NURS 6550 Final Exam
(CHECK THE LAST PAGE FOR DETAL SOLUTION AND MULTIPLE
VERSIONS OF THE LATEST EXAM)
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
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
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?
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, A Fever, normal white count, elevated
. sedimentation rate
B Hyperkalemia, hyponatremia, low blood
. pressure
C Leukocytosis, hyperglycemia, hypokalemia
.
D Joint pain, rash, fever
.
QUESTION 4
1. A patient presents with profound vertigo of acute onset yesterday. She can
barely turn her head without becoming very vertiginous; she is nauseous and just
doesn’t want to move. This morning when she tried to get out of bed she felt like
she was pushed back down. The vertigo is reproducible with cervical rotation. The
patient denies any hearing loss or tinnitus, she has no fever or other symptoms.
The AGACNP knows that the most helpful intervention will probably be:
A Meclizine
.
B Diazepam
.
C Bed rest
.
D Epley’s
. maneuvers
QUESTION 5
1. Mrs. Mireya is an 85-year-old female who is admitted for evaluation of
acute mental status change from the long term care facility. She is normally
ambulatory and participates in lots of facility activities. Today a nursing assistant
found her in her room, appearing confused and disconnected from her
environment. When she tried to get up she fell down. Her vital signs are stable
excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that the most
A Osteoarthritis
.
B Drug or alcohol
. toxicity
C Hypotension
.
D Urosepsis
.
NURS 6550N Final Exam (Latest): Walden University
This study source was downloaded by 100000865572568 from CourseHero.com on 01-12-2024 03:24:22 GMT -06:00
https://www.coursehero.com/file/204797539/NURS-6550-Final-Exam-2023-Walden-University-NURS-6550N-Final-Exam-NURS6550-Final-Exam-NURS-6550N/
(CHECK THE LAST PAGE FOR DETAL SOLUTION AND MULTIPLE
VERSIONS OF THE LATEST EXAM)
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
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
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?
This study source was downloaded by 100000865572568 from CourseHero.com on 01-12-2024 03:24:22 GMT -06:00
https://www.coursehero.com/file/204797539/NURS-6550-Final-Exam-2023-Walden-University-NURS-6550N-Final-Exam-NURS6550-Final-Exam-NURS-6550N/
, A Fever, normal white count, elevated
. sedimentation rate
B Hyperkalemia, hyponatremia, low blood
. pressure
C Leukocytosis, hyperglycemia, hypokalemia
.
D Joint pain, rash, fever
.
QUESTION 4
1. A patient presents with profound vertigo of acute onset yesterday. She can
barely turn her head without becoming very vertiginous; she is nauseous and just
doesn’t want to move. This morning when she tried to get out of bed she felt like
she was pushed back down. The vertigo is reproducible with cervical rotation. The
patient denies any hearing loss or tinnitus, she has no fever or other symptoms.
The AGACNP knows that the most helpful intervention will probably be:
A Meclizine
.
B Diazepam
.
C Bed rest
.
D Epley’s
. maneuvers
QUESTION 5
1. Mrs. Mireya is an 85-year-old female who is admitted for evaluation of
acute mental status change from the long term care facility. She is normally
ambulatory and participates in lots of facility activities. Today a nursing assistant
found her in her room, appearing confused and disconnected from her
environment. When she tried to get up she fell down. Her vital signs are stable
excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that the most
A Osteoarthritis
.
B Drug or alcohol
. toxicity
C Hypotension
.
D Urosepsis
.
NURS 6550N Final Exam (Latest): Walden University
This study source was downloaded by 100000865572568 from CourseHero.com on 01-12-2024 03:24:22 GMT -06:00
https://www.coursehero.com/file/204797539/NURS-6550-Final-Exam-2023-Walden-University-NURS-6550N-Final-Exam-NURS6550-Final-Exam-NURS-6550N/
