NR570 Week 8: Final Exam

NR570 Week 8: Final Exam – June 2026

A 72-year-old female with history of HHNK presents with confusion. Daughter reports the patient has been confused since this morning and her blood sugars have been high over the last two days. Labs reveal blood Glucose of 486, Na 130, serum osmolality 300. What is the most appropriate treatment?

A. Hold IV fluids until glucose is corrected

✅ B. Correct hyperglycemia and fluid resuscitate with 0.9% saline

C. Correct hyperglycemia and fluid resuscitated with 5% dextrose in water

D. Correct hyperglycemia and resuscitate with 5% albumin

A nurse practitioner is reviewing an EKG and identifies ST elevation in V1-V4. Which of the following areas of cardiac circulation would be impaired?

A. Right coronary artery

B. Left obtuse marginal artery

✅ C. Left anterior descending artery

D. Right acute marginal artery

Which of the following patients would be most at risk for the development of a urinary tract infection?

A. 18-year-old male with history of urethral stricture repair at birth

✅ B. 23-year-old female with a new sexual partner

C. 56-year-old male with a history of BPH

D. 49-year-old female with last menstrual period 2 weeks ago

Which of the following patients require a Urology consult?

A. 60-year-old male with a recent urinary tract infection

B. 30-year-old male with penile discharge and a history of epididymitis

✅ C. 58-year-old male with gross hematuria and a history of prostatitis

D. 23-year-old male with recent diagnosis of chlamydial urethritis

Patient presents with BP 228/110 HR 98 RR 18. He is anxious and reports he has been using crack cocaine 2-3 times a day for the last week. What is the most appropriate intervention?

A. Metoprolol 50mg PO now

B. Nitroprusside continuous infusion starting at 10mcg/kg/min

✅ C. Nicardipine continuous infusion starting at 5mg/hr

D. Labetalol injection 20 mg IV now

A nurse practitioner is evaluating a patient with known EF of 25%. The patient is currently experiencing significant shortness of breath at rest. What are the most likely clinical findings in this patient?

A. HR 110, RR 16, 1+ peripheral edema

✅ B. HR 121, RR 24, JVD

C. HR 58, RR 18, clear lung sounds

D. HR 96, RR 20, S1S2…………………………….purchase this entire exam at $75 only