10/15/24, 1:43 PM MSN 622 FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 116 QUESTIONS AND CORRECT DETAILED ANSWERS (…
MSN 622 FINAL EXAM NEWEST 2024 ACTUAL
EXAM COMPLETE 116 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
Terms in this set (116)
A 67-year-old man with a history of hypertension and
tobacco use presents with a two-day history of
hypogastric pain. An examination reveals a 5 cm, non-
blowing tender, pulsatile abdominal mass above the umbilicus.
Which of the following type of sounds might be heard
upon auscultation at the midline, two inches cephalad
to the umbilicus?
What is the recommended management for a patient
ultrasound every 3 years
with a 3.5 cm abdominal aortic aneurysm?
A 75-year-old man presents to the emergency
department with complaints of severe abdominal pain
and sweating. The pain started about an hour ago and
is becoming worse with time. He has been diagnosed
with hypertension and diabetes and is on amlodipine
and metformin, respectively. On presentation, the vital
immediate surgery signs show blood pressure 70/40 mmHg, pulse
140/min, respiratory rate 32/min, temperature 38.5 C
(101.3 F), and oxygen saturation 87% at room air. On
physical examination of the abdomen, generalized
tenderness and guarding are seen. There is a midline
pulsatile mass. What is the next best step in the
management of this patient?
https://quizlet.com/957400592/msn-622-final-exam-newest-2024-actual-exam-complete-116-questions-and-correct-detailed-answers-verified-answer… 1/36
,10/15/24, 1:43 PM MSN 622 FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 116 QUESTIONS AND CORRECT DETAILED ANSWERS (…
A 67-year-old male with a history of hypertension and
nicotine dependence presents to the emergency
department with sudden onset of abdominal pain
radiating to the back. There is no history of alcohol
abdominal CT
use. On examination, he is thin, pale, and diaphoretic.
His vital signs show a blood pressure of 110/70 mmHg
and a heart rate of 95 bpm. Which of the following is
most likely to confirm the diagnosis?
A 78-year-old is found to have an asymptomatic
pulsatile abdominal mass. The ultrasound shows an
Surgery will improve 5-
abdominal aortic aneurysm measuring 5.5 cm. Which
year survival
of the following statements concerning this patient's
condition is correct?
A 65-year-old man presents to the office with
complaints of occasional chest pain. The patient has a
past medical history significant for hypertension,
diabetes mellitus, and hyperlipidemia. The patient
stress electrocardiogram
states he experiences chest pain on exertion, which is
only relieved on rest. An electrocardiogram is normal.
Which of the following is the next step in
management?
A 65-year-old man presents with complaints of chest
pain that started 30 mins ago but stopped on his way
to the hospital. The patient has a past medical history
Determining the significant for hypertension and diabetes mellitus. An
precipitating factors for his electrocardiogram (ECG) is normal. A stress ECG
condition shows mild ST elevations after 12 minutes of exercise. A
diagnosis of stable angina is made. Which of the
following should be the first step in counseling the
patient about his condition?
https://quizlet.com/957400592/msn-622-final-exam-newest-2024-actual-exam-complete-116-questions-and-correct-detailed-answers-verified-answer… 2/36
,10/15/24, 1:43 PM MSN 622 FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 116 QUESTIONS AND CORRECT DETAILED ANSWERS (…
A 47-year-old male presents to the office for routine
health maintenance. His blood pressure is 182/138,
with all other vital signs within normal limits. The
patient is currently complaining of a headache and
hypertensive emergency
blurred vision but denies chest pain, shortness of
breath, and abdominal pain. Under which of the
following forms of hypertension would this patient be
classified
A 65-year-old male with a history of type 2 diabetes
comes into the provider's office complaining of blurry
vision, nosebleeds, and exertional chest pain for the
Losartan/hydrochlorothiaz past six months. The blood pressure is measured to be
ide and atorvastatin 160/94 mmHg. A CT angiogram is performed, which
reveals partially occlusive coronary artery plaques.
Which of the following medication regimens would be
most appropriate for this patient?
A 68-year-old male with a past medical history of
type 2 diabetes mellitus and diabetic nephropathy
presented to the clinic for a follow-up appointment.
His blood pressure on the last visit was 150/90 mmHg.
He was called in for a follow-up appointment in 4
Reassure him that this is weeks to monitor his blood pressure. The blood
expected from his ACE pressure on this visit is 168/105 mmHg, and HbA1c is
inhibitor and continue 8.9%. His antihypertensive regimen was adjusted, and
therapy with periodic an ACE inhibitor was added. He is on metformin and
monitoring. sitagliptin for diabetes mellitus. One week later, his
blood pressure was 130/80 mmHg, the patient's
potassium was 5.1 mEq/L, sodium was 133 mEq/L, and
the rest of the renal panel was within normal limits. He
reports no symptoms. What is the next best step in his
care?
https://quizlet.com/957400592/msn-622-final-exam-newest-2024-actual-exam-complete-116-questions-and-correct-detailed-answers-verified-answer… 3/36
, 10/15/24, 1:43 PM MSN 622 FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 116 QUESTIONS AND CORRECT DETAILED ANSWERS (…
A 50-year-old man presents to the clinic for routine
evaluation. His systolic blood pressure has
persistently been in the 150-160 mmHg range.
Treatment with ramipril is initiated. On the next visit, he
complained of an itchy throat and a dry cough, which
Reassurance
is not distressing for him, but he is concerned that
there might be something serious as he used to
smoke but quit 5 years ago. A chest x-ray is within
normal limits. What is the next best step in the
management of this patient?
A 65-year-old man presents for a review of his
medications. The patient states his blood pressure
(BP) is always elevated whenever he checks it with his
digital BP monitoring machine, despite taking all of his
medications. He has a past medical history significant
Assess the accuracy of his
for hypertension, diabetes mellitus, and
digital BP readings
hyperlipidemia. Laboratory evaluation reveals a
normal random blood glucose level and a normal
lipid profile. Which of the following is the most
appropriate initial step before changing the patient's
antihypertensive medication?
A 65-year-old man presents with episodic substernal
pain. Initially, he experienced chest pain with physical
activity, which remits with rest. But now it occurs at
rest too. He has a history of hypertension and smokes
30 cigarettes/day. In addition, he has aspirin
clopidogrel hypersensitivity. His blood pressure is 145/90 mmHg,
pulse is 78/min, and oxygen saturation is 97%. Physical
examination is unremarkable. ECG reveals mild ST-
segment depressions in V1-V2. Cardiac troponins are
not elevated. Which of the following is the best option
for the management in this patient?
https://quizlet.com/957400592/msn-622-final-exam-newest-2024-actual-exam-complete-116-questions-and-correct-detailed-answers-verified-answer… 4/36
