ANP 650 MIDTERM EXAM LATEST ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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Course
ANP 650
Institution
ANP 650
ANP 650 MIDTERM EXAM LATEST ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
ANP 650 MIDTERM EXAM LATEST ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
ANP 650 MIDTERM EXAM LATEST ACTUAL EXAM TEST BANK 200
QUESTIONS AND C...
ANP 650 MIDTERM EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
1.A client is diagnosed with strabismus. Which of the following will
the client most likely experience with this disorder?
1. Nystagmus
2. Diplopia
3. Aphakic vision
4. Ptosis - ANSWER-ANS: 2
Diplopia, or double vision, is the primary symptom of strabismus.
Nystagmus is a disorder that causes involuntarily rhythmic
movements in the eye. Aphakic vision occurs when the lens of the
eye is removed. Ptosis is drooping of the eyelid.
2.A client is experiencing a gradual blurring of vision in both eyes not
associated with any pain. The nurse suspects the client is
experiencing:
1. glaucoma.
2. cataracts.
3. macular degeneration.
4. retinal detachment. - ANSWER-ANS: 2
Cataracts occur as the opacity of the lens becomes cloudy, blurring
the vision. It occurs in both eyes but is usually worse in one eye.
Gradual eye blurring is not associated with glaucoma, macular
degeneration, or retinal detachment.
If someone has aortic stenosis, what heart sound do you expect to
hear? - ANSWER-Systolic murmur
,Where can you best hear a systolic murmur? - ANSWER-Aortic area
(2nd intercostal space)
What happens in the heart during S1? - ANSWER-Closing of mitral and
tricuspid valve
What happens during S2 - ANSWER-closing of aortic and pulmonic
valve
What happens if valves are not closing at the same time? - ANSWER-
Unequal pressure = pulmonary HTN
What medication has a high risk for hypoglycemia - ANSWER-
Sulphonylurea (Glipizide)
What diabetic medication has a high cardiac risk and causes
swelling? - ANSWER-TZD (ACTOS - pioglitazone)
Most common 1st line of treatment for DM because of low cost -
ANSWER-Metformin (Biguanides)
What type of patients should avoid biguanides? - ANSWER-Impaired
renal function- leads to acidosis
What medications are a high risk for hypoglycemia – ANSWER-
sulphonylurea and insulinaa
How can you diagnose DM - ANSWER-o 2 readings of HgbA1C (> 6.5)
o Fasting BS (>125) o Random BS (>200)
Complications of DM - ANSWER-- End organ damage
,- Ophthalmic issues
- Renal failure - Stroke a
What can cause secondary DM? - ANSWER-- Steroids
- Pregnancy
- Hyper- endocrine disorders (cortisol, androgen, thyroid)
Risks secondary to a-fib - ANSWER-Stroke and TIA
The two areas of the body at highest risk for a bleed when patients are
on anticoagulation - ANSWER-Intracranial and GI
Who cannot be on DOACs (Xarelto, Eliquis)? - ANSWER-- Patients with
mechanical heart valves
- Patients with moderate - severe mitral valve stenosis
What type of anti-coagulation are impacted by renal insufficiency? -
ANSWER-DOACs
How do you dose Warfarin? - ANSWER-INR
What tool is used to score a-fib - ANSWER-CHA2DS2-VASc Stroke risk
scoring system (CHF, HTN, Age2, DM, Stoke2, Vascular disease,
Age, Sex)
If a patient presents with a high INR, what would determine if they
need to be reversed or not? - ANSWER-If they actively bleeding
Two CV causes of TIA - ANSWER-- cardiac thrombosis (a-fib)
- atherosclerosis
, How would you assess for A-fib? - ANSWER-- Objective: EKG, ECHO -
Subjective: palpitations
A patient with orthostatic hypotension has uncontrolled DM, what
nervous system path is not functioning: - ANSWER-Autonomic
nervous system (controls vasoconstriction)
What questions would you ask a patient to determine the cause of
hypotension? - ANSWER-- Medications
- Dehydration/Volume loss
- Are they stable
Primary v Secondary HTN - ANSWER-Primary: essential HTN (more
common
Secondary: 2/2 endocrine, renal stenosis, resistant hypertension,
OSA, hyperaldosteronism
1st line of tx for essential HTN - ANSWER-- Thiazide diuretics
- ACE/ARBs
- CCB
When would you avoid a CCB (diltiazaem) - ANSWER-- bradycardia
- HF with reduced EF
Pulmonary Function Test (Restrictive) - ANSWER-Restrictive: all
parameters are decreased (TLC, VC, etc) - Lungs become so
fibrous, O2 cannot get out
IE: pulmonary fibrosis (can be caused by Amio)
Pulmonary Function Test (Obstructive) - ANSWER-Obstructive: low
FEV1 (air blown out in 1 second)
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