NURS 6560 FINAL EXAM / NURS 6560 FINAL
EXAM QUESTIONS AND ANSWERS (2024)
(100 QUESTIONS AND ANS,100%
CORRECT)
Question 1
A patient with suspected Cushing’s syndrome is being evaluated to
establish the diagnosis and cause. Patients with an adrenal tumor
typically will demonstrate:
• Low ACTH and low cortisol
• Low ACTH and high cortisol
• High ACTH and low cortisol
• High ACTH and high cortisol
Question 2
Pneumatosis, or gas cysts, may form in the wall anywhere along the
gastrointestinal tract; in some cases, they will produce symptoms
such as abdominal discomfort, diarrhea with mucus, and excess
flatulence. Treatment of pneumatosis most often involves:
• Several days of oxygen by face mask
• Hyperbaric oxygen
• Surgical resection
• Treatment of underlying disease
,Question 3
Jennifer is an RN applicant for a staff nurse position in the surgical
ICU. She has had a screening PPD and comes back in 48 hours to have
it read. There is a 12-mm induration at the site of injection. A chest
radiograph is negative. The AGACNP knows that the next step in
Jennifer’s evaluation and management should include:
• No further care, because the chest radiograph is negative
• Quantiferon serum assay for exposure
• Consideration of prophylactic therapy
• Beginning therapy for pulmonary TB pending sputum cultures
Question 4
P. E. is a 61-year-old female who presents for a postoperative visit
following a gastric resection after a perforation of peptic ulcer. She
reports feeling better, although it is taking longer than she expected.
However, she says she is feeling better each day, her appetite is
returning, and her incision is healing well. She is being discharged
from surgical care and advised to continue her routine health
promotion follow-up with her primary care provider. As part of her
surgical discharge teaching, the AGACNP counsels P. E. that as a
result of her gastric resection she will need lifelong follow-up of:
M. T. is a 71-year-old female who presents for evaluation of a ―lump
on her chest.‖ She denies any symptoms—there is no pain, erythema,
edema, ecchymosis, or open areas—it is just a lump. She has no idea
how long it has been there and just noticed it a few weeks ago.
Physical examination reveals a round, smooth, flesh-colored tumor. It
is firm but not hard; it has smooth borders. It measures 6 cm in
diameter and is non-tender to palpation. The AGACNP suspects that
this is a classic presentation of the most common chest wall tumor
known as a:
• Neurolemma
• Lipoma
• Hemangioma
• Lymphangioma
Question 6
The AGACNP is receiving report from the recovery room on a
patient who just had surgical resection for pheochromocytoma. He
knows that which class of drugs should be available immediately to
manage hypertensive crisis, a possible consequence of physical
manipulation of the adrenal medulla?
In myelodysplastic syndromes, the primary indications for splenectomy
include:
• Major hemolysis unresponsive to medical management
• Severe symptoms of massive splenomegaly
• Sustained leukocyte elevation above 30,000 cells/µL
• Portal hypertension
Question 8
The AGACNP is evaluating a patient who reportedly fell down a
flight of steps. Her history is significant for several emergency room
visits, but she denies any significant medical conditions. Some
documentation in her chart indicates that she may have been subjected
to physical abuse. Today she presents with a periorbital ecchymosis of
the left eye and swelling in the left side of the face. Her neurologic
examination is within normal limits. Which head imaging study
would be most useful in assessing for findings consistent with a
history of abuse?
• Radiographs
• CT scan without contrast
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