NURS 6550 Final Exam 2020 , Walden University LATEST 2023
NURS 6550 Final Exam (Latest): Walden University
(FOR CORRECT ANSWER CHECK THE LAST PAGE)
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
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, NURS 6550 Final Exam 2020 , Walden University LATEST 2023
. 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
This study source was downloaded by 100000815611969 from CourseHero.com on 02-10-2023 09:22:32 GMT -06:00
https://www.coursehero.com/file/64602216/NURS-6550-Final-Exam-2020-Walden-Universitydocx/
NURS 6550 Final Exam (Latest): Walden University
(FOR CORRECT ANSWER CHECK THE LAST PAGE)
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
This study source was downloaded by 100000815611969 from CourseHero.com on 02-10-2023 09:22:32 GMT -06:00
https://www.coursehero.com/file/64602216/NURS-6550-Final-Exam-2020-Walden-Universitydocx/
, NURS 6550 Final Exam 2020 , Walden University LATEST 2023
. 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
This study source was downloaded by 100000815611969 from CourseHero.com on 02-10-2023 09:22:32 GMT -06:00
https://www.coursehero.com/file/64602216/NURS-6550-Final-Exam-2020-Walden-Universitydocx/
