NURS / NRNP 6550 Midterm Exam
Review Questions and Answers Walden
University | ASSURED SUCCESS
/The least worrisome type of fluid seen as a result of pleural fluid analysis - Answer-
Transudate pleural fluid
/.What test should be ordered to confirm a suspected ascending aortic aneurysm? -
Answer-CT Scan with contrast
/.Name risk factors for long-term care placement for the elderly population. - Answer-
Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
/.A patient with anterior epistaxis has been treated with direct pressure for 20 minutes.
What are expected findings when the patient is instructed to gently blow their nose? -
Answer-Successful treatment will be indicated by dark residual blood or clots being
discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood requiring
more invasive measures.
/.What is the most common organism in treating otitis media, bacterial sinusitis,
bacterial pharyngitis, AND community-acquired pneumonia? - Answer-Streptococcus
pneumoniae
/.What is the greatest risk factor for vascular dementia? - Answer-Vascular diseases
that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
/.Hypertensive urgency vs emergency - Answer-- Hypertensive urgency: BP >200/120
w/o sx; Tx with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage;
Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
, /.What annual lab testing should be done for patients taking atypical antipsychotics? -
Answer-Lipid Panel
/.Name some atypical antipsychotics - Answer-OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
/.If you are treating a car mechanic for a possible eye injury what test would you avoid?
- Answer-MRI
possible metal in eye
/.What is the least invasive approach to rule out a pulmonary embolus? - Answer-D-
dimer
/.When treating a patient with an unfractionated heparin infusion, what would you
monitor for (to avoid a fatal complication) ? - Answer-Heparin-induced
Thrombocytopenia (HIT). aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
/.What symptom differentiates vertigo from near-syncope and ataxia? - Answer-When
the primary symptom identified is a sense of spinning this means vertigo and is usually
an inner ear problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
/.When a patient is concerned about a family member not supporting wishes in end-of-
life care, what legal document should be used? - Answer-advanced directive
/.What is contraindicative of rTPA therapy? - Answer-ST segment depression
/.Transtheoretical Model of Change - Answer-1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
/.psychotic disorder vs neurotic disorder - Answer-psychotic: distinct alteration in
perception of reality
Neurotic: remain aware and interactive with reality
Review Questions and Answers Walden
University | ASSURED SUCCESS
/The least worrisome type of fluid seen as a result of pleural fluid analysis - Answer-
Transudate pleural fluid
/.What test should be ordered to confirm a suspected ascending aortic aneurysm? -
Answer-CT Scan with contrast
/.Name risk factors for long-term care placement for the elderly population. - Answer-
Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
/.A patient with anterior epistaxis has been treated with direct pressure for 20 minutes.
What are expected findings when the patient is instructed to gently blow their nose? -
Answer-Successful treatment will be indicated by dark residual blood or clots being
discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood requiring
more invasive measures.
/.What is the most common organism in treating otitis media, bacterial sinusitis,
bacterial pharyngitis, AND community-acquired pneumonia? - Answer-Streptococcus
pneumoniae
/.What is the greatest risk factor for vascular dementia? - Answer-Vascular diseases
that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
/.Hypertensive urgency vs emergency - Answer-- Hypertensive urgency: BP >200/120
w/o sx; Tx with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage;
Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
, /.What annual lab testing should be done for patients taking atypical antipsychotics? -
Answer-Lipid Panel
/.Name some atypical antipsychotics - Answer-OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
/.If you are treating a car mechanic for a possible eye injury what test would you avoid?
- Answer-MRI
possible metal in eye
/.What is the least invasive approach to rule out a pulmonary embolus? - Answer-D-
dimer
/.When treating a patient with an unfractionated heparin infusion, what would you
monitor for (to avoid a fatal complication) ? - Answer-Heparin-induced
Thrombocytopenia (HIT). aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
/.What symptom differentiates vertigo from near-syncope and ataxia? - Answer-When
the primary symptom identified is a sense of spinning this means vertigo and is usually
an inner ear problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
/.When a patient is concerned about a family member not supporting wishes in end-of-
life care, what legal document should be used? - Answer-advanced directive
/.What is contraindicative of rTPA therapy? - Answer-ST segment depression
/.Transtheoretical Model of Change - Answer-1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
/.psychotic disorder vs neurotic disorder - Answer-psychotic: distinct alteration in
perception of reality
Neurotic: remain aware and interactive with reality
