100 Q/A
, NURS 6560 FINAL EXAM
NURS-6560
Question 1
A patient with suspected Cushing’s syndrome is being evaluated to establish the
diagnosis and cause. Patients with an adrenal tumor typically will demonstrate:
A. Low ACTH and low
cortisol
B Low ACTH and high
. cortisol
C High ACTH and low
. cortisol
D. High ACTH and high
cortisol
Question 2
Pneumatosis, or gas cysts, may form in the wall anywhere along the
gastrointestinal tract; in some cases, they will produce symptoms such as
abdominal discomfort, diarrhea with mucus, and excess flatulence. Treatment of
pneumatosis most often involves:
A Several days of oxygen by face
. mask
B Hyperbaric oxygen
.
C Surgical resection
.
D. Treatment of underlying disease
Question 3
Jennifer is an RN applicant for a staff nurse position in the surgical ICU. She has had
,a screening PPD and comes back in 48 hours to have it read. There is a 12-mm
induration at the site of
injection. A chest radiograph is negative. The AGACNP knows that the next step in
Jennifer’s evaluation and management should include:
ANo further care, because the chest radiograph is
.negative
BQuantiferon serum assay for exposure
.
CConsideration of prophylactic therapy
.
DBeginning therapy for pulmonary TB pending sputum
.cultures
, Question 4
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:
A. Blood group
substances
B Electrolytes
.
C Vitamin B12
.
D. Gastric pH
Question 5
M. T. is a 71-year-old female who presents for evaluation of a ―lump on her
chest.‖ She denies any symptoms—there is no pain, erythema, edema,
ecchymosis, or open areas—it is just a lump. She has no idea how long it has been
there and just noticed it a few weeks ago. Physical examination reveals a round,
smooth, flesh-colored tumor. It is firm but not hard; it has smooth borders. It
measures 6 cm in diameter and is non-tender to palpation. The AGACNP suspects
that this is a classic presentation of the most common chest wall tumor known as
a:
A. Neurolemma
B Lipoma
.
C Hemangioma
.