NURS6550 ACTUAL EXAM SCRIPT 2026
FULL QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ A patient with anterior epistaxis has been treated with direct pressure
for 20 minutes. What are expected findings when the patient is
instructed to gently blow their nose? Answer: Successful treatment will
be indicated by dark residual blood or clots being discharged from the
nose.
If bleeding has not stopped you will see a bright red steady trickle of
blood requiring more invasive measures.
⩥ What is the most common organism in treating otitis media, bacterial
sinusitis, bacterial pharyngitis, AND community-acquired pneumonia?
Answer: Streptococcus pneumoniae
⩥ What is the greatest risk factor for vascular dementia? Answer:
Vascular diseases that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
⩥ Hypertensive urgency vs emergency Answer: - Hypertensive urgency:
BP >200/120 w/o sx; Tx with PO furosemide, clonidine or captopril
,- Hypertensive emergency: BP >200/120 WITH sx or evidence of end
organ damage; Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
⩥ What annual lab testing should be done for patients taking atypical
antipsychotics? Answer: Lipid Panel
⩥ Name some atypical antipsychotics Answer: OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
⩥ If you are treating a car mechanic for a possible eye injury what test
would you avoid? Answer: MRI
possible metal in eye
⩥ What is the least invasive approach to rule out a pulmonary embolus?
Answer: D-dimer
, ⩥ When treating a patient with an unfractionated heparin infusion, what
would you monitor for (to avoid a fatal complication) ? Answer:
Heparin-induced Thrombocytopenia (HIT). aka monitor for low
platelets.
d/c heparin and intiate thrombin inhibitors!
⩥ What symptom differentiates vertigo from near-syncope and ataxia?
Answer: When the primary symptom identified is a sense of spinning
this means vertigo and is usually an inner ear problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
⩥ When a patient is concerned about a family member not supporting
wishes in end-of-life care, what legal document should be used? Answer:
advanced directive
⩥ What is contraindicative of rTPA therapy? Answer: ST segment
depression
⩥ Transtheoretical Model of Change Answer: 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
FULL QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ A patient with anterior epistaxis has been treated with direct pressure
for 20 minutes. What are expected findings when the patient is
instructed to gently blow their nose? Answer: Successful treatment will
be indicated by dark residual blood or clots being discharged from the
nose.
If bleeding has not stopped you will see a bright red steady trickle of
blood requiring more invasive measures.
⩥ What is the most common organism in treating otitis media, bacterial
sinusitis, bacterial pharyngitis, AND community-acquired pneumonia?
Answer: Streptococcus pneumoniae
⩥ What is the greatest risk factor for vascular dementia? Answer:
Vascular diseases that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
⩥ Hypertensive urgency vs emergency Answer: - Hypertensive urgency:
BP >200/120 w/o sx; Tx with PO furosemide, clonidine or captopril
,- Hypertensive emergency: BP >200/120 WITH sx or evidence of end
organ damage; Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
⩥ What annual lab testing should be done for patients taking atypical
antipsychotics? Answer: Lipid Panel
⩥ Name some atypical antipsychotics Answer: OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
⩥ If you are treating a car mechanic for a possible eye injury what test
would you avoid? Answer: MRI
possible metal in eye
⩥ What is the least invasive approach to rule out a pulmonary embolus?
Answer: D-dimer
, ⩥ When treating a patient with an unfractionated heparin infusion, what
would you monitor for (to avoid a fatal complication) ? Answer:
Heparin-induced Thrombocytopenia (HIT). aka monitor for low
platelets.
d/c heparin and intiate thrombin inhibitors!
⩥ What symptom differentiates vertigo from near-syncope and ataxia?
Answer: When the primary symptom identified is a sense of spinning
this means vertigo and is usually an inner ear problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
⩥ When a patient is concerned about a family member not supporting
wishes in end-of-life care, what legal document should be used? Answer:
advanced directive
⩥ What is contraindicative of rTPA therapy? Answer: ST segment
depression
⩥ Transtheoretical Model of Change Answer: 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
