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CMN 574 Final Exam Questions and Answers 100% Solved | Graded A+
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CMN 574 Final Exam Questions and Answers 100% Solved | Graded A+ What is the most common cause of chest pain? - Musculoskeletal Is musculoskeletal pain described as gradual or sudden? - Gradual onset What is something you could ask the patient to do regarding assessing the pain? - Localized p...

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  • October 31, 2024
  • 55
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
CMN 574 Final Exam Questions and

Answers 100% Solved | Graded A+


What is the most common cause of chest pain? - ✔✔Musculoskeletal

Is musculoskeletal pain described as gradual or sudden? - ✔✔Gradual

onset

What is something you could ask the patient to do regarding assessing the

pain? - ✔✔Localized pain; point with 1 finger where you are hurting



Remember: reproducible is a GOOD thing

Are any tests required for musculoskeletal chest pain? - ✔✔no tests unless

hx of trauma

What is the treatment for musc chest pain? - ✔✔rest, NSAIDs, ice/heat

What is the 2nd most common cause of chest pain? - ✔✔GI

What risk factors accompany GI chest pain? - ✔✔Hx of ulcers, smoking,

ETOH, NSAID or ASA overuse

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Always ask about OTC MEDS!

How is GI chest pain described? - ✔✔Recurrent episodes of

SUBSTERNAL BURNING pain; pain is WORSE WITH MEALS or when

lying supine

Pain is WORSE with palpation to EPIGASTRIUM

If the patient has an esophageal spasm - they may characterize the pain as

"squeezing or pressure"

PUD will complain of epigastric pain that may radiate to their back

What tests would you order for to rule in/out GI chest pain? - ✔✔Urea

breath test: H. pylori



PUD: EGD to evaluate for ulcers

What is the treatment for GI chest pain? - ✔✔Lifestyle modifications: Diet,

elevate

HOB when sleeping

PPIs: GERD or PUD

Antibiotics: +H.pylori

What is the 3rd most common cause of chest pain? - ✔✔Psych

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
What are some risk factors for psych as the cause of chest pain? -

✔✔Acute stress (home, workplace, school)

Hx of panic disorder

Hx of depression

A patient presents with chest pain. Hx of depression. What might this

patient describe their chest pain as? - ✔✔heaviness that is either sudden

or gradual

A patient presents with chest pain. Hx of anxiety. What might this patient

look like? - ✔✔Hyperventilating, numbness or tingling to BILATERAL

extremities

What 2 screening questions are IMPORTANT when assessing a patient

with chest pain to help your differential in psych being the cause? - ✔✔In

the last 6 months, have you experienced either of the following:

- Spell or attack of feeling anxious

- Felt like your heart was racing or felt faint?



If patient responds with YES to EITHER question, SUSPECT PSYCH and

investigate further

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
What risk factors place the patient at risk for a respiratory cause of chest

pain? - ✔✔Recent immobility

Recent pregnancy

Pelvic or femur trauma (fracture, surgery)

Hypercoagulability

Estrogen use (HRT) or birth control

Are they a smoker

Hx or current cancer

A patient was recently dx with pneumonia. What chest pain symptoms

might this patient report? - ✔✔dull ache (could have no pain at all)

A patient presents to clinic with c/o pain worse with inspiration,

characterized as stabbing to posterior LL lobe. Vitals reveal tachycardia of

101hr. What do you suspect?



What should be included in your assessment of this patient? - ✔✔PE

(pulmonary embolism).

You should perform a Wells score to determine imaging.

What Wells score indicates low risk? What would be your next NP action? -

✔✔<2 you would order a d-dimer

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