Walden University NURS 6550 Exam Guide
A 21-year-old woman requests hormonal emergency contraception after a condom break during intercourse
approximately 16 hours ago. Today is day 14 of her normally 27–29 day menstrual cycle. You advise her that:
Likelihood of conception is minimal and emergency contraception use is not advised
Hormonal emergency contraception can be effective up to 5 days after intercourse
When taken as advised, hormonal emergency contraception use reduces the risk of pregnancy by up to 65%
The most likely mechanism of action of hormonal emergency contraceptive is as an abortifacient
A 36-year-old man is hospitalized for alcohol poisoning. During follow-up evaluation the next day, he denies
that he has a drinking problem. The best approach to assess for possible alcoholism is conducting which of the
following questionnaires?
BDI.
HEADDS.
CAGE.
PHQ-9.
A quality improvement plan characterized by limiting variability and removing defects in a process best
describes:
Six Sigma.
Continuous Quality Improvement.
Total Quality Management.
Healthcare Stewardship.
A 38-year-old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest
tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her
friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine
,oxidase inhibitor for depression. Which migraine medication did she most likely take?
Acetaminophen and caffeine (Excedrin ® Migraine)
,Naproxen sodium (Aleve ® )
Almotriptan (Axert ® )
Butalbital, acetaminophen and caffeine (Fioricet ® )
All of the following are elements of malpractice except:
A duty of care to the patient.
A fee is charged for the healthcare services related to the malpractice claim.
Breach of the standard of care.
Injury.
You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has
well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting
enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA). She worked in a dry cleaning facility
until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty
understanding conversation, especially in noisy environments. This is likely a:
Drug-related reaction
Consequence of occupational chemical exposure.
Early sign of dementia.
Normal age-related change in hearing
While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in
urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?
Nitrites
30 mg/dL protein
Epithelial cells
pH>8
All of the following are examples of primary prevention strategies except:
, Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls through adequate
illumination.
Performing a hemoglobin A1C for all patients admitted to the hospital.
Conducting a study to identify the leading cause of mortality in teenagers and how to reduce risk.
Immunizing all adults ≥60 years with zoster vaccine.
A 23-year-old woman is being evaluated for an upper respiratory tract infection. As you prepare for
auscultation, the patient states “I have a benign murmur that has been with me my whole life”. Anticipating a
physiologic murmur, you would expect which of the following characteristics?
Usually obliterates S2.
Becomes softer when going from a supine to standing position.
Occurs late in systole.
Has localized area of auscultation
When evaluating the value of a test, the proportion of negative results that are truly negative best describes:
Positive predictive value.
Negative predictive value.
Sensitivity.
Specificity.
A 16-year-old male presents for evaluation after a syncopal episode at school. He reports that he has recently
been experiencing bouts of lightheadedness. His blood pressure is 126/76 mm Hg and his BMI=33 kg/m 2 .
You notice velvet-like plaques at the nape of the neck. Laboratory assessment should include which of the
following tests?
Hemoglobin A1c
Serum electrolytes
ALT/AST
Hemogram
A 16-year-old male presents for evaluation after a syncopal episode at school. He reports that he has recently
been experiencing bouts of lightheadedness. His blood pressure is 126/76 mm Hg and his BMI=33 kg/m 2 .
A 21-year-old woman requests hormonal emergency contraception after a condom break during intercourse
approximately 16 hours ago. Today is day 14 of her normally 27–29 day menstrual cycle. You advise her that:
Likelihood of conception is minimal and emergency contraception use is not advised
Hormonal emergency contraception can be effective up to 5 days after intercourse
When taken as advised, hormonal emergency contraception use reduces the risk of pregnancy by up to 65%
The most likely mechanism of action of hormonal emergency contraceptive is as an abortifacient
A 36-year-old man is hospitalized for alcohol poisoning. During follow-up evaluation the next day, he denies
that he has a drinking problem. The best approach to assess for possible alcoholism is conducting which of the
following questionnaires?
BDI.
HEADDS.
CAGE.
PHQ-9.
A quality improvement plan characterized by limiting variability and removing defects in a process best
describes:
Six Sigma.
Continuous Quality Improvement.
Total Quality Management.
Healthcare Stewardship.
A 38-year-old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest
tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her
friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine
,oxidase inhibitor for depression. Which migraine medication did she most likely take?
Acetaminophen and caffeine (Excedrin ® Migraine)
,Naproxen sodium (Aleve ® )
Almotriptan (Axert ® )
Butalbital, acetaminophen and caffeine (Fioricet ® )
All of the following are elements of malpractice except:
A duty of care to the patient.
A fee is charged for the healthcare services related to the malpractice claim.
Breach of the standard of care.
Injury.
You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has
well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting
enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA). She worked in a dry cleaning facility
until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty
understanding conversation, especially in noisy environments. This is likely a:
Drug-related reaction
Consequence of occupational chemical exposure.
Early sign of dementia.
Normal age-related change in hearing
While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in
urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?
Nitrites
30 mg/dL protein
Epithelial cells
pH>8
All of the following are examples of primary prevention strategies except:
, Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls through adequate
illumination.
Performing a hemoglobin A1C for all patients admitted to the hospital.
Conducting a study to identify the leading cause of mortality in teenagers and how to reduce risk.
Immunizing all adults ≥60 years with zoster vaccine.
A 23-year-old woman is being evaluated for an upper respiratory tract infection. As you prepare for
auscultation, the patient states “I have a benign murmur that has been with me my whole life”. Anticipating a
physiologic murmur, you would expect which of the following characteristics?
Usually obliterates S2.
Becomes softer when going from a supine to standing position.
Occurs late in systole.
Has localized area of auscultation
When evaluating the value of a test, the proportion of negative results that are truly negative best describes:
Positive predictive value.
Negative predictive value.
Sensitivity.
Specificity.
A 16-year-old male presents for evaluation after a syncopal episode at school. He reports that he has recently
been experiencing bouts of lightheadedness. His blood pressure is 126/76 mm Hg and his BMI=33 kg/m 2 .
You notice velvet-like plaques at the nape of the neck. Laboratory assessment should include which of the
following tests?
Hemoglobin A1c
Serum electrolytes
ALT/AST
Hemogram
A 16-year-old male presents for evaluation after a syncopal episode at school. He reports that he has recently
been experiencing bouts of lightheadedness. His blood pressure is 126/76 mm Hg and his BMI=33 kg/m 2 .
