NUR 225 FINAL EXAM REVIEW QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026
When reviewing the laboratory results for a client in the emergency department, which finding should
the nurse report immediately to prevent harm?
A) International normalized ratio (INR) is 5.2
B) Platelet count of 180,000/mm³ (180 × 10⁹/L)
C) Hematocrit of 27% (0.27 volume fraction)
D) Reticulocyte value of 4% - Answers A) International normalized ratio (INR) is 5.2
Testicular cancer is highest in males of which age group - Answers 15-39
Abnormal lab result in a patient with Hodgkins Lymphoma - Answers Reed-Sternberg Cells
Abnormal lab result in a patient with multiple myeloma - Answers overgrowth of B lymphocyte
plasma cells
Abnormal lab result in a patient with leukemia - Answers overproduction of blast phase cells
Findings in systemic lupus erythematosus - Answers Decreased urine output (lupus nephritis)
butterfly rash
joint inflammation
Reynaud's
Photosensitivity
Expected laboratory results for a pt with acute leukemia - Answers elevated WBC
decreased Hgb
decreased Hct
decreased platelets
What is a left shift in WBC? - Answers Indicator of bacterial infection and possible sepsis
Findings associated with myxedema coma - Answers low energy
low RR
Low HR
low sodium
low sugar
dry skin
peripheral edema
Sx of adrenal insufficiency - Answers hypotension, hyperkalemia, fatigue, hyponatremia, and
hyperpigmentation
Vanillylmandelic acid (VMA) test - Answers Tests for pheochromocytoma
Test that measures levels of VMA, a byproduct of epinephrine and norepinephrine.
Requires a 24-hour urine sample.
Results help reveal whether the adrenal medulla is functioning correctly.
*avoid caffeine, bananas,
Test for Addison's - Answers ACTH stimulation test
Measures the cortisol response to ACTH.
Response is absent or very decreased in clients who have primary adrenal insufficiency.
Abnormal results in Cushings - Answers low potassium
low calcium
high glucose
metoclopramide use and side effects - Answers GERD, gastroparesis (speeds emptying of the
stomach)
Dry mouth
ataxia
Low calcium levels cause - Answers increased risk of seizure
Aphasia is associated with which type of stroke? - Answers Left-sided
Carbidopa-levodopa teaching - Answers hypotension
take before meals
may cause drowsiness
When reviewing the laboratory results for a client in the emergency department, which finding should
the nurse report immediately to prevent harm?
A) International normalized ratio (INR) is 5.2
B) Platelet count of 180,000/mm³ (180 × 10⁹/L)
C) Hematocrit of 27% (0.27 volume fraction)
D) Reticulocyte value of 4% - Answers A) International normalized ratio (INR) is 5.2
Testicular cancer is highest in males of which age group - Answers 15-39
Abnormal lab result in a patient with Hodgkins Lymphoma - Answers Reed-Sternberg Cells
Abnormal lab result in a patient with multiple myeloma - Answers overgrowth of B lymphocyte
plasma cells
Abnormal lab result in a patient with leukemia - Answers overproduction of blast phase cells
Findings in systemic lupus erythematosus - Answers Decreased urine output (lupus nephritis)
butterfly rash
joint inflammation
Reynaud's
Photosensitivity
Expected laboratory results for a pt with acute leukemia - Answers elevated WBC
decreased Hgb
decreased Hct
decreased platelets
What is a left shift in WBC? - Answers Indicator of bacterial infection and possible sepsis
Findings associated with myxedema coma - Answers low energy
low RR
Low HR
low sodium
low sugar
dry skin
peripheral edema
Sx of adrenal insufficiency - Answers hypotension, hyperkalemia, fatigue, hyponatremia, and
hyperpigmentation
Vanillylmandelic acid (VMA) test - Answers Tests for pheochromocytoma
Test that measures levels of VMA, a byproduct of epinephrine and norepinephrine.
Requires a 24-hour urine sample.
Results help reveal whether the adrenal medulla is functioning correctly.
*avoid caffeine, bananas,
Test for Addison's - Answers ACTH stimulation test
Measures the cortisol response to ACTH.
Response is absent or very decreased in clients who have primary adrenal insufficiency.
Abnormal results in Cushings - Answers low potassium
low calcium
high glucose
metoclopramide use and side effects - Answers GERD, gastroparesis (speeds emptying of the
stomach)
Dry mouth
ataxia
Low calcium levels cause - Answers increased risk of seizure
Aphasia is associated with which type of stroke? - Answers Left-sided
Carbidopa-levodopa teaching - Answers hypotension
take before meals
may cause drowsiness
