NURS 6560 Midterm exam: Walden University (Latest ) (100 verified questions and answers)

NURS 6560 Midterm Exam: Advanced Practice Care of Adults in Acute Care Settings:
jj jj jj j jj jj jj j jj j jj jj




Walden University jj




(FOR 100% CORRECTANSWER CHECK THE LAST PAGE)
jj jj j jj jj jj jj




Question 1 jj




S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



echocardiography has demonstrated normal ventricular function, but the patient was lost to
jj jj jj jj jj jj jj jj jj jj jj jj



follow-up for the last 16 months and now presents complaining of activity intolerance and weight
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



gain. Physical examination reveals a grade IV/VI diastolic aortic murmur and 2+ lower extremity
jj jj jj jj jj jj jj jj jj jj jj jj jj jj



edema to the midcalf. The AGACNP considers which of the following as the most appropriate
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



management strategy?
jj jj




A. Serial echocardiography every 6 months
jj jj jj jj jj




B. Begin a calcium channel antagonist
jj jj jj jj jj




C. Begin an angiotensin converting enzyme (ACE) inhibitor
jj jj jj jj jj jj jj




D. Surgical consultation and intervention
j j j j




jj Question 2 jj




An ascending thoracic aneurysm of > 5.5 cm is universally considered an indication for surgical
jj jj jj jj jj jj jj jj jj jj jj jj jj jj



repair, given the poor outcomes with sudden rupture. Regardless of the aneurysm’s size, all of the
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



following are additional indications for immediate operation except:
jj jj jj jj jj jj jj jj




A. Comorbid Marfan’s syndrome
jj jj jj




B. Enlargement of > 1 cm since diagnosis
jj jj jj jj jj jj jj




C. Crushing chest pain
jj jj jj




D. History of giant cell arteritis Question
jj jj jj jj jj jj




jj 3

Jasmine is a 31-year-old female who presents with neck pain. She has a long history of injection drug
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



use and admits to injecting opiates into her neck. Physical examination reveals diffuse tracking and
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



scarring. Today Jasmine has a distinct inability to turn her neck without pain, throat pain, and a
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



temperature of 102.1°F. She appears ill and has foul breath. In order to evaluate for a deep neck space
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



infection, the AGACNP orders:
jj jj jj jj




This study source was downloaded by 100000864350059 from CourseHero.com on 03-22-2023 10:58:39 GMT -
jj jj jj jj jj jj jj jj jj jj jj jj jj


05:00

https://www.coursehero.com/file/61465895/NURS-6560-Midterm-Exam-2020-Walden-Universitydocx/

, A.Anteroposterior neck radiography
j jj jj




B. CT scan of the neck
jj jj jj jj jj




C. White blood cell (WBC) differential
jj jj jj jj jj




D.Aspiration and culture of fluid Question
j j jj jj jj jj




jj 4

Mr. Draper is a 39-year-old male recovering from an extended abdominal procedure. As a result of
jj jj jj jj jj jj jj jj jj jj jj j jj jj jj



a serious motor vehicle accident, he has had repair of a small bowel perforation, splenectomy, and
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



repair of a hepatic laceration. He will be on total parenteral nutrition postoperatively. The
jj jj jj jj jj jj jj jj jj jj jj jj jj jj



AGACNP recognizes that the most common complications of parenteral nutrition are a
jj jj jj jj jj jj jj jj jj jj jj jj



consequence of:
jj jj




A. Poorly calculated solution
jj jj jj




B. Resultant diarrhea and volume contraction
jj jj jj jj jj




C. The central venous line used for infusion
jj jj jj jj jj jj jj




D. Bowel disuse and hypomotility
jj j jj jj




jj Question 5 jj




Mr. Mettenberger is being discharged following his hospitalization for reexpansion of his second
jj jj jj jj jj jj jj jj jj jj jj jj



spontaneous pneumothorax this year. He has stopped smoking and does not appear to have any
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj



overt risk factors. While doing his discharge teaching, the AGACNP advises Mr. Mettenberger
jj jj jj jj jj jj jj jj jj jj jj jj jj



that his current risk for another pneumothorax is:
jj jj jj jj jj jj jj jj




A. < 10% jj jj




B. 25-50% jj




C. 50-75% jj




D. > 90 jj jj




Question 6 jj




This study source was downloaded by 100000864350059 from CourseHero.com on 03-22-2023 10:58:39 GMT -
jj jj jj jj jj jj jj jj jj jj jj jj jj


05:00

https://www.coursehero.com/file/61465895/NURS-6560-Midterm-Exam-2020-Walden-Universitydocx/