NURS 6550 Final Exam (Latest):
Walden University
, NURS 6550 Final Exam (Latest): Walden University
QUESTION 1
1. Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley catheter was
inserted intraoperatively and remains in place. His urine output has declined markedly
despite continued IV fluid infusion. Today his morning labs reveal a BUN of 19 mg/dL and a
creatinine of 2 mg/dL. A leading differential includes:
A Foley lodged in the urethra causing post-
. renal failure
B Decreased renal perfusion causing prerenal
. failure
C Age-related decreased eGFR causing
. prerenal failure
D Post-surgical rhabdomyolysis causing
. intrarenal failure
QUESTION 2
1. Janet is admitted with symptomatic tachycardia. Her pulse is 160 b.p.m. and she is weak,
diaphoretic, and anxious. Physical examination reveals a 5’4” 107 lb black female who is
awake, alert, and oriented, anxious, with moist skin and racing pulse. Her blood pressure is
140/100 mm Hg. Temperature and respiratory rate are within normal limits. The patient
admits to having a “thyroid condition” but she never followed up on it when she was advised
to see an endocrinologist. The AGACNP anticipates a diagnosis of:
A Hashimoto’s
. thyroiditis
B Cushing’s
. syndrome
C Grave’s disease
.
D Addison’s disease
.
QUESTION 3
1. Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune disorder that can
prevent with a wide variety of manifestations. Which clinical triad should prompt an
evaluation for SLE?
A Fever, normal white count, elevated
. sedimentation rate
B Hyperkalemia, hyponatremia, low blood
. pressure
Walden University
, NURS 6550 Final Exam (Latest): Walden University
QUESTION 1
1. Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley catheter was
inserted intraoperatively and remains in place. His urine output has declined markedly
despite continued IV fluid infusion. Today his morning labs reveal a BUN of 19 mg/dL and a
creatinine of 2 mg/dL. A leading differential includes:
A Foley lodged in the urethra causing post-
. renal failure
B Decreased renal perfusion causing prerenal
. failure
C Age-related decreased eGFR causing
. prerenal failure
D Post-surgical rhabdomyolysis causing
. intrarenal failure
QUESTION 2
1. Janet is admitted with symptomatic tachycardia. Her pulse is 160 b.p.m. and she is weak,
diaphoretic, and anxious. Physical examination reveals a 5’4” 107 lb black female who is
awake, alert, and oriented, anxious, with moist skin and racing pulse. Her blood pressure is
140/100 mm Hg. Temperature and respiratory rate are within normal limits. The patient
admits to having a “thyroid condition” but she never followed up on it when she was advised
to see an endocrinologist. The AGACNP anticipates a diagnosis of:
A Hashimoto’s
. thyroiditis
B Cushing’s
. syndrome
C Grave’s disease
.
D Addison’s disease
.
QUESTION 3
1. Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune disorder that can
prevent with a wide variety of manifestations. Which clinical triad should prompt an
evaluation for SLE?
A Fever, normal white count, elevated
. sedimentation rate
B Hyperkalemia, hyponatremia, low blood
. pressure
