1|Page
NURS 635 FINAL EXAM 2025-2026, LATEST QUESTIONS AND
CORRECT CETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+,100% CORRECT
Question 1:
A 45-year-old patient presents with heat intolerance, weight loss, tremors,
and exophthalmos. Which lab result would confirm the suspected diagnosis?
A) Low TSH, low free T4
B) High TSH, low free T4
C) Low TSH, high free T4
D) High TSH, high free T4
Correct Answer: C
Rationale:
Low TSH with high free T4 is diagnostic for primary hyperthyroidism
(Graves’ disease). Exophthalmos is a classic finding in Graves’.
Topic: Advanced Pharmacology – Antibiotics
Question 2:
Which antibiotic is contraindicated in children under 8 years old due to risk
of tooth discoloration?
A) Amoxicillin
B) Tetracycline
C) Azithromycin
D) Cephalexin
Correct Answer: B
Rationale:
Tetracyclines can cause permanent discoloration of teeth and impaired bone
growth in children.
,2|Page
Topic: Advanced Health Assessment – Cardiac
Question 3:
You hear a high-pitched, blowing diastolic murmur at the left sternal border.
Which condition is most likely?
A) Aortic stenosis
B) Mitral regurgitation
C) Aortic regurgitation
D) Mitral stenosis
Correct Answer: C
Rationale:
Aortic regurgitation produces a high-pitched, early diastolic decrescendo
murmur best heard along the left sternal border.
Topic: Research & Evidence-Based Practice
Question 4:
Which study design provides the highest level of evidence for clinical
decision-making?
A) Case-control study
B) Cohort study
C) Expert opinion
D) Systematic review of randomized controlled trials (RCTs)
Correct Answer: D
Rationale:
Systematic reviews/meta-analyses of RCTs represent the highest level of
evidence in the evidence-based practice hierarchy.
,3|Page
Topic: Advanced Pharmacology – Antihypertensives
Question 5:
Which class of antihypertensives is contraindicated in pregnancy?
A) Beta-blockers
B) Calcium channel blockers
C) Hydralazine
D) ACE inhibitors
Correct Answer: D
Rationale:
ACE inhibitors are teratogenic and contraindicated in all trimesters of
pregnancy due to risk of fetal renal damage.
Topic: Advanced Pathophysiology – Pulmonary
Question 6:
A patient with chronic COPD presents with worsening dyspnea and CO₂
retention. What is the primary drive for respiration in this patient?
A) High O₂ levels
B) Low O₂ (hypoxic drive)
C) High CO₂ levels
D) Low CO₂ levels
Correct Answer: B
Rationale:
Chronic CO₂ retainers rely on hypoxic drive for respiration. Excess
supplemental O₂ may depress their drive to breathe.
Topic: Advanced Assessment – Neurology
Question 7:
Which finding is most consistent with increased intracranial pressure (ICP)?
, 4|Page
A) Hypotension, tachycardia, irregular respirations
B) Hypertension, bradycardia, irregular respirations
C) Hypotension, tachypnea, bounding pulse
D) Normal vital signs
Correct Answer: B
Rationale:
Cushing’s triad (↑BP, ↓HR, irregular breathing) is a late sign of increased
ICP.
Topic: Advanced Pharmacology – Pain Management
Question 8:
Which opioid antagonist is used to reverse respiratory depression caused by
opioids?
A) Fentanyl
B) Methadone
C) Buprenorphine
D) Naloxone
Correct Answer: D
Rationale:
Naloxone is a competitive opioid receptor antagonist that rapidly reverses
opioid-induced CNS and respiratory depression.
Topic: Advanced Pathophysiology – Renal
Question 9:
In acute kidney injury (AKI) due to hypovolemia, what lab finding is
expected?
A) Low BUN/creatinine ratio
B) High BUN/creatinine ratio (>20:1)
C) Hypernatremia
D) Low urine osmolality
NURS 635 FINAL EXAM 2025-2026, LATEST QUESTIONS AND
CORRECT CETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+,100% CORRECT
Question 1:
A 45-year-old patient presents with heat intolerance, weight loss, tremors,
and exophthalmos. Which lab result would confirm the suspected diagnosis?
A) Low TSH, low free T4
B) High TSH, low free T4
C) Low TSH, high free T4
D) High TSH, high free T4
Correct Answer: C
Rationale:
Low TSH with high free T4 is diagnostic for primary hyperthyroidism
(Graves’ disease). Exophthalmos is a classic finding in Graves’.
Topic: Advanced Pharmacology – Antibiotics
Question 2:
Which antibiotic is contraindicated in children under 8 years old due to risk
of tooth discoloration?
A) Amoxicillin
B) Tetracycline
C) Azithromycin
D) Cephalexin
Correct Answer: B
Rationale:
Tetracyclines can cause permanent discoloration of teeth and impaired bone
growth in children.
,2|Page
Topic: Advanced Health Assessment – Cardiac
Question 3:
You hear a high-pitched, blowing diastolic murmur at the left sternal border.
Which condition is most likely?
A) Aortic stenosis
B) Mitral regurgitation
C) Aortic regurgitation
D) Mitral stenosis
Correct Answer: C
Rationale:
Aortic regurgitation produces a high-pitched, early diastolic decrescendo
murmur best heard along the left sternal border.
Topic: Research & Evidence-Based Practice
Question 4:
Which study design provides the highest level of evidence for clinical
decision-making?
A) Case-control study
B) Cohort study
C) Expert opinion
D) Systematic review of randomized controlled trials (RCTs)
Correct Answer: D
Rationale:
Systematic reviews/meta-analyses of RCTs represent the highest level of
evidence in the evidence-based practice hierarchy.
,3|Page
Topic: Advanced Pharmacology – Antihypertensives
Question 5:
Which class of antihypertensives is contraindicated in pregnancy?
A) Beta-blockers
B) Calcium channel blockers
C) Hydralazine
D) ACE inhibitors
Correct Answer: D
Rationale:
ACE inhibitors are teratogenic and contraindicated in all trimesters of
pregnancy due to risk of fetal renal damage.
Topic: Advanced Pathophysiology – Pulmonary
Question 6:
A patient with chronic COPD presents with worsening dyspnea and CO₂
retention. What is the primary drive for respiration in this patient?
A) High O₂ levels
B) Low O₂ (hypoxic drive)
C) High CO₂ levels
D) Low CO₂ levels
Correct Answer: B
Rationale:
Chronic CO₂ retainers rely on hypoxic drive for respiration. Excess
supplemental O₂ may depress their drive to breathe.
Topic: Advanced Assessment – Neurology
Question 7:
Which finding is most consistent with increased intracranial pressure (ICP)?
, 4|Page
A) Hypotension, tachycardia, irregular respirations
B) Hypertension, bradycardia, irregular respirations
C) Hypotension, tachypnea, bounding pulse
D) Normal vital signs
Correct Answer: B
Rationale:
Cushing’s triad (↑BP, ↓HR, irregular breathing) is a late sign of increased
ICP.
Topic: Advanced Pharmacology – Pain Management
Question 8:
Which opioid antagonist is used to reverse respiratory depression caused by
opioids?
A) Fentanyl
B) Methadone
C) Buprenorphine
D) Naloxone
Correct Answer: D
Rationale:
Naloxone is a competitive opioid receptor antagonist that rapidly reverses
opioid-induced CNS and respiratory depression.
Topic: Advanced Pathophysiology – Renal
Question 9:
In acute kidney injury (AKI) due to hypovolemia, what lab finding is
expected?
A) Low BUN/creatinine ratio
B) High BUN/creatinine ratio (>20:1)
C) Hypernatremia
D) Low urine osmolality
