NSG 6001 FINAL EXAM (3
DIFFERENT VERSIONS) FOR
ADVANCED NURSING PRACTICE
II LATEST | VERIFIED
ANSWERS | A GRADE PASS!!
VERSION 1
1. More than half of all cardiac arrhymias involve the atria
- True
2. What are the most common symptoms caused by tachyarryhthmias
- Palpitations
3. For wo...
NSG 6001 FINAL EXAM (3 DIFFERENT VERSIONS ) FOR ADVANCED NURSING PRACTICE II LATEST 2023 -2024 | VERIFIED ANSWERS | A GRADE PASS!! VERSION 1 1. More than half of all cardiac arrhymias involve the atria - True 2. What are the most common symptoms caused by tachyarryhthmias - Palpitations 3. For women with known cad and diabetes, which is the most appropriate to assess CAD risk - ETT with imaging 4. Of the following, which is the best answer when asked about the advantage of echocardiogram exercise testing over thallium stress testing - Results are available more quickly 5. You patient has uncomplicated pyelonephritis. In deciding your recommended treatment, you consider the most common pathogenic reason for this diagnosis. What pathogen accounts for the majority of pyelonephritis? - E coli 6. What purpose does the principle of fidelity serve - Ensures that providers honor their committement to the patient 7. In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern of chest pain and related EKG changes occur. During an ekg you should expect to see ST segment and T wave changes that are central to demonstration of ischemia occurring relatively late in the ischemic cascade is this true or false - True 8. The leads on the ECG showing ischemic changes during or immediately after an ETT can correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false - True 9. Skin cancer is the most common malignant neoplasms in males in the us . What is the second leading cause of cancer deaths in men greater than 50 years of age - Prostate cancer 10. What ech changes can reduce the specificity of the ETT - Paced rhythm and resting bundle branch blocks. 11. You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In teaching your patient about symptoms to report immediately to the vascular surgeon you instruct the patient to report which of the following - Back pain or flank pain 12. Which is one of the common causes of a saccular abdominal aneurysm - Trauma 13. The diagnostic accuracy of stress testing is decreased among women compared to men for what reasons - Women usually have single vessel or non obstructive disease 14. Population disease management is a term used to describe - High prevalence specific diseases 15. You receive a report back on the suspected abdominal aortic aneurysm for your patient. It confirms your suspicion of AAA. The report describes the aneurysm as a symmetric weakness of the entire circumference of the aorta. You know that this form of aneurysm is referred to as what kind of aneurysm - Fusiform 16. You practice partner just ordered an ex ercise echocardiograph 2DE for a patient with suspected cardiovascular risk. This patient has known resting wall motion abnormalities. Why would this not be the best test to assess this patients cardiac risk - Sensitivity is decreased 17. Your 60 year old male patient arrives for his appointment. He complains of general malaise and fever over the past several days with low back pain. He also states that he is getting up at night more often to urinate and never feels his bladder is completely empty. What differential diagnosis should you consider in this patient - Acute bacterial prostatitis 18. We all know that collaboration in integral to becoming a successful nurse practitioner. Among collaboration, however, only one can be considered the most important. While each example below is important, which is the most important collaboration. The one that occurs: - Between the patient and the nurse practitioner 19. The sensitivity of a routine ETT is effort dependent. What physiological changes occur during effort in the routine ETT - Increased coronary blood flow and increased systolic blood pressure 20. A 47 year old female with general complaints of fatigue and shortness of breath show up in your clinic as a referral from another nurse practitioner. Several blood tests and chest xrays have been completed without any diagnosis or outstanding abnormalities. You decide to order an ETT despite the fact that the recent ecg does not show any abno rmalities. From the answers below which would be the best answer to support your decision - Cad in women is under diagnosed 21. Your patient underwent an exercise stress test for CAD. There is significant elevation of the ST segment. What do you need to know about these changes to manage your patients care - These changes have minimal predictive value for CAD 22. When there is a consequential loss of structural integrity of the abdominal aorta, the resulting issue is what condition - AAA 23. You see a 60yr old AA male in your clinic with a recent diagnosis of htn. He asks you what he should restrict in his diet. And is particularly interested in limiting his sodium intake. What amount of sodium intake would you recommend on a daily basis for this patient - 1.5g/day 24. Why would inability to exercise reduce the specificity of the routine ETT - Produces persistent ST segment changes and T wave abnormalities 25. By standard criteria, how is a positive stress test defined - Development of a horizontal or down sloping ST segment depression of 1mm 26. What are the two types of bradycardia recognized by the American heart association - Relative and refractory 27. You see a 75 year old female in your clinic complaining of urinary incontinence. She is otherwise health based upon her last visit. She states that her mother told her this would happen someday because it happens to every woman at some age. What would you tell this patient - This is not an expected conditions related to aging. 28. What do you know regarding ischemia that is confined to only the posterior and or lateral segments of the left ventricle - Difficult to detect by ETT 29. What 3 conditions definitely alter the results of echocardiography in determining CAD - Obesity, rapid heart rate, and lug disease 30. Specifically, when is an ETT considered to be negative - Patient exercises to 85% of age predicted maximum heart rate without evidence of induced ischemia 31. All patient even if asymptomatic require risk stratification according to the Framingham risk score. At present ACC/AHA guidelines however do not normally support stress tests for asymptomatic patients without additional justification. What could be used to justify ETT in an asymptomatic patient - Sedentary and wishes to begin aggressive exercise 32. BPH is not a risk factor for prostate cancer. Is this true to false - True 33. Spread of genital herpes only occurs during the time period with active lesions. Is the true or false - False 34. AAA are often asymptomatic, what percent of AAA are discovered in asymptomatic patient - 75% 35. Improvement in the delivery and management of the healthcare are necessary if we are to improve the overall health of this nations population. Which of the following are identified in your readings as strategic in the movement to improve healthcare system - Population management and healthcare practice 36. Two main types of heart failure - Left sides, and main 37. The majority of all strokes are non ischemic. Is this statement true or false - False 38. When a murmur is first heard. It is important to determine if it is due to a pathological condition or benign. For an experienced practitioner, it is always easy to determine the cause of a murmur merely by listening to the sound. Is this true or false - False 39. Maintenance of an isometric ST segment during exercise is the response of - A normal heart 40. The goal of self management is to specifically do what - Engage patients in own care 41. Your 56 year old patient presents with bradycardia with a rate of 55 and first degree av block. The patient is hemodynamically stable and is not experiencing any syncope or chest pain. Hx includes: MI, home meds include BB, ASA,. Lab work is non significan t for electrolyte imbalances. You decide to treat this patient for the arrhythmia to prevent future destabilizations. Which might be the appropriate first measure to consider - Discontinue BB and replace with another therapy if necessary 42. Your patient is morbidly obese and cannot sit on a bicycle or walk a treadmill. She also has marked and severe emphysema. You need to make an assessment of the risk of significant CAD and your patients family says that their relative had their diagnosis base don an ultrasound echo. What facts would influence your decisions regarding the family request for echo assmnt - Sensitivity would be reduced because of obesity and lung disease 43. Your are in a clinic with your mentor observing the echocardiogram exercise teset of a 45 year old male that had been experiencing slight chest pressure almost daily during exercise. While observing your patient, your mentor points out that the left ventricle wall is thinning and there is some hyperkinesia 44. Your patient is newly diagnosed with persistent atria fibrillation. You consider electro cardioversion. Before undergoing this procedure you should order the following examination to assess thrombus risk - Transesophageal echocardiopgrahy 45. Tachyarrhythmias cause a drop in commonly blood pressure, cardiac output syncope sob, cp. What phenomenon most often occurs during these arrhythmias to cause these s/s - Shortened diastole 46. At what age is afib most common - 60 or older 47. Automaticity is a property common to all cardiac cells - True 48. Your pt has a maximum age predicted HR of 180. During the exercise eh reaches a heart rate of 140 and then states he can no longer exercise. You see evidence of ischemic changes on the ecg. This would be predictive of what condition - Significant cad 49. You tell a patient he has a murmur. He says he has been told this before, but wonders what causes the unique sounds of a murmur. Which of the following would be your best option - Turbulent blood flow 50. What is the treatment of choice for uncomplicated community acquired cystitis
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