NURS6550 midterm 2017

• Question
1 The AGACNP is caring for a
patient who is quite ill and has developed, among other things, a large right
sided pleural effusion. Thoracentesis is sent for pleural fluid analysis. While
evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n)
__________ is the least worrisome type.

• Question
2 Mrs. Miller is transported to
the emergency department by paramedics. She is having profound, unremitting
chest pain, is diaphoretic and pale. She has jugular venous distention and a
widened pulse pressure. Suspecting ascending aortic aneurysm, the AGACNP order
which test to confirm the diagnosis?

• Question
3 Certain subgroups of the
elderly population are at an increased risk for rapid deterioration and
long-term care placement. Which of the following is not considered a high risk
factor for long term care placement?

• Question
4 A patient with anterior
epistaxis has been treated with 20 minutes of direct pressure to the
cartilaginous portion of the nose. Following pressure the patient is instructed
to gently blow the nose. Expected findings in the patient who has been
successfully treated include all of the following except a:

• Question
5 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:

• Question
6 P.M. is a 71-year-old gay male
patient who presents as an outpatient for evaluation of increasing shortness of
breath. The diagnostic evaluation ultimately supports a diagnosis of community
acquired pneumonia. The AGACNP appreciates right middle lobe consolidation on
chest radiography. Pending sputum cultures, empiric antibiotic therapy must be
initiated to cover which organism?

• Question
7Which of the following is the greatest risk factor for vascular dementia?

• Question
8 J.R. is a 55-year-old male who
presents for a commercial driver’s license physical examination with a blood
pressure of 170/102 mm Hg. He has no medical history and is without complaint.
Which of the following findings constitutes hypertensive urgency?

• Question
9 Because of the commonly
recognized adverse effects of atypical antipsychotics, annual laboratory
assessment for patients taking these medications should include a:

• Question 10 K.R. presents for an evaluation of eye
discomfort. He works in a fabricating shop for a custom automobile restoration
company and while working he felt like something flew into his eye. He was
wearing eye protection at the time but still has the sensation that something
is there. Physical examination is significant for some tearing and he reports a
persistent sense of something in his eye. Which of the following is not
indicated in the diagnostic evaluation?

• Question
11 D.E. is a 41-year-old female who
had lumbar surgery two days ago to repair a ruptured nucleus pulposus. She has
been doing well postoperatively but today is complaining of resting fatigue and
some shortness of breath at rest. In ruling out a pulmonary embolus the AGACNP
first orders a:

• Question
12 Mr. Nixon is being treated with
unfractionated heparin infusion for acute pulmonary embolus. In order to avoid
a potentially fatal complication of heparin infusion, the AGACNP monitors:

• Question
13 Differentiating vertigo from
near-syncope and ataxia is one of the goals of history-taking when a patient
presents as “dizzy.” The AGACP knows that vertigo is the problem when the
patient reports the primary symptom as:

• Question
14 Mr. Banks has been admitted for
surgical resection of a metastatic tumor, during surgery it is discovered that
he has widespread, diffuse metastasis throughout the abdomen. Surgery is no
longer an option, and his oncologist says that chemotherapy is unlikely to
produce any meaningful benefit. Mr. Banks is concerned that his sons will not
support a transfer to comfort care. The AGACNP advises that he:

• Question
15 Mr. Wilkerson is a 77-year-old
male who is being evaluated and treated for his cardiogenic pain. His vital
signs are as follows: Temperature of 99.1° F, pulse of 100 bpm, respirations of
22 bpm, and blood pressure of 168/100 mm Hg. A 12-lead ECG reveals deep ST
segment depression in leads V3-V6. The AGACNP recognizes which of the following
as a contraindication to rTPA therapy?

• Question
16 A 71-year-old patient is
recovering from a particularly severe exacerbation of chronic obstructive
pulmonary disease. He has been in the hospital for almost two weeks and was on
mechanical ventilation for 7 days. While discussing his discharge plan he tells
you that he is really going to quit smoking this time. He acknowledges that he
has been “sneaking” cigarettes in the hospital for two days, but he
has established a timeline to decrease the number of cigarettes daily.
According to his plan his last cigarette will be the last day of the month.
This patient’s behavior is consistent with which stage of the Transtheoretical
Model of Change?

• Question
17 While assessing a patient with a
known psychiatric history, the AGACNP knows that the primary difference between
a psychotic and neurotic disorders is:

• Question
18 L.T. is an 85-year-old male who
is admitted for evaluation of profound diarrhea that has produced significant
dehydration. He also complains of being very tired lately, and feeling like he
is going to vomit all of the time. His vital signs are significant for a pulse
of 41 b.p.m. and a blood pressure of 90/60 mm Hg. A gastrointestinal evaluation
including stool for blood, white blood cells, and ova and parasites is
negative. He insists that he has not started any new medications or made any
diet changes; the only thing new is that he got new eye drops for his glaucoma.
The AGACNP correctly assumes that his new eye drops are:

• Question
19 Janice is a 19-year-old female
who presents to the emergency department via ambulance. She is pale,
diaphoretic, agitated, and convinced she is having a stroke. Her vital signs
include a temperature of 98.9° F, pulse of 114 beats per minute, respirations
of 32 breaths per minute, and a blood pressure of 110/74 mm Hg. Diagnostic
evaluation is negative and Janice is diagnosed with an acute panic attack. The
initial treatment of choice is:

• Question
20 Lorraine is a 41-year-old female
who presents for an asthma follow-up visit. She says she feels very well, has
almost no daytime symptoms, and is using her inhaled corticosteroid medication
daily as prescribed. Her PEFR is 85% of her personal best. The best approach to
this patient is to:

• Question
21 Mr. Owen is a 37-year-old
patient who has been admitted for surgical resection of a malignant tumor in
his lung. His physical recovery has been uneventful and he is being prepared
for discharge. While discussing his ongoing cancer therapy with Mr. Owen, the
AGACNP determines that he has experienced persistent, excessive anxiety and
worry almost every day for more than one year. What other aspect of Mr. Owen’s
psychosocial history would be required to made a diagnosis of generalized
anxiety disorder?

• Question
22 Kevin T. is a 49-year-old male
who is being discharged after hospitalization for an acute inferior wall
myocardial infarction. This is his first hospitalization and his first chronic
medical diagnosis. Aside from his elevated cardiac isoenzymes and troponins,
his laboratory profile was essentially within normal limits. The only apparent
cardiac risk factor is an LDL cholesterol of 200 mg/dL. Initiating an HMG-CoA
reductase inhibitor is an example of which level of prevention for Kevin?

• Question
23 You are evaluating a patient who
has been admitted to the emergency room after being arrested for starting a
fight in a local sports’ bar. The patient is now being cooperative, but reports
that he has been in treatment for PTSD for months. He has been prescribed
fluoxetine but has not noticed any improvement in symptoms, and now has been
arrested for violence. The AGACNP knows that the next step in medication management
is likely to include:

• Question
24 Mrs. Salter is an 81-year-old
lady who presents for evaluation of near-syncopal episodes. Her 12-lead ECG,
complete blood count, and comprehensive metabolic panel are all essentially
normal. A urinalysis shows some trace protein but is otherwise normal. A
24-hour rhythm monitor demonstrates rare premature ventricular contractions.
Mrs. Salter has been in good health and had her first episode at her aerobics
class. She only gets lightheaded when she exerts herself. Her heart auscultates
for a grade III/VI systolic crescendo-decrescendo murmur at the second
intercostal space, right sternal border. The AGACP considers that the likely
cause of the syncope is:

• Question
25 Who among the following patients
is at greatest risk for a pulmonary embolus?

• Question
26 Mrs. Birdsong is an 85-year-old
female who has been admitted for surgical repair of a hip fracture. She is in
remarkably good spirits and is quite talkative. She readily answers all of the
questions on her intake assessment, and readily acknowledges information
provided during her room orientation. Later while talking with the patient’s
son the AGACNP learns that the patient has had significant cognitive impairment
for a few years. She has virtually no short term memory, but compensates by
confabulating. Her son says she is generally very happy as long as there is no
change in her day to day routine. This history is most consistent with which
form of dementia?

• Question
27 Mrs. Radovich is an 80-year-old
female with a variety of chronic medical conditions which are reasonably well
controlled. She generally enjoys a good quality of life and is active with her
family. Today her only concern is that she is having problems with her vision.
She notices that while trying to look at pictures of her great grandchildren
she can’t seem to focus on their faces. She also reports increased trouble
reading—she cannot seem to see the words that she is looking at, and her reading
glasses do not help. Further evaluation of Mrs. Radovich should include
assessment with:

• Question
28 R.J. is a 55-year-old female who
presents with acute onset left sided facial pain and an inability to move the
left side of her face. She cannot smile, raise her eyebrow or even close her
left eye, The immediate approach to this patient should include:

• Question
29 A 78-year-old male present for a
physical examination. He has no discomfort or complaints other than a general
decrease in vision, but it helps when he puts things under a bright light to
read. He admits that while driving at night the streetlights appear to be a bit
distorted and his night vision is pretty poor. Given the likely diagnosis, the
AGACNP expects which of the following physical findings?

• Question
30 Jason is a 46-year-old male who
is being managed for sepsis. He has HIV/AIDS and has had a prolonged
hospitalization characterized by a variety of complications. He was extubated 3
days ago but continues gastric decompression with a nasogastric tube(NGT),
total parenteral nutrition and antibiotic therapy via a central venous
catheter, and urinary drainage via a Foley catheter. He continues to
demonstrate consistent low grade fevers but all points of insertion of his
tubes are normal to inspection, a chest radiograph demonstrates improvement of
his pneumonia, and his urinalysis shows no bacteria, leukocytes, or nitrites.
The AGACNP should next order:

• Question
31 The interpretation of a chest
radiography should follow a systematic approach to ensure that all vital
structures are evaluated and important clinical findings are not missed. The
last thing to be assessed when looking at chest radiography should be the
_____________:

• Question
32 The Short Confusion Assessment
Method (Short-CAM) is a widely used four item tool that assesses delirium in
the hospitalized patient. It includes observation of all of the following
except:

• Question
33 Ms. Yang has been hospitalized
for 5 days for the management of a gastrointestinal bleeding. She appears to
have stabilized hemodynamically, but today she had a temperature of 101.9° F
and chest radiography demonstrates a diagnosis of pneumonia. The AGACNP knows
that the diagnostic evaluation for hospital acquired pneumonia for all patients
must include:

• Question
34 Most psychosocial theories of
aging center around the core concept that successful aging requires acceptance
of a series of changes or losses that predictably occur later in the life span.
The theory that specifically addresses coming to terms with the inevitability
of death is known as:

• Question
35 All of the following conditions
are risk factors for pulmonary embolus except:

• Question
36 A patient is diagnosed with
acute descending aortic aneurysm and hypertension should be immediately started
on which medication pending surgical evaluation?

• Question
37 Jason is a 27-year-old with a
long history of intermittently controlled asthma. He is currently prescribed
Advair daily with albuterol as needed for symptoms. Today he presents to the
emergency department with cough and wheezing and difficulty catching his
breath. His FEV1 is 51% at the time of presentation. He is given alternating
albuterol and ipratropium nebulizer treatments along with oral prednisone.
After one hour his FEV1 has increased 65%. The appropriate disposition for
Jason at this point is:

• Question
38 A patient in the intensive care
unit suddenly becomes tachypneic and dyspneic. The physical examination reveals
pale, cool, clammy skin and an arterial blood gas demonstrates hypocapnea and
hypoxia. Pulmonary artery pressure demonstrates a pattern consistent with
obstructive shock. The AGACNP knows that which of the following causes of this
presentation is most likely?

• Question
39 Mr. Bowers is an 81-year-old
male who is being terminally extubated at the request of his family due to the
presence of a large subdural hematoma with a shift; the patient is not
initiating respirations on his own and the prognosis is very poor. After he is
extubated he begins to initiate his own respirations and 24 hours later has not
expired yet. The decision is made to leave him in the hospital on a general
medical floor rather than transfer to another facility for hospice. Which of
the following is the best indicator that the patient’s death is imminent?

• Question
40 A patient is newly admitted to
your service for open reduction and internal fixation of the left hip. She
seems very down, and as you talk with her you realize that her mood is not just
related to her hip fracture. Which of the following symptoms would not be
consistent with major depressive disorder?

• Question
41 “C” is the correct answer.
Alzheimer’s dementia is statistically the most common form of dementia and is
characterized by a long trajectory that progresses to include confabulation.
Additionally, patients with this form of dementia are very reliant upon routine
and may be distressed when it is disrupted. “A” is not correct; Lewy body
dementia characteristically progresses much more quickly and produces an angry
demeanor. “B” is incorrect because vascular dementia typically produces a more
depressive affect and is not characterized by confabulation; additionally,
patients with vascular dementia often have a medical history consistent with
vascular risk factors. “D” is not correct as there is no apparent history of
Parkinson’s disease.

• Question
42 What
is the primary purpose of using eye ointments or lubricants to patients
under general anesthesia, on paralytics, or in long-term comatose states?

• Question
43 When reading a 12-lead
electrocardiogram, the AGACNP knows that all 12 leads are required to provide:

• Question
44 A 49-year-old male presents for
evaluation of chest tightness. It has happened before, but he just ignored it
and it went away. Today he just could not ignore it anymore. He has always
enjoyed good health and says he has never been told that he has any chronic
medical conditions like high blood pressure or diabetes. A 12-lead ECG
demonstrates changes consistent with inferior wall ischemia. Both his symptoms
and inferior wall changes improve with the administration of sublingual
nitroglycerin. Consistent with ACS protocol, this patient’s assessment is
consistent with:

• Question
45 Mr. Rosen is a 49-year-old male
who is being managed for an acute myocardial infarction. He develops
significant shortness of breath at rest and coarse rales 2/3 up bilaterally.
The AGACNP suspects acute pulmonary edema due to papillary muscle rupture and
acute mitral valve regurgitation. Which physical finding would support this
finding?

• Question
46 A patient with minor head trauma
presents for evaluation. Which of the following findings should be followed up
with a CT scan to rule out orbital fracture?

• Question
47 Mrs. Forbes is a 69-year-old
lady being discharged from the hospital after complications following a
cosmetic surgical procedure. She is basically in good health. She has a history
of hypothyroidism for which she takes levothyroxine daily, and mild
osteoarthritis which is controlled with only prn nonsteroidal use. Her blood
pressure is 148/90 mm Hg. The AGACNP knows that in accordance with the most current
guidelines published in JNC 8 the appropriate action is to:

• Question
48 When assessing driver safety in
the older adult, the AGACNP considers that:

• Question
49 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:

• Question
50 While discharging a patient
following her myocardial infarction, you offer some patient education about
medically supervised cardiac rehabilitation. The patient expresses fear of
rehab because she was on her treadmill when she had her infarction and now she
is afraid of making it happen again. She doesn’t understand how the rehab can
force her to exercise her heart but not make her have another cardiac event.
The AGACNP explains that the patient will be monitored and that her goal heart
rate will be:

• Question
51 During physical examination of a
51-year-old African-American female you appreciate a decrease in her peripheral
vision. The rest of her eye examination is within normal limits and she is
symptom free. This presentation is consistent with:

• Question
52 Mr. Moffett is a 66-year-old
male with a long history of lower extremity edema. All other causes of lower
extremity edema have been ruled out and his overall symptom presentation and
history are strongly supportive of chronic venous insufficiency. Today he
presents with increased itching of both lower legs. Physical exam reveals 2-3+
pitting edema and trophic hyperpigmentation. The AGACNP know that treatment
should include:

• Question
53 L.R. is an 84-year-old female
patient being treated for pneumonia. Her condition is deteriorating despite
aggressive broad spectrum antipseudomonal cephalosporin antibiotic therapy.
Induced sputum culture reveals heavy growth of Legionella pneumophilia. The
AGACNP knows that antibiotic therapy must be adjusted to include coverage with:

• Question
54 The AGACNP is treating a patient
with a corneal abrasion. The patient has a clear recollection of the mechanism
of injury—she was scratched in the eye earlier today with her 18-month-old
daughter’s fingernail. Which of the following is contraindicated in the
management of this patient’s abrasion?

• Question
55 M.T. is a 41-year-old male
patient in the intensive care unit. He was admitted to the hospital in septic
shock and has been aggressively managed with broad spectrum antibiotics. He has
become progressively hypoxemic and the last arterial blood gas revealed a paO2
of 58 mm Hg. Chest radiography reveals a “white out” pattern
bilaterally. The patient is intubated and ventilated. The AGACNP knows that
appropriate management must include:

• Question
56 Teenagers and adults with acute
otitis media can often be treated with “watchful waiting” given the
high incidence of spontaneous resolution and low risk of poor outcomes. Which
of the following is an absolute indication to begin antibiotic therapy at the
time of diagnosis?

• Question
57 Mr. Bowers is on mechanical
ventilation for respiratory support through an episode of septic pneumonia. Due
the extensive lobar consolidation it was very difficult to keep Mr. Bowers
oxygenated and he required very high FIO2s and PEEP. The AGACNP knows that the
primary concern with FIO2s > 60% is:

• Question
58 Acute respiratory distress
syndrome (ARDS) occurs when an overwhelming systemic insult results in which
maladaptive physiologic response?

• Question
59 Acute respiratory distress
syndrome is characterized by which abnormality of ventilation and perfusion?

• Question
60 George Schulz is a 69-year-old
male who presents for evaluation of acute foot pain. It is so painful that he
cannot walk on it without assistance. At first he denies any significant
medical history, but then reveals that he has been diagnosed with dyslipidemia
and hypertension but stopped taking his medications because he couldn’t afford
it. Pulses are not palpable but are audible by Doppler. The extremity is pale
and shiny with decreased hair growth, suspecting peripheral arterial disease,
the AGACNP expects which additional finding?

• Question
61 G.T. is a 40-year-old male who
is under your case for long term management of secondary osteoarthritis. Today
he asks if he can take a medication for anxiety. Further assessment reveals
that he is in a relationship that has been very stressful; his girlfriend wants
very much to get married and start a family, and he does not. He admits that he
no longer feels they are compatible and acknowledges that he needs to end this
relationship. He is sure that this is the source of his anxiety. The best
approach would be to:

• Question
62 During the physical examination
of a 31-year-old female, the AGACNP appreciates a bifurcate uvula. The most
appropriate action would be to:

• Question
63 During routine immigration
screening a 29-year-old male patient from Mexico has a positive purified
protein derivative (PPD) test at 17 mm induration. He reports no known history
of tuberculosis (TB) infection or exposure, or vaccination with the BCG vaccine.
Chest x-ray is negative for any evidence of TB exposure. The AGACNP knows that
the appropriate next step is to:

• Question
64 Clinical diagnostic criteria for
acute respiratory distress syndrome (ARDS) include all of the following except:

• Question
65 While managing a patient in
acute pulmonary edema, the AGACNP monitors the pulmonary capillary wedge
pressure. When this pressure falls below 12 mm Hg it suggests that:

• Question
66 All of the following are
important elements of the immediate management of penetrating eye injury
except:

• Question
67 While evaluating a patient with
diastolic failure due to a long history of uncontrolled hemochromatosis, the
AGACNP appreciates an extra heart sound just before the S1 heart sound. This
sound is most likely a(n):

• Question
68 Secondary hypertension occurs in
approximately 10% of all patients with hypertension, and requires management of
the underlying problem in order to eliminate the cause. Which of the following
is not a secondary cause of hypertension?

• Question
69 L.M, is a 26-year-old male who
presents to the emergency department complaining of acute onset vertigo this
morning. He describes a strong sense of the room spinning and can barely walk
without feeling nauseous. The vertigo is reproducible when his neck is rotated
suddenly left or right. The AGACNP knows that which of the following is not
indicated?

• Question
70 A 36-year-old female presents
complaining of left leg swelling. She describes the onset as acute over the last
day or two, and says it feels “tight and throbbing.” She denies any
significant medical history and says the only medication she takes is oral
contraception, which she has taken since she was 15 years old. The AGACNP first
orders:

• Question
71 The primary neurotransmitter
implicated in post-traumatic stress disorder (PTSD) is:

• Question
72 Mr. Avila is an 82-year-old male
being counseled about the risks and benefits of his upcoming abdominal surgery.
While considering risk factors for atelectasis, pneumonia and other pulmonary complications,
the AGACNP advises that the greatest risk comes from:

• Question
73 The female AGACNP is practicing
with a cardiology group and sees patients one day a week in the outpatient
office. A 49-year-old female presents for follow-up after her admission for
infective endocarditis. She is recovering well, and says that she is going to
be more proactive about her health. She admits to not having had any of her
regular health screenings for years, and asks if she can have her Pap performed
at this office. The AGACNP:

• Question
74 The AGACNP is seeing a patient
who was transferred from the correctional facility for evaluation. He has a
profound purulent discharge from his right eye. The conjunctive is erythematous
and there is mild photosensitivity. The inmate denies any real eye pain, just
says that it is extremely uncomfortable. Treatment for this patient is likely
to include:

• Question
75 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:

• Question
76 A patient recently had a nasal
packing inserted for management of refractory epistaxis. One week later he
presents with fatigue, a headache “inside of his nose” and a feeling generally
unwell. The AGACNP considers:

• Question
77 A 55-year-old female patient
presents with a fever of 103.4° F. She was treated approximately 10 days ago at
urgent care for a sinus infection, but two days ago the right side of her fact
started to hurt, and today she has significant swelling of the right orbit and
eyelid. The eyelid is very edematous and there is purulent drainage noted. The
priority of care for this patient begins with:

• Question
78 Which of the following is the
best indicator that pulmonary rehabilitation has been successful in a patient
with chronic obstructive pulmonary disease?

• Question
79 Mrs. Marriott is being
discharged to home after being managed for an exacerbation of congestive heart
failure. She is currently feeling well but her ejection fraction after optimal
diuresis and fluid management is 29%. The AGACNP knows that her discharge
medications must include:

• Question
80 Which of the following is an
accurate statement with respect to the assessment of delirium in the geriatric
patient?

• Question
81 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:

• Question
82 When evaluating a patient with
epistaxis, which of the following signs or symptoms is suggestive of a more
serious etiology and posterior packing?

• Question
83 R.M. is a 15-year-old male who
presents to the emergency department with his mother. Mom says he has been
complaining that his throat hurts so badly he cannot even swallow saliva.
According to Mom R.M. is not the type to complain, but he is in so much pain
with his throat he is almost crying. He has no significant medical history and
takes no daily medications. He has no allergies of which his mother is aware.
Upon physical examination he is febrile with a temperature of 102.4° F and he
is a bit tachycardic, but other vital signs or normal. Inspection of the throat
is basically unremarkable—the AGACNP does not appreciate any abscesses, edema,
or exudate; there may be some slight erythema. The AGACNP becomes suspicious
that the patient:

• Question
84 Mr. Stossel is a 66-year-old
male patient who was admitted for management of acute anterior wall myocardial
infarction. Over a period of hours he has developed acute shortness of breath,
coarse rales to auscultation, and Kerley B lines on chest radiography. Arterial
blood gas reveals a pH of 7.34, pCO2 of 30 mm Hg, and paO2 of 59 mm Hg. The
AGACNP anticipates which of the following findings on physical examination?

• Question
85 According to the revised
criteria in DSM-V, the primary difference between panic attacks and panic
disorder is that:

• Question
86 Mr. Wilson is a 71-year-old male
who has been treated with prn short acting anticholinergics for his COPD. Last
week he developed an exacerbation that required a 4 day hospitalization for
support and stabilization. He was discharged on a five day course of prednisone
and now presents for follow-up. The AGACNP knows that his outpatient medication
regimen should be adjusted to include:

• Question
87 J.T. is a 26-year-old female
patient being evaluated for eye discharge. She says that for the last few days
she has developed this sticky, string-like discharge in both eyes. She denies
any pain or visual changes, but does admit to a sense of “something in my
eyes” and that her eyes itch a lot. Physical examination reveals injected
conjunctiva, rope-like discharge bilaterally; pupil response is equal and brisk
in both eyes. Which factor in the patient’s history would be supportive of the
most likely diagnosis?

• Question
88 What is the primary difference
in patient management between high risk non-ST elevation myocardial infarction
(MI) and the low risk non-ST elevation MI patient?

• Question
89 The pathophysiology of
endogenous depression is best described as:

• Question
90 The diagnostic study most
supportive of a diagnosis of pericarditis is:

• Question
91 A 31-year-old male presents to
urgent care because he has something in his eye. He was changing the oil under
his car and says that something dropped into his eye. He is not having any
pain, in fact he waited a day before coming in because he thought it would work
itself out. Physical exam reveals a black 1 mm foreign body visible on the
corneal surface. The most appropriate intervention is to:

• Question
92 A patient with pericarditis is
most appropriately treated with:

• Question
93 Which of the following is not a
risk factor for thoracic aneurysm?

• Question
94 The “MONA” acronym
provides guidance for immediate interventions in the patient with:

• Question
95 Mr

Explanation & Answer

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