NUR 642 Final UPDATED ACTUAL Exam
Questions and CORRECT Answers
Which of the following RBC indices and laboratory markers are consistent with the diagnosis of
iron-deficiency anemia? - CORRECT ANSWER - Low MCV
Elevated RDW
Low reticulocyte count
Low iron
Elevated TIBC
Low ferritin
High transferrin
A 68-year-old female patient, who is otherwise healthy, presents complaining of feeling short of
breath and tired during her normal activities. She says all her friends have been telling her she
looks pale lately. Her lungs are clear and she has no history of pulmonary disease. Her HR is 108
bpm and RR 18 bpm. You suspect which of the following is the problem? - CORRECT
ANSWER - Blood loss
Based on the current clinical practice guidelines for treatment of acute sinusitis, which is the first
line antibiotic therapy for patients with acute bacterial sinusitis? - CORRECT ANSWER -
Augmentin (amoxicillin-clavulanic acid)
A nurse is assigned to care for a client admitted for treatment of cholecystitis. The nurse would
expect the client's history to include intolerance to which of the following? - CORRECT
ANSWER - Fatty foods
An 18-year-old female arrives at the office with UTI like symptoms. Which of the following
accounts for 80-90% of UTIs in non-pregnant women? - CORRECT ANSWER -
Escherichia Coli
An elderly patient presents with complaining of urinary incontinence, which worsens when she
sneezes, coughs, or laughs. She is wondering which causes this and asks about treatment options.
, A patient with weak pelvic-floor muscles is at risk for which type of incontinence? - CORRECT
ANSWER - Stress
An 81-year-old male patient is admitted to the hospital for treatment of community acquired
pneumonia. Prior to admission, he was semi-independent in his activities of daily living and
lived at home with his daughter and her family. His family suspects he may have mild dementia
since he seems to be more forgetful than in the past. During his hospitalization, he had periods of
confusion and combativity that are significantly different from his baseline, particularly at night.
There are times when he is lucid and appears to be at his baseline. What differentiates delirium
from dementia? - CORRECT ANSWER - Reversibility
When examining the ears of an adult client, the nurse practitioner determines that the tympanic
membrane is gray and translucent. This is interpreted as: - CORRECT ANSWER - Normal
characteristics of the adult ear
A client with acute pancreatitis is admitted with nausea, vomiting, and epigastric pain.
Assessment reveals HR 110 bpm, temperature 100, and elevated serum amylase and lipase
levels. Which of the following interventions does the nurse anticipate? - CORRECT
ANSWER - IV hydration with isotonic crystalloid solution
IV opioid analgesic
A nurse is assigned to a client admitted to the ED with a suspected diagnosis of acute
pancreatitis. Which region will most likely be painful for this client? - CORRECT
ANSWER - Epigastric pain that radiates to the back
What kind of anemia would a patient with a GFR < 30 mL/min be at risk of? - CORRECT
ANSWER - Anemia of chronic disease
The obturator and illiopsoas muscle test are used to valuate for which condition: - CORRECT
ANSWER - Acute appendicitis
A 42-year-old woman presents with a dry cough that worsens at night. After a workup, you
diagnose her with gastroesophageal reflux disease (GERD) and prescribe pantoprazole.
Questions and CORRECT Answers
Which of the following RBC indices and laboratory markers are consistent with the diagnosis of
iron-deficiency anemia? - CORRECT ANSWER - Low MCV
Elevated RDW
Low reticulocyte count
Low iron
Elevated TIBC
Low ferritin
High transferrin
A 68-year-old female patient, who is otherwise healthy, presents complaining of feeling short of
breath and tired during her normal activities. She says all her friends have been telling her she
looks pale lately. Her lungs are clear and she has no history of pulmonary disease. Her HR is 108
bpm and RR 18 bpm. You suspect which of the following is the problem? - CORRECT
ANSWER - Blood loss
Based on the current clinical practice guidelines for treatment of acute sinusitis, which is the first
line antibiotic therapy for patients with acute bacterial sinusitis? - CORRECT ANSWER -
Augmentin (amoxicillin-clavulanic acid)
A nurse is assigned to care for a client admitted for treatment of cholecystitis. The nurse would
expect the client's history to include intolerance to which of the following? - CORRECT
ANSWER - Fatty foods
An 18-year-old female arrives at the office with UTI like symptoms. Which of the following
accounts for 80-90% of UTIs in non-pregnant women? - CORRECT ANSWER -
Escherichia Coli
An elderly patient presents with complaining of urinary incontinence, which worsens when she
sneezes, coughs, or laughs. She is wondering which causes this and asks about treatment options.
, A patient with weak pelvic-floor muscles is at risk for which type of incontinence? - CORRECT
ANSWER - Stress
An 81-year-old male patient is admitted to the hospital for treatment of community acquired
pneumonia. Prior to admission, he was semi-independent in his activities of daily living and
lived at home with his daughter and her family. His family suspects he may have mild dementia
since he seems to be more forgetful than in the past. During his hospitalization, he had periods of
confusion and combativity that are significantly different from his baseline, particularly at night.
There are times when he is lucid and appears to be at his baseline. What differentiates delirium
from dementia? - CORRECT ANSWER - Reversibility
When examining the ears of an adult client, the nurse practitioner determines that the tympanic
membrane is gray and translucent. This is interpreted as: - CORRECT ANSWER - Normal
characteristics of the adult ear
A client with acute pancreatitis is admitted with nausea, vomiting, and epigastric pain.
Assessment reveals HR 110 bpm, temperature 100, and elevated serum amylase and lipase
levels. Which of the following interventions does the nurse anticipate? - CORRECT
ANSWER - IV hydration with isotonic crystalloid solution
IV opioid analgesic
A nurse is assigned to a client admitted to the ED with a suspected diagnosis of acute
pancreatitis. Which region will most likely be painful for this client? - CORRECT
ANSWER - Epigastric pain that radiates to the back
What kind of anemia would a patient with a GFR < 30 mL/min be at risk of? - CORRECT
ANSWER - Anemia of chronic disease
The obturator and illiopsoas muscle test are used to valuate for which condition: - CORRECT
ANSWER - Acute appendicitis
A 42-year-old woman presents with a dry cough that worsens at night. After a workup, you
diagnose her with gastroesophageal reflux disease (GERD) and prescribe pantoprazole.
