,NR571 WEEK 4 MIDTERM EXAM QUESTIONS AN
VERIFID CORRECT ANSWERS JULY 31 2026
42-year-old male with history of mitral valve replacement and IV drug abuse presents with back
pain and fever. Which of the following would be the most appropriate set of orders?
A. CBC, CMP, CXR, stress test
B. CBC, BMP, CT of chest/abdomen/pelvis
C. CBC, Cardiac markers, EKG
D. CBC, Blood Cultures, Transesophageal ECHO
28-year-old male with history of asthma presents with wheezing for 5 days. He reports he
smokes marijuana 3-4 times per week and was admitted to the ICU once as a child for asthma
exacerbation. Initial peak expiratory flow (PEF) was greater than 50% predicted. SaO 93%.
Which of the following treatment plans would be most appropriate for the nurse practitioner to
initiate?
A. SABA by MDI up to 3 doses, IV steroids, discharge home
B. SABA by MDI up to 3 doses, intravenous steroids, admit ICU
C. Hour long continuous SABA plus ipratropium by nebulizer, oral steroids, monitor
response
D. SABA by nebulizer up to 3 doses, oral steroids, admit to medical floor
Which of the following patients should be admitted to the hospital for COPD exacerbation?
A. 82-year-old who is alert oriented to person, place, time, and event
, B. 63-year-old who wears home oxygen at 3L/min
C. 59-year-old with no improvement on a steroid burst
D. 72-year-old with a cough
You are caring for a patient complaining of chest pain. EKG and troponin are negative. What are
other emergent differentials that may present as chest pain?
A. Peptic ulcer disease, pleuritis, cholecystitis
B. Aortic dissection, pneumothorax, pulmonary embolism
C. Cancer, herpes zoster, gastroenteritis
D. Gastroesophageal reflux, pregnancy, muscle injury
You are caring for a patient with a pulmonary embolism. She is being treated with a continuous
infusion of heparin. Upon reviewing am labs you notice a decrease in platelets from 186 to 46.
You suspect:
A. Thrombocytopenia of the critically ill
B. Acute bleeding
C. Heparin induced thrombocytopenia (HIT)
D. Sepsis induced thrombocytopenia
A 68-year-old male presents with new onset left lower extremity pain, erythema, and
tenderness for several days. Which of the following differentials would be the most important to
consider for this patient?
A. Legg-Calve-Perthes disease, muscle cramp, genu valgum
B. Restless leg syndrome, Grave's disease, osteomyelitis
C. Distal fibula fracture, iliotibial (IT) band syndrome, Osgood-Schlatter's disease
D. Cellulitis, Baker's cyst, deep vein thrombosis
VERIFID CORRECT ANSWERS JULY 31 2026
42-year-old male with history of mitral valve replacement and IV drug abuse presents with back
pain and fever. Which of the following would be the most appropriate set of orders?
A. CBC, CMP, CXR, stress test
B. CBC, BMP, CT of chest/abdomen/pelvis
C. CBC, Cardiac markers, EKG
D. CBC, Blood Cultures, Transesophageal ECHO
28-year-old male with history of asthma presents with wheezing for 5 days. He reports he
smokes marijuana 3-4 times per week and was admitted to the ICU once as a child for asthma
exacerbation. Initial peak expiratory flow (PEF) was greater than 50% predicted. SaO 93%.
Which of the following treatment plans would be most appropriate for the nurse practitioner to
initiate?
A. SABA by MDI up to 3 doses, IV steroids, discharge home
B. SABA by MDI up to 3 doses, intravenous steroids, admit ICU
C. Hour long continuous SABA plus ipratropium by nebulizer, oral steroids, monitor
response
D. SABA by nebulizer up to 3 doses, oral steroids, admit to medical floor
Which of the following patients should be admitted to the hospital for COPD exacerbation?
A. 82-year-old who is alert oriented to person, place, time, and event
, B. 63-year-old who wears home oxygen at 3L/min
C. 59-year-old with no improvement on a steroid burst
D. 72-year-old with a cough
You are caring for a patient complaining of chest pain. EKG and troponin are negative. What are
other emergent differentials that may present as chest pain?
A. Peptic ulcer disease, pleuritis, cholecystitis
B. Aortic dissection, pneumothorax, pulmonary embolism
C. Cancer, herpes zoster, gastroenteritis
D. Gastroesophageal reflux, pregnancy, muscle injury
You are caring for a patient with a pulmonary embolism. She is being treated with a continuous
infusion of heparin. Upon reviewing am labs you notice a decrease in platelets from 186 to 46.
You suspect:
A. Thrombocytopenia of the critically ill
B. Acute bleeding
C. Heparin induced thrombocytopenia (HIT)
D. Sepsis induced thrombocytopenia
A 68-year-old male presents with new onset left lower extremity pain, erythema, and
tenderness for several days. Which of the following differentials would be the most important to
consider for this patient?
A. Legg-Calve-Perthes disease, muscle cramp, genu valgum
B. Restless leg syndrome, Grave's disease, osteomyelitis
C. Distal fibula fracture, iliotibial (IT) band syndrome, Osgood-Schlatter's disease
D. Cellulitis, Baker's cyst, deep vein thrombosis
