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Exam 2: NSG550/ NSG 550 (Latest 2025/ 2026 Update) Diagnostic Reasoning for NP Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Wilkes

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Exam 2: NSG550/ NSG 550 (Latest 2025/ 2026 Update) Diagnostic Reasoning for NP Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Wilkes QUESTION Why would you use a pleural tap? Answer: To determine the cause of an unexplained pleural effusion To relieve the intrathoracic pressure that accumulates with a large volume of fluid and inhibits respiration. QUESTION What are transudates most frequently caused by? Answer: Congestive heart failure Cirrhosis Nephrotic syndrome Hypoproteinemia QUESTION What is the appearance of the transudates? Answer: Clear/serous, protein less than 3 QUESTION What conditions are exudates most often found in? Answer: Inflammatory Infectious Neoplastic QUESTION What is the appearance of exudates? Answer: Cloudy/turbid Increased WBC Protein more than 3 Low glucose pleural fluid/serum LCH more than 0.6 QUESTION What is obtained before thoracentesis? Answer: Chest Xray QUESTION Why is a chest xray obtained before thoracentesis? Answer: To ensure that the pleural fluid is mobile and accessible to a needle place in the pleural space. QUESTION How do you diagnose Influenza? Answer: RNA/DNA PCR Antibody testing- front line testing QUESTION Why is RNA/DNA PCR good to diagnose influenza? Answer: Because its very specific. QUESTION What panel of testing is the RNA/DNA PCR test? Answer: Respiratory panel QUESTION Why is an antibody test not as good as a PCR test for testing influenza? Answer: It is non-specific QUESTION Pulmonary Embolus: Risk Factors: What are the weak risk factors for pulmonary embolus? Answer: Best Rest= more than 3 days Extended immobility (air travel of more than 8 hours) Increasing age (40 years) Laparoscopic surgery Obesity Pregnancy/antepartum Varicose Veins QUESTION Pulmonary Embolus: Risk Factors: How much bed rest is a risk factor? Answer: 3 days QUESTION Pulmonary Embolus: Risk Factors: How much immobility is a risk factor? Answer: 8 hours QUESTION Pulmonary Embolus: Risk Factors: What age is risk factor? Answer: 40+ years QUESTION Pulmonary Embolus: Risk Factors: What category is bed rest? Answer: Weak QUESTION Pulmonary Embolus: Risk Factors: What category is extended mobility? Answer: Weak QUESTION Pulmonary Embolus: Risk Factors: What category is Increasing age? Answer: Weak

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Examl 2:l NSG550/l NSGl 550l (Latestl 2025/l
2026l Update)l Diagnosticl Reasoningl forl
NPl Review|l Questionsl &l Answers|l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
Wilkes

Q:l Whyl wouldl youl usel al pleurall tap?
Answer:
Tol determinel thel causel ofl anl unexplainedl pleurall effusion
Tol relievel thel intrathoracicl pressurel thatl accumulatesl withl al largel volumel ofl fluidl andl
inhibitsl respiration.



Q:l Whatl arel transudatesl mostl frequentlyl causedl by?
Answer:
Congestivel heartl failure
Cirrhosis
Nephroticl syndrome
Hypoproteinemia



Q:l Whatl isl thel appearancel ofl thel transudates?
Answer:
Clear/serous,l proteinl lessl thanl 3



Q:l Whatl conditionsl arel exudatesl mostl oftenl foundl in?
Answer:
Inflammatoryl
Infectious

,Neoplastic



Q:l Whatl isl thel appearancel ofl exudates?
Answer:
Cloudy/turbid
Increasedl WBC
Proteinl morel thanl 3
Lowl glucose
pleurall fluid/serum
LCHl morel thanl 0.6



Q:l Whatl isl obtainedl beforel thoracentesis?
Answer:
Chestl Xray



Q:l Whyl isl al chestl xrayl obtainedl beforel thoracentesis?
Answer:
Tol ensurel thatl thel pleurall fluidl isl mobilel andl accessiblel tol al needlel placel inl thel
pleurall space.



Q:l Howl dol youl diagnosel Influenza?
Answer:
RNA/DNAl PCR
Antibodyl testing-l frontl linel testing



Q:l Whyl isl RNA/DNAl PCRl goodl tol diagnosel influenza?
Answer:
Becausel itsl veryl specific.

,Q:l Whatl panell ofl testingl isl thel RNA/DNAl PCRl test?
Answer:
Respiratoryl panel



Q:l Whyl isl anl antibodyl testl notl asl goodl asl al PCRl testl forl testingl influenza?
Answer:
Itl isl non-specific



Q:l Pulmonaryl Embolus:l Riskl Factors:l
Whatl arel thel weakl riskl factorsl forl pulmonaryl embolus?

Answer:
Bestl Rest=l morel thanl 3l days
Extendedl immobilityl (airl travell ofl morel thanl 8l hours)
Increasingl agel (40l years)
Laparoscopicl surgery
Obesity
Pregnancy/antepartum
Varicosel Veins



Q:l Pulmonaryl Embolus:l Riskl Factors:l Howl muchl bedl restl isl al riskl factor?
Answer:
3l days



Q:l Pulmonaryl Embolus:l Riskl Factors:l Howl muchl immobilityl isl al riskl factor?
Answer:
8l hours

, Q:l Pulmonaryl Embolus:l Riskl Factors:l Whatl agel isl riskl factor?
Answer:
40+l years



Q:l Pulmonaryl Embolus:l Riskl Factors:l Whatl categoryl isl bedl rest?
Answer:
Weak



Q:l Pulmonaryl Embolus:l Riskl Factors:l Whatl categoryl isl extendedl mobility?
Answer:
Weak



Q:l Pulmonaryl Embolus:l Riskl Factors:l Whatl categoryl isl Increasingl age?
Answer:
Weak



Q:l Pulmonaryl Embolus:l Riskl Factors:l Whatl categoryl isl Laparoscopicl surgery?
Answer:
Weak



Q:l Pulmonaryl Embolus:l Riskl Factors:l Whatl categoryl isl Obesity?
Answer:
Weak



Q:l Pulmonaryl Embolus:l Riskl Factors:l Whatl categoryl isl pregnancy/l antepartum?

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