NURS 6531 Midterm Exam Newest 2025/2026 Complete Exam
NURS 6531 MIDTERM EXAM NEWEST 2025/2026 COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS/ NURS 6531
PRACTICE CARE OF ADULTS/WALDEN UNIVERSITY |ALREADY
GRADED A+
A 38-year-old patient diagnosed with bipolar disease has taken lithium for many
months. His mood has stabilized. He was told to report frequent urination while
taking lithium. What might be the underlying cause of his frequent urination?
Blood sugar elevation
Diabetes insipidus
Urinary tract infection
Elevated lithium level - ANSWER-Diabetes insipidus
The most common side effect of lithium therapy is nephrogenic
diabetes insipidus. Polyuria and polydipsia secondary to nephrogenic
diabetes insipidus occur in about 20% of patients who take lithium.
A patient is coming in to see you at your urgent care with vague symptoms. You
note that she has been at your urgent care multiple times over the last several
weeks complaining of vague symptoms. You note that she seems to respond
poorly to medical treatment that has been given to her. What should be
considered when obtaining a history from her?
Physical abuse or depression
1|Page
, NURS 6531 Midterm Exam Newest 2025/2026 Complete Exam
Anemia or depression
Hepatitis or HIV
Depression or HIV - ANSWER-Physical abuse or depression
Patient's who have been victims of violence or more likely to utilize
health care and to have a poor response to treatment. If the patient is
suspected to have been a victim of violence, they should also be
screened for anxiety, depression, and PTSD.
A college student is brought to the emergency department by a roommate who is
concerned about symptoms of extreme restlessness, nausea, and vomiting. The
provider notes elevations of the pulse and blood pressure and pupillary dilation,
along with hyperactive bowel sounds. The provider suspects withdrawal from
which substance?
Opioids
Cocaine
Alcohol
LSD - ANSWER-Opioids
A patientwith acute anxiety will experience the fastest relief of symptoms when
he is treated with?
A benzodiazepine
2|Page
, NURS 6531 Midterm Exam Newest 2025/2026 Complete Exam
A TCA
An SSRI
A beta blocker - ANSWER-A benzodiazepine
A 86-year-old male reports feeling anhedonia for the last month. What should be
part of the nurse practitioner's initial assessment?
Mania
Suicidal ideation
Libido
Depression - ANSWER-Suicidal ideation
Anhedonia is the loss of pleasure interest in things that have always
brought pleasure or interest. It is a red flag for depression. Screening
for depression is necessary, however, suicidal ideation should be the
priority assessment.
A patient is diagnosed with panic disorder and begins taking a selective serotonin
reuptake inhibitor medication. Six weeks later, the patient reports little relief from
symptoms. What will the provider do next to manage this patient?
Change the medication to buspirone
Discontinue the medication
Refer to a mental health provider
3|Page
, NURS 6531 Midterm Exam Newest 2025/2026 Complete Exam
Increase the medication dose - ANSWER-Refer to a mental health provider
CNS stimulants cause increase alertness, excitation, and sometime
euphoria. Stimulant drugs include the following:
Naloxone, Benzodiazepines and Alcohol
Benzodiazepines, Cocaine and Amphetamines
Cocaine, Amphetamine and Ecstasy
Ectasy, Cocaine and Alcohol - ANSWER-Cocaine, Amphetamine and Ecstasy
You are seeing a new 10 year old patient in your primary care clinic. You believe
the patient has symptoms congruent with bipolar disorder. However, you also
know that the usual age of onset of symptoms with bipolar disorder is:
Childhood
Third decade
Adolescence
Between 15 and 30 years old - ANSWER-Between 15 and 30 years old
The usual age of onset of bipolar disease symptoms as between 15-
30 years old. Onset of symptoms almost never occurs in patients
older than 65 or younger than 15 years old.
4|Page
NURS 6531 MIDTERM EXAM NEWEST 2025/2026 COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS/ NURS 6531
PRACTICE CARE OF ADULTS/WALDEN UNIVERSITY |ALREADY
GRADED A+
A 38-year-old patient diagnosed with bipolar disease has taken lithium for many
months. His mood has stabilized. He was told to report frequent urination while
taking lithium. What might be the underlying cause of his frequent urination?
Blood sugar elevation
Diabetes insipidus
Urinary tract infection
Elevated lithium level - ANSWER-Diabetes insipidus
The most common side effect of lithium therapy is nephrogenic
diabetes insipidus. Polyuria and polydipsia secondary to nephrogenic
diabetes insipidus occur in about 20% of patients who take lithium.
A patient is coming in to see you at your urgent care with vague symptoms. You
note that she has been at your urgent care multiple times over the last several
weeks complaining of vague symptoms. You note that she seems to respond
poorly to medical treatment that has been given to her. What should be
considered when obtaining a history from her?
Physical abuse or depression
1|Page
, NURS 6531 Midterm Exam Newest 2025/2026 Complete Exam
Anemia or depression
Hepatitis or HIV
Depression or HIV - ANSWER-Physical abuse or depression
Patient's who have been victims of violence or more likely to utilize
health care and to have a poor response to treatment. If the patient is
suspected to have been a victim of violence, they should also be
screened for anxiety, depression, and PTSD.
A college student is brought to the emergency department by a roommate who is
concerned about symptoms of extreme restlessness, nausea, and vomiting. The
provider notes elevations of the pulse and blood pressure and pupillary dilation,
along with hyperactive bowel sounds. The provider suspects withdrawal from
which substance?
Opioids
Cocaine
Alcohol
LSD - ANSWER-Opioids
A patientwith acute anxiety will experience the fastest relief of symptoms when
he is treated with?
A benzodiazepine
2|Page
, NURS 6531 Midterm Exam Newest 2025/2026 Complete Exam
A TCA
An SSRI
A beta blocker - ANSWER-A benzodiazepine
A 86-year-old male reports feeling anhedonia for the last month. What should be
part of the nurse practitioner's initial assessment?
Mania
Suicidal ideation
Libido
Depression - ANSWER-Suicidal ideation
Anhedonia is the loss of pleasure interest in things that have always
brought pleasure or interest. It is a red flag for depression. Screening
for depression is necessary, however, suicidal ideation should be the
priority assessment.
A patient is diagnosed with panic disorder and begins taking a selective serotonin
reuptake inhibitor medication. Six weeks later, the patient reports little relief from
symptoms. What will the provider do next to manage this patient?
Change the medication to buspirone
Discontinue the medication
Refer to a mental health provider
3|Page
, NURS 6531 Midterm Exam Newest 2025/2026 Complete Exam
Increase the medication dose - ANSWER-Refer to a mental health provider
CNS stimulants cause increase alertness, excitation, and sometime
euphoria. Stimulant drugs include the following:
Naloxone, Benzodiazepines and Alcohol
Benzodiazepines, Cocaine and Amphetamines
Cocaine, Amphetamine and Ecstasy
Ectasy, Cocaine and Alcohol - ANSWER-Cocaine, Amphetamine and Ecstasy
You are seeing a new 10 year old patient in your primary care clinic. You believe
the patient has symptoms congruent with bipolar disorder. However, you also
know that the usual age of onset of symptoms with bipolar disorder is:
Childhood
Third decade
Adolescence
Between 15 and 30 years old - ANSWER-Between 15 and 30 years old
The usual age of onset of bipolar disease symptoms as between 15-
30 years old. Onset of symptoms almost never occurs in patients
older than 65 or younger than 15 years old.
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