NURS 6550 FINAL EXAM – WALDEN UNIVERSITY
SUMMER 2018
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 outp
...
NURS 6550 FINAL EXAM – WALDEN UNIVERSITY
SUMMER 2018
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
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
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 rateB.
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:
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