6531 Nrnp Combined Midterm And Final Review Exam Questions
And Correct Verified Answers Latest Update 2024/2025 Best Exam
Solution Graded A+ For Success
Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an emergency
department with symptoms of acute ST-segment elevation MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the
initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL. - CORRECT ANSWERS Patients who
meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular disease
are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL.
Cauda equina syndrome - CORRECT ANSWERS A 75-year-old patient reports pain and a
feeling of tiredness in both legs that only relieves after sitting for 30 minutes or more. What
the does provider suspect as the cause for these symptoms?
Buerger's disease
Cauda equina syndrome
,Diabetic neuropathy
Peripheral arterial disease
Oral contraceptives
NSAIDS
Sleep apnea - CORRECT ANSWERS Which are causes of secondary hypertension? (Select all
that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Assessment of gasping breaths or not breathing - CORRECT ANSWERS A health care
provider in a clinic finds a patient in a room, unresponsive and pale. Which sign should be
used to identify the need to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
Admit to the hospital for evaluation and treatment - CORRECT ANSWERS An African-
American patient who is being treated with a thiazide diuretic for chronic hypertension
reports blurred vision and shortness of breath. The provider notes a blood pressure of
185/115. What is the recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
,Atrial fibrillation - CORRECT ANSWERS A patient reports sustained, irregular heart
palpitations. What is the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Hypertrophic cardiomyopathy - CORRECT ANSWERS A patient has a cardiac murmur that
peaks in midsystole and is best heard along the left sternal border. The provider determines
that the murmur decreases in intensity when the patient changes from standing to squatting
and increases in intensity with the Valsalva maneuver. Which cause will the provider suspect
for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse
Consult with cardiology to determine appropriate diagnostic tests - CORRECT ANSWERS A
young female patient has known mitral valve prolapse. During a routine health maintenance
exam, the provider notes an apical systolic murmur and a midsystolic click on auscultation.
The patient denies chest pain, syncope, or palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests
US of the mass to determine size - CORRECT ANSWERS A patient reports abdominal and
back pain with anorexia and nausea. During an exam, the provider notes a pulsatile
abdominal mass. What is the initial action?
Scheduling an MRI to evaluate for aortic disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography
, Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an emergency
department with symptoms of acute ST-segment elevations MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the
initial treatment for this patient?
Give the patient an oral beta blocker
Initiate fibrinolytic treatment
Administer heparin
Transfer to the PCI-capable institution
Order urinalysis, CBC, BUN and creatinine - CORRECT ANSWERS A 55-year-old patient has a
blood pressure of 138/85 on three occasions. The patient denies headaches, palpitations,
snoring, muscle weakness, and nocturia and does not take any medications. What will the
provider do next to evaluate this patient?
Continue to monitor blood pressure at each health maintenance visit
Assess serum cortisol levels
Order urinalysis, CBC, BUN and creatinine
Refer to specialist for sleep study
Walking to the point of pain each day - CORRECT ANSWERS A patient is diagnosed with PAD
and elects to not have angioplasty after an angiogram reveals partial obstruction in lower
extremity arteries. What will the provider recommend to help with relief of symptoms in this
patient?
Statin therapy with clopidogrel
Walking to the point of pain each day
Daily aspirin therapy to prevent clotting
Walking slowly for 15 to 20 minutes twice daily
Evaluate the patient's orthostatic vital signs - CORRECT ANSWERS An adult patient reports
frequent episodes of syncope and lightheadedness. The provider notes a heart rate of 70
beats per minute. What will the provider do next?
Order an electrocardiogram and exercise stress test
Monitor the patient's heart rate while the patient is bearing down
Evaluate the patient's orthostatic vital signs
Reassure the patient that the symptoms are non-cardiac in origin
And Correct Verified Answers Latest Update 2024/2025 Best Exam
Solution Graded A+ For Success
Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an emergency
department with symptoms of acute ST-segment elevation MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the
initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL. - CORRECT ANSWERS Patients who
meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular disease
are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL.
Cauda equina syndrome - CORRECT ANSWERS A 75-year-old patient reports pain and a
feeling of tiredness in both legs that only relieves after sitting for 30 minutes or more. What
the does provider suspect as the cause for these symptoms?
Buerger's disease
Cauda equina syndrome
,Diabetic neuropathy
Peripheral arterial disease
Oral contraceptives
NSAIDS
Sleep apnea - CORRECT ANSWERS Which are causes of secondary hypertension? (Select all
that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Assessment of gasping breaths or not breathing - CORRECT ANSWERS A health care
provider in a clinic finds a patient in a room, unresponsive and pale. Which sign should be
used to identify the need to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
Admit to the hospital for evaluation and treatment - CORRECT ANSWERS An African-
American patient who is being treated with a thiazide diuretic for chronic hypertension
reports blurred vision and shortness of breath. The provider notes a blood pressure of
185/115. What is the recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
,Atrial fibrillation - CORRECT ANSWERS A patient reports sustained, irregular heart
palpitations. What is the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Hypertrophic cardiomyopathy - CORRECT ANSWERS A patient has a cardiac murmur that
peaks in midsystole and is best heard along the left sternal border. The provider determines
that the murmur decreases in intensity when the patient changes from standing to squatting
and increases in intensity with the Valsalva maneuver. Which cause will the provider suspect
for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse
Consult with cardiology to determine appropriate diagnostic tests - CORRECT ANSWERS A
young female patient has known mitral valve prolapse. During a routine health maintenance
exam, the provider notes an apical systolic murmur and a midsystolic click on auscultation.
The patient denies chest pain, syncope, or palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests
US of the mass to determine size - CORRECT ANSWERS A patient reports abdominal and
back pain with anorexia and nausea. During an exam, the provider notes a pulsatile
abdominal mass. What is the initial action?
Scheduling an MRI to evaluate for aortic disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography
, Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an emergency
department with symptoms of acute ST-segment elevations MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the
initial treatment for this patient?
Give the patient an oral beta blocker
Initiate fibrinolytic treatment
Administer heparin
Transfer to the PCI-capable institution
Order urinalysis, CBC, BUN and creatinine - CORRECT ANSWERS A 55-year-old patient has a
blood pressure of 138/85 on three occasions. The patient denies headaches, palpitations,
snoring, muscle weakness, and nocturia and does not take any medications. What will the
provider do next to evaluate this patient?
Continue to monitor blood pressure at each health maintenance visit
Assess serum cortisol levels
Order urinalysis, CBC, BUN and creatinine
Refer to specialist for sleep study
Walking to the point of pain each day - CORRECT ANSWERS A patient is diagnosed with PAD
and elects to not have angioplasty after an angiogram reveals partial obstruction in lower
extremity arteries. What will the provider recommend to help with relief of symptoms in this
patient?
Statin therapy with clopidogrel
Walking to the point of pain each day
Daily aspirin therapy to prevent clotting
Walking slowly for 15 to 20 minutes twice daily
Evaluate the patient's orthostatic vital signs - CORRECT ANSWERS An adult patient reports
frequent episodes of syncope and lightheadedness. The provider notes a heart rate of 70
beats per minute. What will the provider do next?
Order an electrocardiogram and exercise stress test
Monitor the patient's heart rate while the patient is bearing down
Evaluate the patient's orthostatic vital signs
Reassure the patient that the symptoms are non-cardiac in origin
