NURS 6560 MIDTERM EXAM 2026 WALDEN
UNIVERSITY
Question 1
S. is a 59-year-old female who has been followed for several years for aortic regurgitation.
Serial echocardiography has demonstrated normal ventricular function, but the patient was lost
to follow-up for the last 16 months and now presents complaining of activity intolerance and
weight gain. Physical examination reveals a grade IV/VI diastolic aortic murmur and 2+ lower
extremity edema to the midcalf. The AGACNP considers which of the following as the most
appropriate management strategy?
A. Serial echocardiography every 6 months
B. Begin a calcium channel antagonist
C. Begin an angiotensin converting enzyme (ACE) inhibitor
D. Surgical consultation and intervention
Question 2
An ascending thoracic aneurysm of > 5.5 cm is universally considered an indication for surgical
repair, given the poor outcomes with sudden rupture. Regardless of the aneurysm’s size, all of
the following are additional indications for immediate operation except:
A. Comorbid Marfan’s syndrome
B. Enlargement of > 1 cm since diagnosis
C. Crushing chest pain
D. History of giant cell arteritis
Question 3
, Jasmine is a 31-year-old female who presents with neck pain. She has a long history of injection
drug use and admits to injecting opiates into her neck. Physical examination reveals diffuse
tracking and scarring. Today Jasmine has a distinct inability to turn her neck without pain, throat
pain, and a temperature of 102.1°F. She appears ill and has foul breath. In order to evaluate for a
deep neck space infection, the AGACNP orders:
UNIVERSITY
Question 1
S. is a 59-year-old female who has been followed for several years for aortic regurgitation.
Serial echocardiography has demonstrated normal ventricular function, but the patient was lost
to follow-up for the last 16 months and now presents complaining of activity intolerance and
weight gain. Physical examination reveals a grade IV/VI diastolic aortic murmur and 2+ lower
extremity edema to the midcalf. The AGACNP considers which of the following as the most
appropriate management strategy?
A. Serial echocardiography every 6 months
B. Begin a calcium channel antagonist
C. Begin an angiotensin converting enzyme (ACE) inhibitor
D. Surgical consultation and intervention
Question 2
An ascending thoracic aneurysm of > 5.5 cm is universally considered an indication for surgical
repair, given the poor outcomes with sudden rupture. Regardless of the aneurysm’s size, all of
the following are additional indications for immediate operation except:
A. Comorbid Marfan’s syndrome
B. Enlargement of > 1 cm since diagnosis
C. Crushing chest pain
D. History of giant cell arteritis
Question 3
, Jasmine is a 31-year-old female who presents with neck pain. She has a long history of injection
drug use and admits to injecting opiates into her neck. Physical examination reveals diffuse
tracking and scarring. Today Jasmine has a distinct inability to turn her neck without pain, throat
pain, and a temperature of 102.1°F. She appears ill and has foul breath. In order to evaluate for a
deep neck space infection, the AGACNP orders:
