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NURS 6560 Midterm Exam (Latest Version, 100 Q & A) / NURS 6560N Midterm Exam , NURS 6560 Advanced Practice Care of Adults in Acute Care Settings II, Walden University.

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NURS 6560 Midterm Exam (Latest Version, 100 Q & A) / NURS 6560N Midterm Exam , NURS 6560 Advanced Practice Care of Adults in Acute Care Settings II, Walden University.

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  • 8 de septiembre de 2023
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NURS 6560 Midterm Exam
NURS 6560/ NURS 6560N: Advanced Practice Care of
Adults in Acute Care Settings II (Complete Answers)


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, NURS 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

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