NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS, Exams of Nursing

Download NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS and more Exams Nursing in PDF only on Docsity! NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 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 NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS - 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. NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 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 abnormalities. 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? NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS - 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 absolute NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 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 NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 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-significant 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 NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 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 NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 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 NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 54 Medicaid is mandated to be provided by each state through federal codes. Each state must offer Medicaid exactly as the fed gvmt prescribes -False 55 What sexually transmitted disease is most widespread in the USA today - Chlamydia 56 Your preceptor decides to add doppler flow atudies to the echocardiogram exercise test for a patient with a recent history of a holistic murmur best auscultated at the left sternal border. The patient has no history of cardiac surgeries. He asks you what might be the main advantages of adding doppler flow for this particular patient. You know from your readings that there are several reasons to add doppler flow for this particular patient. Your best response for this specific case, however would be that doppler flow studies would be of what additive value during the echocardiogram study - Detect and evaluate blood shunting from a septal defect 57 Sexual partners of a patient with diagnosed STI should always be examined and treated. Is this true or false NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS - True 58 Your patient presents with tachycardia. The QRS is measured at .10 seconds. Which of the following tachycardias would be an appropriate conclusion based on this information alone - Premature junctional contractions 59 A 65 year old white male arrives in your clinic with general complaints of slight abdominal discomfort. He has a known history of smoking two packs per day for 40 years and hypertension. He also has copd and has been treated numerous times with oral steroids. You consider optimal diagnoses. Of the ones listed below which should be included as a potential top suspect in our choice of diagnosis - Abdominal aortic aneurysm 60 What are the most common mechanisms to produce cardiac arrhythmias - Enhanced automaticity, triggered activity or reentry 61 Patient urinates then has incontinence right after what type of incontinence is this NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS - Answers were overflow, 62 How long should you take TMP-SMZ for uncomplicated UTI - Answers were 3days, 2 days, 7-10 days (I put 7-10d) 63 If someone presents with atrial arrythmia and is stable hemodynamically what intervention will you plan - bb? CCB? 64 What signifies impending AAA rupture - boring pain radiating to legs, 65 Who is at the highest risk with AAA -Male 66 Most common cause of AAA rupture - Trauma, the tension exceeds collagen wall and few other answers (I put the one about tension exceeds ) 67 The two types of AAA are fusiform and saccular.. if you have a bleb on one side what type is this - saccular (pretty sure its saccular) 68 Gives definition and says what does this represent think the answer is veracity, the other didn’t make sense. Mentions about being truthful and honest with patients NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 78 What is the definition of CHF Inability to meet bodies demands 79 Question about pt wanting to start exercise and is obese what test will the provider order - I picked ETT because this was similar to the other question… that one by the way is on there too 80 Drug for ETT - I picked dobutamine 81 2 common types of ETT - Bicycle and tread 82 Most common cause of systolic HF CAD 83 What indicates a positive Stress test Answers were like decrease in regional wall motion and hyperkinesis 84 You are in the clinic with your mentor observing the echo exercise test of a 45 year old who has been experiencing slight NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 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 hyperkinesias of the ventricular wall. From your time in the clinic you know that this test will be what type of result Positive 85 Medicare covers inpatient hospital services under which part of the medicare insurance - Part A 86 Of the answers below which would be included in defining a positive Exercise echocardiogram - Induced decrease in regional wall motion 87 A 35 year old female arrives at your clinic, she has had diabetes and peripheral artery disease for the past 5 years. You decide to obtain an ETT. The insurance company argues that this is appropriate. You justify the ETT because you are planning secondary strategies to prevent future heart disease. Where could one find the supporting data for these guidelines Framingham risk score 88 Medicare hospital insurance is funded through what system - Federal payroll taxes NR 6001 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED 2023 A+ ASSUARED SUCCESS 89 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 90 Population disease management is a term used to describe -High prevalence of specific diseases 91 You are counseling a patient diagnosed with stress induced ischemia. You base your discussion on your knowledge that stress induced ischemia is caused by - Endothelial dysfunction of microvascular 92 AAA are often asymptomatic, what percent of AAA are discovered in asymptomatic patient 75% 93 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