NURS 6550 /NURS6550 FINAL EXAM LATEST 2027 REAL
EXAM 100 QUESTIONS AND CORRECT ANSWERS |ALL
ANSWERS ARE CORRECT |AGRADE(WALDEN
UNIVERITY)
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
Answer:
• D. Post-surgical rhabdomyolysis causing intrarenal 𝑓ailure
During surgery, muscles and injured. This can result into rhabdomyolysis, which is the breakdown o𝑓
muscles to release proteins. The excess proteins causes an increased level o𝑓 creatinine.
Mr. Je𝑓𝑓ers is 𝑓rom surgery (post−surgical) and his creatinine levels are above normal. The normal
creatinine levels range 𝑓rom 0.6mg/dl to 1.2mg/dl. Thus, the most likely di𝑓𝑓erential is: Post-surgical
rhabdomyolysis causing intrarenal 𝑓ailure.
1 points
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
1 points
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,Answer:
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,C. Grave's disease
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, 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 1 points
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
1 points
Answer:
• D. Epley's maneuvers
The patient is likely su𝑓𝑓ering 𝑓rom benign paroxysmoly positioning vertigo. This is indicated by
inability to turn her head and to get up 𝑓rom the lying position in bed. The best intervention 𝑓or
benign paroxysmal positioning vertigo is Epley's maneuvers. These maneuvers e𝑓𝑓ectively clear
the inner ear to relieve symptoms o𝑓 vertigo
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:
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EXAM 100 QUESTIONS AND CORRECT ANSWERS |ALL
ANSWERS ARE CORRECT |AGRADE(WALDEN
UNIVERITY)
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
Answer:
• D. Post-surgical rhabdomyolysis causing intrarenal 𝑓ailure
During surgery, muscles and injured. This can result into rhabdomyolysis, which is the breakdown o𝑓
muscles to release proteins. The excess proteins causes an increased level o𝑓 creatinine.
Mr. Je𝑓𝑓ers is 𝑓rom surgery (post−surgical) and his creatinine levels are above normal. The normal
creatinine levels range 𝑓rom 0.6mg/dl to 1.2mg/dl. Thus, the most likely di𝑓𝑓erential is: Post-surgical
rhabdomyolysis causing intrarenal 𝑓ailure.
1 points
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
1 points
Downloaded by Walter Peter ()
,Answer:
Downloaded by Walter Peter ()
,C. Grave's disease
Downloaded by Walter Peter ()
, 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 1 points
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
1 points
Answer:
• D. Epley's maneuvers
The patient is likely su𝑓𝑓ering 𝑓rom benign paroxysmoly positioning vertigo. This is indicated by
inability to turn her head and to get up 𝑓rom the lying position in bed. The best intervention 𝑓or
benign paroxysmal positioning vertigo is Epley's maneuvers. These maneuvers e𝑓𝑓ectively clear
the inner ear to relieve symptoms o𝑓 vertigo
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:
Downloaded by Walter Peter ()
