NURS 6550 Final Exam (Latest): 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 mg/dL. A leading differential includes:

A

.

Foley lodged in the urethra causing postrenal failure

B

.

Decreased renal perfusion causing prerenal

failure

C

.

Age-related decreased eGFR causing

prerenal failure

D

.

Post-surgical rhabdomyolysis causing

intrarenal failure

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

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

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C

.

Leukocytosis, hyperglycemia, hypokalemia

D

.

Joint pain, rash, fever

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

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:

A

.

Osteoarthritis

B

.

Drug or alcohol

toxicity

C

.

Hypotension

D

.

Urosepsis

NURS 6550N Final Exam (Latest): Walden University

QUESTION 1

2. 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

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