NUR 621 EXAM REVIEW QUESTIONS
WITH DETAILED VERIFIED ANSWERS
40-year-old female complains of periods of dizziness and
palpitations that have a sudden onset. The ECG shows P
waves before each QRS complex and a heart rate of 170
bpm. A carotid massage decreases the heart rate to 80
bpm; these findings best describe: - correct
answer- Paroxysmal atrial tachycardia
A 15-year-old male who became lightheaded and "passed
out" in class is being examined by the nurse practitioner.
Full set of vitals is done with pulse being tachycardic at
150 bpm, and the EKG exhibits peak QRS complex with P
waves present. The next step for the nurse practitioner
will be to: - correct answer- Determine
underlying etiology. Symptoms describe paroxysmal
supraventricular tachycardia, which shows any EKG with
tachycardia and peaked QRS complexes with P waves
present.
A 20-year-old female reports that for several years, she
has had random episodes of palpitations and shortness of
,breath that resolve spontaneously. She denies chest pain,
arm pain, and syncope. Her past medical and family
history are negative for coronary artery disease, stroke,
and lung disease. During the cardiac exam, the nurse
practitioner notes a Grade 3/6 murmur that is
accompanied by a midsystolic click, which is best heard at
the apical area. The apical pulse is 78 bpm, blood pressure
is 120/60, and temperature is 98.6°F. The cardiac exam is
highly suggestive of which of the following conditions? -
correct answer- mitral valve prolapse
A 50-year-old female presents with complaints of fatigue,
new onset of shortness of breath, nausea, and vomiting,
and pain radiating to the back. Her skin is cool and
clammy. The nurse practitioner suspects: - correct
answer- acute MI
A 55-year-old male patient describes an episode of chest
tightness in his substernal area that radiated to his back
while he was jogging. It was relieved immediately when
he stopped. The patient's symptoms are highly suggestive
of which condition? - correct answer- angina
pectoris
, A 55-year-old male patient with a body mass index of 30
has a history of angina and type 2 diabetes. His lipid
profile results are total cholesterol of 280 mg/dl, Low
density lipoprotein (LDL) of 195 and high density
lipoprotein (HDL) of 25. The nurse practitioner diagnosed
him with hyperlipidemia and wants him to start on a
statin therapy. What intensity of treatment is
recommended for this patient? - correct answer-
High intensity statin
A 63-year-old patient with a 10-year history of poorly
controlled Hypertension presents with a cluster of
physical exam findings. Which of the following clusters
indicates the target organ damage commonly seen in
hypertensive patients? - correct answer- AV
nicking, left ventricular hypertrophy, stroke
A 65-year-old man with a BMI of 30 and a history of
asthma has hypertension that has been well-controlled
with hydrochlorothiazide 12.5 mg PO daily. His total
cholesterol is 230. How many risk factors for coronary
WITH DETAILED VERIFIED ANSWERS
40-year-old female complains of periods of dizziness and
palpitations that have a sudden onset. The ECG shows P
waves before each QRS complex and a heart rate of 170
bpm. A carotid massage decreases the heart rate to 80
bpm; these findings best describe: - correct
answer- Paroxysmal atrial tachycardia
A 15-year-old male who became lightheaded and "passed
out" in class is being examined by the nurse practitioner.
Full set of vitals is done with pulse being tachycardic at
150 bpm, and the EKG exhibits peak QRS complex with P
waves present. The next step for the nurse practitioner
will be to: - correct answer- Determine
underlying etiology. Symptoms describe paroxysmal
supraventricular tachycardia, which shows any EKG with
tachycardia and peaked QRS complexes with P waves
present.
A 20-year-old female reports that for several years, she
has had random episodes of palpitations and shortness of
,breath that resolve spontaneously. She denies chest pain,
arm pain, and syncope. Her past medical and family
history are negative for coronary artery disease, stroke,
and lung disease. During the cardiac exam, the nurse
practitioner notes a Grade 3/6 murmur that is
accompanied by a midsystolic click, which is best heard at
the apical area. The apical pulse is 78 bpm, blood pressure
is 120/60, and temperature is 98.6°F. The cardiac exam is
highly suggestive of which of the following conditions? -
correct answer- mitral valve prolapse
A 50-year-old female presents with complaints of fatigue,
new onset of shortness of breath, nausea, and vomiting,
and pain radiating to the back. Her skin is cool and
clammy. The nurse practitioner suspects: - correct
answer- acute MI
A 55-year-old male patient describes an episode of chest
tightness in his substernal area that radiated to his back
while he was jogging. It was relieved immediately when
he stopped. The patient's symptoms are highly suggestive
of which condition? - correct answer- angina
pectoris
, A 55-year-old male patient with a body mass index of 30
has a history of angina and type 2 diabetes. His lipid
profile results are total cholesterol of 280 mg/dl, Low
density lipoprotein (LDL) of 195 and high density
lipoprotein (HDL) of 25. The nurse practitioner diagnosed
him with hyperlipidemia and wants him to start on a
statin therapy. What intensity of treatment is
recommended for this patient? - correct answer-
High intensity statin
A 63-year-old patient with a 10-year history of poorly
controlled Hypertension presents with a cluster of
physical exam findings. Which of the following clusters
indicates the target organ damage commonly seen in
hypertensive patients? - correct answer- AV
nicking, left ventricular hypertrophy, stroke
A 65-year-old man with a BMI of 30 and a history of
asthma has hypertension that has been well-controlled
with hydrochlorothiazide 12.5 mg PO daily. His total
cholesterol is 230. How many risk factors for coronary
