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NR 661-CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NR 661-CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (114) A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI) a. 5th intercostal space (ICS) midclavicular line (MCL) b. 8th ICS MCL c. 5th ICS, left of MCL d. 6th ICS, right of MCL c. 5th ICS, left of MCL Valve most commonly involved in chronic rheumatic heart disease is the: a. aortic b. mitral c. pulmonic d. tricuspid b. mitral A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for the past 4 weeks. How should the nurse practitioner proceed? BP-155/95; 145/90 a. wait 4 weeks before making a dosage change b. increase the hydrochlorothiazide to 50mg daily c. add a drug from another class to the daily 25 mg hydrochlorothiazide d. stop the hydrochlorothiazide and start a drug from a different class c. add a drug from another class to the daily 25 mg hydrochlorothiazide Which choice below would be the best choice for an 80-year old patient whose blood pressure is 172/72 a. chlorthalidone b. amlodipine c. monopril d. acebutolol b. amlodipine The diagnosis of mitral valve prolapse can be confirmed by: a. physical examination b. electrocardiography c. echocardiography d. chest xray c. echocardiography A patient taking candesartan for treatment for hypertension should avoid a. strenuous exercise b. potassium supplements c. protein rich meals d. grapefruit juice b. potassium supplements According to the National Heart, Lung and Blood institute, which characteristic listed below is a coronary disease (CHD) risk equivelant; that is, which risk factor places the patient at a CHD risk similar to a history of CHD a. Hypertension b. cigarette smoking c. male age 45 years d. Diabetes Mellitus d. Diabetes Mellitus Classic symptoms of deep vein thrombosis (DVT) include: a. swelling, pain, redness b. calf complaints, pain with walking, history of exercise c. swelling, pain, discoloration in lower extremity d. warmth, edema and relief of pain with walking c. swelling, pain, discoloration in lower extremity Which mitral valve disorder results from redundancy of the mitral valve's leaflets?? a. acute mitral regurgitation b. chronic mitral regurgitation c. mitral valve prolapse d. mitral stenosis c. mitral valve prolapse Tables are used for determination of maximum blood pressure values for adolescents. How are blood pressure values established for adolescents? a. height percentile, body mass index and gender b. gender and age c. height percentile, gender and age d. body mass index and gender c. height percentile, gender and age The correlation between blood pressure and age greater than 60 years is that as age increases: a. diastolic blood pressure increases b. systolic blood pressure decreases c. blood pressure remains about the same d. diastolic blood pressure decreases d. diastolic blood pressure decreases An 80 year old female who is otherwise well has the following blood pressure readings. How should she be managed? 160/70; 175/68; 171/71; 163/63 a. thiazide diruetic b. ace inhibitor c. calcium channel blocker d. angiotensin receptor blocker c. calcium channel blocker

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3/23/25, 7:53 NR 661-Cardiovascular Flashcards |
AM

NR 661-CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (114)


A patient has had poorly controlled c. 5th ICS, left of MCL
hypertension for more than 10 years.
Indicate the most likely position of his
point of maximal impulse (PMI)


a.5th intercostal space (ICS) midclavicular
line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL




Valve most commonly involved in chronic b. mitral
rheumatic heart disease is the:


a.aortic
b. mitral
c. pulmonic
d. tricuspid




1/22

,3/23/25, 7:53 NR 661-Cardiovascular Flashcards |
AM
A 50 year old patient with Hypertension c. add a drug from another class to the daily 25 mg hydrochlorothiazide
has taken hydrochlorozide 25 mg daily for
the past 4 weeks. How should the nurse
practitioner proceed? BP-155/95; 145/90


a.wait 4 weeks before making a
dosage change
b. increase the hydrochlorothiazide to
50mg daily
c. add a drug from another class to the
daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a
drug from a different class


Which choice below would be the best b. amlodipine
choice for an 80-year old patient whose
blood pressure is 172/72


a.chlorthalidone
b. amlodipine
c. monopril
d. acebutolol




The diagnosis of mitral valve prolapse can c. echocardiography
be confirmed by:


a.physical examination
b. electrocardiography
c. echocardiography
d. chest xray

A patient taking candesartan for b. potassium supplements
treatment for hypertension should
avoid


a.strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice
According to the National Heart, Lung and d. Diabetes Mellitus
Blood institute, which characteristic listed
below is a coronary disease (CHD) risk
equivelant; that is, which risk factor places
the patient at a CHD risk similar to a history
of CHD


a. Hypertension
b. cigarette smoking
c. male age >45 years
d. Diabetes Mellitus




2/22

, 3/23/25, 7:53 NR 661-Cardiovascular Flashcards |
AM
Classic symptoms of deep vein thrombosis c. swelling, pain, discoloration in lower extremity
(DVT) include:


a.swelling, pain, redness
b. calf complaints, pain with walking,
history of exercise
c. swelling, pain, discoloration in lower
extremity
d. warmth, edema and relief of pain
with walking

Which mitral valve disorder results c. mitral valve prolapse
from redundancy of the mitral valve's
leaflets??


a.acute mitral regurgitation
b. chronic mitral regurgitation
c. mitral valve prolapse
d. mitral stenosis
Tables are used for determination of c. height percentile, gender and age
maximum blood pressure values for
adolescents. How are blood pressure
values established for adolescents?


a.height percentile, body mass index
and gender
b. gender and age
c. height percentile, gender and age
d. body mass index and gender

The correlation between blood pressure d. diastolic blood pressure decreases
and age greater than 60 years is that as
age increases:


a.diastolic blood pressure increases
b. systolic blood pressure decreases
c. blood pressure remains about the same
d. diastolic blood pressure decreases

An 80 year old female who is otherwise c. calcium channel blocker
well has the following blood pressure
readings. How should she be managed?
160/70; 175/68; 171/71; 163/63


a.thiazide diruetic
b. ace inhibitor
c. calcium channel blocker
d. angiotensin receptor blocker




3/22

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