NURS 570 FINAL EXAM REVIEW
WITH CORRECT ANSWERS
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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSC. HONC
HNNK has none or trace ketones.
When bridging from parenteral anticoagulation to warfarin, what is the
recommendation?
A. Start warfarin, turn off heparin drip in 12 hours
B. Start warfarin, skip next dose of Lovenox
C. Start warfarin, continue parenteral AC for 5 days then d/c once two INRs
are greater than 3.0
D. Start warfarin, continue parenteral AC for 5 days and d/c once two
consecutive INRs are greater than 2.0 - CORRECT-ANSWERSD. Start warfarin,
continue parenteral AC for 5 days and d/c once two consecutive INRs are
greater than 2.0
Delirium can best be described as:
A. A gradual process where the patient becomes disoriented
B. A rapid deterioration of mental status in which thoughts are disorganized
C. A rapid deterioration of mental status in which there are focal deficits
, D. A gradual deterioration of mental status in which thoughts are
disorganized. - CORRECT-ANSWERSB. A rapid deterioration of mental status
in which thoughts are disorganized
*rapid and disorganized
No,no! in acute prostatitis - CORRECT-ANSWERSIndwelling foley catheter
insertion may cause translocation of bacteria into bloodstream
Systemic S&S for UTI - CORRECT-ANSWERS**usu UPPER UTIs have systemic
sx
Flank Pain
Fever
Hematuria
N&V
*Mental Status Δ in elderly
Shaking chills
Tachypnea
Tachycardia
Sx > 3d consider abscess
Systemic S&S for pyelonephritis - CORRECT-ANSWERSLow grade fever
Lower back pain
**Costovertebral pain (Primary finding on physical) examination
Fever
Shaking chills
Nausea/Vomiting
Loin pain
Tachycardia
Urine Analysis and UTI - CORRECT-ANSWERSPositive:
-Leukocyte esterase (WBC sitting there actively fighting)
-WBC
-Nitrates
**if pt has high amount of epithelial cells it is a contaminated sample.
Calcium Stones - CORRECT-ANSWERS-80% of stones
-Radiopaque
-Commonly familial
-More common in men
-Average age onset is 30 yo
Uric Acid Stones - CORRECT-ANSWERSMore common in men
Half of those who develop stones, have gout
WITH CORRECT ANSWERS
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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSC. HONC
HNNK has none or trace ketones.
When bridging from parenteral anticoagulation to warfarin, what is the
recommendation?
A. Start warfarin, turn off heparin drip in 12 hours
B. Start warfarin, skip next dose of Lovenox
C. Start warfarin, continue parenteral AC for 5 days then d/c once two INRs
are greater than 3.0
D. Start warfarin, continue parenteral AC for 5 days and d/c once two
consecutive INRs are greater than 2.0 - CORRECT-ANSWERSD. Start warfarin,
continue parenteral AC for 5 days and d/c once two consecutive INRs are
greater than 2.0
Delirium can best be described as:
A. A gradual process where the patient becomes disoriented
B. A rapid deterioration of mental status in which thoughts are disorganized
C. A rapid deterioration of mental status in which there are focal deficits
, D. A gradual deterioration of mental status in which thoughts are
disorganized. - CORRECT-ANSWERSB. A rapid deterioration of mental status
in which thoughts are disorganized
*rapid and disorganized
No,no! in acute prostatitis - CORRECT-ANSWERSIndwelling foley catheter
insertion may cause translocation of bacteria into bloodstream
Systemic S&S for UTI - CORRECT-ANSWERS**usu UPPER UTIs have systemic
sx
Flank Pain
Fever
Hematuria
N&V
*Mental Status Δ in elderly
Shaking chills
Tachypnea
Tachycardia
Sx > 3d consider abscess
Systemic S&S for pyelonephritis - CORRECT-ANSWERSLow grade fever
Lower back pain
**Costovertebral pain (Primary finding on physical) examination
Fever
Shaking chills
Nausea/Vomiting
Loin pain
Tachycardia
Urine Analysis and UTI - CORRECT-ANSWERSPositive:
-Leukocyte esterase (WBC sitting there actively fighting)
-WBC
-Nitrates
**if pt has high amount of epithelial cells it is a contaminated sample.
Calcium Stones - CORRECT-ANSWERS-80% of stones
-Radiopaque
-Commonly familial
-More common in men
-Average age onset is 30 yo
Uric Acid Stones - CORRECT-ANSWERSMore common in men
Half of those who develop stones, have gout
