6560N Final exam (2020)(100 I I I
Q & A , 100% Correct) I I I I I
NURS 6560 Final Exam
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Question 1 I
A patient with suspected Cushing’s syndrome is being evaluated to establish the diagnosis and Icause.
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I Patients with an adrenal tumor typically will demonstrate:
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A. Low ACTH and low cortisol
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B. Low ACTH and high cortisol
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C. High ACTH and low cortisol
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D. High ACTH and high cortisol
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, Question 2 I
Pneumatosis, or gas cysts, may form in the wall anywhere along the gastrointestinal tract; in Isome
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I cases, they will produce symptoms such as abdominal discomfort, diarrhea with mucus, Iand
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I excess flatulence. Treatment of pneumatosis most often involves:
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A. Several days of oxygen by face mask
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B. Hyperbaric oxygen I
C. Surgical resection I
D. Treatment of underlying disease
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Question 3 I
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Jennifer is an RN applicant for a staff nurse position in the surgical ICU. She has had a screening
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I PPD and comes back in 48 hours to have it read. There is a 12-mm induration at the site of
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I injection. A chest radiograph is negative. The AGACNP knows that the next step in Jennifer’s
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I evaluation and management should include: I I I I
A. No further care, because the chest radiograph is negative
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B. Quantiferon serum assay for exposure I I I I
C. Consideration of prophylactic therapy I I I
D. Beginning therapy for pulmonary TB pending sputum cultures
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Question 4 I
P. E. is a 61-year-old female who presents for a postoperative visit following a gastric resection
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I after a perforation of peptic ulcer. She reports feeling better, although it is taking longer than she
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I expected. However, she says she is feeling better each day, her appetite is returning, and her
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I incision is healing well. She is being discharged from surgical care and advised to continue her
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I routine health promotion follow-up with her primary care provider. As part of her surgical
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I discharge teaching, the AGACNP counsels P. E. that as a result of her gastric resection she will
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I need lifelong follow-up of:
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A. Blood group substances I I
B. Electrolytes
C. Vitamin B12 I
D. Gastric pH I
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Question 5 I
M. T. is a 71-year-old female who presents for evaluation of a ―lump on her chest.‖ She denies
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I any symptoms—there is no pain, erythema, edema, ecchymosis, or open areas—it is just a lump.
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I She has no idea how long it has been there and just noticed it a few weeks ago. Physical
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I examination reveals a round, smooth, flesh-colored tumor. It is firm but not hard; it has smooth
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I borders. It measures 6 cm in diameter and is non-tender to palpation. The AGACNP suspects Ithat
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I this is a classic presentation of the most common chest wall tumor known as a:
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A. Neurolemma
B. Lipoma
C. Hemangioma
D. Lymphangioma
Question 6 I
The AGACNP is receiving report from the recovery room on a patient who just had surgical
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I resection for pheochromocytoma. He knows that which class of drugs should be available
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I immediately to manage hypertensive crisis, a possible consequence of physical manipulation of
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I the adrenal medulla?
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A. Alpha-adrenergic antagonists I
B. Beta-adrenergic antagonists I
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