NURS 6550 Midterm Exam Latest – Question and Answers with Rationale – Walden University

NURS 6550 Midterm Exam Latest – Question and Answers with Rationale – Walden University. Mrs. Miller is transported to the emergency department by paramedics. She is having profound, unremitting chest pain, is diaphoretic and pale. She has jugular venous distention and a widened pulse pressure. Suspecting ascending aortic aneurysm, the AGACNP order which test to confirm the diagnosis? Ans: D is the answer- CT( not radiography or MRI or us) 3. Certain subgroups of the elderly population are at an increased risk for rapid deterioration and long-term care placement. Which of the following is not ….a high risk factor for long term care placement? ANS: A- men ( others are > 80, live alone, bowel and bladder incontinence, hx of fall, dysfunctional coping and intellectual impairment). 4. A patient with anterior epistaxis has been ….with 20 minutes of direct pressure to the cartilaginous portion of the nose. Following pressure the patient is ….to gently blow the nose. Expected findings in the patient who has been successfully ….include all of the following except a: Ans: C, bld and clot formation occurs if bleeding stop within 20 min of directed pressure and can be removed by gentle suction and gentle blowing of nose. 5. Kevin is a 14-year-old male who presents for evaluation of a fever of 102.5° F and significant right ear pain. He appears quite ill and says he feels nauseous. Otoscopic evaluation reveals pain to palpation, a very erythematous and bulging tympanic membrane with bullous myringitis. The AGACNP knows that antibiotic therapy must be selected to cover: Ans: D, streptococcus pneumonaie commonly bacteria present in head and neck infection of immunocompetent patients, and primarily treatment target for otitis media, bacterial sinusitis, and bacterial pharyngitis. 6. P.M. is a 71-year-old gay male patient who presents as an outpatient for evaluation of increasing shortness of breath. The diagnostic evaluation ultimately supports a diagnosis of community acquired pneumonia. The AGACNP appreciates right middle lobe consolidation on chest radiography. Pending sputum cultures, empiric antibiotic therapy must be initiated to cover which organism? Ans: D- streptococcus pneumonaie from out patient population and targeted treatment empirically. 7. Which of the following is the greatest risk factor for vascular dementia? Ans- B, vascular disease in target organ damage in DM, hyperlipidemia and HTN This study source was downloaded by from CourseH on :43:34 GMT -05:00 8. J.R. is a 55-year-old male who presents for a commercial driver’s license physical examination with a blood pressure of 170/102 mm Hg. He has no medical history and is without complaint. Which of the following findings constitutes hypertensive urgency? 9. Because of the commonly recognized adverse effects of atypical antipsychotics, annual laboratory assessment for patients taking these medications should include a: 10. K.R. presents for an evaluation of eye discomfort. He works in a fabricating shop for a custom automobile restoration company and while working he felt like something flew into his eye. He was wearing eye protection at the time but still has the sensation that something is there. Physical examination is significant for some tearing and he reports a persistent sense of something in his eye. Which of the following is not …..in the diagnostic evaluation? 11. D.E. is a 41-year-old female who had lumbar surgery two days ago to repair a ….nucleus pulposus. She has been doing well postoperatively but today is complaining of resting fatigue and some shortness of breath at rest. In ruling out a pulmonary embolus the AGACNP first orders a: 12. Mr. Nixon is being ….with unfractionated heparin infusion for acute pulmonary embolus. In order to avoid a potentially fatal complication of heparin infusion, the AGACNP monitors: 13. 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: 14. Mr. Banks has been ….for surgical resection of a metastatic tumor, during surgery it is discovered that 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 meaningful benefit. Mr. Banks is concerned that his sons will not support a transfer to comfort care. The AGACNP advises that he: We offer online tutoring, help with assignments and essay writing for all majors with a guaranteed pass. For assistance Contact Tutor Lucas: