NURS6550 MIDTERM
EXAM REAL COMPLETE SET
100 QUESTIONS COLLECTLY
ANSWERED | ALREADY
PASSED|A GRADE
QU EST ION 1
1. Mr. Banks has been admitted for surgical resection of a metastatic tumor, during
surgery it is discovered that he has widespread, diffuse metastasis throughout the abdomen.
Surgery is no longer an option, and his oncologist says that chemotherapy is unlikely to
produce any meaningful benefit. Mr. Banks is concerned that his sons will not support a
transfer to comfort care. The AGACNP advises that he:
A Sign a living will that states comfort care only
.
B Engage an attorney to execute an advanced
.
directive
C Arrange for his hospice care while still capable of
.
doing so
D Identify a health care proxy to serve as decision
.
maker
QU EST ION 2
2. The AGACNP is caring for a patient who is quite ill and has developed, among other
things, a large right sided pleural effusion. Thoracentesis is sent for pleural fluid analysis.
While evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n)
is the least worrisome type.
, A Transudat
. e
B Exudate
.
C Chyliform
.
D Hemorrha
.
ge
QU EST ION 3
Pulmonary fibrosis leads to an increased risk of all of the following except:
A Pulmonary emboli
.
B Pulmonary hypertension
.
C Cor pulmonale
.
D Chronic obstructive pulmonary
.
disease
QU EST ION 4
. A patient with pericarditis is most appropriately treated with:
A Antibiotics
.
B Opiate analgesia
.
C Nonsteroidal anti-inflammatory
.
drugs
D Corticosteroids
.
QU EST ION 5
. Mr. Bowers is an 81-year-old male who is being terminally extubated at the request of
his family due to the presence of a large subdural hematoma with a shift; the patient is not
initiating respirations on his own and the prognosis is very poor. After he is extubated he
begins to initiate his own respirations and 24 hours later has not expired yet. The decision is
made to leave him in the hospital on a general medical floor rather than transfer to another
facility for hospice. Which of the following is the best indicator that the patient’s death is
imminent?
A Absence of urine in the Foley
.
catheter bag
B Respirations of < 10 per minute
.
C Lack of responsiveness to any
.
stimuli
, D A systolic blood pressure < 90 mm
.
Hg
QU EST ION 6
A 71-year-old patient is recovering from a particularly severe exacerbation of chronic
obstructive pulmonary disease. He has been in the hospital for almost two weeks and was
on mechanical ventilation for 7 days. While discussing his discharge plan he tells you that he
is really going to quit smoking this time. He acknowledges that he has been "sneaking"
cigarettes in the hospital for two days, but he has established a timeline to decrease the
number of cigarettes daily. According to his plan his last cigarette will be the last day of the
month. This patient’s behavior is consistent with which stage of the Transtheoretical Model
of Change?
A Precontemplati
.
ve
B Contemplative
.
C Preparation
.
D Action
.
QU EST ION 7
. Mrs. Kirby is a 41-year-old female who is taking sertraline 100 mg daily for
depression. She is getting good symptom control, but when she presents today for follow-up
she says that her 19-year-old daughter was just put on the same medication for her
diagnosis of anxiety. She wants to know how the same medication can work for two different
conditions. The best response is to tell Mrs. Kirby that:
A Anxiety and depression are subtypes of the same disease and the same medications
.
can be used for both disorders.
B It is likely that her daughter’s health care provider thinks there is an underlying
.
depression that is contributing to her anxiety.
C Although the two disorders have their origin in different parts of the brain, the same
.
chemical neurotransmitters contributes to cause in both disorders so some
medications treat both.
D Sertraline is not appropriate for anxiety and her daughter might consider seeing a
.
different health care provider.
QU EST ION 8
The patient with suspected endocarditis should be empirically treated for which
microorganisms pending blood cultures?
A Staphylococcus and
.
streptococcus
B Pseudomonas and
.
Haemophilus
, C Klebsiella and Proteus
.
D Escherichia and
.
Acinetobacter
QU EST ION 9
Mr. Handle is a 71-year-old male who has a 95-pack-year smoking history and an
assessment of FEV1/FVC ratio is consistent with a diagnosis of chronic obstructive pulmonary
disease (COPD). He has had one exacerbation in the last year and his FEV1 is 55% predicted.
What other piece of information is necessary to determine his treatment plan?
A A peak expiratory flow rate (PEFR)
.
B Score on objective symptom
.
assessment tool
C Findings on chest radiography
.
D Assessment of comorbidities
.
QU EST ION 10
The geriatric depression scale (GDS) is a commonly used tool to diagnose depression
in the elderly population. It comes in a variety of forms for maximal utility. When
administering the geriatric depression scale to patients, the AGACNP recognizes that it is
extremely important to:
A Rule out organic or psychosocial causes of depressive mood prior to
.
administration
B Accept only “yes” or “no” answers from the patient to every question
.
C Ensure that the patient does not suffer from moderate to severe
.
dementia
D Document that the patient is not currently on pharmacotherapy for
.
depression
QU EST ION 11
A patient with minor head trauma presents for evaluation. Which of the following
findings should be followed up with a CT scan to rule out orbital fracture?
A Positive Romberg test
.
B Systolic blood pressure > 200
.
mm Hg
C Periorbital ecchymosis
.
D Bleeding from the ear
.
QU EST ION 12
All of the following are important elements of the immediate management of
penetrating eye injury except:
EXAM REAL COMPLETE SET
100 QUESTIONS COLLECTLY
ANSWERED | ALREADY
PASSED|A GRADE
QU EST ION 1
1. Mr. Banks has been admitted for surgical resection of a metastatic tumor, during
surgery it is discovered that he has widespread, diffuse metastasis throughout the abdomen.
Surgery is no longer an option, and his oncologist says that chemotherapy is unlikely to
produce any meaningful benefit. Mr. Banks is concerned that his sons will not support a
transfer to comfort care. The AGACNP advises that he:
A Sign a living will that states comfort care only
.
B Engage an attorney to execute an advanced
.
directive
C Arrange for his hospice care while still capable of
.
doing so
D Identify a health care proxy to serve as decision
.
maker
QU EST ION 2
2. The AGACNP is caring for a patient who is quite ill and has developed, among other
things, a large right sided pleural effusion. Thoracentesis is sent for pleural fluid analysis.
While evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n)
is the least worrisome type.
, A Transudat
. e
B Exudate
.
C Chyliform
.
D Hemorrha
.
ge
QU EST ION 3
Pulmonary fibrosis leads to an increased risk of all of the following except:
A Pulmonary emboli
.
B Pulmonary hypertension
.
C Cor pulmonale
.
D Chronic obstructive pulmonary
.
disease
QU EST ION 4
. A patient with pericarditis is most appropriately treated with:
A Antibiotics
.
B Opiate analgesia
.
C Nonsteroidal anti-inflammatory
.
drugs
D Corticosteroids
.
QU EST ION 5
. Mr. Bowers is an 81-year-old male who is being terminally extubated at the request of
his family due to the presence of a large subdural hematoma with a shift; the patient is not
initiating respirations on his own and the prognosis is very poor. After he is extubated he
begins to initiate his own respirations and 24 hours later has not expired yet. The decision is
made to leave him in the hospital on a general medical floor rather than transfer to another
facility for hospice. Which of the following is the best indicator that the patient’s death is
imminent?
A Absence of urine in the Foley
.
catheter bag
B Respirations of < 10 per minute
.
C Lack of responsiveness to any
.
stimuli
, D A systolic blood pressure < 90 mm
.
Hg
QU EST ION 6
A 71-year-old patient is recovering from a particularly severe exacerbation of chronic
obstructive pulmonary disease. He has been in the hospital for almost two weeks and was
on mechanical ventilation for 7 days. While discussing his discharge plan he tells you that he
is really going to quit smoking this time. He acknowledges that he has been "sneaking"
cigarettes in the hospital for two days, but he has established a timeline to decrease the
number of cigarettes daily. According to his plan his last cigarette will be the last day of the
month. This patient’s behavior is consistent with which stage of the Transtheoretical Model
of Change?
A Precontemplati
.
ve
B Contemplative
.
C Preparation
.
D Action
.
QU EST ION 7
. Mrs. Kirby is a 41-year-old female who is taking sertraline 100 mg daily for
depression. She is getting good symptom control, but when she presents today for follow-up
she says that her 19-year-old daughter was just put on the same medication for her
diagnosis of anxiety. She wants to know how the same medication can work for two different
conditions. The best response is to tell Mrs. Kirby that:
A Anxiety and depression are subtypes of the same disease and the same medications
.
can be used for both disorders.
B It is likely that her daughter’s health care provider thinks there is an underlying
.
depression that is contributing to her anxiety.
C Although the two disorders have their origin in different parts of the brain, the same
.
chemical neurotransmitters contributes to cause in both disorders so some
medications treat both.
D Sertraline is not appropriate for anxiety and her daughter might consider seeing a
.
different health care provider.
QU EST ION 8
The patient with suspected endocarditis should be empirically treated for which
microorganisms pending blood cultures?
A Staphylococcus and
.
streptococcus
B Pseudomonas and
.
Haemophilus
, C Klebsiella and Proteus
.
D Escherichia and
.
Acinetobacter
QU EST ION 9
Mr. Handle is a 71-year-old male who has a 95-pack-year smoking history and an
assessment of FEV1/FVC ratio is consistent with a diagnosis of chronic obstructive pulmonary
disease (COPD). He has had one exacerbation in the last year and his FEV1 is 55% predicted.
What other piece of information is necessary to determine his treatment plan?
A A peak expiratory flow rate (PEFR)
.
B Score on objective symptom
.
assessment tool
C Findings on chest radiography
.
D Assessment of comorbidities
.
QU EST ION 10
The geriatric depression scale (GDS) is a commonly used tool to diagnose depression
in the elderly population. It comes in a variety of forms for maximal utility. When
administering the geriatric depression scale to patients, the AGACNP recognizes that it is
extremely important to:
A Rule out organic or psychosocial causes of depressive mood prior to
.
administration
B Accept only “yes” or “no” answers from the patient to every question
.
C Ensure that the patient does not suffer from moderate to severe
.
dementia
D Document that the patient is not currently on pharmacotherapy for
.
depression
QU EST ION 11
A patient with minor head trauma presents for evaluation. Which of the following
findings should be followed up with a CT scan to rule out orbital fracture?
A Positive Romberg test
.
B Systolic blood pressure > 200
.
mm Hg
C Periorbital ecchymosis
.
D Bleeding from the ear
.
QU EST ION 12
All of the following are important elements of the immediate management of
penetrating eye injury except:
