QUESTION 4QUESTION 4 1
NURS 6550 FINAL EXAM – WALDEN UNIVERSITY SUMMER
2018
QUESTION 1
1. Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley catheter
was inserted intraoperatively and remains in place. His urine output has declined markedly
despite continued IV fluid infusion. Today his morning labs reveal a BUN of 19 mg/dL and a
creatinine of 2 mg/dL. A leading differential includes:
A Foley lodged in the urethra causing post-
. renal failure
B Decreased renal perfusion causing prerenal
. failure
C Age-related decreased eGFR causing
. prerenal failure
D Post-surgical rhabdomyolysis causing
. intrarenal failure
1
points
QUESTION 2
1. Janet is admitted with symptomatic tachycardia. Her pulse is 160
b.p.m. and she is weak, diaphoretic, and anxious. Physical examination
reveals a 5’4” 107 lb black female who is awake, alert, and oriented,
anxious, with moist skin and racing pulse. Her blood pressure is 140/100 mm
Hg. Temperature and respiratory rate are within normal limits. The patient
admits to having a “thyroid condition” but she never followed up on it when
she was advised
to see an endocrinologist. The AGACNP anticipates a diagnosis of:
A Hashimoto’s
. thyroiditis
B Cushing’s
. syndrome
C Grave’s disease
, QUESTION 4QUESTION 4 2
.
D Addison’s disease
.
1
points
QUESTION 3
1. Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune
disorder that can prevent with a wide variety of manifestations. Which
clinical triad should prompt an
evaluation for SLE?
, QUESTION 4QUESTION 4 3
B Hyperkalemia, hyponatremia, low blood
. pressure
C Leukocytosis, hyperglycemia, hypokalemia
.
D Joint pain, rash, fever
.
1 points
QUESTION 4
1. A patient presents with profound vertigo of acute onset yesterday. She
can barely turn her head without becoming very vertiginous; she is nauseous
and just doesn’t want to move. This morning when she tried to get out of
bed she felt like she was pushed back down. The vertigo is reproducible with
cervical rotation. The patient denies any hearing loss or tinnitus, she has no
fever or other symptoms. The AGACNP knows that the most helpful
intervention will probably be:
A Meclizine
.
B Diazepam
.
C Bed rest
.
D Epley’s
. maneuvers
1 points
QUESTION 5
1. Mrs. Mireya is an 85-year-old female who is admitted for evaluation of
acute mental status change from the long term care facility. She is normally
ambulatory and participates in lots of facility activities. Today a nursing
assistant found her in her room, appearing confused and disconnected from
her environment. When she tried to get up she fell down. Her vital signs are
stable excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that
the most likely cause of her symptoms is:
A Osteoarthritis
, QUESTION 4QUESTION 4 4
.
B Drug or alcohol
. toxicity
C Hypotension
.
D Urosepsis
.
1 points
QUESTION 6
1. A patient with SIADH would be expected to demonstrate which pattern of laboratory
abnormalities?
NURS 6550 FINAL EXAM – WALDEN UNIVERSITY SUMMER
2018
QUESTION 1
1. Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley catheter
was inserted intraoperatively and remains in place. His urine output has declined markedly
despite continued IV fluid infusion. Today his morning labs reveal a BUN of 19 mg/dL and a
creatinine of 2 mg/dL. A leading differential includes:
A Foley lodged in the urethra causing post-
. renal failure
B Decreased renal perfusion causing prerenal
. failure
C Age-related decreased eGFR causing
. prerenal failure
D Post-surgical rhabdomyolysis causing
. intrarenal failure
1
points
QUESTION 2
1. Janet is admitted with symptomatic tachycardia. Her pulse is 160
b.p.m. and she is weak, diaphoretic, and anxious. Physical examination
reveals a 5’4” 107 lb black female who is awake, alert, and oriented,
anxious, with moist skin and racing pulse. Her blood pressure is 140/100 mm
Hg. Temperature and respiratory rate are within normal limits. The patient
admits to having a “thyroid condition” but she never followed up on it when
she was advised
to see an endocrinologist. The AGACNP anticipates a diagnosis of:
A Hashimoto’s
. thyroiditis
B Cushing’s
. syndrome
C Grave’s disease
, QUESTION 4QUESTION 4 2
.
D Addison’s disease
.
1
points
QUESTION 3
1. Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune
disorder that can prevent with a wide variety of manifestations. Which
clinical triad should prompt an
evaluation for SLE?
, QUESTION 4QUESTION 4 3
B Hyperkalemia, hyponatremia, low blood
. pressure
C Leukocytosis, hyperglycemia, hypokalemia
.
D Joint pain, rash, fever
.
1 points
QUESTION 4
1. A patient presents with profound vertigo of acute onset yesterday. She
can barely turn her head without becoming very vertiginous; she is nauseous
and just doesn’t want to move. This morning when she tried to get out of
bed she felt like she was pushed back down. The vertigo is reproducible with
cervical rotation. The patient denies any hearing loss or tinnitus, she has no
fever or other symptoms. The AGACNP knows that the most helpful
intervention will probably be:
A Meclizine
.
B Diazepam
.
C Bed rest
.
D Epley’s
. maneuvers
1 points
QUESTION 5
1. Mrs. Mireya is an 85-year-old female who is admitted for evaluation of
acute mental status change from the long term care facility. She is normally
ambulatory and participates in lots of facility activities. Today a nursing
assistant found her in her room, appearing confused and disconnected from
her environment. When she tried to get up she fell down. Her vital signs are
stable excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that
the most likely cause of her symptoms is:
A Osteoarthritis
, QUESTION 4QUESTION 4 4
.
B Drug or alcohol
. toxicity
C Hypotension
.
D Urosepsis
.
1 points
QUESTION 6
1. A patient with SIADH would be expected to demonstrate which pattern of laboratory
abnormalities?
