NUR 622 SUMMER FINAL EXAM STUDY GUIDE | NUR 622 SUMMER FINAL
PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED NURSING
REVIEW 2026/2027
A patient with a history of small cell lung cancer is admitted with progressive shortness of breath and dry
cough. The patient was discharged post thoracentesis 2 weeks ago for similar presentation. Upon
assessment, the patient is alert and oriented, tachypneic with a RR of 28 and dyspnea upon speaking.
Oxygen saturation is 89% on 2L. A recurrent pleural effusion is noted on his chest xray. The best
treatment for this patient is STAT:
A. 2D echocardiogram
B. Intubation with vent support
C. Thoracentesis without pleura catheter placement
D. Thoracentesis with pleura catheter placement - ✔✔D. Thoracentesis with pleurex catheter
placement
The greatest preventable risk factor for lung cancer is __________?
A. Industrial Hazards
B. Inhaled environmental irritants like asbestos
C. Smoking
D. Pulmonary Fibrosis - ✔✔C. Smoking
A 71 y.o. female has been admitted to the hospital with decreased appetite, 15 lb unintentional weight
loss, fatigue, and withdrawal from social activities. Her daughter reports that she has been having
trouble finding her words, having difficulty with short-term memory, and recognizing loved ones. Upon
review of her medications, you note that she is on an antidepressant. You know that this patient would
be higher risk for which of the following conditions?
A. Hyperlipidemia
B. Multiple sclerosis
C. Alzheimer's disease
D. Parkinson's - ✔✔C. Alzheimer's disease
You are completing the initial evaluation of a 32 y.o. male patient who presented to the E.D. with
suspected major depressive disorder. You know that which one of the following items is not included in
the SIGECAPS mnemonic used to evaluate depression?
A. Sleep
B. Guilt
C. Suicide
D. Anxiety - ✔✔D. Anxiety
You are examining a 21 year old patient who presented to the E. D. with a deep, clean laceration to her
thigh. Upon further examination, you note several similar wounds at various stages of healing. What
other findings would be indicative of major depressive disorder?
A. Weight gain
B. Use of drugs or alcohol
C. Absenteeism from school
D. All of the above - ✔✔D. All of the above
, Which of the following is NOT a risk factor for Melanoma?
A. Multiple Sun Burns
B. Relatives Having A Melanoma Diagnosis
C. Living at Low Altitudes
D. Fair Complexion - ✔✔C. living in low altitudes
What Is The Gold Standard To Confirm a Melanoma Diagnosis?
A. Biopsy
B. PET Scan
C. Physical Exam
D. CT Scan - ✔✔A. Biopsy
A in ABCDEE - ✔✔Asymmetry
B in ABCDEE - ✔✔Border
C in ABCDEE - ✔✔Color
D in ABCDEE - ✔✔Diameter
EE in ABCDEE - ✔✔evolving
Which of the following patients are NOT at risk for bipolar disorder?
A. Patient that was abused as a child
B. Patient that has been diagnosed with schizophrenia in the past
C. Patient that frequently argues with the medical staff
D. Patient that has a history of cocaine use - ✔✔C. Patient that frequently argues with the medical staff
A 22 y/o female presents to the ER with an extremely "up", elated, irritable, and energized behavior. She
is unable to carry out day-to-day activities and is being admitted to the hospital. What type of disorder
does she have?
A. Type I bipolar disorder
B. Type II bipolar disorder
C. Cyclothymic Disorder
D. Unspecified Bipolar Disorder - ✔✔A. Type I bipolar disorder
A patient arrives to the ER via aeromedical services following an unrestrained MVC with ejection. Report
from prehospital providers state that the patient did not open their eyes, made vague moans, and
withdrew from noxious stimuli. Prehospital providers secured the airway with drug-assisted intubation.
Currently, the patient does not open their eyes, are intubated, and does not move any extremities. What
classification of traumatic brain injury does this patient have?
A. Mild TBI
B. Moderate TBI
C. Severe TBI - ✔✔C. Severe TBI
What accounts for half of all traumatic brain injury related admissions?
A. Motor Vehicle Crashes
PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED NURSING
REVIEW 2026/2027
A patient with a history of small cell lung cancer is admitted with progressive shortness of breath and dry
cough. The patient was discharged post thoracentesis 2 weeks ago for similar presentation. Upon
assessment, the patient is alert and oriented, tachypneic with a RR of 28 and dyspnea upon speaking.
Oxygen saturation is 89% on 2L. A recurrent pleural effusion is noted on his chest xray. The best
treatment for this patient is STAT:
A. 2D echocardiogram
B. Intubation with vent support
C. Thoracentesis without pleura catheter placement
D. Thoracentesis with pleura catheter placement - ✔✔D. Thoracentesis with pleurex catheter
placement
The greatest preventable risk factor for lung cancer is __________?
A. Industrial Hazards
B. Inhaled environmental irritants like asbestos
C. Smoking
D. Pulmonary Fibrosis - ✔✔C. Smoking
A 71 y.o. female has been admitted to the hospital with decreased appetite, 15 lb unintentional weight
loss, fatigue, and withdrawal from social activities. Her daughter reports that she has been having
trouble finding her words, having difficulty with short-term memory, and recognizing loved ones. Upon
review of her medications, you note that she is on an antidepressant. You know that this patient would
be higher risk for which of the following conditions?
A. Hyperlipidemia
B. Multiple sclerosis
C. Alzheimer's disease
D. Parkinson's - ✔✔C. Alzheimer's disease
You are completing the initial evaluation of a 32 y.o. male patient who presented to the E.D. with
suspected major depressive disorder. You know that which one of the following items is not included in
the SIGECAPS mnemonic used to evaluate depression?
A. Sleep
B. Guilt
C. Suicide
D. Anxiety - ✔✔D. Anxiety
You are examining a 21 year old patient who presented to the E. D. with a deep, clean laceration to her
thigh. Upon further examination, you note several similar wounds at various stages of healing. What
other findings would be indicative of major depressive disorder?
A. Weight gain
B. Use of drugs or alcohol
C. Absenteeism from school
D. All of the above - ✔✔D. All of the above
, Which of the following is NOT a risk factor for Melanoma?
A. Multiple Sun Burns
B. Relatives Having A Melanoma Diagnosis
C. Living at Low Altitudes
D. Fair Complexion - ✔✔C. living in low altitudes
What Is The Gold Standard To Confirm a Melanoma Diagnosis?
A. Biopsy
B. PET Scan
C. Physical Exam
D. CT Scan - ✔✔A. Biopsy
A in ABCDEE - ✔✔Asymmetry
B in ABCDEE - ✔✔Border
C in ABCDEE - ✔✔Color
D in ABCDEE - ✔✔Diameter
EE in ABCDEE - ✔✔evolving
Which of the following patients are NOT at risk for bipolar disorder?
A. Patient that was abused as a child
B. Patient that has been diagnosed with schizophrenia in the past
C. Patient that frequently argues with the medical staff
D. Patient that has a history of cocaine use - ✔✔C. Patient that frequently argues with the medical staff
A 22 y/o female presents to the ER with an extremely "up", elated, irritable, and energized behavior. She
is unable to carry out day-to-day activities and is being admitted to the hospital. What type of disorder
does she have?
A. Type I bipolar disorder
B. Type II bipolar disorder
C. Cyclothymic Disorder
D. Unspecified Bipolar Disorder - ✔✔A. Type I bipolar disorder
A patient arrives to the ER via aeromedical services following an unrestrained MVC with ejection. Report
from prehospital providers state that the patient did not open their eyes, made vague moans, and
withdrew from noxious stimuli. Prehospital providers secured the airway with drug-assisted intubation.
Currently, the patient does not open their eyes, are intubated, and does not move any extremities. What
classification of traumatic brain injury does this patient have?
A. Mild TBI
B. Moderate TBI
C. Severe TBI - ✔✔C. Severe TBI
What accounts for half of all traumatic brain injury related admissions?
A. Motor Vehicle Crashes
