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NURS 6550 Midterm Review Questions With Complete Solutions
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NURS 6550 Midterm Review Questions With Complete Solutions
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NURS 6550 Midterm Review Questions With CompleteSolutions
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The "MONA" acronym provides guidance for immediate
interventions in the patient with: Correct Answers Acute
Coronary Syndrome.
Morphine Oxygen Nitrates Aspirin
Correct Order: ANOM
3 doses of nitro max
A 15 yo M presents to the ER complaining of severe throat pain.
Upon physical examination he is febrile with a temperature of
102.4° F and he is a bit tachycardic, but other vital signs or
normal. Inspection of the throat is basically unremarkable—the
AGACNP does not appreciate any abscesses, edema, or exudate;
there may be some slight erythema. The AGACNP becomes
suspicious that the patient has: Correct Answers Epiglottitis
Patient needs immediate intubation.
A 26-year-old female patient being evaluated for eye discharge.
She says that for the last few days she has developed this sticky,
string-like discharge in both eyes. She denies any pain or visual
changes, but does admit to a sense of "something in my eyes"
and that her eyes itch a lot. Physical examination reveals
injected conjunctiva, rope-like discharge bilaterally; pupil
response is equal and brisk in both eyes. Which factor in the
patient's history would be supportive of the most likely
diagnosis? Correct Answers Symptoms occurring bilaterally
supports the dx of allergic conjunctivitis.
,A 31-year-old male presents to urgent care because he has
something in his eye. He was changing the oil under his car and
says that something dropped into his eye. He is not having any
pain, in fact he waited a day before coming in because he
thought it would work itself out. Physical exam reveals a black 1
mm foreign body visible on the corneal surface. The most
appropriate intervention is to: Correct Answers Attempt to
remove the foreign body with a saline soaked sterile swab since
it is visible on exam.
A 36-year-old female presents complaining of left leg swelling.
She describes the onset as acute over the last day or two, and
says it feels "tight and throbbing." She denies any significant
medical history and says the only medication she takes is oral
contraception, which she has taken since she was 15 years old.
The AGACNP first orders: Correct Answers A d-dimer test.
(Least invasive/expensive)
A 36-year-old male patient who presents for treatment of eye
pain. He has no significant medical history and does not take
any daily or over-the-counter medications. His only recent
history is nighttime allergies for which he takes occasional
diphenhydramine with good relief. He has had some throbbing
in his eye for the last few days on and off but just ignored it;
today he says it is flat out painful and he had to come to the
emergency department. The eye is throbbing and painful, and he
reports generalized decreased vision. The pupil is dilated to 5
mm and non-reactive to light. The eye conjunctiva is reddened.
The next step in the diagnostic evaluation should be: Correct
Answers Assessment of intraocular pressure via tonometry to
confirm angle closure glaucoma diagnosis.
, A 41-year-old male patient is in the intensive care unit with
septic shock and has been aggressively managed with broad
spectrum antibiotics. He has become progressively hypoxemic
and the last arterial blood gas revealed a paO2 of 58 mm Hg.
Chest radiography reveals a "white out" pattern bilaterally. The
patient is intubated and ventilated. The AGACNP knows that
appropriate management must include Correct Answers Adjust
the PEEP as the patient is experiencing ARDS
A 49-year-old male is being managed for an acute myocardial
infarction. He develops significant shortness of breath at rest and
coarse rales 2/3 up bilaterally. The AGACNP suspects acute
pulmonary edema due to papillary muscle rupture and acute
mitral valve regurgitation. Which physical finding would
support this finding? Correct Answers A systolic murmur
auscultated at the 5th ICS, midclavicular line.
A 55-year-old female patient presents with a fever of 103.4° F.
She was treated approximately 10 days ago at urgent care for a
sinus infection, but two days ago the right side of her face
started to hurt, and today she has significant swelling of the right
orbit and eyelid. The eyelid is very edematous and there is
purulent drainage noted. The priority of care for this patient
begins with: Correct Answers Initiating antibiotic therapy to
cover streptococcus pneumoniae for orbital cellulitis.
Antibx: Clindamycin or Bactrim PLUS Augmentin or Cefdinir
A 55-year-old female presents with acute onset left sided facial
pain and an inability to move the left side of her face. She
cannot smile, raise her eyebrow or even close her left eye, The
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