Final exam review NURS 570
The ACNP is admitting a 70 year old male with new onset atrial fibrillation to the telemetry
floor. What is the most common thyroid abnormality that should be screened for in this
type of patient?
A. Hyperthyroidism
B. Hypopituitarism
C. Sick Euthyroid Syndrome
D. Hashimoto's Thyroiditis - A. Hyperthyroidism
A 50 year old Type II DM is admitted to the ED after being found unconscious at home. Vital
signs: RR 38 BP 90/50 HR 125 SPO2 96% on room air. Initial labs: Blood sugar 625 g/dL, K
4.0 mEq/dL, serum omsolality 370 mOsm/L, negative serum ketones, Urine glucose is +4,
Urine ketones trace. What is the most likely diagnosis?
A. Hyperglycemia
B. DKA
C. HONC
D. Sepsis - C. HONC
HNNK has none or trace ketones.
What are the major distinguishing features between lower urinary tract and upper urinary
tract infections?
A. Upper urinary tract infections are associated with systemic symptoms
B. Lower urinary tract infections are associated with fever an systemic symptoms
C. Upper urinary tract infections always have positive blood cultures
D. Lower urinary tract infections are associated with a higher treatment failure - A. Upper
urinary tract infections are associated with systemic symptoms
*Fever N/V
The ACNP is called to see a 65 y/o pt on the medical ward who is complaining of a severe
sudden onset headache and is becoming confused. The pt was admitted with new onset
atrial fibrillation that is being treated with beta blockers and a Heparin drip with
therapeutic aPTT x 48 hours. The neurological exam reveals unequal pupils and a decrease
in level of consciousness.
What is the ACNP's primary concern?
A. Cerebral embolus from the atrial fibrillation
, B. Cerebral hemorrhage from the anticoagulation
C. Development of a new primary headache
D. Hypertensive crisis with end organ damage - B. Cerebral hemorrhage from the
anticoagulation
When performing a focused neurological exam on a patient with a change in mental status
the ACNP notes an abnormality in the extra-ocular eye movements (EOM). Which cranial
nerves are assessed with EOM?
A. II, III, IV
B. III, IV, VI
C. III, V, VI
D. II, IV, VI - B. III, IV, VI
Which of the following physical exam findings are consistent with CAP?
A. Bibasilar crackles, elevated JVD and a new S3
B. Dullness to percussion, decreased air entry and decreased fremitus
C. Isolated lobar crackles, increased fremitus and positive egophony
D. Labored breathing, clear lungs, elevated JVD and a new right sided systolic murmur - C.
Isolated lobar crackles, increased fremitus and positive egophony
What is the primary hemodynamic consequence of restrictive cardiomyopathy?
A. Diastolic dysfunction
B. Systolic dysfunction
C. Subaortic anterior motion abnormality
D. Lethal arrhythmias - A. Diastolic dysfunction
can't expand the ventricle, won't fill up
A 25 year old presents with syncope and shortness of breath. On exam there is a sustained
PMI, S4 and a systolic murmur that does not radiate to the neck. This is most consistent
with which of the following?
A. Dilated cardiomyopathy
B. Restrictive cardiomyopathy
C. Severe aortic stenosis
D. Hypertrophic cardiomyopathy - D. Hypertrophic cardiomyopathy
young athletes that end up collapsing
The ACNP is admitting a 70 year old male with new onset atrial fibrillation to the telemetry
floor. What is the most common thyroid abnormality that should be screened for in this
type of patient?
A. Hyperthyroidism
B. Hypopituitarism
C. Sick Euthyroid Syndrome
D. Hashimoto's Thyroiditis - A. Hyperthyroidism
A 50 year old Type II DM is admitted to the ED after being found unconscious at home. Vital
signs: RR 38 BP 90/50 HR 125 SPO2 96% on room air. Initial labs: Blood sugar 625 g/dL, K
4.0 mEq/dL, serum omsolality 370 mOsm/L, negative serum ketones, Urine glucose is +4,
Urine ketones trace. What is the most likely diagnosis?
A. Hyperglycemia
B. DKA
C. HONC
D. Sepsis - C. HONC
HNNK has none or trace ketones.
What are the major distinguishing features between lower urinary tract and upper urinary
tract infections?
A. Upper urinary tract infections are associated with systemic symptoms
B. Lower urinary tract infections are associated with fever an systemic symptoms
C. Upper urinary tract infections always have positive blood cultures
D. Lower urinary tract infections are associated with a higher treatment failure - A. Upper
urinary tract infections are associated with systemic symptoms
*Fever N/V
The ACNP is called to see a 65 y/o pt on the medical ward who is complaining of a severe
sudden onset headache and is becoming confused. The pt was admitted with new onset
atrial fibrillation that is being treated with beta blockers and a Heparin drip with
therapeutic aPTT x 48 hours. The neurological exam reveals unequal pupils and a decrease
in level of consciousness.
What is the ACNP's primary concern?
A. Cerebral embolus from the atrial fibrillation
, B. Cerebral hemorrhage from the anticoagulation
C. Development of a new primary headache
D. Hypertensive crisis with end organ damage - B. Cerebral hemorrhage from the
anticoagulation
When performing a focused neurological exam on a patient with a change in mental status
the ACNP notes an abnormality in the extra-ocular eye movements (EOM). Which cranial
nerves are assessed with EOM?
A. II, III, IV
B. III, IV, VI
C. III, V, VI
D. II, IV, VI - B. III, IV, VI
Which of the following physical exam findings are consistent with CAP?
A. Bibasilar crackles, elevated JVD and a new S3
B. Dullness to percussion, decreased air entry and decreased fremitus
C. Isolated lobar crackles, increased fremitus and positive egophony
D. Labored breathing, clear lungs, elevated JVD and a new right sided systolic murmur - C.
Isolated lobar crackles, increased fremitus and positive egophony
What is the primary hemodynamic consequence of restrictive cardiomyopathy?
A. Diastolic dysfunction
B. Systolic dysfunction
C. Subaortic anterior motion abnormality
D. Lethal arrhythmias - A. Diastolic dysfunction
can't expand the ventricle, won't fill up
A 25 year old presents with syncope and shortness of breath. On exam there is a sustained
PMI, S4 and a systolic murmur that does not radiate to the neck. This is most consistent
with which of the following?
A. Dilated cardiomyopathy
B. Restrictive cardiomyopathy
C. Severe aortic stenosis
D. Hypertrophic cardiomyopathy - D. Hypertrophic cardiomyopathy
young athletes that end up collapsing
