NSG6020 week 4 quiz 2024 - Questions and
Answers: South University
which of the following is the most important question to ask during cardiovascular health history
sudden death of a family member
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)
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
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 sounds clear. With these presenting symptoms
your initial diagnosis would be
pericarditis
which symptom is more characteristic of non-cardiac chest pain
pain tends to occur with movement stretching or palpation
what is the most common valvular heart disease in the older adult
aortic stenosis
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
The aging process causes what normal physiological changes in the heart?
the heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
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
Answers: South University
which of the following is the most important question to ask during cardiovascular health history
sudden death of a family member
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)
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
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 sounds clear. With these presenting symptoms
your initial diagnosis would be
pericarditis
which symptom is more characteristic of non-cardiac chest pain
pain tends to occur with movement stretching or palpation
what is the most common valvular heart disease in the older adult
aortic stenosis
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
The aging process causes what normal physiological changes in the heart?
the heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
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
