APPROVED
NURS 6560 Midterm Exam: Advanced Practice Care of Adults in Acute Care Settings:
Walden University
(FOR 100% CORRECT ANSWER CHECK THE LAST PAGE)
Question 1
S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial
echocardiography 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 intervention
Question 2
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 injection
drug 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, throat
pain, and a temperature of 102.1°F. She appears ill and has foul breath. In order to evaluate for a
deep neck space infection, the AGACNP orders:
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, 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 result
of 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 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 central venous 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 any
overt 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
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NURS 6560 Midterm Exam: Advanced Practice Care of Adults in Acute Care Settings:
Walden University
(FOR 100% CORRECT ANSWER CHECK THE LAST PAGE)
Question 1
S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial
echocardiography 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 intervention
Question 2
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 injection
drug 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, throat
pain, and a temperature of 102.1°F. She appears ill and has foul breath. In order to evaluate for a
deep neck space infection, the AGACNP orders:
This study source was downloaded by 100000864350059 from CourseHero.com on 03-22-2023 10:58:39 GMT -05:00
https://www.coursehero.com/file/61465895/NURS-6560-Midterm-Exam-2020-Walden-Universitydocx/
, 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 result
of 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 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 central venous 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 any
overt 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
This study source was downloaded by 100000864350059 from CourseHero.com on 03-22-2023 10:58:39 GMT -05:00
https://www.coursehero.com/file/61465895/NURS-6560-Midterm-Exam-2020-Walden-Universitydocx/
