NR571 Week 4 Midterm Exam (July 2026)
NR571 WEEK 4 MIDTERM EXAM
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42-year-old male with history of mitral valve replacement and IV drug abuse presents with back pain and fever. Which of the following would be the most appropriate set of orders?
A. CBC, CMP, CXR, stress test
B. CBC, BMP, CT of chest/abdomen/pelvis
C. CBC, Cardiac markers, EKG
✅ D. CBC, Blood Cultures, Transesophageal ECHO
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28-year-old male with history of asthma presents with wheezing for 5 days. He reports he smokes marijuana 3-4 times per week and was admitted to the ICU once as a child for asthma exacerbation. Initial peak expiratory flow (PEF) was greater than 50% predicted. SaO 93%. Which of the following treatment plans would be most appropriate for the nurse practitioner to initiate?
A. SABA by MDI up to 3 doses, IV steroids, discharge home
B. SABA by MDI up to 3 doses, intravenous steroids, admit ICU
✅ C. Hour long continuous SABA plus ipratropium by nebulizer, oral steroids, monitor response
D. SABA by nebulizer up to 3 doses, oral steroids, admit to medical floor
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Which of the following patients should be admitted to the hospital for COPD exacerbation?
A. 82-year-old who is alert oriented to person, place, time, and event
B. 63-year-old who wears home oxygen at 3L/min
✅ C. 59-year-old with no improvement on a steroid burst
D. 72-year-old with a cough
You are caring for a patient complaining of chest pain. EKG and troponin are negative. What are other emergent differentials that may present as chest pain?
A. Peptic ulcer disease, pleuritis, cholecystitis
✅ B. Aortic dissection, pneumothorax, pulmonary embolism
C. Cancer, herpes zoster, gastroenteritis
D. Gastroesophageal reflux, pregnancy, muscle injury
You are caring for a patient who is reporting palpitations. You obtain an EKG and find a narrow complex tachycardia with a rate of 188. The rate is regular. Which of the following rhythms is consistent with this scenario?
A. Sinus arrhythmia
B. Ventricular tachycardia
C. Supraventricular tachycardia ✅
D. Atrial fibrillation……………………………….purchase this entire exam at $70 only
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