NSG 6440 WEEK 4 APEA PREDICTOR
MIDTERM EXAM 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
A 78-year-old man is diagnosed with Stage D bladder cancer and asks the provider what that
means. Which is the best response?
a. "There is no such thing as Stage D cancer."
b. "You have cancer that has spread to the surrounding tissue."
c. "Your cancer has spread to other organs."
d. "Your cancer can be cured by removing your bladder."
c. "Your cancer has spread to other organs."
The patient is diagnosed with acute renal failure (ARF). Which of the following information
obtained from the history should alert the provider that this is a case of prerenal azotemia?
a. Recent heat stroke
b. Nephrolithiasis
c. Recent infection where gentamicin was used in treatment
d. All of the above
a. Recent heat stroke
The patient is diagnosed with acute renal failure (ARF). Which of the following conditions is the
most common cause?
1|Page
,a. Renal calculi
b. Acute tubular necrosis
c. Cardiac failure
d. Acute glomerulonephritis
b. Acute tubular necrosis
An 82-year-old woman with renal failure is seen in the clinic. The provider should question the
patient about the intake of which of these substances that can cause renal toxicity?
a. Ibuprofen
b. Captopril
c. Losartan
d. All of the above
d. All of the above
Which of the following clinical manifestations are consistent with a patient in acute renal failure
(ARF)?
a. Pruritis
b. Glycosuria
c. Irritability
d. Hypotension
a. Pruritis
Which of the following exam finding should be expected in a patient with chronic renal failure
(CRF)?
a. Weak, thready pulse
b. Auscultatory crackles
2|Page
,c. Hypotension
d. Pleural friction rub
b. Auscultatory crackles
Which of the following tests is most useful in determining renal function in a patient suspected
of chronic renal failure (CRF)?
a. Blood urea nitrogen (BUN) and creatinine
b. Electrolytes
c. Creatinine clearance
d. Urinalysis
c. Creatinine clearance
Which of the following foods should be limited in a patient with chronic renal failure (CRF)?
a. Milk
b. Bananas
c. Soy sauce
d. All of the above
d. All of the above
The urine osmolality is greater than 500 mOsm/L in patients with postrenal acute renal failure
(ARF).
T or F
F
Cigarette smoking is a risk factor for chronic renal failure (CRF).
T or F
3|Page
, T
Which of the following drug categories commonly prescribed for hyperlipidemia should not be
given if the triglycerides are over 400 mg/dL?
a. Folic acid derivatives
b. Bile acid sequestrants Inhibitors
c. HMG-CoA reductase
d. Folic acid derivatives
b. Bile acid sequestrants Inhibitors
Sandra has palpitations that are occurring with muscle twitching, paresthesia, and fatigue. What
might a specific diagnostic test be to determine the cause?
a. Serum calcium
b. Electrocardiogram (ECG)
c. Thyroid-stimulating hormone (TSH) test
d. Complete blood cell count (CBC)
a. Serum calcium
If chest pain may be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
a. Peptic ulcer
b. Hiatal hernia
c. Costochondritis
d. Pericarditis
c. Costochondritis
A blood pressure (BP) of 142/92 is considered:
a. Normal.
b. Prehypertension.
4|Page
MIDTERM EXAM 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
A 78-year-old man is diagnosed with Stage D bladder cancer and asks the provider what that
means. Which is the best response?
a. "There is no such thing as Stage D cancer."
b. "You have cancer that has spread to the surrounding tissue."
c. "Your cancer has spread to other organs."
d. "Your cancer can be cured by removing your bladder."
c. "Your cancer has spread to other organs."
The patient is diagnosed with acute renal failure (ARF). Which of the following information
obtained from the history should alert the provider that this is a case of prerenal azotemia?
a. Recent heat stroke
b. Nephrolithiasis
c. Recent infection where gentamicin was used in treatment
d. All of the above
a. Recent heat stroke
The patient is diagnosed with acute renal failure (ARF). Which of the following conditions is the
most common cause?
1|Page
,a. Renal calculi
b. Acute tubular necrosis
c. Cardiac failure
d. Acute glomerulonephritis
b. Acute tubular necrosis
An 82-year-old woman with renal failure is seen in the clinic. The provider should question the
patient about the intake of which of these substances that can cause renal toxicity?
a. Ibuprofen
b. Captopril
c. Losartan
d. All of the above
d. All of the above
Which of the following clinical manifestations are consistent with a patient in acute renal failure
(ARF)?
a. Pruritis
b. Glycosuria
c. Irritability
d. Hypotension
a. Pruritis
Which of the following exam finding should be expected in a patient with chronic renal failure
(CRF)?
a. Weak, thready pulse
b. Auscultatory crackles
2|Page
,c. Hypotension
d. Pleural friction rub
b. Auscultatory crackles
Which of the following tests is most useful in determining renal function in a patient suspected
of chronic renal failure (CRF)?
a. Blood urea nitrogen (BUN) and creatinine
b. Electrolytes
c. Creatinine clearance
d. Urinalysis
c. Creatinine clearance
Which of the following foods should be limited in a patient with chronic renal failure (CRF)?
a. Milk
b. Bananas
c. Soy sauce
d. All of the above
d. All of the above
The urine osmolality is greater than 500 mOsm/L in patients with postrenal acute renal failure
(ARF).
T or F
F
Cigarette smoking is a risk factor for chronic renal failure (CRF).
T or F
3|Page
, T
Which of the following drug categories commonly prescribed for hyperlipidemia should not be
given if the triglycerides are over 400 mg/dL?
a. Folic acid derivatives
b. Bile acid sequestrants Inhibitors
c. HMG-CoA reductase
d. Folic acid derivatives
b. Bile acid sequestrants Inhibitors
Sandra has palpitations that are occurring with muscle twitching, paresthesia, and fatigue. What
might a specific diagnostic test be to determine the cause?
a. Serum calcium
b. Electrocardiogram (ECG)
c. Thyroid-stimulating hormone (TSH) test
d. Complete blood cell count (CBC)
a. Serum calcium
If chest pain may be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
a. Peptic ulcer
b. Hiatal hernia
c. Costochondritis
d. Pericarditis
c. Costochondritis
A blood pressure (BP) of 142/92 is considered:
a. Normal.
b. Prehypertension.
4|Page
