NURS 6560 FINAL EXAM QUESTIONS WITH CORRECT
ANSWERS GUARANTEED PASS (2025/2026 UPDATE)
1. Q ANSWER:
On postoperative day 7 following hepatic transplant, the patient evidences signs and symptoms
of acute rejection, confirmed by histologic examination. The AGACNP knows that first-line
treatment of acute rejection consists of: Cyclosporine
Azathioprine
Methylpredniso
lone Sirolimus
2. Q ANSWER:
H. W. is a 33-year-old female who is being evaluated after a fall from a tree. Anteroposterior
and lateral radiographs of the thoracolumbosacral spine are significant for transverse process
fractures at T6 and T7. The AGACNP knows that treatment for this likely will include:
Observation
Hyperextension casting Jewett brace
,Surgical intervention
3. Q ANSWER:
Acute hepatitis A is usually diagnosed by:
By the constitutional
symptoms Within 2 weeks
of exposure Detection of
IgM-Anti-HAV Jaundice
4. Q ANSWER:
A 30-year-old male patient presents for evaluation of a lump on his neck. He denies pain,
itch, erythema, edema, or any other symptoms. He is ^concerned because it won't ^ go
away. He says, “I noticed it a few months ago, then it seemed to disappear, and now it is
back.” The AGACNP proceeds with a history and physical exam and concludes which of the
following as the leading differential diagnosis? Subclinical infection Non- Hodgkin's lyphoma
Catscratch disease
Syphilis
5. Q ANSWER:
P. E. is a 61-year-old female who presents for a postoperative visit following a gastric resection
after a perforation of peptic ulcer. She reports feeling better, although it is taking longer than
she expected. However, she says she is feeling better each day, her appetite is returning, and
her incision is healing well. She is being discharged from surgical care and advised to continue
her routine health promotion follow-up with her primary care provider. As part of her surgical
discharge teaching, the AGACNP counsels P. E. that as a result of her gastric resection she will
need lifelong follow-up of: Blood group substances
Electrolyt es
Vitamin
B12
Gastric pH
6. Q ANSWER:
T. O. is a 31-year-old male patient who is transported to the emergency department via
emergency services. He was in a multivehicle accident and was trapped in a crushed car for
more than 3 hours. On examination, his right lower extremity is found to be tensely swollen,
with 3+ nonpitting edema. The lower leg is profoundly painful with passive range of motion.
Given the history and physical findings, the AGACNP recognizes that treatment centers around:
Fasciotomy
Thrombolytics
Surgical reduction
Casting
7. Q ANSWER:
, While consulting on a patient who is admitted with a chief complaint of abdominal pain, the
AGACNP notes that the initial assessment described the pain as “colicky.” This means that the
pain:
Is a result of gas in the
bowel Is intestinal in
origin
Is characterized by pain-free
intervals Is sharp, intense,
and nonradiating
8. Q ANSWER:
All of the following are expected findings in a patient with a T10 fracture
except: Paraplegia Fecal retention
Priapism
Inability to move fingers
9. Q ANSWER:
T. O. is a 44-year-old female patient who presents for evaluation of sudden, severe upper
abdominal pain. She is clear about the onset, which was profound and occurred approximately
one hour ago. She denies that the onset had any relationship to food or eating, and she denies
nausea or vomiting. On examination, she is lying on her right side with her hips and knees
flexed to draw her knees to her chest. Vital signs are stable, but examination reveals
involuntary guarding. The abdomen is painful and tympanic to percussion in all quadrants. CBC
reveals a white blood cell count of 15,600/µL. The AGACNP suspects: Dissecting aortic
aneurysm Acute pancreatitis
Perforated peptic
ulcer Mallory- Weiss
tear
10. Q ANSWER:
The AGACNP is covering an internal medicine service and is paged by staff to see a patient who
has just pulled out his ET tube. After the situation has been assessed, it is clear that the patient
will go into respiratory failure and likely die if he is not reintubated. The patient is awake and
alert and is adamant that he does not want to be reintubated. The AGACNP is concerned that
there is not enough time to establish a DNR—the patient needs to be reintubated immediately
and already is becoming obtunded. Which ethical principles are in conflict here? Veracity and
beneficence
Beneficence and
nonmalfeasance
Autonomy and
beneficence Justice and
autonomy
ANSWERS GUARANTEED PASS (2025/2026 UPDATE)
1. Q ANSWER:
On postoperative day 7 following hepatic transplant, the patient evidences signs and symptoms
of acute rejection, confirmed by histologic examination. The AGACNP knows that first-line
treatment of acute rejection consists of: Cyclosporine
Azathioprine
Methylpredniso
lone Sirolimus
2. Q ANSWER:
H. W. is a 33-year-old female who is being evaluated after a fall from a tree. Anteroposterior
and lateral radiographs of the thoracolumbosacral spine are significant for transverse process
fractures at T6 and T7. The AGACNP knows that treatment for this likely will include:
Observation
Hyperextension casting Jewett brace
,Surgical intervention
3. Q ANSWER:
Acute hepatitis A is usually diagnosed by:
By the constitutional
symptoms Within 2 weeks
of exposure Detection of
IgM-Anti-HAV Jaundice
4. Q ANSWER:
A 30-year-old male patient presents for evaluation of a lump on his neck. He denies pain,
itch, erythema, edema, or any other symptoms. He is ^concerned because it won't ^ go
away. He says, “I noticed it a few months ago, then it seemed to disappear, and now it is
back.” The AGACNP proceeds with a history and physical exam and concludes which of the
following as the leading differential diagnosis? Subclinical infection Non- Hodgkin's lyphoma
Catscratch disease
Syphilis
5. Q ANSWER:
P. E. is a 61-year-old female who presents for a postoperative visit following a gastric resection
after a perforation of peptic ulcer. She reports feeling better, although it is taking longer than
she expected. However, she says she is feeling better each day, her appetite is returning, and
her incision is healing well. She is being discharged from surgical care and advised to continue
her routine health promotion follow-up with her primary care provider. As part of her surgical
discharge teaching, the AGACNP counsels P. E. that as a result of her gastric resection she will
need lifelong follow-up of: Blood group substances
Electrolyt es
Vitamin
B12
Gastric pH
6. Q ANSWER:
T. O. is a 31-year-old male patient who is transported to the emergency department via
emergency services. He was in a multivehicle accident and was trapped in a crushed car for
more than 3 hours. On examination, his right lower extremity is found to be tensely swollen,
with 3+ nonpitting edema. The lower leg is profoundly painful with passive range of motion.
Given the history and physical findings, the AGACNP recognizes that treatment centers around:
Fasciotomy
Thrombolytics
Surgical reduction
Casting
7. Q ANSWER:
, While consulting on a patient who is admitted with a chief complaint of abdominal pain, the
AGACNP notes that the initial assessment described the pain as “colicky.” This means that the
pain:
Is a result of gas in the
bowel Is intestinal in
origin
Is characterized by pain-free
intervals Is sharp, intense,
and nonradiating
8. Q ANSWER:
All of the following are expected findings in a patient with a T10 fracture
except: Paraplegia Fecal retention
Priapism
Inability to move fingers
9. Q ANSWER:
T. O. is a 44-year-old female patient who presents for evaluation of sudden, severe upper
abdominal pain. She is clear about the onset, which was profound and occurred approximately
one hour ago. She denies that the onset had any relationship to food or eating, and she denies
nausea or vomiting. On examination, she is lying on her right side with her hips and knees
flexed to draw her knees to her chest. Vital signs are stable, but examination reveals
involuntary guarding. The abdomen is painful and tympanic to percussion in all quadrants. CBC
reveals a white blood cell count of 15,600/µL. The AGACNP suspects: Dissecting aortic
aneurysm Acute pancreatitis
Perforated peptic
ulcer Mallory- Weiss
tear
10. Q ANSWER:
The AGACNP is covering an internal medicine service and is paged by staff to see a patient who
has just pulled out his ET tube. After the situation has been assessed, it is clear that the patient
will go into respiratory failure and likely die if he is not reintubated. The patient is awake and
alert and is adamant that he does not want to be reintubated. The AGACNP is concerned that
there is not enough time to establish a DNR—the patient needs to be reintubated immediately
and already is becoming obtunded. Which ethical principles are in conflict here? Veracity and
beneficence
Beneficence and
nonmalfeasance
Autonomy and
beneficence Justice and
autonomy
