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NSG 6440 Practice Test Majority Exam With Correct Questions And Answers | Verified Solutions 2024
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NSG 6440 Practice Test Majority Exam With Correct Questions And Answers | Verified Solutions 2024
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NSG 6440 Practice Test Majority Exam With Correct Questions And Answers | Verified Solutions 2024Which of the following antihypertensive medications would you avoid prescribing for an elderly white female with the comorbid diagnosis of osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics - Correct Answer-Calcium channel blockers
Which of the following class of drugs is preferred treatment for a diabetic with stage II hypertension? a. Calcium channel blockers b. Alpha blockers c. Angiotensin converting enzyme inhibitor d. Loop diuretics - Correct Answer-Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP of 144/90. He has never had a diagnosis of hypertension. He doesn't check his blood pressure at home. He has a family history of hypertension. What are your recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over 90's, low salt diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid pa - Correct Answer-Instruct to purchase a BP cuff, record blood pressures, call if over 140's over 90's, low salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine headaches. Which class of medications could you choose to treat both? Ace inhibitors Calcium channel blockers Beta blockers Angiotensin receptor blockers - Correct Answer-Beta blockers A 42-year-old male presents with the following lipid profile. He is not on any medications
for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil - Correct Answer-Low dose statin
You are caring for a 68-year-old male who has been taking atorvastain (Lipitor) for 8 weeks. He complains of fatigue, muscle aches, and dark-colored urine. Which of the following is the most appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase (CPK, creatine kinase) c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. - Correct Answer-Order lipid level and serum creatine phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his atrovastatin (Lipitor)?
Continuing taking the medication until the labs are available
Take atorvastatin every other day until labs are available Take half of the atorvastatin every other day until labs are available
Stop taking the atorvastatin until the labs are available - Correct Answer-Stop taking atorvastatin until the labs are available.
A 58 year old male presents to your office with an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved with rest. Which of the following does this best describe? Acute myocardial infarction Gastroesophageal reflux disease Angina pectoris Acute costochondritis - Correct Answer-Angina pectoris
What is the most common cause of left ventricular hypertrophy in the United States? Mitral valve prolapse Chronic atrial fibrillation Pulmonary hypertension Chronic hypertension - Correct Answer-Chronic hypertension
Which of the following heart sounds is associated with heart failure? Still's murmer and S4 S3 S1, S2, and S4 S1, S2, and S3 - Correct Answer-S3
While performing a routine physical exam on a 60-year-old hypertensive male, you notice a bruit over the carotid area on the left side of the neck. There is no induration of the skin. This patient is at higher risk for: Stroke and coronary heart disease Temporal arteritis and brain aneurysms Abdominal aneurysm and congestive heart gailure Dizziness and headaches - Correct Answer-Stroke and coronary heart disease
A 72-year-old female presents to your office with gradual difficulty breathing, non-
productive cough, bilateral swelling of her feet, and a 10 pound weight gain. Upon examination you hear crackles and rhonchi with an S3 heart sound. What is the most likely diagnosis? COPD Renal hypertension Congestive heart hailure Asthma - Correct Answer-Congestive heart failure
What is your treatment plan for this patient with difficulty breathing, cough, weight gain, edema, and S3 heart sounds? Rest and increase fluids Diuretics, digoxin, and anti-hypertensive medications Nebulized albuterol and prednisone Anti-coagulation and cardiology evaluation - Correct Answer-Diuretics, digoxin, and anti-hypertensive medications
You are treating a 49-year-old female who presents with fatigue and palpitations. You check her apical pulse and she is irregular and tachycardic. You obtain an EKG and it reveals afib with rapid ventricular response. What is your treatment plan? You order a 2D echo. You admit her to the hospital for new onset afib. You perform cardiac massage and have her relax. You order a cardiology consult. - Correct Answer-You admit her to the hospital for new onset afib.
Upon examination of a 17-year-old during a sports physical, you hear a split S2 during inspiration that disappears during expiration. The patient denies chest pain and dyspnea. What will you tell the mother and patient regarding your findings? You advise the patient to avoid strenuous physical activity until further investigation You recommend a referral to cardiology. Due to the patient being an athlete, you recommend a stress echo Educate the mother and patient that this is a ben - Correct Answer-Educate the mother and patient that this is a benign finding.
The first sign of an asthma exacerbation is: Cough Wheeze Dyspnea Chest tightness - Correct Answer-Cough
According to the NAEPP-3 Guidelines for the Treatment and Management of Asthma, what is the gold standard for daily treatment of mild-persistent asthma? Inhaled steroids Long-acting bronchodliators Short-acting bronchodilators Combination therapies - Correct Answer-Inhaled steroids
You are treating an adult asthma patient and reviewing her metered dose inhaler (MDI) technique. She demonstrates her MDI technique by shaking the inhaler, placing the inhaler in her mouth, pressing the canister, and inhaling quickly. What is your response? You praise the patient for demonstrating the correct MDI technique You educate the patient taht, first, she should exhale fully, then shake the inhale, and finally, as she presses the canister, inhale slowly and fully
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