NURS 5463 / NURS5463 Exam 1: Adult
Gerontology Acute Care | Questions & Answers
(Latest Update 2025/2026) Grade A | 100%
Correct – UTA
NURS 5463 / NURS5463 Exam 1: Adult Gerontology Acute Care |
Questions & Answers
1. What is the primary pathophysiological mechanism behind the
development of cardiogenic pulmonary edema?
A. Increased capillary permeability
B. Decreased plasma oncotic pressure
C. Elevated pulmonary venous pressure
D. Lymphatic obstruction
2. A patient with a massive PE is most likely to present with which
finding first?
A. Hemoptysis
B. Pleuritic chest pain
C. Sudden onset dyspnea and hypotension
D. Low-grade fever
3. Which of the following is the most sensitive initial laboratory test
for diagnosing an acute myocardial infarction?
A. CK-MB
B. Myoglobin
C. High-sensitivity Troponin I or T
D. Lactate Dehydrogenase (LDH)
4. The "double product" (Heart Rate x Systolic Blood Pressure) is a
clinical indicator of:
,A. Systemic vascular resistance
B. Myocardial oxygen demand
C. Stroke volume
D. Cardiac output
5. In a patient with acute decompensated heart failure (ADHF) and
pulmonary edema, the first-line initial IV diuretic is:
A. Spironolactone
B. Hydrochlorothiazide
C. Furosemide
D. Bumetanide
6. Which electrolyte abnormality is a critical complication of loop
diuretic therapy and can precipitate lethal arrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
7. The most common cause of Community-Acquired Pneumonia
(CAP) in healthy adults is:
A. Haemophilus influenzae
B. Mycoplasma pneumoniae
C. Staphylococcus aureus
D. Streptococcus pneumoniae
8. A "currant jelly" sputum is classically associated with which
pulmonary pathogen?
A. Pseudomonas aeruginosa
B. Klebsiella pneumoniae
C. Legionella pneumophila
D. Pneumocystis jirovecii
, 9. Which of the following is a hallmark diagnostic finding in Acute
Respiratory Distress Syndrome (ARDS)?
A. PAOP > 18 mmHg
B. PaO2/FiO2 ratio ≤ 200 mmHg
C. Hypercapnia that resolves with diuresis
D. Unilateral infiltrates on chest X-ray
10. The primary goal of using low tidal volume ventilation (6-8
mL/kg predicted body weight) in ARDS is to:
A. Correct hypercapnia
B. Prevent ventilator-associated pneumonia
C. Minimize ventilator-induced lung injury
D. Improve cardiac preload
11. In the management of a tension pneumothorax, the immediate
life-saving intervention is:
A. Needle decompression
B. Chest tube insertion
C. High-flow oxygen
D. Emergent bronchoscopy
12. Which of the following is the most specific sign of meningitis?
A. Headache
B. Fever
C. Nuchal rigidity
D. Photophobia
13. The initial empiric antibiotic therapy for community-acquired
bacterial meningitis in an adult should include:
A. Vancomycin + Ceftriaxone
B. Piperacillin/tazobactam
Gerontology Acute Care | Questions & Answers
(Latest Update 2025/2026) Grade A | 100%
Correct – UTA
NURS 5463 / NURS5463 Exam 1: Adult Gerontology Acute Care |
Questions & Answers
1. What is the primary pathophysiological mechanism behind the
development of cardiogenic pulmonary edema?
A. Increased capillary permeability
B. Decreased plasma oncotic pressure
C. Elevated pulmonary venous pressure
D. Lymphatic obstruction
2. A patient with a massive PE is most likely to present with which
finding first?
A. Hemoptysis
B. Pleuritic chest pain
C. Sudden onset dyspnea and hypotension
D. Low-grade fever
3. Which of the following is the most sensitive initial laboratory test
for diagnosing an acute myocardial infarction?
A. CK-MB
B. Myoglobin
C. High-sensitivity Troponin I or T
D. Lactate Dehydrogenase (LDH)
4. The "double product" (Heart Rate x Systolic Blood Pressure) is a
clinical indicator of:
,A. Systemic vascular resistance
B. Myocardial oxygen demand
C. Stroke volume
D. Cardiac output
5. In a patient with acute decompensated heart failure (ADHF) and
pulmonary edema, the first-line initial IV diuretic is:
A. Spironolactone
B. Hydrochlorothiazide
C. Furosemide
D. Bumetanide
6. Which electrolyte abnormality is a critical complication of loop
diuretic therapy and can precipitate lethal arrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
7. The most common cause of Community-Acquired Pneumonia
(CAP) in healthy adults is:
A. Haemophilus influenzae
B. Mycoplasma pneumoniae
C. Staphylococcus aureus
D. Streptococcus pneumoniae
8. A "currant jelly" sputum is classically associated with which
pulmonary pathogen?
A. Pseudomonas aeruginosa
B. Klebsiella pneumoniae
C. Legionella pneumophila
D. Pneumocystis jirovecii
, 9. Which of the following is a hallmark diagnostic finding in Acute
Respiratory Distress Syndrome (ARDS)?
A. PAOP > 18 mmHg
B. PaO2/FiO2 ratio ≤ 200 mmHg
C. Hypercapnia that resolves with diuresis
D. Unilateral infiltrates on chest X-ray
10. The primary goal of using low tidal volume ventilation (6-8
mL/kg predicted body weight) in ARDS is to:
A. Correct hypercapnia
B. Prevent ventilator-associated pneumonia
C. Minimize ventilator-induced lung injury
D. Improve cardiac preload
11. In the management of a tension pneumothorax, the immediate
life-saving intervention is:
A. Needle decompression
B. Chest tube insertion
C. High-flow oxygen
D. Emergent bronchoscopy
12. Which of the following is the most specific sign of meningitis?
A. Headache
B. Fever
C. Nuchal rigidity
D. Photophobia
13. The initial empiric antibiotic therapy for community-acquired
bacterial meningitis in an adult should include:
A. Vancomycin + Ceftriaxone
B. Piperacillin/tazobactam
