NURS 6550 Midterm Review questions and
answers 2024\2025 A+ Grade
The least worrisome type of fluid seen as a result of pleural fluid analysis
- correct answer Transudate pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm?
- correct answer CT Scan with contrast
Name risk factors for long-term care placement for the elderly population.
- correct 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?
- correct 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?
- correct answer Streptococcus pneumoniae
,What is the greatest risk factor for vascular dementia?
- correct answer Vascular diseases that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency
- correct 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?
- correct answer Lipid Panel
Name some atypical antipsychotics
- correct 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?
- correct answer MRI
possible metal in eye
, What is the least invasive approach to rule out a pulmonary embolus?
- correct answer D-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor for (to avoid
a fatal complication) ?
- correct 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?
- correct 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?
- correct answer advanced directive
What is contraindicative of rTPA therapy?
- correct answer ST segment depression
Transtheoretical Model of Change
- correct answer 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder
- correct answer psychotic: distinct alteration in perception of reality
Neurotic: remain aware and interactive with reality
answers 2024\2025 A+ Grade
The least worrisome type of fluid seen as a result of pleural fluid analysis
- correct answer Transudate pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm?
- correct answer CT Scan with contrast
Name risk factors for long-term care placement for the elderly population.
- correct 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?
- correct 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?
- correct answer Streptococcus pneumoniae
,What is the greatest risk factor for vascular dementia?
- correct answer Vascular diseases that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency
- correct 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?
- correct answer Lipid Panel
Name some atypical antipsychotics
- correct 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?
- correct answer MRI
possible metal in eye
, What is the least invasive approach to rule out a pulmonary embolus?
- correct answer D-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor for (to avoid
a fatal complication) ?
- correct 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?
- correct 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?
- correct answer advanced directive
What is contraindicative of rTPA therapy?
- correct answer ST segment depression
Transtheoretical Model of Change
- correct answer 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder
- correct answer psychotic: distinct alteration in perception of reality
Neurotic: remain aware and interactive with reality
