Nr 601 WEEK 4 MIDTERM PRACTICE QUESTIONS + STUDY GUIDE
NURS 6550 MIDTERM
EXAM QUESTIONS
AND ANSWERS
(GRADED A)
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, NR 601 Week 4 MidTerm Practice Questions + Study Guide
NURS 6550 MIDTERM EXAM QUESTIONS AND
ANSWERS.
Question 1
1 out of 1 points
The AGACNP is caring for a patient who is quite ill and has developed, among other things,
a large right sided pleural effusion Thoracentesis is sent for pleural fluid analysis While
evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n) is the
least worrisome type
ANSWER “A” is the correct answer A transudate is essentially just water and
Feedback: can occur as a consequence of increased hydrostatic pressure in the
pulmonary vessels It typically implies that the some condition has
produced an imbalance in colloid-hydrostatic pressures, such as
CHF or hypoalbuminemia While it can represent a serious problem,
it may also represent a transient imbalance Conversely, “B” is not
correct as an exudate has more protein in it and implies a condition
characterized by protein leaking from vessels, such as a malignancy
or some serious systemic stressor “C” is not correct—a chyliform
effusion is characterized by fat and indicates a pathology causing
massive triglyceride degradation “D” is not correct as a
hemorrhagic effusion is blood and typically means traumatic injury
Question 2
1 out
of 1
points
Differentiating vertigo from near-syncope and ataxia is one of the goals of history-taking
when a patient presents as “dizzy ” The AGACP knows that vertigo is the problem when
the patient reports the primary symptom as:
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ANSWER “A” is the correct answer Dizzy is a layperson’s term and can mean
Feedback: many different things to patients and health care providers When the
patient identifies the primary symptom as a sense of spinning this
supports vertigo, which is usually an inner ear problem This versus
ataxia which is neurologic or near-syncope which may be cardiac,
neurological, or neurocardiogenic “B” is not correct—this may
occur with vertigo, but when it is the primary symptom it is most
likely ataxia and neurological causes should be considered “C” is
not correct as coincident nausea is not specific and can occur with
any of these complaints “D” is not correct as it is also not specific;
while ataxia cannot occur when supine near-syncope can
Question 3
Mr Banks has been admitted for surgical resection of a metastatic tumor, during surgery it is disco
he has widespread, diffuse metastasis throughout the abdomen
Surgery is no longer an option, and his oncologist says that chemotherapy is unlikely to produce any
benefit Mr Banks is concerned that his sons will not support a transfer to comfort care The AGAC
that he:
ANSWER “B” is the correct answer If there is any concern about disagreement
Feedback: among family members, or any concern at all that a patient’s wishes
will not be carried out, the best action is to ensure that there is a
clearly defined legally executed document “A” is not correct Living
wills are not legally enforceable documents and when dissention
arises among family members they may not be carried out “C” is
not correct - while the patient should arrange for his care as long as
he is capable of doing so, if questions arise at such a time that he is
not capable of answering his next of kin will need to do so “D” is
not correct -- identifying the proxy is not enough without assigning
legal rights and responsibilities While “A,” “C,” and “D” should
all be done and will support his care, the only way to ensure that
one’s wishes are carried out is to ensure that a legally enforceable
direction is in place
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Question 4
1 out of 1 points
Mr Wilkerson is a 77-year-old male who is being evaluated and treated for his
cardiogenic pain His vital signs are as follows: Temperature of 99 1° F, pulse of 100
bpm, respirations of 22 bpm, and blood pressure of 168/100 mm Hg A 12-lead ECG
reveals deep ST segment depression in leads V3-V6 The AGACNP recognizes which of
the following as a contraindication to rTPA therapy?
ANSWER “D” is the correct answer rTPA is not indicated in patients with ST
Feedback: segment depression; this is not a ST elevation MI “A” is not correct
as age > 80 is a relative contraindication “B” is not correct as a
temperature of 99 1° F is an expected ANSWER to myocardial
necrosis, and “C” is not correct—the blood pressure is not
prohibitive until > 180/110 mm hg
Question 5
1 out of 1 points
A 71-year-old patient is recovering from a particularly severe exacerbation of chronic
obstructive pulmonary disease He has been in the hospital for almost two weeks and
was on mechanical ventilation for 7 days While discussing his discharge plan he tells
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NURS 6550 MIDTERM
EXAM QUESTIONS
AND ANSWERS
(GRADED A)
Downloaded by: basil7kl |
Distribution of this document is illegal
, NR 601 Week 4 MidTerm Practice Questions + Study Guide
NURS 6550 MIDTERM EXAM QUESTIONS AND
ANSWERS.
Question 1
1 out of 1 points
The AGACNP is caring for a patient who is quite ill and has developed, among other things,
a large right sided pleural effusion Thoracentesis is sent for pleural fluid analysis While
evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n) is the
least worrisome type
ANSWER “A” is the correct answer A transudate is essentially just water and
Feedback: can occur as a consequence of increased hydrostatic pressure in the
pulmonary vessels It typically implies that the some condition has
produced an imbalance in colloid-hydrostatic pressures, such as
CHF or hypoalbuminemia While it can represent a serious problem,
it may also represent a transient imbalance Conversely, “B” is not
correct as an exudate has more protein in it and implies a condition
characterized by protein leaking from vessels, such as a malignancy
or some serious systemic stressor “C” is not correct—a chyliform
effusion is characterized by fat and indicates a pathology causing
massive triglyceride degradation “D” is not correct as a
hemorrhagic effusion is blood and typically means traumatic injury
Question 2
1 out
of 1
points
Differentiating vertigo from near-syncope and ataxia is one of the goals of history-taking
when a patient presents as “dizzy ” The AGACP knows that vertigo is the problem when
the patient reports the primary symptom as:
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, NR 601 Week 4 MidTerm Practice Questions + Study Guide
ANSWER “A” is the correct answer Dizzy is a layperson’s term and can mean
Feedback: many different things to patients and health care providers When the
patient identifies the primary symptom as a sense of spinning this
supports vertigo, which is usually an inner ear problem This versus
ataxia which is neurologic or near-syncope which may be cardiac,
neurological, or neurocardiogenic “B” is not correct—this may
occur with vertigo, but when it is the primary symptom it is most
likely ataxia and neurological causes should be considered “C” is
not correct as coincident nausea is not specific and can occur with
any of these complaints “D” is not correct as it is also not specific;
while ataxia cannot occur when supine near-syncope can
Question 3
Mr Banks has been admitted for surgical resection of a metastatic tumor, during surgery it is disco
he has widespread, diffuse metastasis throughout the abdomen
Surgery is no longer an option, and his oncologist says that chemotherapy is unlikely to produce any
benefit Mr Banks is concerned that his sons will not support a transfer to comfort care The AGAC
that he:
ANSWER “B” is the correct answer If there is any concern about disagreement
Feedback: among family members, or any concern at all that a patient’s wishes
will not be carried out, the best action is to ensure that there is a
clearly defined legally executed document “A” is not correct Living
wills are not legally enforceable documents and when dissention
arises among family members they may not be carried out “C” is
not correct - while the patient should arrange for his care as long as
he is capable of doing so, if questions arise at such a time that he is
not capable of answering his next of kin will need to do so “D” is
not correct -- identifying the proxy is not enough without assigning
legal rights and responsibilities While “A,” “C,” and “D” should
all be done and will support his care, the only way to ensure that
one’s wishes are carried out is to ensure that a legally enforceable
direction is in place
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, NR 601 Week 4 MidTerm Practice Questions + Study Guide
Question 4
1 out of 1 points
Mr Wilkerson is a 77-year-old male who is being evaluated and treated for his
cardiogenic pain His vital signs are as follows: Temperature of 99 1° F, pulse of 100
bpm, respirations of 22 bpm, and blood pressure of 168/100 mm Hg A 12-lead ECG
reveals deep ST segment depression in leads V3-V6 The AGACNP recognizes which of
the following as a contraindication to rTPA therapy?
ANSWER “D” is the correct answer rTPA is not indicated in patients with ST
Feedback: segment depression; this is not a ST elevation MI “A” is not correct
as age > 80 is a relative contraindication “B” is not correct as a
temperature of 99 1° F is an expected ANSWER to myocardial
necrosis, and “C” is not correct—the blood pressure is not
prohibitive until > 180/110 mm hg
Question 5
1 out of 1 points
A 71-year-old patient is recovering from a particularly severe exacerbation of chronic
obstructive pulmonary disease He has been in the hospital for almost two weeks and
was on mechanical ventilation for 7 days While discussing his discharge plan he tells
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