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B.T. is a 49-year-old male being admitted for lung volume reduction surgery. His
preoperative pulmonary function tests are as follows: Fv’E 66% predicted FE‘v’l 66% predicted PEFR 69% predicted TLC 164% predicted av 96% predicted The AGACNP knows that the pulmonary function studies are consistent with: l" A Mild restrictive disease l" 3 Moderate restrictive
disease 1"“ C Mild obstructive
disease l" D Moderate obstructive
disease 1 points
QUESTION T? A 36-year-old male patient presents for evaluation of a lump on his neck. He denies
pain, itch, erythema, edema, or any other symptoms. He is concerned because it wont go
away. He says. "I noticed it a few months ago. then it seemed to disappear. and now it is back." The AGACNP proceeds with a history and physical exam and concludes which of the
following as the leading differential diagnosis? 1"“ A Subclinical infection l" B Non-Hodgkin’s
lymphoma 1" C |Catscratch disease F D syphilis

 
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This question was created from NURS 6550 Final Exam Study guide.docx

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QUESTION 72
1.
L.W. is a 41-year-old woman with a history of systemic lupus erythematosus which
has been managed primarily with symptom control. Today she presents for evaluation of
fatigue which has been slowly progressive over the last few months. She has a history of
gastric bypass surgery 10 years ago and has maintained a 100 lb weight loss, but she
maintains that she has been very adherent to her vitamin and mineral replacement regimen.
Other than chronically heavy menses, for which she takes hormonal contraception, she is
without complaint. A complete blood count is as follows:
Hgb 10.3 g/dL
Het 31%
MCV 88 fL
RDW 15%
The AGACNP suspects that the patient’s fatigue is most likely due to:
A Iron deficiency
anemia
B Anemia of chronic
. disease
C pernicious anemia
D Folic acid deficiency

 
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This question was created from NURS 6550 Final Exam Study guide.docx

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1.
A young-adult male patient was dropped off outside of the emergency department
and some staff members brought him inside. The patient is restless, irritable, and either
unwilling or unable to participate in her own care. No history is available. His vital signs are
essentially stable, finger stick blood sugar is 111 mg/dL, there are no signs of trauma, and
no physical findings consistent with common drug or alcohol use. A toxicology screen is
pending. The AGACNP orders acute psychiatric stabilization with a combination of
haloperidol and lorazepam and considers which of the following mediations to decrease the
risk of adverse effects?
C A Risperido
ne
B Olanzapi
ne
C Benztropi
ne
D Zolpidem
1 points
QUESTION 75
1.
Amy is a 21-year-old female who presents with acute nephrolithiasis. CT scan reveals
a 2 mm stone in the left ureter. The AGACNP knows that the appropriate course of action is:
C A Pain control and IV fluid
B Consultation for stent
placement
C Lithotripsy stone
destruction
C D Transurethral stone
destruction

 
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This question was created from NURS 6550 Final Exam Study guide.docx

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QUESTION 91
1.
When beginning pharmacotherapy for depression, the AGACNP discusses with the
patient that a primary safety consideration includes the:
C A Increased risk of suicide when patients begin antidepressant
. therapy
O B Potential for sexual adverse effects
O C Better likelihood of success when medications and therapy
are used together
C D High incidence of serotonin syndrome
1 points
QUESTION 92
1.
When ruling out meningitis in a patient, the AGACP appreciates that the spinal fluid is
cloudy and the glucose content is 20 cells/microliter. This is most consistent with:
A Aseptic
. meningitis
B Septic
. meningitis
C Chemical
. meningitis
D Chronic
meningitis

 
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