NURS 6550 Final Exam (Latest): Walden University
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
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
.
D Addison’s disease
.
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?
A Fever, normal white count, elevated
. sedimentation rate
B Hyperkalemia, hyponatremia, low blood
. pressure
, C Leukocytosis, hyperglycemia, hypokalemia
.
D Joint pain, rash, fever
.
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
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
.
B Drug or alcohol
. toxicity
C Hypotension
.
D Urosepsis
.
NURS 6550N Final Exam (Latest): Walden University
QUESTION 1
2. 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
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
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
.
D Addison’s disease
.
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?
A Fever, normal white count, elevated
. sedimentation rate
B Hyperkalemia, hyponatremia, low blood
. pressure
, C Leukocytosis, hyperglycemia, hypokalemia
.
D Joint pain, rash, fever
.
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
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
.
B Drug or alcohol
. toxicity
C Hypotension
.
D Urosepsis
.
NURS 6550N Final Exam (Latest): Walden University
QUESTION 1
2. 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
