Final Exam: NRNP 6560/ NRNP6560 Advanced Care of Adults in Acute Settings Ill Final Exam | Questions with Verified Answers| 100% Correct | 2023/ 2024 Update

Final Exam: NRNP 6560/ NRNP6560 Advanced Care of Adults in Acute Settings Ill Final Exam | Questions with Verified Answers| 100% Correct | 2023/ 2024 Update Q: Justin F. is seen in the emergency department with an 8-cm jagged laceration on the dorsal surface of his right forearm. He says he was working with his brother-in-law yesterday morning building a deck on the back of his home. A pile of wooden planks fell on top of him, and he sustained a variety of cuts and superficial injuries. He cleaned the wound with soap and water but didn’t want to go to the emergency room because he didn’t want to risk being in the waiting room for hours. He wrapped up his arm and went back to work, and then took a normal shower and went to bed last night. This morning the cut on his arm was still flapping open, and he realized he needed sutures. The appropriate management of this patient includes: Proper cleansing and covering of the laceration, along with oral antibiotic therapy Local anesthesia, cleansing, and wound exploration for foreign bodies Local anesthesia, cleansing, and suture repair Cleansing, covering, antibiotic therapy, and tetanus prophylaxis Q: A 49 year old female is seen for sudden onset severe abdominal pain 10/10. On further Q ANSWERing you learn that she has experienced epigastric pain for several months after eating, which has resulted in an 11 pound weight loss. She does not take any other medications. On physical exam you note she has a low grade fever of 100.1, HR 124, RR 25 and BP is 116/72. The abdomen is rigid and there are no bowel sounds. Abdominal plain film shows free air under the diaphragm. What is your diagnosis? ruptured gallbladder ruptured spleen perforated duodenal ulcer ascites Q: R. R. is a 71-year-old female who presents with left lower quadrant pain that started out as cramping but has become more constant over the last day. She reports constipation over the last few days but admits that for as long as she can remember she has had variable bowel habits. Her vital signs are normal, but physical examination reveals some tenderness in the left lower quadrant. What is the leading diagnosis for this patient? Diverticuliti s Crohns Disease Appendiciti s Irritable small bowel disease Q: B. T. is a 49-year-old male who has been admitted for the management of an episode of diverticulitis. This is his fifth hospitalization this year, and in previous hospitalizations he has had both abscess and stricture as a consequence of his disease. His treatment this hospitalization should include: Extended-spectrum antibiotics Surgical consultation for colectomy Expectant treatment with nonabsorbable antibiotics Colonoscopy Q: Sara S. is a 41-year-old patient who has just had a bone marrow transplant. The AGACNP knows that which medication will be used to decrease her risk of graft-versus-host reaction? Immune globulin Cyclosporine Prophylactic antibiotics Systemic corticosteroids Q: The AGACNP is receiving report from the recovery room on a patient who just had surgical resection for pheochromocytoma. He knows that which class of drugs should be available immediately to manage hypertensive crisis, a possible consequence of physical manipulation of the adrenal medulla? Alpha-adrenergic antagonists Beta- adrenergic antagonists Intravenous vasodilators Arteriolar dilators Q: A 41-year-old male physician has a 6-week history of persistent painful, swollen, and stiff proximal interphalangeal joints, wrists, and ankles. Using a step wise progression model, which would be the first diagnostic test the AGACNP would order? Radiography of hand and wrist Check HLA – B27 Hepatitis B serology testing Rheumatoid factor and anti-nuclear antibody Joint aspirate for microcrystals Q: Mr. S., a 49-year-old male, is brought to the emergency room by his roommate who relates that the patient has been vomiting bright red blood for two days. He has a history of alcohol abuse. Current vital signs are as follows: Temp 99.2o F, heart rate 110 bpm (sinus tachycardia), blood pressure 90/60 mm Hg, resp 32 bpm. He is alert but lethargic and denies current abdominal pain. Which of the following is not indicated in the initial management of this patient? Immediate IV access Laboratory screening, type and crossmatch Endoscopy Crystalloid infusion Q: A 38-year-old patient presents with symptoms of L5 nerve root impairment that have been ongoing for 3 weeks despite conservative treatment. All of the following statements regarding this case are true EXCEPT: Normal findings on plain radiographs should be followed up with a CT Scan or MRI immediately The L5 level is one of the most likely levels for disk herniation Sensory findings may include diminished pain on the dorsum of the distal region of the foot Motor findings may include weakness on extension of the great toe Tendon reflexes are expected to be normal at the knee and ankle Q: R. R. is a 71-year-old female who presents with left lower quadrant pain that started out as cramping but has become more constant over the last day. She reports constipation over the last few days but admits that for as long as she can remember she has had variable bowel habits. Her vital signs are normal, but physical examination reveals some tenderness in the left lower quadrant. Which diagnostic test is most likely to support the leading differential diagnosis? CT scan with IV, oral, and rectal contrast CBC with WBC differential Colonoscopy Barium enema Q: A patient with chronic hepatic encephal