NURS 6560 Final Exam NURS-6560N Final exam
Questions and Answers
Question 1 ||
A patient with suspected Cushing’s syndrome is being evaluated to establish the
|| || || || || || || || || || ||
diagnosis andcause. 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 screeningPPD 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:
|| || || || || || || || || || || ||
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
, A. No further care, because the chest radiograph is negative
|| || || || || || || ||
B. Quantiferon serum assay for exposure || || || ||
C. Consideration of prophylactic therapy || || ||
D. Beginning 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 sheexpected. 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
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
, B. Lipoma
C. Hemangioma
D. Lymphangioma
Question 6 ||
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 ofthe adrenal medulla?
|| || || || || | || ||
A. Alpha-adrenergic antagonists ||
B. Beta-adrenergic antagonists ||
C. Intravenous vasodilators ||
D. Arteriolar dilators ||
Question 7 ||
In myelodysplastic syndromes, the primary indications for splenectomy include:
|| || || || || || || ||
A. Major hemolysis unresponsive to medical management
|| || || || ||
B. Severe symptoms of massive splenomegaly
|| || || ||
C. Sustained leukocyte elevation above 30,000 cells/µL
|| || || || ||
D. Portal hypertension ||
Question 8 ||
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
, The AGACNP is evaluating a patient who reportedly fell down a flight of steps.
|| || || || || || || || || || || || ||
Her history is significant for several emergency room visits, but she denies any
|| || || || || || || || || || || || ||
significant medical conditions.Some documentation in her chart indicates that she
|| || || | || || || || || || ||
may have been subjected to physical abuse. Today she presents with a periorbital
|| || || || || || || || || || || || ||
ecchymosis of the left eye and swelling in the left side of the face. Her neurologic
|| || || || || || || || || || || || || || || ||
examination is within normal limits. Which head imaging study would be most
|| || || || || || || || || || || ||
useful in assessing for findings consistent with a history of abuse?
|| || || || || || || || || || ||
A. Radiographs
B. CT scan without contrast
|| || ||
C. MRI
D. PET scan ||
Question 9 ||
The AGACNP is treating a patient with ascites. After a regimen of 200 mg of
|| || || || || || || || || || || || || ||
spironolactone daily, the patient demonstrates a weight loss of 0.75 kg/day. The
|| || || || || || || || || || || ||
best approach to this patient’smanagement is to:
|| || || || || | || ||
A. Continue the current regimen || || ||
B. D/C the spironolactone and begin a loop diuretic
|| || || || || || ||
C. Add a loop diuretic to the spironolactone
|| || || || || ||
D. Proceed to large-volume paracentesis || || ||
Question 10 ||
Which of the following is a true statement with respect to the use of
|| || || || || || || || || || || || ||
corticosteroids inposttransplant patients?
|| || | ||
A. High-dose initial steroids are tapered to off over a period of 4 to 6 weeks posttransplant
|| || || || || || || || || || || || || || ||
B. There is a strong interest in developing corticosteroid-free posttransplant protocols
|| || || || || || || || ||
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
Questions and Answers
Question 1 ||
A patient with suspected Cushing’s syndrome is being evaluated to establish the
|| || || || || || || || || || ||
diagnosis andcause. 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 screeningPPD 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:
|| || || || || || || || || || || ||
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
, A. No further care, because the chest radiograph is negative
|| || || || || || || ||
B. Quantiferon serum assay for exposure || || || ||
C. Consideration of prophylactic therapy || || ||
D. Beginning 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 sheexpected. 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
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
, B. Lipoma
C. Hemangioma
D. Lymphangioma
Question 6 ||
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 ofthe adrenal medulla?
|| || || || || | || ||
A. Alpha-adrenergic antagonists ||
B. Beta-adrenergic antagonists ||
C. Intravenous vasodilators ||
D. Arteriolar dilators ||
Question 7 ||
In myelodysplastic syndromes, the primary indications for splenectomy include:
|| || || || || || || ||
A. Major hemolysis unresponsive to medical management
|| || || || ||
B. Severe symptoms of massive splenomegaly
|| || || ||
C. Sustained leukocyte elevation above 30,000 cells/µL
|| || || || ||
D. Portal hypertension ||
Question 8 ||
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
, The AGACNP is evaluating a patient who reportedly fell down a flight of steps.
|| || || || || || || || || || || || ||
Her history is significant for several emergency room visits, but she denies any
|| || || || || || || || || || || || ||
significant medical conditions.Some documentation in her chart indicates that she
|| || || | || || || || || || ||
may have been subjected to physical abuse. Today she presents with a periorbital
|| || || || || || || || || || || || ||
ecchymosis of the left eye and swelling in the left side of the face. Her neurologic
|| || || || || || || || || || || || || || || ||
examination is within normal limits. Which head imaging study would be most
|| || || || || || || || || || || ||
useful in assessing for findings consistent with a history of abuse?
|| || || || || || || || || || ||
A. Radiographs
B. CT scan without contrast
|| || ||
C. MRI
D. PET scan ||
Question 9 ||
The AGACNP is treating a patient with ascites. After a regimen of 200 mg of
|| || || || || || || || || || || || || ||
spironolactone daily, the patient demonstrates a weight loss of 0.75 kg/day. The
|| || || || || || || || || || || ||
best approach to this patient’smanagement is to:
|| || || || || | || ||
A. Continue the current regimen || || ||
B. D/C the spironolactone and begin a loop diuretic
|| || || || || || ||
C. Add a loop diuretic to the spironolactone
|| || || || || ||
D. Proceed to large-volume paracentesis || || ||
Question 10 ||
Which of the following is a true statement with respect to the use of
|| || || || || || || || || || || || ||
corticosteroids inposttransplant patients?
|| || | ||
A. High-dose initial steroids are tapered to off over a period of 4 to 6 weeks posttransplant
|| || || || || || || || || || || || || || ||
B. There is a strong interest in developing corticosteroid-free posttransplant protocols
|| || || || || || || || ||
NURS 6560 Final Exam / NURS-6560N Final exam Questions and
|| || || || || || || || ||
Answers (2023 ) (100 Q & A , 100% Correct)
|| || || || || || || || || ||
