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NRNP 6560 Midterm Exam (Latest-2023, 100 Q & A) / NRNP6560 Midterm Exam / NRNP 6560 Week 6 Midterm Exam / NRNP6560 Week 6 Midterm Exam: Walden University | 100% Correct Q & A | $20.49
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NRNP 6560-Midterm Exam

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:


A. Anteroposterior neck radiography


B. CT scan of the neck


C. White blood cell (WBC) differential


D. Aspiration and culture of fluid


Question 4


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

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

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

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

consequence of:


A. Poorly calculated solution


B. Resultant diarrhea and volume contraction


C. The central venous line used for infusion


D. Bowel disuse and hypomotility


Question 5


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

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

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

that his current risk for another pneumothorax is:


A. < 10%


B. 25-50%


C. 50-75%


D. > 90


Question 6

, One of the earliest findings for a patient in hypovolemic shock is:


A. A drop in systolic blood pressure (SBP) < 10 mm Hg for > 1 minute when sitting up


B. A change in mental status


C. SaO2 of < 88%


D. Hemoglobin and hematocrit (H&H) < 9 g/dL and 27%


Question 7


Traumatic diaphragmatic hernias present in both acute and chronic forms. Patients with a more

chronic form are most likely to be present with:


A. Respiratory insufficiency


B. Sepsis


C. Bowel obstruction


D. Anemia


Question 8


The AGACNP is managing a patient in the ICU who is being treated for a pulmonary embolus.

Initially the patient was stable, awake, alert, and oriented, but during the last several hours the

patient has become increasingly lethargic. At change of shift, the oncoming staff nurse

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