NURS 6550 FINAL EXAM

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

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

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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

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:

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