NURS 6560 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
8. 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 nature of his injuries,
a large portion of his jejunum had to be resected. In planning for his recovery and nutritional
needs, the AGACNP considers that:
He will probably be able to transition to oral nutrition but will have lifetime
issues with diarrhea His procedure has put him at significant risk for B12
absorption problems
Most jejunum absorption functions will be assumed by the ileum
Enteral nutrition will need to be delayed for 3 to 6 months to facilitate adaptation
10. Q ANSWER:
A 32-year-old man comes to the clinic because he has had pain in the back for the past 24
hours. The patient says he first noticed the pain when he awoke in the morning and had
difficulty getting out of bed. He had been playing flag football the day before the pain began
but did not sustain any injuries during the game. Acetaminophen has provided only minimal
relief of the patient's pain. On physical examination, pain is elicited on palpation of the back on
the left, lateral to the region of L2-L5. Full range of motion is noted in vertebral flexion,
extension, lateral rotation, and lateral bending, with some hesitancy because of pain on the
left side. Which of the following is the most appropriate initial step?
Anti-inflammatory and muscle relaxant
therapy Epidural injection of a
corticosteroid
MRI of the lumbar spine
Strict bed rest and application of moist heat to the lower back
11.Q ANSWER:
On postoperative day 7 following hepatic transplant, the patient evidences signs and symptoms
of acute rejection, confirmed by histologic examination. The AGACNP knows that first-line
treatment of acute rejection consists of: Cyclosporine Azathioprine
Methylprednis
o
,lone Sirolimus
12.Q ANSWER:
H. W. is a 33-year-old female who is being evaluated after a fall from a tree. Anteroposterior
and lateral radiographs of the thoracolumbosacral spine are significant for transverse process
fractures at T6 and T7. The AGACNP knows that treatment for this likely will include:
Observation
Hyperextension casting Jewett brace
Surgical intervention
13.Q ANSWER:
Acute hepatitis A is usually diagnosed by:
By the constitutional symptoms
Within 2 weeks of exposure Detection of
IgM-Anti-HAV Jaundice
14.Q ANSWER:
A 30-year-old male patient presents for evaluation of a lump on his neck. He denies pain,
itch, erythema, edema, or any other symptoms. He is ^concerned because it won't ^ go
away. He says, “I noticed it a few months ago, then it seemed to disappear, and now it is
back.” The AGACNP proceeds with a history and physical exam and concludes which of the
following as the leading differential diagnosis? Subclinical infection Non- Hodgkin's lyphoma
Catscratch disease
Syphilis
15.Q ANSWER:
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: Blood group substances Electrolyt es
Vitamin
B12
Gastric pH
16.Q ANSWER:
T. O. is a 31-year-old male patient who is transported to the emergency department via
emergency services. He was in a multivehicle accident and was trapped in a crushed car for
more than 3 hours. On examination, his right lower extremity is found to be tensely swollen,
with 3+ nonpitting edema. The lower leg is profoundly painful with passive range of motion.
, Given the history and physical findings, the AGACNP recognizes that treatment centers around:
Fasciotomy
Thrombolytics
Surgical reduction
Casting
17.Q ANSWER:
While consulting on a patient who is admitted with a chief complaint of abdominal pain, the
AGACNP notes that the initial assessment described the pain as “colicky.” This means that the
pain:
Is a result of gas in the
bowel Is intestinal in
origin
Is characterized by pain-free
intervals Is sharp, intense,
and nonradiating
18.Q ANSWER:
All of the following are expected findings in a patient with a T10
fracture except: Paraplegia Fecal retention Priapism
Inability to move fingers
19.Q ANSWER:
T. O. is a 44-year-old female patient who presents for evaluation of sudden, severe upper
abdominal pain. She is clear about the onset, which was profound and occurred approximately
one hour ago. She denies that the onset had any relationship to food or eating, and she denies
nausea or vomiting. On examination, she is lying on her right side with her hips and knees
flexed to draw her knees to her chest. Vital signs are stable, but examination reveals
involuntary guarding. The abdomen is painful and tympanic to percussion in all quadrants. CBC
reveals a white blood cell count of 15,600/µL. The AGACNP suspects: Dissecting aortic
aneurysm Acute pancreatitis
Perforated peptic
Weiss
ulcer Mallory-
tear
20.Q ANSWER:
The AGACNP is covering an internal medicine service and is paged by staff to see a patient who
has just pulled out his ET tube. After the situation has been assessed, it is clear that the patient
will go into respiratory failure and likely die if he is not reintubated. The patient is awake and
alert and is adamant that he does not want to be reintubated. The AGACNP is concerned that
there is not enough time to establish a DNR—the patient needs to be reintubated immediately
SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
8. 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 nature of his injuries,
a large portion of his jejunum had to be resected. In planning for his recovery and nutritional
needs, the AGACNP considers that:
He will probably be able to transition to oral nutrition but will have lifetime
issues with diarrhea His procedure has put him at significant risk for B12
absorption problems
Most jejunum absorption functions will be assumed by the ileum
Enteral nutrition will need to be delayed for 3 to 6 months to facilitate adaptation
10. Q ANSWER:
A 32-year-old man comes to the clinic because he has had pain in the back for the past 24
hours. The patient says he first noticed the pain when he awoke in the morning and had
difficulty getting out of bed. He had been playing flag football the day before the pain began
but did not sustain any injuries during the game. Acetaminophen has provided only minimal
relief of the patient's pain. On physical examination, pain is elicited on palpation of the back on
the left, lateral to the region of L2-L5. Full range of motion is noted in vertebral flexion,
extension, lateral rotation, and lateral bending, with some hesitancy because of pain on the
left side. Which of the following is the most appropriate initial step?
Anti-inflammatory and muscle relaxant
therapy Epidural injection of a
corticosteroid
MRI of the lumbar spine
Strict bed rest and application of moist heat to the lower back
11.Q ANSWER:
On postoperative day 7 following hepatic transplant, the patient evidences signs and symptoms
of acute rejection, confirmed by histologic examination. The AGACNP knows that first-line
treatment of acute rejection consists of: Cyclosporine Azathioprine
Methylprednis
o
,lone Sirolimus
12.Q ANSWER:
H. W. is a 33-year-old female who is being evaluated after a fall from a tree. Anteroposterior
and lateral radiographs of the thoracolumbosacral spine are significant for transverse process
fractures at T6 and T7. The AGACNP knows that treatment for this likely will include:
Observation
Hyperextension casting Jewett brace
Surgical intervention
13.Q ANSWER:
Acute hepatitis A is usually diagnosed by:
By the constitutional symptoms
Within 2 weeks of exposure Detection of
IgM-Anti-HAV Jaundice
14.Q ANSWER:
A 30-year-old male patient presents for evaluation of a lump on his neck. He denies pain,
itch, erythema, edema, or any other symptoms. He is ^concerned because it won't ^ go
away. He says, “I noticed it a few months ago, then it seemed to disappear, and now it is
back.” The AGACNP proceeds with a history and physical exam and concludes which of the
following as the leading differential diagnosis? Subclinical infection Non- Hodgkin's lyphoma
Catscratch disease
Syphilis
15.Q ANSWER:
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: Blood group substances Electrolyt es
Vitamin
B12
Gastric pH
16.Q ANSWER:
T. O. is a 31-year-old male patient who is transported to the emergency department via
emergency services. He was in a multivehicle accident and was trapped in a crushed car for
more than 3 hours. On examination, his right lower extremity is found to be tensely swollen,
with 3+ nonpitting edema. The lower leg is profoundly painful with passive range of motion.
, Given the history and physical findings, the AGACNP recognizes that treatment centers around:
Fasciotomy
Thrombolytics
Surgical reduction
Casting
17.Q ANSWER:
While consulting on a patient who is admitted with a chief complaint of abdominal pain, the
AGACNP notes that the initial assessment described the pain as “colicky.” This means that the
pain:
Is a result of gas in the
bowel Is intestinal in
origin
Is characterized by pain-free
intervals Is sharp, intense,
and nonradiating
18.Q ANSWER:
All of the following are expected findings in a patient with a T10
fracture except: Paraplegia Fecal retention Priapism
Inability to move fingers
19.Q ANSWER:
T. O. is a 44-year-old female patient who presents for evaluation of sudden, severe upper
abdominal pain. She is clear about the onset, which was profound and occurred approximately
one hour ago. She denies that the onset had any relationship to food or eating, and she denies
nausea or vomiting. On examination, she is lying on her right side with her hips and knees
flexed to draw her knees to her chest. Vital signs are stable, but examination reveals
involuntary guarding. The abdomen is painful and tympanic to percussion in all quadrants. CBC
reveals a white blood cell count of 15,600/µL. The AGACNP suspects: Dissecting aortic
aneurysm Acute pancreatitis
Perforated peptic
Weiss
ulcer Mallory-
tear
20.Q ANSWER:
The AGACNP is covering an internal medicine service and is paged by staff to see a patient who
has just pulled out his ET tube. After the situation has been assessed, it is clear that the patient
will go into respiratory failure and likely die if he is not reintubated. The patient is awake and
alert and is adamant that he does not want to be reintubated. The AGACNP is concerned that
there is not enough time to establish a DNR—the patient needs to be reintubated immediately
