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ADVANCE PRACTICE NURSING NUR 6111
EXAM ONE 2026 PRACTICE RESOURCE
SOLVED ITEMS MASTER GUIDE GRADED A+

⩥ A patient with renal disease has blood work drawn, and the results
show an increase in serum creatinine. The nurse practitioner needs to
know which of the following laboratory values before
ordering medications?


1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels
Answer: Answer: 3
Page: 3




Feedback
1.
A CBC will not evaluate kidney function for a patient with renal disease.
2.

,A culture and sensitivity test reflects the presence of an infection and the
antibiotic to which the organism is sensitive.
3.
The calculation of creatinine clearance provides an estimation of renal
function.
4.
Uric acid level is elevated in the presence of gout.


⩥ Which of the following statements is true regarding diagnostic
testing?


1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient
Answer: Answer: 1
Page: 3




Feedback
1.
The nurse practitioner should have a plan for the use of each test result
value obtained.

, 2.
When considering which laboratory tests to order, it is worth
remembering the doctrine primum no nnocere—first, do no harm.
3.
Once laboratory tests are available for review, tests results should be
discussed with the patient, with abnormal test results interpreted for the
aging individual and addressed with the patient and caregivers.
4.
Any risks involved in laboratory testing must be considered concerning
the patient's clinical condition and weighed against the test's expected
benefits.


⩥ . Janey, 25 years old, may experience arthritis differently than 65-
year-old Mrs. Johnson because:


1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets
older.
3. Older patients do not feel any systemic symptoms, such as malaise
and weight loss.
4. Even though the same joints are usually affected, age makes it feel
different.
Answer: Answer: 1
Page: 5

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