N
URS 6540
ADVANCED
PRACTICE CARE
ACTUAL EXAM
WITH COMPLETE
QUESTIONS AND
CORRECT DETAILED
ANSWERS (100%
VERIFIED ANSWERS)
|ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!|HIGH
YIELD QUESTIONS AND
ANSWERS|||2026!!!!!!
,1. A client with acute pancreatitis reports
severe epigastric pain radiating to the
back. Which intervention is the priority?
A. Administer oral food immediately
B. Place the client in supine position
C. Keep the client NPO and start IV fluids
D. Encourage ambulation
Correct Answer: C
Rationale: Acute pancreatitis requires
pancreatic rest to reduce enzyme secretion
and inflammation. Keeping the client NPO
prevents stimulation of pancreatic enzymes,
while IV fluids maintain perfusion and
prevent hypovolemic shock. Oral intake
worsens autodigestion, and positioning or
ambulation does not address the underlying
inflammatory process.
,2. A patient with cirrhosis develops
confusion and asterixis. What is the
nurse’s priority action?
A. Increase protein intake
B. Prepare for liver transplant evaluation
C. Assess serum ammonia levels
D. Restrict potassium intake
Correct Answer: C
Rationale: Confusion and asterixis indicate
hepatic encephalopathy caused by elevated
ammonia. Serum ammonia confirms
severity and guides treatment such as
lactulose. Protein increase worsens ammonia
production, while potassium restriction is
unrelated to acute neurologic decline.
3. Which finding indicates worsening
SIADH?
A. Serum sodium 130 mmol/L
, B. Urine specific gravity 1.035
C. Dry mucous membranes
D. Hyperglycemia
Correct Answer: B
Rationale: SIADH causes water retention
and concentrated urine, reflected in high
urine specific gravity. Hyponatremia is
expected, but a rising urine concentration
signals worsening ADH effect. Dry mucosa
suggests diabetes insipidus instead.
4. A patient with diabetes insipidus is at
highest risk for which complication?
A. Fluid overload
B. Hypovolemic shock
C. Hypertension
D. Pulmonary edema
Correct Answer: B
URS 6540
ADVANCED
PRACTICE CARE
ACTUAL EXAM
WITH COMPLETE
QUESTIONS AND
CORRECT DETAILED
ANSWERS (100%
VERIFIED ANSWERS)
|ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!|HIGH
YIELD QUESTIONS AND
ANSWERS|||2026!!!!!!
,1. A client with acute pancreatitis reports
severe epigastric pain radiating to the
back. Which intervention is the priority?
A. Administer oral food immediately
B. Place the client in supine position
C. Keep the client NPO and start IV fluids
D. Encourage ambulation
Correct Answer: C
Rationale: Acute pancreatitis requires
pancreatic rest to reduce enzyme secretion
and inflammation. Keeping the client NPO
prevents stimulation of pancreatic enzymes,
while IV fluids maintain perfusion and
prevent hypovolemic shock. Oral intake
worsens autodigestion, and positioning or
ambulation does not address the underlying
inflammatory process.
,2. A patient with cirrhosis develops
confusion and asterixis. What is the
nurse’s priority action?
A. Increase protein intake
B. Prepare for liver transplant evaluation
C. Assess serum ammonia levels
D. Restrict potassium intake
Correct Answer: C
Rationale: Confusion and asterixis indicate
hepatic encephalopathy caused by elevated
ammonia. Serum ammonia confirms
severity and guides treatment such as
lactulose. Protein increase worsens ammonia
production, while potassium restriction is
unrelated to acute neurologic decline.
3. Which finding indicates worsening
SIADH?
A. Serum sodium 130 mmol/L
, B. Urine specific gravity 1.035
C. Dry mucous membranes
D. Hyperglycemia
Correct Answer: B
Rationale: SIADH causes water retention
and concentrated urine, reflected in high
urine specific gravity. Hyponatremia is
expected, but a rising urine concentration
signals worsening ADH effect. Dry mucosa
suggests diabetes insipidus instead.
4. A patient with diabetes insipidus is at
highest risk for which complication?
A. Fluid overload
B. Hypovolemic shock
C. Hypertension
D. Pulmonary edema
Correct Answer: B
