NURS 6550 Midterm Review
questions and answers 2025-
2026
The least worrisome type of fluid seen as a result of pleural fluid analysis -
Transudate pleural fluid
What test should be ordered to confirm a suspected ascending aortic
aneurysm? - CT Scan with contrast
Name risk factors for long-term care placement for the elderly population.
- Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
A patient with anterior epistaxis has been treated with direct pressure for
20 minutes. What are expected findings when the patient is instructed to
gently blow their nose? - Successful treatment will be indicated by dark
residual blood or clots being discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of
blood requiring more invasive measures.
What is the most common organism in treating otitis media, bacterial
sinusitis, bacterial pharyngitis, AND community-acquired pneumonia? -
Streptococcus pneumoniae
,What is the greatest risk factor for vascular dementia? - Vascular diseases
that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - - Hypertensive urgency: BP
>200/120 w/o sx; Tx with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ
damage; Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical
antipsychotics? - Lipid Panel
Name some atypical antipsychotics - OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If you are treating a car mechanic for a possible eye injury what test
would you avoid? - MRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - D-
dimer
, When treating a patient with an unfractionated heparin infusion, what
would you monitor for (to avoid a fatal complication) ? - Heparin-induced
Thrombocytopenia (HIT). aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? -
When the primary symptom identified is a sense of spinning this means
vertigo and is usually an inner ear problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
When a patient is concerned about a family member not supporting
wishes in end-of-life care, what legal document should be used? -
advanced directive
What is contraindicative of rTPA therapy? - ST segment depression
Transtheoretical Model of Change - 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder - psychotic: distinct alteration in
perception of reality
Neurotic: remain aware and interactive with reality
Cholinergics (Miotics) - Pilocarpine
Pilocarpine adverse effects - increased GI motility and bradycardia
Initial treatment for a panic attack in the ER - short-acting benzodiazepine
for immediate symptom control
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