NSG6020 Week 4 Quiz Questions and
Answers
1. which of the following is the most important question to ask
during cardio- vascular health history: sudden death of a family member
2. 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)
3. A 55 year old post menopausal woman with a history of
hypertension com- plains 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
4. 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,
1/
8
, BP 100/70, heart rate is 120/min and regular. Upon auscultation a
friction rub is audible. Her lungs sounds clear. With these presenting
symptoms your initial diagnosis would be: pericarditis
5. which symptom is more characteristic of non-cardiac chest pain: pain
tends to occur
with movement stretching or palpation
6. what is the most common valvular heart disease in the older adult:
aortic stenosis
7. 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
8. The aging process causes what normal physiological changes in the
heart?: the
heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
2/
8
Answers
1. which of the following is the most important question to ask
during cardio- vascular health history: sudden death of a family member
2. 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)
3. A 55 year old post menopausal woman with a history of
hypertension com- plains 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
4. 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,
1/
8
, BP 100/70, heart rate is 120/min and regular. Upon auscultation a
friction rub is audible. Her lungs sounds clear. With these presenting
symptoms your initial diagnosis would be: pericarditis
5. which symptom is more characteristic of non-cardiac chest pain: pain
tends to occur
with movement stretching or palpation
6. what is the most common valvular heart disease in the older adult:
aortic stenosis
7. 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
8. The aging process causes what normal physiological changes in the
heart?: the
heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
2/
8
