NSG6020 Week 4 Complete Questions and Answers – 100% Solved
- ✔✔✔-
1. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not
associated with activity or exertion. Food does not exacerbate or relieve the pain. The pain is
usually located under the left nipple. Jeff is concerned because his father has cardiac disease
and underwent a CABG at age 65. The ANP examines Jeff and hears a mid-systolic click at the
4th ICS mid-clavicular area. The ANP knows that this is a hallmark sign of: - ✔✔✔-mitral valve
prolapse
A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormalities. Your plan may include - ✔✔✔-exercise test
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormalities. Your plan may include - ✔✔✔-Exercise stress test
A 75-year-old patient complains of pain and paresthesias in the right foot that worsens with
exercise and is relieved by rest. On physical examination you note pallor of the right foot,
capillary refill of 4 seconds in the right foot, +1 dorsalis pedis pulse in the right foot, and +2
pulse in left foot. Which of the following is a likely cause of the signs and symptoms? - ✔✔✔-
arterial insufficiency
a common auscultatory finding in advanced CHF is - ✔✔✔-S3 gallop rhythm
A common auscultatory finding in advanced CHF is - ✔✔✔-S3 gallop rhythm
a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalenstare important because - ✔✔✔-A and B (Women with
ischemic heart disease/some patients may have no symptoms)
, NSG6020 Week 4 Complete Questions and Answers – 100% Solved
A key symptom of ischemic heart disease is chest pain. However, angina equivalents may
include exertional dyspnea. Angina equivalents are important because - ✔✔✔-A & B only
A.Women with ischemic heart disease many times do not present with chest pain
B. Some patients may have no symptoms or atypical symptoms. Diagnosis may only be made at
the time of an actual myocardial infarction
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain
and left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is
characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago,
intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is
worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal
heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be
most likely - ✔✔✔-Coronary artery disease with angina pectoris
During auscultation of the chest, your exam reveals a loud grating sound at the lower
anterolateral lung fields, at full inspiration and early expiration. This finding is consistent with: -
✔✔✔-A and B (pneumonia/pleuritis)
Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations,
lightheadedness, and shortness of breath. The pain comes and goes and is not associated with
activity or exertion. Food does not exacerbate or relieve the pain. The pain is usually located
under the left nipple. Jeff is concerned because his father has cardiac disease and underwent a
CABG at age 65. The ANP examines Jeff and hears a mid-systolic click at the 4th ICS mid-
clavicular area. The ANP knows that this is a hallmark sign of: - ✔✔✔-Mitral valve prolapse
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of
fever, mid sternal chest pain and generalized fatigue for the past two days. She denies any
cough or sputum production. She states that when she takes ibuprofen and rest that the chest
pain does seem to ease off. Upon examination the patient presents looking very ill. She is
leaning forward and states that this is the most comfortable position for her. Temp is 102, BP
100/70, heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lungs
- ✔✔✔-
1. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not
associated with activity or exertion. Food does not exacerbate or relieve the pain. The pain is
usually located under the left nipple. Jeff is concerned because his father has cardiac disease
and underwent a CABG at age 65. The ANP examines Jeff and hears a mid-systolic click at the
4th ICS mid-clavicular area. The ANP knows that this is a hallmark sign of: - ✔✔✔-mitral valve
prolapse
A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormalities. Your plan may include - ✔✔✔-exercise test
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormalities. Your plan may include - ✔✔✔-Exercise stress test
A 75-year-old patient complains of pain and paresthesias in the right foot that worsens with
exercise and is relieved by rest. On physical examination you note pallor of the right foot,
capillary refill of 4 seconds in the right foot, +1 dorsalis pedis pulse in the right foot, and +2
pulse in left foot. Which of the following is a likely cause of the signs and symptoms? - ✔✔✔-
arterial insufficiency
a common auscultatory finding in advanced CHF is - ✔✔✔-S3 gallop rhythm
A common auscultatory finding in advanced CHF is - ✔✔✔-S3 gallop rhythm
a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalenstare important because - ✔✔✔-A and B (Women with
ischemic heart disease/some patients may have no symptoms)
, NSG6020 Week 4 Complete Questions and Answers – 100% Solved
A key symptom of ischemic heart disease is chest pain. However, angina equivalents may
include exertional dyspnea. Angina equivalents are important because - ✔✔✔-A & B only
A.Women with ischemic heart disease many times do not present with chest pain
B. Some patients may have no symptoms or atypical symptoms. Diagnosis may only be made at
the time of an actual myocardial infarction
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain
and left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is
characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago,
intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is
worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal
heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be
most likely - ✔✔✔-Coronary artery disease with angina pectoris
During auscultation of the chest, your exam reveals a loud grating sound at the lower
anterolateral lung fields, at full inspiration and early expiration. This finding is consistent with: -
✔✔✔-A and B (pneumonia/pleuritis)
Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations,
lightheadedness, and shortness of breath. The pain comes and goes and is not associated with
activity or exertion. Food does not exacerbate or relieve the pain. The pain is usually located
under the left nipple. Jeff is concerned because his father has cardiac disease and underwent a
CABG at age 65. The ANP examines Jeff and hears a mid-systolic click at the 4th ICS mid-
clavicular area. The ANP knows that this is a hallmark sign of: - ✔✔✔-Mitral valve prolapse
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of
fever, mid sternal chest pain and generalized fatigue for the past two days. She denies any
cough or sputum production. She states that when she takes ibuprofen and rest that the chest
pain does seem to ease off. Upon examination the patient presents looking very ill. She is
leaning forward and states that this is the most comfortable position for her. Temp is 102, BP
100/70, heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lungs
