NURS / NRNP 6550 MIDTERM EXAM
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
The least worrisome type of fluid seen as a result of pleural fluid analysis - ANS Transudate
pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm? - ANS CT
Scan with contrast
Name risk factors for long-term care placement for the elderly population. - ANS Male
gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
A patient with anterior epistaxis has been treated with direct pressure for 20 minutes. What are
expected findings when the patient is instructed to gently blow their nose? - ANS Successful
treatment will be indicated by dark residual blood or clots being discharged from the nose.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,If bleeding has not stopped you will see a bright red steady trickle of blood requiring more
invasive measures.
What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, AND community-acquired pneumonia? - ANS Streptococcus pneumoniae
What is the greatest risk factor for vascular dementia? - ANS Vascular diseases that result in
target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - ANS - Hypertensive urgency: BP >200/120 w/o sx; Tx
with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage; Tx with IV
nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical antipsychotics? -
ANS Lipid Panel
Name some atypical antipsychotics - ANS OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If you are treating a car mechanic for a possible eye injury what test would you avoid? -
ANS MRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - ANS D-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor for
(to avoid a fatal complication) ? - ANS Heparin-induced Thrombocytopenia (HIT). aka monitor
for low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? - ANS When the primary
symptom identified is a sense of spinning this means vertigo and is usually an inner ear
problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
When a patient is concerned about a family member not supporting wishes in end-of-life care,
what legal document should be used? - ANS advanced directive
What is contraindicative of rTPA therapy? - ANS ST segment depression
Transtheoretical Model of Change - ANS 1. Precontemplation
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
The least worrisome type of fluid seen as a result of pleural fluid analysis - ANS Transudate
pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm? - ANS CT
Scan with contrast
Name risk factors for long-term care placement for the elderly population. - ANS Male
gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
A patient with anterior epistaxis has been treated with direct pressure for 20 minutes. What are
expected findings when the patient is instructed to gently blow their nose? - ANS Successful
treatment will be indicated by dark residual blood or clots being discharged from the nose.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,If bleeding has not stopped you will see a bright red steady trickle of blood requiring more
invasive measures.
What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, AND community-acquired pneumonia? - ANS Streptococcus pneumoniae
What is the greatest risk factor for vascular dementia? - ANS Vascular diseases that result in
target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - ANS - Hypertensive urgency: BP >200/120 w/o sx; Tx
with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage; Tx with IV
nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical antipsychotics? -
ANS Lipid Panel
Name some atypical antipsychotics - ANS OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If you are treating a car mechanic for a possible eye injury what test would you avoid? -
ANS MRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - ANS D-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor for
(to avoid a fatal complication) ? - ANS Heparin-induced Thrombocytopenia (HIT). aka monitor
for low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? - ANS When the primary
symptom identified is a sense of spinning this means vertigo and is usually an inner ear
problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
When a patient is concerned about a family member not supporting wishes in end-of-life care,
what legal document should be used? - ANS advanced directive
What is contraindicative of rTPA therapy? - ANS ST segment depression
Transtheoretical Model of Change - ANS 1. Precontemplation
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
