NSG 2001 Final Exam

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NSG 2001 Final Exam

NSG 2001 Final Exam

1. More than
half of all cardiac arrhymias involve the atria

2. What are
the most common symptoms caused by tachyarryhthmias

3. For women
with known cad and diabetes, which is the most appropriate to assess CAD risk

4. Of the
following, which is the best answer when asked about the advantage of
echocardiogram exercise testing over thallium stress testing

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?

6. What
purpose does the principle of fidelity serve

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

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

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

10. What ech
changes can reduce the specificity of the ETT

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

12. Which is
one of the common causes of a saccular abdominal aneurysm

13. The
diagnostic accuracy of stress testing is decreased among women compared to men
for what reasons

14. Population
disease management is a term used to describe

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

16. You
practice partner just ordered an exercise 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 patient’s
cardiac risk

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

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:

19. The
sensitivity of a routine ETT is effort dependent. What physiological changes
occur during effort in the routine ETT?

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

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?

22. When there
is a consequential loss of structural integrity of the abdominal aorta, the
resulting issue is what condition

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?

24. Why would
inability to exercise reduce the specificity of the routine ETT

25. By
standard criteria, how is a positive stress test defined

26. What are
the two types of bradycardia recognized by the American heart association

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?

28. What do
you know regarding ischemia that is confined to only the posterior and or
lateral segments of the left ventricle?

29. What 3
conditions definitely alter the results of echocardiography in determining CAD

30. Specifically,
when is an ETT considered to be negative

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

32. BPH is not
a risk factor for prostate cancer. Is this true to false

33. Spread of
genital herpes only occurs during the time period with active lesions. Is the
true or false

34. AAA are
often asymptomatic, what percent of AAA are discovered in asymptomatic patient

35. Improvement
in the delivery and management of the healthcare are necessary if we are to
improve the overall health of this nation’s population. Which of the following
are identified in your readings as strategic in the movement to improve
healthcare system?

36. Two main
types of heart failure

37. The
majority of all strokes are non-ischemic. Is this statement true or 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

39. Maintenance
of an isometric ST segment during exercise is the response of

40. The goal
of self-management is to specifically do what

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

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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

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

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

46. At what
age is afib most common

47. Automaticity
is a property common to all cardiac cells

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

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

50. What is
the treatment of choice for uncomplicated community acquired cystitis

51. Any pt
presenting with symptomatic bradycardia should be referred to a cardiologist

52. Encouragement
of pts to take effective action in their healthcare refers to the concept of

53. You are
considering adding an adjunctive form of testing to detect wall motion
abnormalities during the ETT. You select echocardiography as the added testing.
You choose this test because you known that echocardiography does what when
added to a standard ETT

54. Medicaid
is mandated to be provided by each state through federal codes. Each state must
offer Medicaid exactly as the fed gvmt prescribes

55. What
sexually transmitted disease is most widespread in the USA today

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

57. Sexual partners
of a patient with diagnosed STI should always be examined and treated. Is this
true or false

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

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

60. What are
the most common mechanisms to produce cardiac arrhythmias

61. Patient
urinates then has incontinence right after what type of incontinence is this

62. How long
should you take TMP-SMZ for uncomplicated UTI

63. If someone
presents with atrial arrythmia and is stable hemodynamically what intervention
will you plan

64. What
signifies impending AAA rupture

65. Who is at
the highest risk with AAA

66. Most
common cause of AAA rupture

67. The two
types of AAA are fusiform and saccular.. if you have a bleb on one side what
type is this

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

69. UTI in 35
year old denies homosexual activities what else will you ask .. you know this is
uncommon is adults younger than 35.

I picked
heterosexual anal activities… but there were other option cant remember

70. Why is
there more prevalence of chlamydia

– Picked increase in sexual activities among all populations

71. Who is
eligible under Medicaid?

-Options were women and children regardless of income and
children and women of low income and 2 others but I put the one about
regardless of income

72. There is
abnormal left ventricle EF without ischemia what does this mean?

73. The next
questions asks the same questions but says theres evidence of ischemia so

74. Women and
CT imaging is limited because of

75. 15. #1 leading cause of death in women

76. If AAA is
4cm in healthy adult what intervention would you do

77. What is
relative bradycardi

78. What is
the definition of CHF

79. Question
about pt wanting to start exercise and is obese what test will the provider
order

80. Drug for
ETT

81. 2 common
types of ETT

82. Most
common cause of systolic HF

83. What
indicates a positive Stress test

84. You are in
the clinic with your mentor observing the echo exercise test of a 45 year old
who has 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 hyperkinesias of the ventricular wall. From
your time in the clinic you know that this test will be what type of result

85. Medicare
covers inpatient hospital services under which part of the medicare insurance

86. Of the
answers below which would be included in defining a positive Exercise
echocardiogram

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

88. Medicare
hospital insurance is funded through what system

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

90. Population
disease management is a term used to describe

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

92. AAA are
often asymptomatic, what percent of AAA are discovered in asymptomatic patient

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

94. Your
patient is morbidly obese and cannot sit on a bicycle or walk a treadmill. She
also has marked and severe emphysems. 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

95. Question
about where the J point?

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