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NURS 6501 FINAL EXAM||ACTUAL
QUESTIONS WITH ANSWERS 2026
what's the role of the PCP if sexual assault happened > 5 days? - correct-answer --
Medical care can be managed in the outpatient setting
- Get a detailed hx and perform a full PE and gyn exam
- 40% of rape victims sustain a collateral injury; 5% sustain a severe injury
- Injuries most common in >30yrs old
- Gyn injuries: vaginal or anal tearing, rectal bleeding, bruising, soreness
- Use face of a clock for documenting locations
- Other SS: GI irritability, dysmenorrhea, pelvic pain, UTIs
- Get a gonorrhea, chlamydia, HepB/C, HIV, and pregnancy tests
Does your responsibility change for sexual assault if the patient is under the age
of 18? - correct-answer -Children and adolescents would need collaboration with
,2|Page
agencies that are specific to this age group to prevent lifelong complications of
the abuse
what are the variables worth 1 point each in the CAD clinical decision rule -
correct-answer -Men > 55 yrs, women > 65 yrs
Known CAD aor CVA
Pain not reproducible by palpation
Pain worse during exercise
Patient assumes pain is cardiogenic
what would you do for low risk of CAD using the clinical decision rule (0-1 score) -
correct-answer -Evaluate for noncardiac causes unless pt has other reasons for
concern (murmur, dyspnea, arrhythmia)
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what would you do for moderate risk of CAD using the clinical decision rule (2-3
score) - correct-answer -- Findings consistent with ischemic heart disease (new ST
▲, new LBBB, Q wave, or T wave hyperacuity
- ^^ yes or no would determine if they go to the ER vs checking troponins vs
determining a nonischemic cause
what would you do for high risk of CAD using the clinical decision rule (4-5 score) -
correct-answer -Order EKG; give O2 and ASA; arrange EMS to ER
anaphylaxis ss - correct-answer -Occurs within 5-30 minutes of exposure to:
Generalized itching with or without hives
Swollen lips, throat, body part
Difficulty breathing, cough
Chest tightness
Abdominal cramping
NVD
Feeling of impending doom
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procedure for anaphylaxis 8 - correct-answer -1. Call 911
2. Epi 1:1000 (0.01mL/kg IM)
- Adult > 45 lb: Epi 0.3mL (Epipen or Twinject)
- Repeat Epi x5 minutes if necessary
3. Have pt lie down with feet elevated above the heart
4. Monitor BP x10-15min
5. Follow Epi with antihistamine (PO or IV benadryl)
- Adults >12 years: 25-50mg PO OR 10-50mg deep IM
6. Observe pt for a minimum of 60min after the pt is stable
- Some pts may need 4h of observation due to late-phase anaphylaxis ⇒ call EMS
7. Additional treatments may include:
- Oxygen
- Albuterol by nebulizer
- IVF
- Prednisone
8. Short course of PO steroids is recommended after treatment of moderate to
severe reactions
NURS 6501 FINAL EXAM||ACTUAL
QUESTIONS WITH ANSWERS 2026
what's the role of the PCP if sexual assault happened > 5 days? - correct-answer --
Medical care can be managed in the outpatient setting
- Get a detailed hx and perform a full PE and gyn exam
- 40% of rape victims sustain a collateral injury; 5% sustain a severe injury
- Injuries most common in >30yrs old
- Gyn injuries: vaginal or anal tearing, rectal bleeding, bruising, soreness
- Use face of a clock for documenting locations
- Other SS: GI irritability, dysmenorrhea, pelvic pain, UTIs
- Get a gonorrhea, chlamydia, HepB/C, HIV, and pregnancy tests
Does your responsibility change for sexual assault if the patient is under the age
of 18? - correct-answer -Children and adolescents would need collaboration with
,2|Page
agencies that are specific to this age group to prevent lifelong complications of
the abuse
what are the variables worth 1 point each in the CAD clinical decision rule -
correct-answer -Men > 55 yrs, women > 65 yrs
Known CAD aor CVA
Pain not reproducible by palpation
Pain worse during exercise
Patient assumes pain is cardiogenic
what would you do for low risk of CAD using the clinical decision rule (0-1 score) -
correct-answer -Evaluate for noncardiac causes unless pt has other reasons for
concern (murmur, dyspnea, arrhythmia)
,3|Page
what would you do for moderate risk of CAD using the clinical decision rule (2-3
score) - correct-answer -- Findings consistent with ischemic heart disease (new ST
▲, new LBBB, Q wave, or T wave hyperacuity
- ^^ yes or no would determine if they go to the ER vs checking troponins vs
determining a nonischemic cause
what would you do for high risk of CAD using the clinical decision rule (4-5 score) -
correct-answer -Order EKG; give O2 and ASA; arrange EMS to ER
anaphylaxis ss - correct-answer -Occurs within 5-30 minutes of exposure to:
Generalized itching with or without hives
Swollen lips, throat, body part
Difficulty breathing, cough
Chest tightness
Abdominal cramping
NVD
Feeling of impending doom
, 4|Page
procedure for anaphylaxis 8 - correct-answer -1. Call 911
2. Epi 1:1000 (0.01mL/kg IM)
- Adult > 45 lb: Epi 0.3mL (Epipen or Twinject)
- Repeat Epi x5 minutes if necessary
3. Have pt lie down with feet elevated above the heart
4. Monitor BP x10-15min
5. Follow Epi with antihistamine (PO or IV benadryl)
- Adults >12 years: 25-50mg PO OR 10-50mg deep IM
6. Observe pt for a minimum of 60min after the pt is stable
- Some pts may need 4h of observation due to late-phase anaphylaxis ⇒ call EMS
7. Additional treatments may include:
- Oxygen
- Albuterol by nebulizer
- IVF
- Prednisone
8. Short course of PO steroids is recommended after treatment of moderate to
severe reactions
