NR571 Week 8: Final Exam (aug-2026)

NR571 Week 8: Final Exam [Aug-2026]

You are caring for a critically ill patient in the ICU. As the NP you know that the patient is at high risk for developing stress ulcers. Which of the following interventions to prevent stress ulcers should be taken?

1. Hold all heparin products
2. Consult GI to evaluate stomach mucosa
3. Order continuous IV sedation to keep patient calm
4. Order daily dose of proton pump inhibitor ✅

You are admitting a patient to the hospital with a glucose of 450 mg/dL. As the NP you know that the priority intervention for this patient is:

1. Electrolyte management
2. Discussing the importance of medication compliance
3. Insulin infusion
4. Fluid resuscitation ✅

You are examining a patient with a recent unexplained significant weight loss. Which of the following assessments is the most important indicator of nutritional status?

1. Abdominal examination
2. Pulmonary examination
3. Cardiovascular examination
4. Hair examination ✅

A patient presents with hematochezia. What is the most important historical information to obtain?

1. Weight changes
2. Medication usage ✅
3. Dietary restrictions
4. Exercise routine

A 42-year-old female with history of obesity reports a 3-day history of abdominal pain and vomiting. Which of the following diagnostic tests are the most appropriate in the initial work-up for this patient?

1. Liver function tests, blood cultures, CBC
2. Comprehensive metabolic panel, EGD, urine culture
3. Urine pregnancy, CBC, comprehensive metabolic panel ✅
4. CXR, MRI of the abdomen, CBC

A nurse practitioner is reviewing the medication list of a patient with a history of rheumatoid arthritis, CAD, and atrial fibrillation. The nurse practitioner knows that this medication can significantly affect thyroid function:

1. Celebrex
2. Methotrexate
3. Xarelto
4. Amiodarone ✅

58-year-old male presents with abdominal pain and vomiting. Vital signs: BP 164/92; HR 100; RR 20; T 37.9 °C. Physical exam is significant for generalized abdominal tenderness. Labs reveal WBC 18,000 uL/L (4,000-11,000 uL/L); Cr 1.3 mg/dL (0.84-1.21 mg/dL); Lipase 596 IU/L (0-160 IU/L). What is the most likely diagnosis for this patient?

1. Pancreatitis ✅
2. Gastroenteritis
3. Cholecystitis
4. Appendicitis

68-year-old male with history of EF 30% is admitted with fever, abdominal pain, hematuria, and vomiting. What is the most important indicator of AKI in this patient?

1. Urine output ✅
2. FENa+
3. RIFLE Criteria
4. BUN: Cr Ratio……………………..purchase this entire exam at $75