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NURS 6560 Midterm Exam / NURS6560 Midterm Exam (LATEST 2020)(100 Q/A): Advanced Practice Care of Adults in Acute Care Settings II (Updated Complete Solutions, Already Graded A) $18.49   Add to cart

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NURS 6560 Midterm Exam / NURS6560 Midterm Exam (LATEST 2020)(100 Q/A): Advanced Practice Care of Adults in Acute Care Settings II (Updated Complete Solutions, Already Graded A)

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NURS 6560 Midterm Exam / NURS6560 Midterm Exam (LATEST 2020): Advanced Practice Care of Adults in Acute Care Settings Question 1 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 perf...

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  • August 15, 2020
  • 57
  • 2019/2020
  • Exam (elaborations)
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NURS 6560 Midterm Exam


Question 1


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 2


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 3


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 4


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 5


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 6


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,

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