Optional essay: Applicants may also submit an additional essay explaining a low GPA, low grades in specific courses, and any incompletes and/or withdraws. This optional essay should be no longer than 1 page with 12-point, Times New Roman font, doublespace 2025

Optional essay: Explaining a low GPA, low grades in specific courses, and any incompletes and/or withdraws. 1 page with 12-point, Times New Roman font, doublespaced, and formatted with 1-inch margins. University of St. Thomas requires a cumulative GPA of 3.0. I have improved my cumulative GPA from 2.38 to 2.70. The specific courses required for the school, my GPA is a 2.84 and science prerequisite is 3.03. I have retaken several course, but still .30 points shy. I recently quit my job in 2014 and focused on my GPA since then improved it significantly. My transcript is attached, as you may notice it’s been improved. I am determined to get into this University.

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NURS 6540 FINAL EXAM / NURS6540 FINAL EXAM (50 CORRECT Q & A) 2025

NURS 6540 FINAL EXAM / NURS6540 FINAL EXAM (50 CORRECT Q & A) NURS 6540 Final Exam / NURS6540 Final Exam (Latest): Walden University Question 1 How does women’s anatomy make them more susceptible to UTIs? Question 2 The primary endocrine disorders affecting women are diabetes mellitus and: Question 3 A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Question 4 When is round ligament pain most likely to occur in pregnant women? Question 5 0 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: c. Nutritional assessment Question 6 In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ Selected Answer: a. The first day of the last menstrual period Question 7 Gender differences in heart disease can be found in: Selected Answer: d. All of the above Question 8 What distinguishes pyelonephritis from cystitis? Selected Answer: b. The infection has ascended to the kidneys. Question 9 0 out of 2 points What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? Selected Answer: b. Three times a day of oral antibiotics are now recommended. Question 10 Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: Selected Answer: b. Gestational diabetes Question 11 All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? Selected Answer: d. History of pelvic inflammatory disease Question 12 When can relief from pregnancy induces nausea and vomiting be expected? Selected Answer: b. 12–14 weeks’ gestation Question 13 What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium Question 14 What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy Question 15 What do current theories suggest as to how cranberry products can reduce UTIs? Selected Answer: b. The fructose keeps E. coli bacteria from adhering to bladder cell walls. Question 16 Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Selected Answer: c. 45 Question 17 Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: Selected Answer: d. Become infected Question 18 After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? Selected Answer: c. 20 weeks Question 19 What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra Question 20 What is more likely to occur in women with female genital cutting? Selected Answer: b. Birth-related complications Question 21 What is an indication of the second stage of labor? Selected Answer: a. Complete dilation of the cervix Question 22 0 out of 2 points How are pregnancy-related DHA (docosahexaenoic acid) needs best met? Selected Answer: b. By taking a prenatal vitamin supplement Question 23 0 out of 2 points Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). Selected Answer: c. 9–14 days Question 24 What is the most common cause of death in women in the United States? Selected Answer: b. Cardiovascular disease Question 25 What is the most common cause of medical complications in pregnancy? Selected Answer: a. Hypertension Question 26 What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? Selected Answer: b. Postpartum endometritis Question 27 At what time during pregnancy does nausea typically occur? Selected Answer: b. At 6–8 weeks’ gestation Question 28 What is considered to be a common trigger of psoriasis? Selected Answer: a. Stress Question 29 Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: Selected Answer: a. Sensitivity test Question 30 0 out of 2 points What is a potential benefit of circumcision? Selected Answer: a. Decreased incidence of urinary tract infections Question 31 How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta Question 32 What is the most common disorder leading to hyperthyroidism? Selected Answer: b. Graves’ disease Question 33 0 out of 2 points Which of the following is a predictor of impending preterm birth? Selected Answer: b. Cervical length less than 15 mm Question 34 What is important to consider when vaginal bleeding occurs during the first trimester? Selected Answer: b. Ectopic pregnancy Question 35 What is significant about cytomegalovirus (CMV)? Selected Answer: b. It can remain dormant within the body for life. Question 36 What step can a clinician take to learn more about any chemicals used in a woman’s workplace? Selected Answer: c. Ask the woman to obtain her workplace MSDs (material safety data sheets). Question 37 What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? Selected Answer: d. Visits scheduled every 4 weeks Question 38 What significantly increases the risk of hypertension in women? Selected Answer: a. The onset of menopause Question 39 What is the potential danger of a fetus born through meconium-stained amniotic fluid? Selected Answer: b. The infant can breathe meconium into the lungs. Question 40 0 out of 2 points What was the reason that prenatal care began in the early 1900s? Selected Answer: b. To predict preterm births Question 41 What is the most common type of UTI that affects women? Selected Answer: a. Acute bacterial cystitis Question 42 0 out of 2 points Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? Selected Answer: a. 24 hours Question 43 How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. Question 44 What tends to cause acne in adolescence? Selected Answer: d. An increase in testosterone Question 45 0 out of 2 points The majority of early pregnancy losses are due to: Selected Answer: d. Chromosomal abnormalities Question 46 What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable? Selected Answer: b. Tampons Question 47 0 out of 2 points What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started? Selected Answer: b. Induction Question 48 What should be addressed during late postpartum maternal evaluation (weeks 2–6)? Selected Answer: b. The need for birth control information or supplies Question 49 In order to maintain continence bladder pressure must be Selected Answer: b. equal to the pressure of the urethral sphincter. Question 50 What is a contributor to the increased incidence of heartburn during pregnancy? Question 51 When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

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Walden NURS6521 Week 11 Quiz 2017 2025

Question 1 A patient asks the nurse practitioner about food sources such as soybeans and soy products . The nurse practitioner understands that these foods are considered A) phytoestrogens. B) monotherapy. C) taboo. D) inappropriate Question 2 A 12-year-old boy is being discharged from the hospital after major surgery . The boy will be taking two medications at home for an extended period . The nurse who is discharging the patient should provide medication teaching specifically to A) the mother regarding why the boy needs to take the medications. B) both the boy and his mother regarding all medication issued. C) the boy by telling him not to worry about the medications and to take them as directed D) The mother and be sure to reinforce the need to force the medications, if her sondoes not want to take them Question 3 A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness . He confides in the school nurse that he has begun taking his stepfather’s antidepressant to improve his mood . After immediately phoning the boy’s stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI) . The nurse should recognize that this combination of drugs creates a serious risk of what health problem? A) Cardiac dysrhythmia B) Hypertensive crisis C) Nephrotoxicity D) Hypokalemia Question 4 A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face . When administering topical medications to the burned areas, the nurse should A) cool the medication prior to administration. B) use sterile technique when applying the medication. C) allow the child to apply the medication if possible. D) use clean technique only when applying the medication. Question 5 A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain . When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug . The most likely cause of this response is A) a hepatotoxic response. B) an idiosyncratic response. C) a paradoxical response. D) an allergic response. Question 6 A 5-year-old boy needs an IM injection . The least painful and most effective injection site would be the A) deltoid muscle. B) rectus femoris muscle. C) ventrogluteal muscle. D) dorsogluteal muscle. Question 7 A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge . The breast tenderness occurs primarily during her menstrual cycle . The nurse practitioner probably suspects A) breast cancer B) PMS C) pain in the heart D) cancerous breast tenderness Question 8 A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction . Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of A) alcohol. B) trans fat. C) caffeine. D) grapefruit juice. Question 9 A nurse is caring for a 10-year-old boy who complains of chronic headaches . His mother reports that she gives him Tylenol at least three times a day . Which of the following will the nurse work with the physician to evaluate? A) Renal function B) Hepatic function C) Respiratory function D) Cardiac function Question 10 A 21-year-old female has a history of irregular menses . She recently became sexually active, and would like to begin taking oral contraceptives (OCs) . The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs . A) Monophasic B) Triphasic OC C) Ortho Tri-Cyclen D) Biphasic OC Question 11 A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient . In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem? A) Anxiety B) Respiratory depression C) Obesity D) ADHD Question 12 A nurse working in a cancer center is preparing to administer medication to a 5-year-old child . The nurse will calculate the drug dosage by using A) body surface area. B) weight. C) age in months. D) age in years. Question 13 A 13-year-old female took a weight loss drug that activated the sympathetic nervous system . Which of the following assessment findings would the nurse expect? A) Decreased myocardial contraction B) Decreased heart rate C) Increased cardiac conduction D) Increased intranodal conduction time Question 14 A 6-month-old child has developed skin irritation due to an allergic reaction . He has been prescribed a topical skin ointment . The nurse will consider which of the following before administering the drug? A) That the infant’s skin has greater permeability than that of an adult B) That there is less body surface area to be concerned about C) That there is decreased absorption rates of topical drugs in infants D) That there is a lower concentration of water in an infant’s body compared with an adult Question 15 A nurse is providing patient education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus . Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary? A) “I walk two blocks to school every day.” B) “I am on the middle school track team.” C) “We live in a two-story house.” D) “My mother is going to give me my insulin.” Question 16 A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults . This fact is primarily due to A) the inability of infants and children and describe symptoms of adverse drug reactions. B) increased body surface area relative to body volume in infants and children. C) increased heart rate and subsequently rapid drug distribution among infants and children. D) immature liver and kidney function in infants and children. Question 17 A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis . The patient should expect to take medication A) for 20 days. B) once a day. C) every day until the infection is gone. D) for 30 days. Question 18 To which of the following patients would a medication nurse most likely administer caffeine as part of the treatment plan? A) A preterm neonate who has apnea B) A 34-year-old woman with a diagnosis of gastric ulcerations C) A school-age child with severe ADHD D) A 52-year-old man with narcolepsy Question 19 A nurse works at a weight management clinic . To which of the following overweight patients could the nurse safely administer dextroamphetamine? A) A 38-year-old Caucasian woman with glaucoma B) A 60-year-old African-American man who experiences angina C) A 48-year-old Caucasian man who has adult-onset diabetes D) A 28-year-old African-American woman with hyperthyroidism Question 20 A 3-year-old boy has developed otitis media and requires antibiotics . In order to increase the chance that the boy will take his prescribed medication, the nurse should A) teach the boy about the fact that he will feel much better after he takes his medications. B) have the mother hold the child firmly and sooth him while the drugs are administered. C) offer a choice between liquid and chewable medications, if possible. D) insert a central intravenous line. Question 21 The recommended treatment for trichomoniasis is A) Flagyl. B) Diflucan. C) Meclizine. D) Amoxicillan Question 22 A school nurse has been teaching high school students about the risks associated with marijuana use . However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug . Which of the following teaching points should the nurse provide? A) “Most people don’t know that marijuana can be just as addictive as heroin or cocaine over time.” B) “Marijuana can easily interact with other drugs and cause potentially fatal reactions.” C) “Every year, thousands of Americans end up in emergency departments with marijuana overdoses.” D) “Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.” Question 23 A nurse is going to administer medication to an infant using a medicine dropper . The best method is to open the child’s mouth by gently squeezing the cheeks and placing the drops A) at the back of the mouth. B) in the buccal pouch. C) under the tongue. D) on top of the tongue. Question 24 A nurse is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD . After obtaining vital signs, height, and weight, the nurse will prepare the patient for an A) electrocardiogram (ECG). B) electromyelogram (EMG). C) electroencephalogram (EEG). D) electrophysiologic study (EPS). Question 25 A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD . At each clinic visit, the nurse’s priority assessment would be A) height and weight. B) Vision. C) body temperature. D) blood pressure. Question 26 A 7-year-old child has been taking tetracycline for a bacterial infection . The nurse will be sure to inform the parents that this drug could cause A) orange-tinged urine. B) staining of permanent teeth. C) sleep deprivation. D) deep muscle pain. Question 27 A nurse is administering drugs to a 10-year-old child who has multiple health problems . The child is underweight and is on a special diet . Which of the following will the nurse consider when planning for the best absorption of the prescribed drugs? (Select all that apply . ) A) Age B) Weight C) Disease process D) Diet E) Route of administration ACDE Question 28 The clinical nurse educator who oversees the emergency department in a children’s hospital has launched an awareness program aimed at reducing drug errors . What measure addresses the most common cause of incorrect doses in the care of infants and children? A) Having nurses check their math calculations with a colleague before administering a drug. B) Ensuring that a full assessment takes place no more than 30 minutes before giving a drug. C) Recording drug administration in both the nurse’s notes and the medication administration record (MAR) D) Avoiding intravenous administration of drugs whenever possible. Question 29 A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain . What question should the nurse include in an assessment when trying to minimize the potential for adverse drug reactions? A) “Do you ever use alcohol or drugs?” B) “How much do you weigh?” C) “On a scale of zero to ten, what level of pain is acceptable to you?” D) “Did Tylenol or other over-the-counter pain remedies ever relieve your pain?” Question 30 A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia) . After baseline physical data are obtained, the nurse will assess the patient’s childbearing potential . The nurse will inform the patient that during sibutramine therapy she should A) abstain from sex. B) obtain a pap smear . C) use adequate contraception. D) take a pregnancy test every month. Question 31 A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy . To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? A) Take the drug on a full stomach B) Avoid high noise levels C) Take the drug for one full week before coming in contact with allergens D) Drink plenty of fluids. Question 32 A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor . A microscopic exam reveals trichomonas vaginalis . The nurse practitioner is aware that A) trichomoniasis is an incurable disease. B) trichomoniasis discharge is typically thin and clear. C) asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. D) it is unusual to have an odor with trichomoniasis Question 33 A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks . The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years . The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home . Which of the following will have the greatest impact on the nurse’s assessment? A) The mother and grandmother’s understanding about the drugs B) How clean the house is C) The health status of the other children D) Where the medications will be stored Question 34 A nurse is having difficulty administering a bitter drug to a 5-year-old child . The nurse should A) have the parent gently force the child’s mouth open. B) give the drug in a pill form. C) involve the child in a play therapy session, and then tell the child that the medicine is candy. D) offer the child a flavored ice chip or ice pop prior to administering the drug. Question 35 A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms of maternal cocaine use during pregnancy . These signs and symptoms are a result of what pathophysiological effect of opioid use during pregnancy? A) Changes in blood chemistry as a result of nephrotoxicity and hepatotoxicity B) Impaired maternal nutrition as a result of drug use C) Vasoconstriction leading to reduced placental blood flow D) Hypoxia as a result of a prolonged second stage of labor Question 36 A preterm neonate received caffeine for the treatment of apnea . The nurse should monitor the neonate for which of the following? A) Bloody stools B) Bradycardia C) Constipation D) Hypoglycemia Question 37 A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus . In light of the man’s lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia) . What instructions should the nurse consequently provide to this patient? A) “Take this drug once each day on an empty stomach.” B) “It’s best to take a dose of sibutramine after each meal.” C) “This drug will help you to lose weight without having to exercise or change your normal diet.” D) “Take a dose when you feel like you are tempted to binge on food.” Question 38 A nurse practitioner orders a single dose of 2 g Metronidazole orally . How many milligrams will the patient receive in one dose? A) 1000 mg B) 2000 mg C) 3000 mg D) 4000 mg Question 39 A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate . Which of the following will the nurse include in an explanation? A) A child has an erratic blood flow from an immature peripheral circulation, which increases drug absorption, causing an increase in adverse effects. B) A child’s gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous skin, therefore producing more adverse effects. C) A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. D) A child has a smaller body surface area, resulting in an increase in topical absorption, which can cause more adverse effects. Question 40 An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy . He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis . Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth . What nursing diagnosis is most appropriate in this situation? A) Caregiver Role Strain B) Ineffective Family Therapeutic Regimen Management C) Delayed Growth and Development D) Knowledge Deficit

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Captain of the Ship Project 2025

“Captain of the Ship” Project – Obsessive-Compulsive Disorders In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder. Learning Objectives Students will: · Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with obsessive-compulsive disorders · Recommend psychotherapy based on therapeutic endpoints for clients with obsessive-compulsive disorders · Identify medical management needs for clients with obsessive-compulsive disorders · Identify community support resources for clients with obsessive-compulsive disorders · Recommend follow-up plans for clients with depression disorders To prepare for this Assignment: · Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum. In 3–4 pages, write a treatment plan for your client in which you do the following: · Describe the HPI and clinical impression for the client. · Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.) · Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. · Identify medical management needs, including primary care needs, specific to this client. · Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. · Recommend a plan for follow-up intensity and frequency and collaboration with other providers. · Remember to include Introduction and Conclusion Learning Resources Required Readings Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 10, “Obsessive-Compulsive and Related Disorders” (pp. 418–436) Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications. Chapter 21, “Obsessive-Compulsive Disorder” American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. “Obsessive-Compulsive and Related Disorders” Required Media Bruce, T. & Jongsma, A. (Producers). (n.d.) Evidence-based treatment planning for obsessive compulsive disorder [Video file]. Mill Valley, CA: Psychotherapy.net.

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