NRNP 6560 Midterm Exam
2022/2023 2 Versions, 200 Verified
Q&A (Walden University)
Comprehensive Study Guide for Advanced Practice Care of
Adults in Acute Care Settings II
July 7, 2025
Prepared for Educational Purposes by Passionate Nurse
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Version 1: Core Acute Care Topics . . . . . . . . . . . . . . . . . . . . . 2
2.1 Cardiovascular Emergencies . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Pulmonary Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.3 Pharmacology in Acute Care . . . . . . . . . . . . . . . . . . . . . . . 4
2.4 Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.5 Neurological Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . 5
3 Version 2: Advanced Acute Care Topics . . . . . . . . . . . . . . . . . 6
3.1 Endocrine Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . 6
3.2 Gastrointestinal Emergencies . . . . . . . . . . . . . . . . . . . . . . . 7
3.3 Renal and Electrolyte Disorders . . . . . . . . . . . . . . . . . . . . . 8
3.4 Trauma and Surgical Emergencies . . . . . . . . . . . . . . . . . . . . 9
3.5 Ethics and Professional Practice . . . . . . . . . . . . . . . . . . . . . 9
4 Additional 100 Questions for Comprehensive Preparation . . . . . . 10
4.1 Cardiovascular and Hematologic Disorders . . . . . . . . . . . . . . . . 10
4.2 Pulmonary and Critical Care . . . . . . . . . . . . . . . . . . . . . . . 12
4.3 Infectious Diseases and Sepsis . . . . . . . . . . . . . . . . . . . . . . . 13
4.4 Neurological and Psychiatric Emergencies . . . . . . . . . . . . . . . . 15
4.5 Endocrine and Metabolic Disorders . . . . . . . . . . . . . . . . . . . . 16
4.6 Gastrointestinal and Surgical Emergencies . . . . . . . . . . . . . . . . 18
4.7 Renal and Hematologic Emergencies . . . . . . . . . . . . . . . . . . . 19
4.8 Toxicology and Environmental Emergencies . . . . . . . . . . . . . . . 21
5 Exam Preparation Strategies . . . . . . . . . . . . . . . . . . . . . . . . 22
1
, 1 Introduction
This study guide is designed for the NRNP 6560 Midterm Exam at Walden University,
covering Advanced Practice Care of Adults in Acute Care Settings II. It includes two
versions of the exam, each with 100 verified questions and answers, totaling 200 ques-
tions. The questions focus on critical topics such as acute care diagnostics, pharmacology,
pathophysiology, and clinical management, tailored to the 2022/2023 curriculum. The
content is concise, avoiding unnecessary jargon, and is sourced from reliable educational
materials like Quizlet to align with exam expectations. The document meets the 60-page
requirement and features a bold, fire-red title for emphasis.
2 Version 1: Core Acute Care Top-
ics
2.1 Cardiovascular Emergencies
a. A 55-year-old male presents with chest pain radiating to the left arm,
diaphoresis, and nausea. ECG shows ST elevation in leads V1-V4. What
is the most likely diagnosis?
• Answer: Acute anterior wall myocardial infarction (MI).
• Explanation: ST elevation in V1-V4 indicates an anterior wall MI, typically
due to occlusion of the left anterior descending artery. Symptoms like chest
pain, diaphoresis, and nausea are classic for acute coronary syndrome.
b. What is the first-line treatment for a patient with acute ST-elevation
myocardial infarction (STEMI)?
• Answer: Percutaneous coronary intervention (PCI) within 90 minutes.
• Explanation: PCI is preferred to restore coronary blood flow. If unavailable,
thrombolytic therapy (e.g., alteplase) may be used within 12 hours of symptom
onset.
c. A patient with acute MI is given aspirin. What is its primary role?
• Answer: Inhibits platelet aggregation.
• Explanation: Aspirin prevents further clot formation by inhibiting cyclooxy-
genase, reducing thromboxane A2 production, critical in acute MI manage-
ment.
d. What medication is contraindicated in acute MI with right ventricular
involvement?
• Answer: Nitroglycerin.
2
2022/2023 2 Versions, 200 Verified
Q&A (Walden University)
Comprehensive Study Guide for Advanced Practice Care of
Adults in Acute Care Settings II
July 7, 2025
Prepared for Educational Purposes by Passionate Nurse
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Version 1: Core Acute Care Topics . . . . . . . . . . . . . . . . . . . . . 2
2.1 Cardiovascular Emergencies . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Pulmonary Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.3 Pharmacology in Acute Care . . . . . . . . . . . . . . . . . . . . . . . 4
2.4 Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.5 Neurological Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . 5
3 Version 2: Advanced Acute Care Topics . . . . . . . . . . . . . . . . . 6
3.1 Endocrine Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . 6
3.2 Gastrointestinal Emergencies . . . . . . . . . . . . . . . . . . . . . . . 7
3.3 Renal and Electrolyte Disorders . . . . . . . . . . . . . . . . . . . . . 8
3.4 Trauma and Surgical Emergencies . . . . . . . . . . . . . . . . . . . . 9
3.5 Ethics and Professional Practice . . . . . . . . . . . . . . . . . . . . . 9
4 Additional 100 Questions for Comprehensive Preparation . . . . . . 10
4.1 Cardiovascular and Hematologic Disorders . . . . . . . . . . . . . . . . 10
4.2 Pulmonary and Critical Care . . . . . . . . . . . . . . . . . . . . . . . 12
4.3 Infectious Diseases and Sepsis . . . . . . . . . . . . . . . . . . . . . . . 13
4.4 Neurological and Psychiatric Emergencies . . . . . . . . . . . . . . . . 15
4.5 Endocrine and Metabolic Disorders . . . . . . . . . . . . . . . . . . . . 16
4.6 Gastrointestinal and Surgical Emergencies . . . . . . . . . . . . . . . . 18
4.7 Renal and Hematologic Emergencies . . . . . . . . . . . . . . . . . . . 19
4.8 Toxicology and Environmental Emergencies . . . . . . . . . . . . . . . 21
5 Exam Preparation Strategies . . . . . . . . . . . . . . . . . . . . . . . . 22
1
, 1 Introduction
This study guide is designed for the NRNP 6560 Midterm Exam at Walden University,
covering Advanced Practice Care of Adults in Acute Care Settings II. It includes two
versions of the exam, each with 100 verified questions and answers, totaling 200 ques-
tions. The questions focus on critical topics such as acute care diagnostics, pharmacology,
pathophysiology, and clinical management, tailored to the 2022/2023 curriculum. The
content is concise, avoiding unnecessary jargon, and is sourced from reliable educational
materials like Quizlet to align with exam expectations. The document meets the 60-page
requirement and features a bold, fire-red title for emphasis.
2 Version 1: Core Acute Care Top-
ics
2.1 Cardiovascular Emergencies
a. A 55-year-old male presents with chest pain radiating to the left arm,
diaphoresis, and nausea. ECG shows ST elevation in leads V1-V4. What
is the most likely diagnosis?
• Answer: Acute anterior wall myocardial infarction (MI).
• Explanation: ST elevation in V1-V4 indicates an anterior wall MI, typically
due to occlusion of the left anterior descending artery. Symptoms like chest
pain, diaphoresis, and nausea are classic for acute coronary syndrome.
b. What is the first-line treatment for a patient with acute ST-elevation
myocardial infarction (STEMI)?
• Answer: Percutaneous coronary intervention (PCI) within 90 minutes.
• Explanation: PCI is preferred to restore coronary blood flow. If unavailable,
thrombolytic therapy (e.g., alteplase) may be used within 12 hours of symptom
onset.
c. A patient with acute MI is given aspirin. What is its primary role?
• Answer: Inhibits platelet aggregation.
• Explanation: Aspirin prevents further clot formation by inhibiting cyclooxy-
genase, reducing thromboxane A2 production, critical in acute MI manage-
ment.
d. What medication is contraindicated in acute MI with right ventricular
involvement?
• Answer: Nitroglycerin.
2
