NURSl 5461/l NURS5461l Finall Examl
(NEWl 2026/l 2027l Update)l Adultl
Gerontologyl Managementl Acrossl thel
Continuuml ofl Carel Reviewl |l Questionsl
&l Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l UTA
QUESTION
Al 35l y/ol womanl presentsl withl cervicall lymphadenopathyl andl symptomsl ofl fever,l nightl
sweatsl andl weightl loss.l Anl excisionall biopsyl ofl al supraclavicularl lymphl nodel revealsl
nodularl sclerosingl Hodgkin'sl Lymphoma.l Stagingl PRT-CTl showsl bulkyl mediastinall
lymphadenopathyl andl shel hasl al baselinel ESRl ofl 50l mm/hr.l Whatl favorablel prognosticl
featurel doesl thisl patientl havel forl early-stagel Hodgkin'sl Lymphoma?
Answer:
Agel lessl thanl 50l years.
QUESTION
Thel mostl commonlyl identifiedl benignl breastl diseasel is
Answer:
Fibrocysticl changes
QUESTION
Whichl treatmentl forl nonmelanomal skinl cancersl preservesl thel greatestl amountl ofl healthyl
tissue?
Answer:
,Mohsl micrographicl surgery
QUESTION
Al 29-year-oldl manl voidedl darkl brownl urinel uponl awakening.l Hel alsol notesl malaisel
andl achiness,l whichl hel hasl hadl forl thel pastl severall days.l Hel attributesl thisl tol al newl
seizurel medicinel startedl byl hisl neurologist,l afterl hel hadl threel grandl mall seizuresl onl
hisl formerl antiepilepticl regimen.l Hel hasl notl feltl welll sincel hisl lastl seizure.l Onl exam,l
vitall signsl arel normal.l Therel isl al tonguel laceration,l whichl hel attributesl tol hisl lastl
seizure.l Thel remainderl ofl thel examinationl isl unremarkable.l Labsl reveal:l Na+l 133;l K+l
6.2,l BUNl 69,l creatininel 5.2,l Ca++l 7.8,l PO4l 6.2,l Uricl acidl 10.2.l Whatl testl wouldl bel
mostl usefull tol orderl first?
Answer:
CPK
QUESTION
Al 70l yearl oldl manl withl historyl ofl Typel 2l DM,l HTNl andl CADl isl admittedl forl CHF.l
Hel underwentl anl uneventfull colonoscopyl 5l daysl agol inl thel outpatientl clinicl andl deniesl
anyl voidingl difficulties,l grossl hematuria,l foamyl urine,l flankl pain,l orl abdominall
discomfort.l Hel deniesl anyl NSAIDl use.l Hel notesl thatl hisl urinel outputl hasl abruptlyl
declinedl overl thel pastl fewl days,l withl increasingl dyspneal andl edema.l Physicall examl isl
remarkablel forl cracklesl inl bothl lungsl andl 2+l pittingl edemal inl lowerl extremities.l Labsl
showl Na+l 132,l K+l 5.0,l Cl-l 105,l HCO3-l 20,l BUNl 90,l Cr.l 5.0,l glucosel 200,l CA++l
7.0,l andl PO4l 11.l UAl isl negativel forl protein,l bloodl andl leukocytel esterase.l Whatl isl thel
mostl likelyl causel ofl hisl acutel kidneyl injury?
Answer:
Orall sodiuml phosphatel prepl and/orl acutel tubularl injuryl causedl dehydrationl causedl byl
colonoscopyl prep.
QUESTION
Al 34l y/ol womanl presentsl tol thel EDl withl progressivel dyspneal overl thel pastl 2l weeks.l
Shel wasl treatedl withl azithromycinl 1l weekl beforel admissionl forl al presumedl pneumonia.l
Shel experiencedl somel improvementl initially,l butl nowl hasl worseningl dryl coughl andl
dyspnea.l Herl examl isl notablel forl coarsel cracklesl inl thel rightl base.l CXRl revealsl al
,RLLl infiltrate.l Herl seruml creatininel isl 3.0,l urinel proteinl isl 3+l byl dipstick,l andl RBCl
castsl arel notedl onl thel microscopicl UA.l Serologicl workupl isl pendingl andl willl bel
availablel inl 48l hours--includingl ANCA,l ANAl andl complementl levels.l Whatl wouldl bel
thel nextl bestl step?
Answer:
Antibioticsl andl Kidneyl biopsyl asl soonl asl possible.
QUESTION
Leslie,l agel 16,l saysl thatl herl muml hasl polycysticl kidneyl diseasel andl asksl aboutl herl
chancesl ofl developingl it.l Howl dol youl respond?
Answer:
"Itl isl hereditaryl andl unfortunatelyl incurable,l butl therel arel somel measuresl wel canl usel
inl dealingl withl it"
QUESTION
Whatl isl al truel statementl aboutl acutel tubularl necrosis?
Answer:
Thel removall ofl thel offendingl agentl mayl allowl renall functionl tol returnl graduallyl tol
normal.
QUESTION
Whatl isl thel leastl expensivel methodl forl evaluatingl renall massl size?
Answer:
Ultrasoundl imaging
QUESTION
Thel bestl indexl ofl kidneyl functionl is
Answer:
Glomerularl filtrationl rate
, QUESTION
Ifl al clientl withl acutel renall failurel excretesl 400ccl ofl urinel onl Tuesday,l howl muchl fluidl
intakel [bothl orall andl IV]l shouldl thel clientl havel onl Wednesday?
Answer:
900l cc
QUESTION
Whatl isl thel mostl commonl causel ofl chronicl renall failure?
Answer:
Diabeticl nephropathy
QUESTION
Samuel,l agel 67,l isl al diabeticl withl worseningl renall function.l Hel hasl frequentl
hypoglycemicl episodes,l whichl hel believesl meansl hisl diabetesl isl gettingl "better".l Howl
dol youl respond?
Answer:
"Becausel yourl kidneysl arel notl functioningl well,l yourl insulinl isl notl beingl metabolizedl
andl excretedl asl itl should,l sol youl needl lessl ofl it."
QUESTION
Whichl typel ofl bloodyl urinel isl consistentl withl bleedingl froml thel upperl urinaryl tract?
Answer:
Brown,l smokyl orl teal coloredl urine.
QUESTION
Al 73-year-oldl manl isl broughtl tol thel emergencyl departmentl becausel ofl chestl pain.l EKGl
isl consistentl withl myocardiall ischemia.l History:l diabetesl mellitus,l gout,l hypertension,l
(NEWl 2026/l 2027l Update)l Adultl
Gerontologyl Managementl Acrossl thel
Continuuml ofl Carel Reviewl |l Questionsl
&l Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l UTA
QUESTION
Al 35l y/ol womanl presentsl withl cervicall lymphadenopathyl andl symptomsl ofl fever,l nightl
sweatsl andl weightl loss.l Anl excisionall biopsyl ofl al supraclavicularl lymphl nodel revealsl
nodularl sclerosingl Hodgkin'sl Lymphoma.l Stagingl PRT-CTl showsl bulkyl mediastinall
lymphadenopathyl andl shel hasl al baselinel ESRl ofl 50l mm/hr.l Whatl favorablel prognosticl
featurel doesl thisl patientl havel forl early-stagel Hodgkin'sl Lymphoma?
Answer:
Agel lessl thanl 50l years.
QUESTION
Thel mostl commonlyl identifiedl benignl breastl diseasel is
Answer:
Fibrocysticl changes
QUESTION
Whichl treatmentl forl nonmelanomal skinl cancersl preservesl thel greatestl amountl ofl healthyl
tissue?
Answer:
,Mohsl micrographicl surgery
QUESTION
Al 29-year-oldl manl voidedl darkl brownl urinel uponl awakening.l Hel alsol notesl malaisel
andl achiness,l whichl hel hasl hadl forl thel pastl severall days.l Hel attributesl thisl tol al newl
seizurel medicinel startedl byl hisl neurologist,l afterl hel hadl threel grandl mall seizuresl onl
hisl formerl antiepilepticl regimen.l Hel hasl notl feltl welll sincel hisl lastl seizure.l Onl exam,l
vitall signsl arel normal.l Therel isl al tonguel laceration,l whichl hel attributesl tol hisl lastl
seizure.l Thel remainderl ofl thel examinationl isl unremarkable.l Labsl reveal:l Na+l 133;l K+l
6.2,l BUNl 69,l creatininel 5.2,l Ca++l 7.8,l PO4l 6.2,l Uricl acidl 10.2.l Whatl testl wouldl bel
mostl usefull tol orderl first?
Answer:
CPK
QUESTION
Al 70l yearl oldl manl withl historyl ofl Typel 2l DM,l HTNl andl CADl isl admittedl forl CHF.l
Hel underwentl anl uneventfull colonoscopyl 5l daysl agol inl thel outpatientl clinicl andl deniesl
anyl voidingl difficulties,l grossl hematuria,l foamyl urine,l flankl pain,l orl abdominall
discomfort.l Hel deniesl anyl NSAIDl use.l Hel notesl thatl hisl urinel outputl hasl abruptlyl
declinedl overl thel pastl fewl days,l withl increasingl dyspneal andl edema.l Physicall examl isl
remarkablel forl cracklesl inl bothl lungsl andl 2+l pittingl edemal inl lowerl extremities.l Labsl
showl Na+l 132,l K+l 5.0,l Cl-l 105,l HCO3-l 20,l BUNl 90,l Cr.l 5.0,l glucosel 200,l CA++l
7.0,l andl PO4l 11.l UAl isl negativel forl protein,l bloodl andl leukocytel esterase.l Whatl isl thel
mostl likelyl causel ofl hisl acutel kidneyl injury?
Answer:
Orall sodiuml phosphatel prepl and/orl acutel tubularl injuryl causedl dehydrationl causedl byl
colonoscopyl prep.
QUESTION
Al 34l y/ol womanl presentsl tol thel EDl withl progressivel dyspneal overl thel pastl 2l weeks.l
Shel wasl treatedl withl azithromycinl 1l weekl beforel admissionl forl al presumedl pneumonia.l
Shel experiencedl somel improvementl initially,l butl nowl hasl worseningl dryl coughl andl
dyspnea.l Herl examl isl notablel forl coarsel cracklesl inl thel rightl base.l CXRl revealsl al
,RLLl infiltrate.l Herl seruml creatininel isl 3.0,l urinel proteinl isl 3+l byl dipstick,l andl RBCl
castsl arel notedl onl thel microscopicl UA.l Serologicl workupl isl pendingl andl willl bel
availablel inl 48l hours--includingl ANCA,l ANAl andl complementl levels.l Whatl wouldl bel
thel nextl bestl step?
Answer:
Antibioticsl andl Kidneyl biopsyl asl soonl asl possible.
QUESTION
Leslie,l agel 16,l saysl thatl herl muml hasl polycysticl kidneyl diseasel andl asksl aboutl herl
chancesl ofl developingl it.l Howl dol youl respond?
Answer:
"Itl isl hereditaryl andl unfortunatelyl incurable,l butl therel arel somel measuresl wel canl usel
inl dealingl withl it"
QUESTION
Whatl isl al truel statementl aboutl acutel tubularl necrosis?
Answer:
Thel removall ofl thel offendingl agentl mayl allowl renall functionl tol returnl graduallyl tol
normal.
QUESTION
Whatl isl thel leastl expensivel methodl forl evaluatingl renall massl size?
Answer:
Ultrasoundl imaging
QUESTION
Thel bestl indexl ofl kidneyl functionl is
Answer:
Glomerularl filtrationl rate
, QUESTION
Ifl al clientl withl acutel renall failurel excretesl 400ccl ofl urinel onl Tuesday,l howl muchl fluidl
intakel [bothl orall andl IV]l shouldl thel clientl havel onl Wednesday?
Answer:
900l cc
QUESTION
Whatl isl thel mostl commonl causel ofl chronicl renall failure?
Answer:
Diabeticl nephropathy
QUESTION
Samuel,l agel 67,l isl al diabeticl withl worseningl renall function.l Hel hasl frequentl
hypoglycemicl episodes,l whichl hel believesl meansl hisl diabetesl isl gettingl "better".l Howl
dol youl respond?
Answer:
"Becausel yourl kidneysl arel notl functioningl well,l yourl insulinl isl notl beingl metabolizedl
andl excretedl asl itl should,l sol youl needl lessl ofl it."
QUESTION
Whichl typel ofl bloodyl urinel isl consistentl withl bleedingl froml thel upperl urinaryl tract?
Answer:
Brown,l smokyl orl teal coloredl urine.
QUESTION
Al 73-year-oldl manl isl broughtl tol thel emergencyl departmentl becausel ofl chestl pain.l EKGl
isl consistentl withl myocardiall ischemia.l History:l diabetesl mellitus,l gout,l hypertension,l
