NURS 6550 Final Exam
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, NURS 6550 FINAL 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 includes:
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 AGACNP anticipates a diagnosis of:
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?
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 likely
cause of her symptoms is:
A. Osteoarthritis
B. Drug or alcohol toxicity
C. Hypotension
D. Urosepsis
QUESTION 6
1. A patient with SIADH would be expected to demonstrate which pattern of laboratory
abnormalities?
Latest Multiple Versions
Verified Questions and Answers
Download to Secure High Score in Exam
Complete and Best Document for Exam Preparation
, NURS 6550 FINAL 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 includes:
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 AGACNP anticipates a diagnosis of:
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?
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 likely
cause of her symptoms is:
A. Osteoarthritis
B. Drug or alcohol toxicity
C. Hypotension
D. Urosepsis
QUESTION 6
1. A patient with SIADH would be expected to demonstrate which pattern of laboratory
abnormalities?
