NR571 Week 4: Midterm Exam [July 2026] NR571 Week 4: Midterm Exam NR571 Week 4: Midterm Exam NR571 Week 4: Midterm Exam NR571 Week 4: Midterm Exam 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? CBC, CMP, CXR, stress test CBC, BMP, CT of chest/abdomen/pelvis CBC, Cardiac markers, EKG ✅ CBC, Blood Cultures, Transesophageal ECHO 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? SABA by MDI up to 3 doses, IV steroids, discharge home SABA by MDI up to 3 doses, intravenous steroids, admit ICU ✅ Hour long continuous SABA plus ipratropium by nebulizer, oral steroids, monitor response SABA by nebulizer up to 3 doses, oral steroids, admit to medical floor Which of the following patients should be admitted to the hospital for COPD exacerbation? 82-year-old who is alert oriented to person, place, time, and event 63-year-old who wears home oxygen at 3L/min ✅ 59-year-old with no improvement on a steroid burst 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? Peptic ulcer disease, pleuritis, cholecystitis ✅ Aortic dissection, pneumothorax, pulmonary embolis Cancer, herpes zoster, gastroenteritis Gastroesophageal reflux, pregnancy, muscle injury You are caring for a patient with a pulmonary embolism. She is being treated with a continuous infusion of heparin. Upon reviewing am labs you notice a decrease in platelets from 186 to 46. You suspect: Thrombocytopenia of the critically ill Acute bleeding ✅ Heparin induced thrombocytopenia (HIT) Sepsis induced thrombocytopenia A 68-year-old male presents with new onset left lower extremity pain, erythema, and tenderness for several days. Which of the following differentials would be the most important to consider for this patient? Legg-Calve-Perthes disease, muscle cramp, genu valgum Restless leg syndrome, Grave’s disease, osteomyelitis Distal fibula fracture, iliotibial (IT) band syndrome, Osgood-Schlatter’s disease ✅ Cellulitis, Baker’s cyst, deep vein thrombosis You are caring for a 78-year-old female with sudden onset of cardiomyopathy after the death of her husband. As the NP you know that the diagnosis is: Peripartum Cardiomyopathy Metabolic Cardiomyopathy ✅ Takotsubo Cardiomyopathy Toxic Cardiomyopathy……………………………….purchase this entire exam at $75 only