NSG6001 week 3 quiz 2023 with complete solution
More than half of all cardiac arrhythmias involve the atria.
true
What are the most common symptoms caused by tachyarrhythmias?
palpitations
For women with known CAD and diabetes, which is most appropriate to assess
CAD risk?
ETT with imaging
Of the following, which is the best answer when asked for an advantage of
echocardiogram exercise testing over thallium stress testing?
Results are available more quickly
What purpose does the principle of fidelity serve in the provider/patient
relationship?
Ensures that providers honor their commitments to the patient
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?
True
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?
True
What ECG changes can reduce the specificity of the ETT?
Paced rhythm and resting bundle branch block
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?
Back pain or flank pain
What is one of the common causes of a Saccular Abdominal Aneurysm?
trauma
The diagnostic accuracy of stress testing is decreased among women compared
to men for what reasons?
Women usually have single vessel or non-obstructive disease
Population disease management is a term used to describe
high prevalence specific diseases
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?
fusiform aneurysm
Your practice partner just ordered an exercise echocardiography 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?
, sensitivity is decreased
We all know that collaboration is integral to becoming a successful nurse
practitioner. Among collaborations, however, only one can be considered as the
most important. While each example below is important, which is the most
important collaboration? The one that occurs:
between the patient and the nurse practitioner
The sensitivity of a routine ETT is effort dependent. What physiological changes
occur during effort in the routine ETT?
increased coronary flow and increased systolic blood pressure
A 47-year old female with general complaints of fatigue and shortness of breath
shows up in your clinic as a referral from another nurse practitioner. Several
blood tests and chest x-rays 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?
CAD in women is under diagnosed
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 patient's care?
these changes have minimal predictive value for CAD
When there is a consequential loss of structural integrity of the abdominal aorta,
the resulting issue is what condition?
abdominal aortic aneurysm
You see a 60-year old African American male in your clinic with a recent
diagnosis of hypertension. 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?
1.5 g/day
Why would inability to exercise reduce the specificity of the routine ETT?
produces persistent ST-segmental changes and T-wave abnormalities
By standard criteria, how is a positive stress test defined?
Development of a horizontal or down sloping ST-segment depression of 1mm
What are the two types of bradycardia recognized by the American Heart
Association?
relative and absolute
What do you know regarding ischemia that is confined to only the posterior and
or lateral segments of the left ventricle?
difficult to detect by ETT
What three conditions definitely alter the results of echocardiography in
determining CAD?
obesity, rapid heart rate and lung disease
Specifically, when is an ETT considered to be negative?
patient exercises to 85% of age predicted maximum heart rate without evidence of
induced ischemia
All patients, even is asymptomatic, require risk stratification according to the
Farmingham risk score. At present, ACC/AHA guidelines, however, do not
More than half of all cardiac arrhythmias involve the atria.
true
What are the most common symptoms caused by tachyarrhythmias?
palpitations
For women with known CAD and diabetes, which is most appropriate to assess
CAD risk?
ETT with imaging
Of the following, which is the best answer when asked for an advantage of
echocardiogram exercise testing over thallium stress testing?
Results are available more quickly
What purpose does the principle of fidelity serve in the provider/patient
relationship?
Ensures that providers honor their commitments to the patient
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?
True
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?
True
What ECG changes can reduce the specificity of the ETT?
Paced rhythm and resting bundle branch block
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?
Back pain or flank pain
What is one of the common causes of a Saccular Abdominal Aneurysm?
trauma
The diagnostic accuracy of stress testing is decreased among women compared
to men for what reasons?
Women usually have single vessel or non-obstructive disease
Population disease management is a term used to describe
high prevalence specific diseases
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?
fusiform aneurysm
Your practice partner just ordered an exercise echocardiography 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?
, sensitivity is decreased
We all know that collaboration is integral to becoming a successful nurse
practitioner. Among collaborations, however, only one can be considered as the
most important. While each example below is important, which is the most
important collaboration? The one that occurs:
between the patient and the nurse practitioner
The sensitivity of a routine ETT is effort dependent. What physiological changes
occur during effort in the routine ETT?
increased coronary flow and increased systolic blood pressure
A 47-year old female with general complaints of fatigue and shortness of breath
shows up in your clinic as a referral from another nurse practitioner. Several
blood tests and chest x-rays 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?
CAD in women is under diagnosed
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 patient's care?
these changes have minimal predictive value for CAD
When there is a consequential loss of structural integrity of the abdominal aorta,
the resulting issue is what condition?
abdominal aortic aneurysm
You see a 60-year old African American male in your clinic with a recent
diagnosis of hypertension. 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?
1.5 g/day
Why would inability to exercise reduce the specificity of the routine ETT?
produces persistent ST-segmental changes and T-wave abnormalities
By standard criteria, how is a positive stress test defined?
Development of a horizontal or down sloping ST-segment depression of 1mm
What are the two types of bradycardia recognized by the American Heart
Association?
relative and absolute
What do you know regarding ischemia that is confined to only the posterior and
or lateral segments of the left ventricle?
difficult to detect by ETT
What three conditions definitely alter the results of echocardiography in
determining CAD?
obesity, rapid heart rate and lung disease
Specifically, when is an ETT considered to be negative?
patient exercises to 85% of age predicted maximum heart rate without evidence of
induced ischemia
All patients, even is asymptomatic, require risk stratification according to the
Farmingham risk score. At present, ACC/AHA guidelines, however, do not
