NURS 6550 MIDTERM EXAM 2023 QUESTION
AND CORRECT VERIFIED ANSWERS REAL EXAM
LATEST UPDATE 2024
QUESTION 1
- All of the following are important elements of the immediate management of penetrating eye injury
except:
A Ensuring current tetanus .immunity
B Placing a sterile patch on the .eye
C Evaluation by an .ophthalmologist
D Administration of antiemetic’s
. 1 / 4
- points
QUESTION 2
- Kevin is a 14-year-old male who presents for evaluation of a fever of 102.5° F and significant right ear
pain. He appears quite ill and says he feels nauseous. Otoscopic evaluation reveals pain to palpation, a very erythematous and bulging tympanic membrane with bullous myringitis. The AGACNP knows that antibiotic therapy must be selected to
cover:
A Staphylococcus aureus .B Pseudomonas . aeruginosa C Haemophilus . influenzae D Streptococcus . pneumoniae
- points
QUESTION 3
- Acute respiratory distress syndrome is characterized by which abnormality of ventilation and perfusion?
A Dead space .
B A shunt .
C Increased retrosternal .airspace
D Increased compliance .
QUESTION 4
- A patient has been treated for acute otitis media and is clinically much improved. Today she is
without fever and says overall she is much better which of the following physical findings would be typical in this patient?
A Residual ear pain to palpation .
- points 2 / 4
B Decreased high frequency hearing .
C Serous fluid behind the tympanic .membrane
D Preauricular lymph nodes .
- points
QUESTION 5
- The AGACNP is making rounds on a patient who has been transferred to inpatient hospice care. The
patient was admitted last week after identification of end stage carcinoma. Today the patient is very quiet, barely acknowledging the presence of her caregivers. According to the nursing notes this is a marked change in her affect. Up until today she was at various times talkative, expressing anger about her illness and even yelling at staff. Now she is just lying there, occasionally quietly tearful. This suggests
that:
A Her cancer is progressing rapidly..
B There may be a need to increase her pain . medication.
C She is moving through the stages of grief..
D The reality of her diagnosis has upset her..
- points
QUESTION 6
- The nursing staff calls to tell you that your 81-year-old male patient is having an acute change in mental
status. He is a basically healthy man who was admitted three days ago for inpatient antibiotic management of community acquired pneumonia. His daughter is at the bedside and she is very distraught because she has never seen him like this. She is asking for medication to make him stop acting disoriented. Upon examination the patient is lying in bed, appears calm and happy, but does not recognize his daughter as anyone he knows. He is talking as if he is at home and has company. The
AGACNP instructs the daughter that:
A The best thing she can do is to agree with anything the patient says so that he will . remain calm.
B Medication is not indicated at this time but will be available if needed..
C The delirium is probably due to his pneumonia and will resolve when his antibiotics . are completed.
D He will have a CT scan of his head to determine the cause of the acute change..
- / 4
- points
QUESTION 7
- J.L. is a 55-year-old male who is recovering from an acute anterior wall infarction. He appeared to be
doing well, but today his right leg "doesn’t feel right." Physical examination reveals a pale extremity with decreased hair growth. The leg is notably cooler to touch as compared to the left leg and there is trace non-pitting edema. The medical history is significant for dyslipidemia, poorly controlled hypertension, and the patient has a 45 pack year
smoking history. The AGACNP initiates a diagnostic evaluation of:
A Transient ischemic .attack
B HTN-induced .neuropathy
C Deep vein thrombosis .
D Peripheral arterial .disease
- points
QUESTION 8
- Mrs. Warner is a 57-year-old female who presents with unplanned weight loss. Chest radiography reveals
diffuse hyperlucency of the left lung and in the lower half of the right lung. The AGACNP knows that the differential diagnosis for hyperlucency include all of the following except:
A Emphysema .
B Pneumothor .ax
C A bulla .
D Atelectasis .
- points
QUESTION 9
- Ms. Ewing is a 78-year-old female who lives in a long term care facility because her dementia has
progressed to the point at which her family cannot provide the necessary safety measures at home.In addition to her absent short term memory she has developed some affective changes and most recently is demonstrating sexual disinhibition. While considering management options, the AGACNP knows that all of the following are medications are options for the management of disinhibition
except:
A Citalopram .
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