Final exam review NURS 570 with verified and updated solutions
The ACNP is admitting a 70-year-old male with new onset atrial fibrillation to the
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telemetry floor. What is the most common thyroid abnormality that should be screened
for in this type of patient?
A. Hyperthyroidism
B. Hypopituitarism
C. Sick Euthyroid Syndrome
D. Hashimoto's Thyroiditis - CORRECT ANSWER A. Hyperthyroidism
A 50-year-old Type II DM is admitted to the ED after being found unconscious at home.
Vital signs: RR 38 BP 90/50 HR 125 SPO2 96% on room air. Initial labs: Blood sugar
625 g/dL, K 4.0 mEq/dL, serum omsolality 370 mOsm/L, negative serum ketones, Urine
glucose is +4, Urine ketones trace. What is the most likely diagnosis?
A. Hyperglycemia
B. DKA
C. HONC
D. Sepsis - CORRECT ANSWER C. HONC
HNNK has none or trace ketones.
What are the major distinguishing features between lower urinary tract and upper
urinary tract infections?
A. Upper urinary tract infections are associated with systemic symptoms
B. Lower urinary tract infections are associated with fever an systemic symptoms
C. Upper urinary tract infections always have positive blood cultures
D. Lower urinary tract infections are associated with a higher treatment failure -
CORRECT ANSWER A. Upper urinary tract infections are associated with systemic
symptoms
*Fever N/V
The ACNP is called to see a 65 y/o pt on the medical ward who is complaining of a
severe sudden onset headache and is becoming confused. The pt was admitted with
new onset atrial fibrillation that is being treated with beta blockers and a Heparin drip
with therapeutic aPTT x 48 hours. The neurological exam reveals unequal pupils and a
decrease in level of consciousness.
What is the ACNP's primary concern?
A. Cerebral embolus from the atrial fibrillation
B. Cerebral hemorrhage from the anticoagulation
C. Development of a new primary headache
D. Hypertensive crisis with end organ damage - CORRECT ANSWER B. Cerebral
hemorrhage from the anticoagulation
When performing a focused neurological exam on a patient with a change in mental
status the ACNP notes an abnormality in the extra-ocular eye movements (EOM).
Which cranial nerves are assessed with EOM?
A. II, III, IV
B. III, IV, VI
C. III, V, VI
D. II, IV, VI - CORRECT ANSWER B. III, IV, VI
Which of the following physical exam findings are consistent with CAP?
A. Bibasilar crackles, elevated JVD and a new S3
B. Dullness to percussion, decreased air entry and decreased fremitus
C. Isolated lobar crackles, increased fremitus and positive egophony
D. Labored breathing, clear lungs, elevated JVD and a new right sided systolic murmur -
CORRECT ANSWER C. Isolated lobar crackles, increased fremitus and positive
egophony
What is the primary hemodynamic consequence of restrictive cardiomyopathy?
A. Diastolic dysfunction
B. Systolic dysfunction
C. Subaortic anterior motion abnormality
D. Lethal arrhythmias - CORRECT ANSWER A. Diastolic dysfunction [Show Less]