NURS 6550 Midterm
ou ou
Exam / NURS6550 Midterm
ou ou ou ou
Exam (Latest): Walden Unive
ou ou ou
rsity
,NURSou6550ouMidtermouExamou/ouNURS6550ouMidtermouExamou(Latest):ouWaldenouUniversity
ou WaldenouNURSou6550ouMidtermouExamou/ouWaldenouNURS6550ouMidtermouExam
1. Aoupatientouwithouanteriorouepistaxisouhasoubeenoutreatedouwithou20ouminutesouofoudirectoupressureout
ooutheoucartilaginousouportionouofoutheounose.ouFollowingoupressureoutheoupatientouisouinstructedoutoougent
lyoublowoutheounose.ouExpectedoufindingsouinoutheoupatientouwhoouhasoubeenousuccessfullyoutreatedouinclud
eouallouofoutheoufollowingouexceptoua:
2. Kevinouisouaou14-year-
oldoumaleouwhooupresentsouforouevaluationouofouaoufeverouofou102.5°ouFouandousignificantourightouearoupain.ouH
eouappearsouquiteouillouandousaysouheoufeelsounauseous.ouOtoscopicouevaluationourevealsoupainoutooupalpation
,ouaouveryouerythematousouandoubulgingoutympanicoumembraneouwithoubullousoumyringitis.ouTheouAGACNPou
knowsouthatouantibioticoutherapyoumustoubeouselectedoutooucover:
3. P.M.ouisouaou71-year-
oldougayoumaleoupatientouwhooupresentsouasouanououtpatientouforouevaluationouofouincreasingoushortnessouofo
ubreath.ouTheoudiagnosticouevaluationouultimatelyousupportsouaoudiagnosisouofoucommunityouacquiredoupne
umonia.ouTheouAGACNPouappreciatesourightoumiddleoulobeouconsolidationouonouchestouradiography.ouPendi
ngousputumoucultures,ouempiricouantibioticoutherapyoumustoubeouinitiatedoutooucoverouwhichouorganism?
4. TheouAGACNPouisoucaringouforouaoupatientouwhoouisouquiteouillouandouhasoudeveloped,ouamongouotherouthi
ngs,ouaoulargeourightousidedoupleuraloueffusion.ouThoracentesisouisousentouforoupleuraloufluidouanalysis.ouWhileo
uevaluatingoutheoufluidouanalysis,outheouAGACNPouknowsouthatouaoufluidouidentifiedouasoua(n)ou
isoutheouleastouworrisomeoutype.
5. Mrs.ouMillerouisoutransportedoutooutheouemergencyoudepartmentoubyouparamedics.ouSheouisouhavingoupr
ofound,ouunremittingouchestoupain,ouisoudiaphoreticouandoupale.ouSheouhasoujugularouvenousoudistentionoua
ndouaouwidenedoupulseoupressure.ouSuspectingouascendingouaorticouaneurysm,outheouAGACNPouorderouwhi
choutestoutoouconfirmoutheoudiagnosis?
6. Certainousubgroupsouofoutheouelderlyoupopulationouareouatouanouincreasedouriskouforourapidoudeteriorat
ionouandoulong-
termoucareouplacement.ouWhichouofoutheoufollowingouisounotouconsideredouaouhighouriskoufactorouforoulongou
termoucareouplacement?
7. Whichouofoutheoufollowingouisoutheougreatestouriskoufactorouforouvascularoudementia?
8. J.R.ouisouaou55-year-
oldoumaleouwhooupresentsouforouaoucommercialoudriver’soulicenseouphysicalouexaminationouwithouaoubloodoup
ressureouofou170/102oummouHg.ouHeouhasounooumedicalouhistoryouandouisouwithoutoucomplaint.ouWhichouofout
heoufollowingoufindingsouconstitutesouhypertensiveouurgency?
9. Becauseouofoutheoucommonlyourecognizedouadverseoueffectsouofouatypicalouantipsychotics,oua
nnualoulaboratoryouassessmentouforoupatientsoutakingoutheseoumedicationsoushouldouincludeoua:
10. K.R.oupresentsouforouanouevaluationouofoueyeoudiscomfort.ouHeouworksouinouaoufabricatingoushopouforouaou
customouautomobileourestorationoucompanyouandouwhileouworkingouheoufeltoulikeousomethingouflewouintoou
hisoueye.ouHeouwasouwearingoueyeouprotectionouatoutheoutimeoubutoustillouhasoutheousensationouthatousomethi
ngouisouthere.ouPhysicalouexaminationouisousignificantouforousomeoutearingouandouheoureportsouaoupersistentous
enseouofousomethingouinouhisoueye.ouWhichouofoutheoufollowingouisounotouindicatedouinoutheoudiagnosticoueval
uation?
11. D.E.ouisouaou41-year-
oldoufemaleouwhoouhadoulumbarousurgeryoutwooudaysouagooutoourepairouaourupturedounucleusoupulposus.ouS
heouhasoubeenoudoingouwelloupostoperativelyoubutoutodayouisoucomplainingouofourestingoufatigueouandouso
meoushortnessouofoubreathouatourest.ouInourulingououtouaoupulmonaryouembolusoutheouAGACNPoufirstouorder
,soua:
12. Mr.ouNixonouisoubeingoutreatedouwithouunfractionatedouheparinouinfusionouforouacuteoupulmonaryouemb
olus.ouInouorderoutoouavoidouaoupotentiallyoufataloucomplicationouofouheparinouinfusion,outheouAGACNPoumoni
tors:
, 13. Differentiatingouvertigooufromounear-syncopeouandouataxiaouisouoneouofoutheougoalsouofouhistory-
takingouwhenouaoupatientoupresentsouasou“dizzy.”ouTheouAGACPouknowsouthatouvertigoouisoutheouproblemouw
henoutheoupatientoureportsoutheouprimaryousymptomouas:
14. Mr.ouBanksouhasoubeenouadmittedouforousurgicalouresectionouofouaoumetastaticoutumor,ouduringousurgery
ouitouisoudiscoveredouthatouheouhasouwidespread,oudiffuseoumetastasisouthroughoutoutheouabdomen.ouSurgery
ouisounooulongerouanouoption,ouandouhisouoncologistousaysouthatouchemotherapyouisouunlikelyoutoouproduceouan
youmeaningfuloubenefit.ouMr.ouBanksouisouconcernedouthatouhisousonsouwillounotousupportouaoutransferoutoouco
mfortoucare.ouTheouAGACNPouadvisesouthatouhe:
15. Mr.ouWilkersonouisouaou77-year-
oldoumaleouwhoouisoubeingouevaluatedouandoutreatedouforouhisoucardiogenicoupain.ouHisouvitalousignsouareouasou
follows:ouTemperatureouofou99.1°ouF,oupulseouofou100oubpm,ourespirationsouofou22oubpm,ouandoubloodoupress
ureouofou168/100oummouHg.ouAou12-leadouECGourevealsoudeepouSTousegmentoudepressionouinouleadsouV3-
V6.ouTheouAGACNPourecognizesouwhichouofoutheoufollowingouasouaoucontraindicationoutoourTPAoutherapy?
16. Aou71-year-
oldoupatientouisourecoveringoufromouaouparticularlyousevereouexacerbationouofouchronicouobstructiveoupulmo
naryoudisease.ouHeouhasoubeenouinoutheouhospitalouforoualmostoutwoouweeksouandouwasouonoumechanicalouven
tilationouforou7oudays.ouWhileoudiscussingouhisoudischargeouplanouheoutellsouyououthatouheouisoureallyougoingouto
ouquitousmokingouthisoutime.ouHeouacknowledgesouthatouheouhasoubeenou"sneaking"oucigarettesouinoutheouhos
pitalouforoutwooudays,oubutouheouhasouestablishedouaoutimelineoutooudecreaseoutheounumberouofoucigarettesoud
aily.ouAccordingoutoouhisouplanouhisoulastoucigaretteouwilloubeoutheoulastoudayouofoutheoumonth.ouThisoupatient’so
ubehaviorouisouconsistentouwithouwhichoustageouofoutheouTranstheoreticalouModelouofouChange?
17. Whileouassessingouaoupatientouwithouaouknownoupsychiatricouhistory,outheouAGACNPouknowsouthatoutheo
uprimaryoudifferenceoubetweenouaoupsychoticouandouneuroticoudisordersouis:
18. L.T.ouisouanou85-year-
oldoumaleouwhoouisouadmittedouforouevaluationouofouprofoundoudiarrheaouthatouhasouproducedousignificant
oudehydration.ouHeoualsooucomplainsouofoubeingouveryoutiredoulately,ouandoufeelingoulikeouheouisougoingoutoouv
omitouallouofoutheoutime.ouHisouvitalousignsouareousignificantouforouaoupulseouofou41oub.p.m.ouandouaoubloodoupr
essureouofou90/60oummouHg.ouAougastrointestinalouevaluationouincludingoustoolouforoublood,ouwhiteoublood
oucells,ouandouovaouandouparasitesouisounegative.ouHeouinsistsouthatouheouhasounotoustartedouanyounewoumedi
cationsouoroumadeouanyoudietouchanges;outheouonlyouthingounewouisouthatouheougotounewoueyeoudropsouforouh
isouglaucoma.ouTheouAGACNPoucorrectlyouassumesouthatouhisounewoueyeoudropsouare:
19. Janiceouisouaou19-year-
oldoufemaleouwhooupresentsoutooutheouemergencyoudepartmentouviaouambulance.ouSheouisoupale,oudiaphore
tic,ouagitated,ouandouconvincedousheouisouhavingouaoustroke.ouHerouvitalousignsouincludeouaoutemperatureouofou
98.9°ouF,oupulseouofou114oubeatsouperouminute,ourespirationsouofou32oubreathsouperouminute,ouandouaoubloodou
pressureouofou110/74oummouHg.ouDiagnosticouevaluationouisounegativeouandouJaniceouisoudiagnosedouwithoua
nouacuteoupanicouattack.ouTheouinitialoutreatmentouofouchoiceouis:
20. Lorraineouisouaou41-year-oldoufemaleouwhooupresentsouforouanouasthmaoufollow-
upouvisit.ouSheousaysousheoufeelsouveryouwell,ouhasoualmostounooudaytimeousymptoms,ouandouisouusingouherouin
haledoucorticosteroidoumedicationoudailyouasouprescribed.ouHerouPEFRouisou85%ouofouheroupersonaloubest.ouT
heoubestouapproachoutoouthisoupatientouisouto:
21. Mr.ouOwenouisouaou37-year-
oldoupatientouwhoouhasoubeenouadmittedouforousurgicalouresectionouofouaoumalignantoutumorouinouhisoulung.ou
Hisouphysicalourecoveryouhasoubeenouuneventfulouandouheouisoubeingoupreparedouforoudischarge.ouWhileoudis
cussingouhisouongoingoucanceroutherapyouwithouMr.ouOwen,outheouAGACNPoudeterminesouthatouheouhasouex
periencedoupersistent,ouexcessiveouanxietyouandouworryoualmostoueveryoudayouforoumoreouthanouoneouyear.o
uWhatouotherouaspectouofouMr.ouOwen'soupsychosocialouhistoryouwouldoubeourequiredoutooumadeouaoudiagno
ou ou
Exam / NURS6550 Midterm
ou ou ou ou
Exam (Latest): Walden Unive
ou ou ou
rsity
,NURSou6550ouMidtermouExamou/ouNURS6550ouMidtermouExamou(Latest):ouWaldenouUniversity
ou WaldenouNURSou6550ouMidtermouExamou/ouWaldenouNURS6550ouMidtermouExam
1. Aoupatientouwithouanteriorouepistaxisouhasoubeenoutreatedouwithou20ouminutesouofoudirectoupressureout
ooutheoucartilaginousouportionouofoutheounose.ouFollowingoupressureoutheoupatientouisouinstructedoutoougent
lyoublowoutheounose.ouExpectedoufindingsouinoutheoupatientouwhoouhasoubeenousuccessfullyoutreatedouinclud
eouallouofoutheoufollowingouexceptoua:
2. Kevinouisouaou14-year-
oldoumaleouwhooupresentsouforouevaluationouofouaoufeverouofou102.5°ouFouandousignificantourightouearoupain.ouH
eouappearsouquiteouillouandousaysouheoufeelsounauseous.ouOtoscopicouevaluationourevealsoupainoutooupalpation
,ouaouveryouerythematousouandoubulgingoutympanicoumembraneouwithoubullousoumyringitis.ouTheouAGACNPou
knowsouthatouantibioticoutherapyoumustoubeouselectedoutooucover:
3. P.M.ouisouaou71-year-
oldougayoumaleoupatientouwhooupresentsouasouanououtpatientouforouevaluationouofouincreasingoushortnessouofo
ubreath.ouTheoudiagnosticouevaluationouultimatelyousupportsouaoudiagnosisouofoucommunityouacquiredoupne
umonia.ouTheouAGACNPouappreciatesourightoumiddleoulobeouconsolidationouonouchestouradiography.ouPendi
ngousputumoucultures,ouempiricouantibioticoutherapyoumustoubeouinitiatedoutooucoverouwhichouorganism?
4. TheouAGACNPouisoucaringouforouaoupatientouwhoouisouquiteouillouandouhasoudeveloped,ouamongouotherouthi
ngs,ouaoulargeourightousidedoupleuraloueffusion.ouThoracentesisouisousentouforoupleuraloufluidouanalysis.ouWhileo
uevaluatingoutheoufluidouanalysis,outheouAGACNPouknowsouthatouaoufluidouidentifiedouasoua(n)ou
isoutheouleastouworrisomeoutype.
5. Mrs.ouMillerouisoutransportedoutooutheouemergencyoudepartmentoubyouparamedics.ouSheouisouhavingoupr
ofound,ouunremittingouchestoupain,ouisoudiaphoreticouandoupale.ouSheouhasoujugularouvenousoudistentionoua
ndouaouwidenedoupulseoupressure.ouSuspectingouascendingouaorticouaneurysm,outheouAGACNPouorderouwhi
choutestoutoouconfirmoutheoudiagnosis?
6. Certainousubgroupsouofoutheouelderlyoupopulationouareouatouanouincreasedouriskouforourapidoudeteriorat
ionouandoulong-
termoucareouplacement.ouWhichouofoutheoufollowingouisounotouconsideredouaouhighouriskoufactorouforoulongou
termoucareouplacement?
7. Whichouofoutheoufollowingouisoutheougreatestouriskoufactorouforouvascularoudementia?
8. J.R.ouisouaou55-year-
oldoumaleouwhooupresentsouforouaoucommercialoudriver’soulicenseouphysicalouexaminationouwithouaoubloodoup
ressureouofou170/102oummouHg.ouHeouhasounooumedicalouhistoryouandouisouwithoutoucomplaint.ouWhichouofout
heoufollowingoufindingsouconstitutesouhypertensiveouurgency?
9. Becauseouofoutheoucommonlyourecognizedouadverseoueffectsouofouatypicalouantipsychotics,oua
nnualoulaboratoryouassessmentouforoupatientsoutakingoutheseoumedicationsoushouldouincludeoua:
10. K.R.oupresentsouforouanouevaluationouofoueyeoudiscomfort.ouHeouworksouinouaoufabricatingoushopouforouaou
customouautomobileourestorationoucompanyouandouwhileouworkingouheoufeltoulikeousomethingouflewouintoou
hisoueye.ouHeouwasouwearingoueyeouprotectionouatoutheoutimeoubutoustillouhasoutheousensationouthatousomethi
ngouisouthere.ouPhysicalouexaminationouisousignificantouforousomeoutearingouandouheoureportsouaoupersistentous
enseouofousomethingouinouhisoueye.ouWhichouofoutheoufollowingouisounotouindicatedouinoutheoudiagnosticoueval
uation?
11. D.E.ouisouaou41-year-
oldoufemaleouwhoouhadoulumbarousurgeryoutwooudaysouagooutoourepairouaourupturedounucleusoupulposus.ouS
heouhasoubeenoudoingouwelloupostoperativelyoubutoutodayouisoucomplainingouofourestingoufatigueouandouso
meoushortnessouofoubreathouatourest.ouInourulingououtouaoupulmonaryouembolusoutheouAGACNPoufirstouorder
,soua:
12. Mr.ouNixonouisoubeingoutreatedouwithouunfractionatedouheparinouinfusionouforouacuteoupulmonaryouemb
olus.ouInouorderoutoouavoidouaoupotentiallyoufataloucomplicationouofouheparinouinfusion,outheouAGACNPoumoni
tors:
, 13. Differentiatingouvertigooufromounear-syncopeouandouataxiaouisouoneouofoutheougoalsouofouhistory-
takingouwhenouaoupatientoupresentsouasou“dizzy.”ouTheouAGACPouknowsouthatouvertigoouisoutheouproblemouw
henoutheoupatientoureportsoutheouprimaryousymptomouas:
14. Mr.ouBanksouhasoubeenouadmittedouforousurgicalouresectionouofouaoumetastaticoutumor,ouduringousurgery
ouitouisoudiscoveredouthatouheouhasouwidespread,oudiffuseoumetastasisouthroughoutoutheouabdomen.ouSurgery
ouisounooulongerouanouoption,ouandouhisouoncologistousaysouthatouchemotherapyouisouunlikelyoutoouproduceouan
youmeaningfuloubenefit.ouMr.ouBanksouisouconcernedouthatouhisousonsouwillounotousupportouaoutransferoutoouco
mfortoucare.ouTheouAGACNPouadvisesouthatouhe:
15. Mr.ouWilkersonouisouaou77-year-
oldoumaleouwhoouisoubeingouevaluatedouandoutreatedouforouhisoucardiogenicoupain.ouHisouvitalousignsouareouasou
follows:ouTemperatureouofou99.1°ouF,oupulseouofou100oubpm,ourespirationsouofou22oubpm,ouandoubloodoupress
ureouofou168/100oummouHg.ouAou12-leadouECGourevealsoudeepouSTousegmentoudepressionouinouleadsouV3-
V6.ouTheouAGACNPourecognizesouwhichouofoutheoufollowingouasouaoucontraindicationoutoourTPAoutherapy?
16. Aou71-year-
oldoupatientouisourecoveringoufromouaouparticularlyousevereouexacerbationouofouchronicouobstructiveoupulmo
naryoudisease.ouHeouhasoubeenouinoutheouhospitalouforoualmostoutwoouweeksouandouwasouonoumechanicalouven
tilationouforou7oudays.ouWhileoudiscussingouhisoudischargeouplanouheoutellsouyououthatouheouisoureallyougoingouto
ouquitousmokingouthisoutime.ouHeouacknowledgesouthatouheouhasoubeenou"sneaking"oucigarettesouinoutheouhos
pitalouforoutwooudays,oubutouheouhasouestablishedouaoutimelineoutooudecreaseoutheounumberouofoucigarettesoud
aily.ouAccordingoutoouhisouplanouhisoulastoucigaretteouwilloubeoutheoulastoudayouofoutheoumonth.ouThisoupatient’so
ubehaviorouisouconsistentouwithouwhichoustageouofoutheouTranstheoreticalouModelouofouChange?
17. Whileouassessingouaoupatientouwithouaouknownoupsychiatricouhistory,outheouAGACNPouknowsouthatoutheo
uprimaryoudifferenceoubetweenouaoupsychoticouandouneuroticoudisordersouis:
18. L.T.ouisouanou85-year-
oldoumaleouwhoouisouadmittedouforouevaluationouofouprofoundoudiarrheaouthatouhasouproducedousignificant
oudehydration.ouHeoualsooucomplainsouofoubeingouveryoutiredoulately,ouandoufeelingoulikeouheouisougoingoutoouv
omitouallouofoutheoutime.ouHisouvitalousignsouareousignificantouforouaoupulseouofou41oub.p.m.ouandouaoubloodoupr
essureouofou90/60oummouHg.ouAougastrointestinalouevaluationouincludingoustoolouforoublood,ouwhiteoublood
oucells,ouandouovaouandouparasitesouisounegative.ouHeouinsistsouthatouheouhasounotoustartedouanyounewoumedi
cationsouoroumadeouanyoudietouchanges;outheouonlyouthingounewouisouthatouheougotounewoueyeoudropsouforouh
isouglaucoma.ouTheouAGACNPoucorrectlyouassumesouthatouhisounewoueyeoudropsouare:
19. Janiceouisouaou19-year-
oldoufemaleouwhooupresentsoutooutheouemergencyoudepartmentouviaouambulance.ouSheouisoupale,oudiaphore
tic,ouagitated,ouandouconvincedousheouisouhavingouaoustroke.ouHerouvitalousignsouincludeouaoutemperatureouofou
98.9°ouF,oupulseouofou114oubeatsouperouminute,ourespirationsouofou32oubreathsouperouminute,ouandouaoubloodou
pressureouofou110/74oummouHg.ouDiagnosticouevaluationouisounegativeouandouJaniceouisoudiagnosedouwithoua
nouacuteoupanicouattack.ouTheouinitialoutreatmentouofouchoiceouis:
20. Lorraineouisouaou41-year-oldoufemaleouwhooupresentsouforouanouasthmaoufollow-
upouvisit.ouSheousaysousheoufeelsouveryouwell,ouhasoualmostounooudaytimeousymptoms,ouandouisouusingouherouin
haledoucorticosteroidoumedicationoudailyouasouprescribed.ouHerouPEFRouisou85%ouofouheroupersonaloubest.ouT
heoubestouapproachoutoouthisoupatientouisouto:
21. Mr.ouOwenouisouaou37-year-
oldoupatientouwhoouhasoubeenouadmittedouforousurgicalouresectionouofouaoumalignantoutumorouinouhisoulung.ou
Hisouphysicalourecoveryouhasoubeenouuneventfulouandouheouisoubeingoupreparedouforoudischarge.ouWhileoudis
cussingouhisouongoingoucanceroutherapyouwithouMr.ouOwen,outheouAGACNPoudeterminesouthatouheouhasouex
periencedoupersistent,ouexcessiveouanxietyouandouworryoualmostoueveryoudayouforoumoreouthanouoneouyear.o
uWhatouotherouaspectouofouMr.ouOwen'soupsychosocialouhistoryouwouldoubeourequiredoutooumadeouaoudiagno
