Nurs 6550 Final Exam Walden University Summer 2022
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Course
NURS 6550
Institution
Walden University
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 ...
nurs 6550 final exam walden university summer 2022
walden university summer 2022
mr jeffers was admitted 2 days ago for a carotid endarterectomy a foley catheter was i
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Nurs 6550 Final Exam Walden University Summer
N U RS 6 550 FIN AL E X AM – WALD E N U N IVE R S ITY
2022 S UM ME R 2 018
QUE S TION 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
1 points
QUE S TION 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
QUE S TION 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
QUE S TION 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
QUE S TION 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:
A Osteoarthritis
.
B Drug or alcohol
. toxicity
C Hypotension
.
D Urosepsis
.
1 points
QUE S TION 6
1. A patient with SIADH would be expected to demonstrate which pattern of laboratory
abnormalities?
, A Serum Na+ 119 mEq/L, serum osmolality 240 mEq/L, urine Na+ of 28 mEq/L, urine
. osmolality of 900 mOsm/kg
B Serum Na+ 152 mEq/L, serum osmolality 315 mEq/L, urine Na+ of 5 mEq/L, urine
. osmolality of 300 mOsm/kg
C Serum Na+ 121 mEq/L, serum osmolality 290 mEq/L, urine Na+ of 7 mEq/L, urine
. osmolality of 850 mOsm/kg
D Serum Na+ 158 mEq/L, serum osmolality 251 mEq/L, urine Na+ of 20 mEq/L, urine
. osmolality of 420 mOsm/kg
1 points
QUE S TION 7
1. Sean is a 29-year-old male who presents to the emergency department for evaluation
and treatment of foreign body in the eye. Ophthalmic anesthesia is achieved and removal is
attempted unsuccessfully with a moist cotton tipped swab. A wet fluorescein stain is applied
to the lower eyelid, and a corneal abrasion ruled out but the AGACNP notes a positive Seidel
sign. This indicates:
A Penetration of the cornea with resultant
. aqueous leak
B A rust ring remnant due to metal foreign
. body
C An elevated intraocular pressure
.
D Paradoxical pupil dilation in response to
. light
1 points
QUE S TION 8
1. Mrs. Lowen is an 82-year-old female who comes to the emergency department for
evaluation of a fever of 102.9° F. She complains of a headache in the right side of her temple
and some right-sided jaw pain. A urinalysis, chest radiograph, complete blood count (CBC)
and 12-lead ECG are all non-contributory. A comprehensive metabolic panel is significant
only for a slightly elevated BUN and creatinine. The AGACNP appreciates distinct right
temple tenderness to percussion. Which laboratory test is necessary to support the
suspected diagnosis?
A An erythrocyte
. sedimentation rate
B A white blood cell
. differential
C Two sets of blood cultures
.
D Echocardiography
.
1 points
, QUE S TION 9
1. Ms. Schiebel, a 31-year-old female who is brought to the emergency department by
police after being arrested for disruptive behavior in a public establishment. The differential
diagnosis includes drug and alcohol ingestion/toxicity, central nervous system disease,
severe trauma, and psychotic illness; ultimately the alcohol and toxicology screen as well as
head imaging are negative. When considering psychotic illness, the AGACP knows that this is
a physiologic imbalance that typically involves an excess of:
A Serotonin
.
B Norepinephr
. ine
C Acetylcholin
. e
D Dopamine
.
1 points
QUE S TION 1 0
1. Mr. Lincoln is a 55-year-old male who was admitted for management of sepsis
secondary to pneumonia. He has declined rapidly, and today chest radiography
demonstrates a diffuse, bilateral “white-out” appearance. His paO 2 is 55 mm Hg. In order to
increase his oxygenation the AGACNP knows that which of the following interventions is
indicated?
A Increased FiO2
.
B Increased
. respiratory rate
C Increased tidal
. volume
D Increased PEEP
.
1 points
QUE S TION 1 1
1. A 29-year-old female patient presents with a complaint of palpitations. Physical
examination reveals an essentially healthy female with no significant medical history and no
maintenance medications; the only thing she can report is that she had a head cold a week
or so ago. The vital signs include a blood pressure of 139/90 mm Hg, pulse of 105 b.p.m,
respiratory rate of 16 b.p.m. and a temperature of 98.6° F. The only abnormal finding on
physical examination is diffuse anterior neck tenderness with thyroid palpation. The AGACNP
considers which medication for symptom control?
A Ibuprofen
.
B Pseudoephed
. rine
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