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NR 661-Cardiovascular: Questions & Solutions
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NR 661-Cardiovascular: Questions & SolutionsA patient has had poorly controlled hypertension for more than 10 years.
Indicate the most likely position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL Correct Ans - c. 5th ICS, left of MCL
Valve most commonly involved in chronic rheumatic heart disease is the:
a. aortic
b. mitral
c. pulmonic
d. tricuspid Correct Ans - b. mitral
A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg
daily for the past 4 weeks. How should the nurse practitioner proceed? BP-
155/95; 145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class
Correct Ans - c. add a drug from another class to the daily 25 mg
hydrochlorothiazide
Which choice below would be the best choice for an 80-year old patient
whose blood pressure is 172/72
a. chlorthalidone
b. amlodipine
c. monopril
d. acebutolol Correct Ans - b. amlodipine
The diagnosis of mitral valve prolapse can be confirmed by:
a. physical examination
,b. electrocardiography
c. echocardiography
d. chest xray Correct Ans - c. echocardiography
A patient taking candesartan for treatment for hypertension should avoid
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice Correct Ans - b. potassium supplements
According to the National Heart, Lung and Blood institute, which
characteristic listed below is a coronary disease (CHD) risk equivelant; that
is, which risk factor places the patient at a CHD risk similar to a history of
CHD
a. Hypertension
b. cigarette smoking
c. male age >45 years
d. Diabetes Mellitus Correct Ans - d. Diabetes Mellitus
Classic symptoms of deep vein thrombosis (DVT) include:
a. swelling, pain, redness
b. calf complaints, pain with walking, history of exercise
c. swelling, pain, discoloration in lower extremity
d. warmth, edema and relief of pain with walking Correct Ans - c.
swelling, pain, discoloration in lower extremity
Which mitral valve disorder results from redundancy of the mitral valve's
leaflets??
a. acute mitral regurgitation
b. chronic mitral regurgitation
c. mitral valve prolapse
d. mitral stenosis Correct Ans - c. mitral valve prolapse
Tables are used for determination of maximum blood pressure values for
adolescents. How are blood pressure values established for adolescents?
, a. height percentile, body mass index and gender
b. gender and age
c. height percentile, gender and age
d. body mass index and gender Correct Ans - c. height percentile,
gender and age
The correlation between blood pressure and age greater than 60 years is
that as age increases:
a. diastolic blood pressure increases
b. systolic blood pressure decreases
c. blood pressure remains about the same
d. diastolic blood pressure decreases Correct Ans - d. diastolic
blood pressure decreases
An 80 year old female who is otherwise well has the following blood
pressure readings. How should she be managed? 160/70; 175/68; 171/71;
163/63
a. thiazide diruetic
b. ace inhibitor
c. calcium channel blocker
d. angiotensin receptor blocker Correct Ans - c. calcium channel
blocker
Which choice below characterizes a patient who has aortic regurgitation?
a. long asymptomatic period followed by exercise intolerance then dyspnea
at rest
b. an acute onset of shortness of breath in the fifth or sixth decade
c. dyspnea on exertion for a long period of time before sudden cardiac
death
d. a long asymptomatic period with sudden death usually during exercise
Correct Ans - a. long asymptomatic period followed by exercise
intolerance then dyspnea at rest
How often should lipids be screened in patients who are 65 years and older
if they have lipid disorders or cardiovascular risk factors
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