Advanced Clinical Diagnosis
Chamberlain University College,
Exams of Nursing
. Which medical procedure is commonly used to treat this condition? -
ANSWER//Cyroabliation of the transition zone of the left pulmonary vein
inflow to the left atrium As the nurse practitioner working in primary care clinic,
you have been notified from a hospitalizations that your long-term patient with
a history of HFrEF with an ejection fraction of 40% two years ago who is also
not on optimal medical therapy has been diagnosed with a MI this admission
and received emergent placement of a drug-eluding stent to the left anterior
descending artery. Who will manage this patient and what is their priority for
chf after mi - ANSWER//Ordering a new thransthoracic echocardiogram and
order a life vest if EF is less than 35% A 65 year old woman present for follow
up She is a smoker and HTN is now controlled Her mother died at age 40
from heart attack Fasting lipids shows cholesterol 240 HDL 30 and LDL 200 In
addition to therapeutic lifestyle changes what should the NP start -
ANSWER//Statin drug An adult patient must maintain INR between 2-3 The
patient goes to a clinic for INR check and results is 1.4 what would decrease
the effects of Coumadin - ANSWER//Broccoli The patient admitted with
crushing chest pain just converted from NSR to Brady with elevated ST
segments what is the priority - ANSWER//Cath lab A 50 year old woman with
a history if htn present with dyspnea on exertion and orthopnea she has jvd
and bilateral crackles what is their priority diagnosis - ANSWER//Chf 65
alcoholic patient present with a new onset of persistent palpitations and
anxiety for the past 3 days Monitor is applied and has irregularly irregular
rather Which evaluation should be performed first - ANSWER//Ordering a
transthoracic echocardiogram Effective long term treatment of systolic great
failure with reduced ejection fraction should include which of the following -
ANSWER//Prescribing valsartan/sacubitril (entresto) Although med less than
55 have and increased risk of cardiac events than women and 60 why are
they equal - ANSWER//Loss of estrogen
patient a. order a urine culture and sensitivity and hold treatment until you
receive results b. prescribe a 7 day course of antibiotics and order a urine
culture and sensitivity c. treat the patient with a stronger antibiotic, ofloxin, for
10 days d. treat the patient with antibiotics today - ANSWER//d. treat the
patient with antibiotics today Delirium is typically characterized by all of the
following except: a. altered level of consciousness b. insidious onset c.
inattention - ANSWER//b. insidious onset Not sure of the question but a.
dominant personality b. obesity c. cardiovascular disease d. diabetes -
ANSWER//a. dominant personality Mrs. G has returned to your office for a
follow up visit for urinary incontinence (UI). Mrs G has followed your 1st line
recommendations. She has quit smoking, drinks plenty of fluids, and has
eliminated caffeine and spicy foods. Despite all these changes, she still
experiences UI. You decide to initiate second line treatement. You
, recommend: a. bladder control training b. keagels c. antimuscarinic
medications d. alpha 1 adrenergic receptor antagonists - ANSWER//c.
antimuscarinic medications Which of the following diagnoses should be
considered in a patient presenting with erectile dysfunction? a. diabetes
An older adult presents with the single complaint of bilateral pediatric edema.
The patient has a history of diabetes and high blood pressure and is on oral
medications. Which of the following medications is the MOST likely cause of
the patient's complaint? - ANSWER//Amlodipine(Narvasc) Your patient is
complaining of paroxysmal atrial fibrillation. Which medical procedure is
commonly used to treat this condition? - ANSWER//Cyroabliation of the
transition zone of the left pulmonary vein inflow to the left atrium As the nurse
practitioner working in primary care clinic, you have been notified from a
hospitalizations that your long-term patient with a history of HFrEF with an
ejection fraction of 40% two years ago who is also not on optimal medical
therapy has been diagnosed with a MI this admission and received emergent
placement of a drug-eluding stent to the left anterior descending artery. Who
will manage this patient and what is their priority for chf after mi -
ANSWER//Ordering a new thransthoracic echocardiogram and order a life
vest if EF is less than 35% A 65 year old woman present for follow up She is a
smoker and HTN is now controlled Her mother died at age 40 from heart
attack Fasting lipids shows cholesterol 240 HDL 30 and LDL 200 In addition
to therapeutic lifestyle changes what should the NP start - ANSWER//Statin
drug An adult patient must maintain INR between 2-3 The patient goes to a
clinic for INR check and results is 1.4 what would decrease the effects of
Coumadin - ANSWER//Broccoli The patient admitted with crushing chest pain
just converted from NSR to Brady with elevated ST segments what is the
priority - ANSWER//Cath lab A 50 year old woman with a history if htn present
with dyspnea on exertion and orthopnea she has jvd and bilateral crackles
what is their priority diagnosis - ANSWER//Chf 65 alcoholic patient present
with a new onset of persistent palpitations and anxiety for the past 3 days
Monitor is applied and has irregularly irregular rather Which evaluation should
be performed first - ANSWER//Ordering a transthoracic echocardiogram
Effective long term treatment of systolic great failure with reduced ejection
fraction should include which of the following - ANSWER//Prescribing
valsartan/sacubitril (entresto) Although med less than 55 have and increased
risk of cardiac events than women and 60 why are they equal -
ANSWER//Loss of estrogen
patient a. order a urine culture and sensitivity and hold treatment until you
receive results b. prescribe a 7 day course of antibiotics and order a urine
culture and sensitivity c. treat the patient with a stronger antibiotic, ofloxin, for
10 days d. treat the patient with antibiotics today - ANSWER//d. treat the
patient with antibiotics today Delirium is typically characterized by all of the
following except: a. altered level of consciousness b. insidious onset c.
inattention - ANSWER//b. insidious onset Not sure of the question but a.
dominant personality b. obesity c. cardiovascular disease d. diabetes -
ANSWER//a. dominant personality Mrs. G has returned to your office for a
follow up visit for urinary incontinence (UI). Mrs G has followed your 1st line
recommendations. She has quit smoking, drinks plenty of fluids, and has
eliminated caffeine and spicy foods. Despite all these changes, she still
experiences UI. You decide to initiate second line treatement. You