{"id":112487,"date":"2023-08-15T17:50:21","date_gmt":"2023-08-15T17:50:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=112487"},"modified":"2023-08-15T17:50:26","modified_gmt":"2023-08-15T17:50:26","slug":"nurs-6550-midterm-exam-2023-actual-exam-2-latest-versions-ab-each-form-contains-100-questions-and-correct-detailed-answersagrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/nurs-6550-midterm-exam-2023-actual-exam-2-latest-versions-ab-each-form-contains-100-questions-and-correct-detailed-answersagrade\/","title":{"rendered":"NURS 6550 MIDTERM EXAM 2023 ACTUAL EXAM 2 LATEST VERSIONS A&amp;B EACH FORM CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS|AGRADE"},"content":{"rendered":"\n<p>NURS 6550 MIDTERM EXAM 2023<br>ACTUAL EXAM 2 LATEST<br>VERSIONS A&amp;B EACH FORM<br>CONTAINS 100 QUESTIONS AND<br>CORRECT DETAILED<br>ANSWERS|AGRADE<br>VERSION A<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Question 1<br>The AGACNP is caring for a patient who is quite ill and has developed, among other<br>things, a large right sided pleural effusion. Thoracentesis is sent for pleural fluid<br>1 out of 1 points<br>analysis. While evaluating the fluid analysis, the AGACNP knows that a fluid identified as<br>a(n) is the least worrisome type.<br>Response<br>Feedback<br>:<br>\u201cA\u201d is the correct answer. A transudate is essentially just water and can<br>occur as a consequence of increased hydrostatic pressure in the pulmonary<br>vessels. It typically implies that the some condition has produced an<br>imbalance in colloid-hydrostatic pressures, such as CHF or<br>hypoalbuminemia. While it can represent a serious problem, it may also<br>represent a transient imbalance. Conversely, \u201cB\u201d is not correct as an<br>exudate has more protein in it and implies a condition characterized by<br>protein leaking from vessels, such as a malignancy or some serious<br>systemic stressor. \u201cC\u201d is not correct\u2014a chyliform effusion is characterized<br>by fat and indicates a pathology causing massive triglyceride degradation.<br>\u201cD\u201d is not correct as a hemorrhagic effusion is blood and typically means<br>traumatic injury.<\/li>\n\n\n\n<li>Question 2<br>Mrs. Miller is transported to the emergency department by paramedics. She is having<br>profound, unremitting chest pain, is diaphoretic and pale. She has jugular venous<br>distention and a widened pulse pressure. Suspecting ascending aortic aneurysm, the<br>AGACNP order which test to confirm the diagnosis?<br>0 out of 1 points<br>Response<br>Feedback<br>:<br>\u201cD\u201d is the correct answer. It is the most widely used diagnostic tool as it<br>rapidly and precisely can outline the thoracic and abdominal aorta. \u201cA\u201d is<br>not the correct answer\u2014there are radiographic findings that suggest<br>thoracic aneurysm, but they need confirmation by CT. \u201cB\u201d is not the correct<\/li>\n<\/ul>\n\n\n\n<p>a<br>n<br>s<br>w<br>e<br>r<br>a<br>s<br>u<br>ltrasound is not nearly as precise as a CT scan. \u201cC\u201d is not correct\u2014MRI is<br>only indicated when the patient cannot have a contrast CT.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Question 3<br>Certain subgroups of the elderly population are at an increased risk for rapid<br>1 out of 1 points<\/li>\n<\/ul>\n\n\n\n<p>deterioration and long-term care placement. Which of the following is not considered a<br>high risk factor for long term care placement?<br>Response<br>Feedback:<br>\u201cA\u201d is the correct answer; men are at higher risk for long-term care<br>placement than women. In addition to male gender, other risk factors<br>include age over 80, living alone, bowel or bladder incontinence, history of<br>falls, dysfunctional coping, and intellectual impairment.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Question 4<br>0 out of 1 points<br>A patient with anterior epistaxis has been treated with 20 minutes of direct pressure to<br>the cartilaginous portion of the nose. Following pressure the patient is instructed to<br>gently blow the nose. Expected findings in the patient who has been successfully<br>treated include all of the following except a:<br>Response<br>Feedback<br>:<br>\u201cC\u201d is the correct answer. If bleeding is successfully stopped with 20<br>minutes of directed pressure, there will be residual blood and clot<br>formation. This is evacuated either by gentle suction or having the patient<br>gently blow. Residual blood and formed clot may present as a sudden gush<br>of dark blood or discharge with or without a clot\u2014these are all typical<br>expected findings. However, if bleeding is not stopped, it will continue as a<br>bright red steady trickle. When this occurs, more invasive measures are<br>indicated.<\/li>\n\n\n\n<li>Question 5<br>Kevin is a 14-year-old male who presents for evaluation of a fever of 102.5\u00b0 F and<br>significant right ear pain. He appears quite ill and says he feels nauseous. Otoscopic<br>evaluation reveals pain to palpation, a very erythematous and bulging tympanic<br>0 out of 1 points<br>membrane with bullous myringitis. The AGACNP knows that antibiotic therapy must be<br>selected to cover:<br>Response<br>Feedback<br>:<br>\u201cD\u201d is the correct answer. Streptococcus pneumoniae is the most common<br>bacteria that infects the head and neck in immunocompetent persons, and<br>is the primary treatment target when treating otitis media, bacterial<br>sinusitis, and bacterial pharyngitis. \u201cA\u201d is not correct\u2014while likely on<br>broken skin and soft tissue, it is not common in the ear, nose, or throat<br>unless specific risk factors exist. \u201cB\u201d is not correct\u2014this is much more likely<br>in an immunocompromised patient or a patient on mechanical ventilation.<br>\u201cC\u201d is not correct\u2014it is the second most common organism, but strep is the<br>primary treatment target.<\/li>\n\n\n\n<li>Question 6<br>P.M. is a 71-year-old gay male patient who presents as an outpatient for evaluation of<br>increasing shortness of breath. The diagnostic evaluation ultimately supports a<br>1 out of 1 points<br>diagnosis of community acquired pneumonia. The AGACNP appreciates right middle lobe<br>consolidation on chest radiography. Pending sputum cultures, empiric antibiotic therapy<br>must be initiated to cover which organism?<\/li>\n<\/ul>\n\n\n\n<p>Response<br>Feedback<br>:<br>\u201cD\u201d is the correct answer. This patient presents from the outpatient<br>population where the most common cause of pneumonia is Streptococcus<br>pneumoniae, and is the primary treatment target for any patient being<br>treated empirically. \u201cA\u201d is not correct\u2014while the patient\u2019s sexual orientation<br>is offered in the provided history, there is no indication that he has<br>HIV\/AIDS or any other condition characterized by immunosuppression that<br>would increase his risk for this organism. \u201cB\u201d is not correct, as this<br>organism is not typically seen in the outpatient population without specific<br>risk, e.g. immunosuppression or chronic ventilator therapy. \u201cC\u201d is not the<br>correct answer as this organism is not likely absent specific risk such as<br>instrumentation or known colonization.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Question 7<br>Which of the following is the greatest risk factor for vascular dementia?<br>0 out of 1 points<br>Response<br>Feedback<br>:<br>\u201cB\u201d is the correct answer. Vascular dementia is a consequence of vascular<br>disease, and is more likely to occur in patients with risk factors for target<br>organ damage, such as hypertension, dyslipidemia, and diabetes. \u201cA\u201d is not<br>a distinct risk factor for vascular dementia; it is a risk for Alzheimer\u2019s<br>dementia. \u201cC\u201d likewise increases risk for Parkinson\u2019s dementia, but does<br>not present a risk for vascular dementia. \u201cD\u201d is not a risk factor for<br>vascular dementia. Although there may be some familial risk for certain<br>vascular diseases that may lead to vascular dementia, there is no clear<br>familial tendency for this type of dementia.<\/li>\n\n\n\n<li>Question 8<br>J.R. is a 55-year-old male who presents for a commercial driver\u2019s license physical<br>1 out of 1 points<br>examination with a blood pressure of 170\/102 mm Hg. He has no medical history and is<br>without complaint. Which of the following findings constitutes hypertensive urgency?<br>Response<br>Feedback<br>:<br>\u201cA\u201d is the correct answer. According to the Joint National Committee (JNC)<br>report, hypertensive urgency is described as hypertension in the setting of<br>progressive target organ damage, such as renal involvement with protein<br>leaking, left ventricular hypertrophy, or retinal changes. \u201cA\u201d is not correct\u2014<br>the headache may or may not be relevant, but because there are many<br>non-hypertension causes, a headache alone does not constitute target<br>organ damage. \u201cC\u201d is not correct\u2014it may indicate carotid plaque, but this<br>is not a consequence of hypertension. \u201cD\u201d is not correct as a 1+ palpable<br>pulse may be a normal finding&#8211;it must be taken in the context of the rest<br>of the examination.<\/li>\n\n\n\n<li>Question 9<br>0 out of 1 points<br>Because of the commonly recognized adverse effects of atypical antipsychotics, annual<br>laboratory assessment for patients taking these medications should include a:<br>Response \u201cC\u201d is the correct answer. The atypical antipsychotics such as olanzapine<br><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>NURS 6550 MIDTERM EXAM 2023ACTUAL EXAM 2 LATESTVERSIONS A&amp;B EACH FORMCONTAINS 100 QUESTIONS ANDCORRECT DETAILEDANSWERS|AGRADEVERSION A answerasultrasound is not nearly as precise as a CT scan. \u201cC\u201d is not correct\u2014MRI isonly indicated when the patient cannot have a contrast CT. deterioration and long-term care placement. Which of the following is not considered ahigh risk factor [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112487","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112487","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112487"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112487\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112487"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}