APPROVED
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
Question 1
S. is a 59-year-old female who has been followed for several years for aortic regurgitation.
Serialechocardiography 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
interventionQuestion 2
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
,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 3
Jasmine is a 31-year-old female who presents with neck pain. She has a long history of
injectiondrug 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, throatpain, and a temperature of 102.1°F. She appears ill and has foul breath. In order
to evaluate fora deep neck space infection, the AGACNP orders:
A. Anteroposterior neck radiography B. CT scan of the neck C. White blood cell
(WBC)differential D. Aspiration and culture of fluid
Question 4
Mr. Draper is a 39-year-old male recovering from an extended abdominal procedure. As a
resultof 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
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
,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
centralvenous line used for infusion D. Bowel
disuse and hypomotility
Question 5
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 anyovert 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 6
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/dLand 27%
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
, Question 7
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
Question 1
S. is a 59-year-old female who has been followed for several years for aortic regurgitation.
Serialechocardiography 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
interventionQuestion 2
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
,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 3
Jasmine is a 31-year-old female who presents with neck pain. She has a long history of
injectiondrug 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, throatpain, and a temperature of 102.1°F. She appears ill and has foul breath. In order
to evaluate fora deep neck space infection, the AGACNP orders:
A. Anteroposterior neck radiography B. CT scan of the neck C. White blood cell
(WBC)differential D. Aspiration and culture of fluid
Question 4
Mr. Draper is a 39-year-old male recovering from an extended abdominal procedure. As a
resultof 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
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
,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
centralvenous line used for infusion D. Bowel
disuse and hypomotility
Question 5
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 anyovert 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 6
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/dLand 27%
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
, Question 7
NURS 6560 Midterm 18 Exam with answers –
Walden University (A Grade / School graded)
