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NURS 6560 Midterm Exam with answers – (A+ Grade / School graded)

NURS 6560 Midterm Exam with answers – (A+ Grade / School graded)

NURS 6560 Midterm Exam with answers – (A+ Grade / School graded)
Question 1


S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial electrocardiography 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 electrocardiography 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:

A. Anteroposterior neck radiography B. CT scan of the neck C. White blood cell (WBC) differential D. Aspiration and culture of fluid

Question 4

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