl awarenessl ofl distressingl symptoms,l butl isl al minimuml dosel sol
theyl canl stilll interactl withl people
,Answer:
Proportionatel sedation
QUESTION
Usingl al medicationl wherel potentiall outcomel isl goodl (reliefl ofl al symptom)l butl therel
canl alsol bel anl undesiredl secondl effectl (death)
Answer:
Doctrinel ofl doublel effect
QUESTION
Whatl arel thel 3l typesl ofl medicall ineffectiveness?
Answer:
Physiologicl futility
Qualitativel futility
Quantitativel futility
QUESTION
Medicallyl certainl thatl isl impossiblel tol achievel al physiologicl effect
Answer:
Physiologicl futility
QUESTION
Patient'sl physiologyl mayl improve,l butl therel isl nol patient-centeredl benefit
Answer:
Qualitativel futility
QUESTION
,Interventionl hasl notl workedl inl similarl patients
Answer:
Quantitativel futility
QUESTION
Whichl ofl thel followingl arel commonl signsl andl symptomsl ofl hyperkalemia?
a.)Highl bloodl pressure,l constipation,l andl jointl pain
b.)l Weightl gain,l bradycardia,l andl excessivel sweating.
c.)l Musclel weakness,l irregularl heartbeat,l andl numbnessl orl tinglingl inl thel extremities
d.)l Increasedl appetite,l frequentl urination,l andl dryl skin.
Answer:
c.)l Musclel weakness,l irregularl heartbeat,l andl numbnessl orl tinglingl inl thel extremities
QUESTION
Whyl canl hyperphosphatemial bel life-threatening,l andl whatl underlyingl conditionsl mightl itl
indicate?
a.)l Hyperphosphatemial canl leadl tol severel musclel crampsl andl dehydration,l indicatingl al
potentiall deficiencyl inl calciuml intake.
b.)l Hyperphosphatemial canl leadl tol increasedl appetitel andl rapidl weightl gain,l pointingl tol
al potentiall overproductionl ofl thyroidl hormones.
c.)l Hyperphosphatemial canl causel softl tissuel calcificationl andl cardiovascularl
complications,l suggestingl potentiall chronicl kidneyl diseasel orl hypoparathyroidism.
d.)l Hyperphosphatemial canl resultl inl severel fatiguel andl hypoglycemia,l indicatingl
possiblel liverl failure.
Answer:
c.)l Hyperphosphatemial canl causel softl tissuel calcificationl andl cardiovascularl
complications,l suggestingl potentiall chronicl kidneyl diseasel orl hypoparathyroidism.
QUESTION
Whatl isl typicallyl includedl inl thel workupl andl diagnosisl ofl hyperosmolarl hypernatremia?
a.)l Chestl X-rayl tol rulel outl pneumonial andl coagulationl studiesl tol evaluatel forl bleedingl
disorders.
, b.)l Bloodl glucosel testing,l liverl functionl tests,l andl assessmentl ofl thyroidl hormonel levels.
c.)l Seruml osmolalityl measurement,l assessmentl ofl volumel status,l andl determinationl ofl
urinel osmolalityl andl sodiuml concentration.
d.)l Imagingl studiesl tol assessl brainl edemal andl electrolytel panell tol evaluatel forl
hypokalemia.
Answer:
c.)l Seruml osmolalityl measurement,l assessmentl ofl volumel status,l andl determinationl ofl
urinel osmolalityl andl sodiuml concentration.
QUESTION
Howl canl Bispectrall Indexl (BIS)l monitoringl bel beneficiall inl titratingl paralyticl therapyl
forl criticallyl illl patients?
a.)l BISl monitoringl helpsl assessl thel depthl ofl sedationl andl guidesl thel adjustmentl ofl
sedativel medicationsl tol achievel optimall musclel relaxation.
b.)l BISl monitoringl assessesl lungl compliancel andl aidsl inl adjustingl ventilatorl settingsl tol
optimizel oxygenation.
c.)l BISl monitoringl measuresl electrolytel levelsl andl assistsl inl correctingl imbalancesl thatl
canl affectl neuromuscularl function.
d.)l BISl monitoringl evaluatesl cardiacl outputl andl guidesl thel administrationl ofl paralyticl
agentsl tol maintainl hemodynamicl stability.
Answer:
a.)l BISl monitoringl helpsl assessl thel depthl ofl sedationl andl guidesl thel adjustmentl ofl
sedativel medicationsl tol achievel optimall musclel relaxation.
QUESTION
Whichl ofl thel followingl isl al potentiall complicationl ofl intravenousl (IV)l fentanyll infusionl
inl anl ICUl patientl whol isl intubated?
a.)l Hypotensionl duel tol vasodilationl andl decreasedl systemicl vascularl resistance.
b.)l Hypernatremial resultingl froml increasedl sodiuml reabsorptionl inl thel kidneys.
c.)l Hyperglycemial causedl byl inhibitionl ofl insulinl secretion.
d.)l Hypokalemial duel tol enhancedl potassiuml excretionl byl thel kidneys.
Answer:
a.)l Hypotensionl duel tol vasodilationl andl decreasedl systemicl vascularl resistance.
2026/l 2027l Update)l Adultl Gerontologyl
Acutel Carel Review|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l UTA
QUESTION
Orderl ofl surrogacy
Answer:
1.l Spousel orl domesticl partner
2.l Adultl child,l parent,l orl sibling
3.l Closel friend
QUESTION
Ptsl completel thisl withl theirl MDl whenl theyl havel al 1l yrl lifel expectancy
Answer:
Physicianl Ordersl forl Life-Sustainingl Treatmentl (POLST)
QUESTION
Sedationl thatl isl forl reliefl ofl heightenedl anxietyl andl doesl notl reducel consciousness
Answer:
Ordinaryl sedation
QUESTION
Sedationl thatl reducesl awarenessl ofl distressingl symptoms,l butl isl al minimuml dosel sol
theyl canl stilll interactl withl people
,Answer:
Proportionatel sedation
QUESTION
Usingl al medicationl wherel potentiall outcomel isl goodl (reliefl ofl al symptom)l butl therel
canl alsol bel anl undesiredl secondl effectl (death)
Answer:
Doctrinel ofl doublel effect
QUESTION
Whatl arel thel 3l typesl ofl medicall ineffectiveness?
Answer:
Physiologicl futility
Qualitativel futility
Quantitativel futility
QUESTION
Medicallyl certainl thatl isl impossiblel tol achievel al physiologicl effect
Answer:
Physiologicl futility
QUESTION
Patient'sl physiologyl mayl improve,l butl therel isl nol patient-centeredl benefit
Answer:
Qualitativel futility
QUESTION
,Interventionl hasl notl workedl inl similarl patients
Answer:
Quantitativel futility
QUESTION
Whichl ofl thel followingl arel commonl signsl andl symptomsl ofl hyperkalemia?
a.)Highl bloodl pressure,l constipation,l andl jointl pain
b.)l Weightl gain,l bradycardia,l andl excessivel sweating.
c.)l Musclel weakness,l irregularl heartbeat,l andl numbnessl orl tinglingl inl thel extremities
d.)l Increasedl appetite,l frequentl urination,l andl dryl skin.
Answer:
c.)l Musclel weakness,l irregularl heartbeat,l andl numbnessl orl tinglingl inl thel extremities
QUESTION
Whyl canl hyperphosphatemial bel life-threatening,l andl whatl underlyingl conditionsl mightl itl
indicate?
a.)l Hyperphosphatemial canl leadl tol severel musclel crampsl andl dehydration,l indicatingl al
potentiall deficiencyl inl calciuml intake.
b.)l Hyperphosphatemial canl leadl tol increasedl appetitel andl rapidl weightl gain,l pointingl tol
al potentiall overproductionl ofl thyroidl hormones.
c.)l Hyperphosphatemial canl causel softl tissuel calcificationl andl cardiovascularl
complications,l suggestingl potentiall chronicl kidneyl diseasel orl hypoparathyroidism.
d.)l Hyperphosphatemial canl resultl inl severel fatiguel andl hypoglycemia,l indicatingl
possiblel liverl failure.
Answer:
c.)l Hyperphosphatemial canl causel softl tissuel calcificationl andl cardiovascularl
complications,l suggestingl potentiall chronicl kidneyl diseasel orl hypoparathyroidism.
QUESTION
Whatl isl typicallyl includedl inl thel workupl andl diagnosisl ofl hyperosmolarl hypernatremia?
a.)l Chestl X-rayl tol rulel outl pneumonial andl coagulationl studiesl tol evaluatel forl bleedingl
disorders.
, b.)l Bloodl glucosel testing,l liverl functionl tests,l andl assessmentl ofl thyroidl hormonel levels.
c.)l Seruml osmolalityl measurement,l assessmentl ofl volumel status,l andl determinationl ofl
urinel osmolalityl andl sodiuml concentration.
d.)l Imagingl studiesl tol assessl brainl edemal andl electrolytel panell tol evaluatel forl
hypokalemia.
Answer:
c.)l Seruml osmolalityl measurement,l assessmentl ofl volumel status,l andl determinationl ofl
urinel osmolalityl andl sodiuml concentration.
QUESTION
Howl canl Bispectrall Indexl (BIS)l monitoringl bel beneficiall inl titratingl paralyticl therapyl
forl criticallyl illl patients?
a.)l BISl monitoringl helpsl assessl thel depthl ofl sedationl andl guidesl thel adjustmentl ofl
sedativel medicationsl tol achievel optimall musclel relaxation.
b.)l BISl monitoringl assessesl lungl compliancel andl aidsl inl adjustingl ventilatorl settingsl tol
optimizel oxygenation.
c.)l BISl monitoringl measuresl electrolytel levelsl andl assistsl inl correctingl imbalancesl thatl
canl affectl neuromuscularl function.
d.)l BISl monitoringl evaluatesl cardiacl outputl andl guidesl thel administrationl ofl paralyticl
agentsl tol maintainl hemodynamicl stability.
Answer:
a.)l BISl monitoringl helpsl assessl thel depthl ofl sedationl andl guidesl thel adjustmentl ofl
sedativel medicationsl tol achievel optimall musclel relaxation.
QUESTION
Whichl ofl thel followingl isl al potentiall complicationl ofl intravenousl (IV)l fentanyll infusionl
inl anl ICUl patientl whol isl intubated?
a.)l Hypotensionl duel tol vasodilationl andl decreasedl systemicl vascularl resistance.
b.)l Hypernatremial resultingl froml increasedl sodiuml reabsorptionl inl thel kidneys.
c.)l Hyperglycemial causedl byl inhibitionl ofl insulinl secretion.
d.)l Hypokalemial duel tol enhancedl potassiuml excretionl byl thel kidneys.
Answer:
a.)l Hypotensionl duel tol vasodilationl andl decreasedl systemicl vascularl resistance.
