200 q amp a nrnp6560 final exam nrnp 6560 week 11 final exam nrnp6560 week 11 final exam walden university | 100 verified q a
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NRNP 6560 FINAL EXAM (2 VERSIONS, 200 Q & A)
VERIFIED QUESTIONS AND ANSWERS
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, NRNP 6560 FINAL EXAM
VERSION 1
1. Q ANSWER:
The AGACNP is reviewing a chart of a head-injured patient. Which of the
following would alert the AGACNP for the possibility that the patient is over
hydrated, thereby increasing the risk for increased intracranial pressure?
A. BUN = 10
B. Shift output = 800 ml, shift input =
825 ml Unchanged weight
C. Serum osmolality = 260
2. Q ANSWER:
A patient who has been in the intensive care unit for 17 days develops
hyponatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated,
and is receiving mechanical ventilation. The serum osmolality is 320 mOsm/L kg
H2O. Clinical signs include tachycardia and hypotension. The adult-gerontology
acute care nurse practitioner's initial treatment is to:
A. reduce serum osmolality by infusing a 5%
reduce serum sodium concentration by infusing a 0.45%
sodium
chloride
solution
dextrose in 0.2% sodium chloride solution B.
C. replenish volume by infusing a 0.9% sodium chloride
solution D. replenish volume by infusing a 5% dextrose
in water solution.
3. Q ANSWER:
A 16-year-old male presents with fever and right lower quadrant discomfort. He
complains of nausea and has had one episode of vomiting, but he denies any
,diarrhea. His vital signs are as follows: temperature 101.9°F, pulse 100 bpm,
respirations 16 breaths per minute, and blood pressure 110/70 mm Hg. A
complete blood count reveals a WBC count of 19,100 cells/µL. The AGACNP
expects that physical examination will reveal:
A. + Murphy’s sign
B. + Chvostek’s sign
C. + McBurney’s sign
D. + Kernig’s sign
4. Q ANSWER:
Myasthenia gravis is best described as:
A. An imbalance of dopamine and acetylcholine in the basal ganglia
Demyelination of peripheral ascending nerves
B. Demyelination in the central nervous system
C. An autoimmune disorder characterized by decreased neuromuscular
activation
5. Q ANSWER:
Mrs. Coates is a 65-year-old female who is on postoperative day 1 following a
duodenal resection for a bleeding ulcer. She had an uneventful immediate
postoperative course, but throughout the course of day 1 she has complained of
a mild abdominal discomfort that has progressed throughout the day. This
evening the AGACNP is called to the bedside to evaluate the patient for
persistent and progressive discomfort. Likely causes of her symptoms include all
of the following except:
A. Colic due to
return of
peristalsis
B. Leakage from
the duodenal
stump
C. Gastric
retention
D. Hemorrhage
, 6. Q ANSWER:
Mrs. Coates is a 65-year-old female who is on postoperative day 1 following a
duodenal resection for a bleeding ulcer. She had an uneventful immediate
postoperative course, but throughout the course of day 1 she has complained
of a mild abdominal discomfort that has progressed throughout the day. This
evening the AGACNP is called to the bedside to evaluate the patient for
persistent and progressive discomfort. Likely causes
of her Colic due to return symptoms include all of the following except: A.
of
B. peristalsis Leakage from the duodenal stump
C. Gastric retention
D. Hemorrhage
7. Q ANSWER:
When a patient is hospitalized with a possible stroke, the AGACNP recognizes
that the stroke most likely resulted from a subarachnoid hemorrhage when the
patient’s family reports that the patient:
A. Has a history of atrial fibrillation
B. Was unable to be aroused in the morning
C. Had been complaining of a headache before losing consciousness
D. Has had several brief episodes of mental confusion and right arm and leg
weakness
8. Q ANSWER:
You are asked to see a 29 year old female complaining of abdominal pain. She
states she is experiencing constant RUQ pain that radiates to her back. The
pain is not relieved by bowel movements, over the counter antacids or food.
Review of initial labs shows elevated amylase and lipase and you diagnose her
with acute pancreatitis. Which test will you order next to determine the
underlying cause of her pancreatitis? serum cholesterol level blood toxicology
right upper quadrant
ultrasoun endoscopy
d
9. Q ANSWER:
Jake is a 32-year-old patient who is recovering from major abdominal surgery and
organ resection following a catastrophic motor vehicle accident. Due to the
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