025 UPDATE AGACNP-CERT EXAM
2
WITH Q&A 100% VERIFIED ANSWERS
{CLEANEST VERSION}
ectus excavatum
p
You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination
findings may also include:
. pectus excavatum
A
B. obesity
C. petite stature
D. hyper-extensible joints
mid- to late-systolic murmur
a
In performing a cardiac examination in a person with mitral valve prolapse, you expect to find:
. an early- to mid-systolic, crescendo-descrendo murmur.
A
B. a pansystolic murmur
C. a low-pitched, diastolic rumble
D. a mid- to late-systolic murmur
arfan syndrome
M
A risk factor for MVP (mitral valve prolapse) includes a history of:
. rheumatic fever
A
B. rheumatoid arthritis
C. Kawasaki disease
D. Marfan syndrome
mid-systolic click
a
Additional findings in MVP (mitral valve prolapse) include:
. an opening snap
A
B. a mid-systolic click
C. a paradoxical splitting of the second heart sound (S2).
,D. a fourth heart sound
ncouragement of a regular program of aerobic activity
e
Intervention for patients with MVP (mitral valve prolapse) often includes advice about which of
the following?
. restricted activity because of low cardiac output
A
B. control of fluid intake to minimize risk of volume overload
C. routine use of beta-adrenergic antagonists to control palpitations
D. encouragement of a regular program of aerobic activity
tenotic
s
When a heart valve fails to open to its normal orifice size, it is said to be:
. stenotic
A
B. incompetent
C. sclerotic
D. regurgitant
incompetent
When a heart valve fails to close properly, it is said to be:
. stenotic
A
B. incompetent
C. sclerotic
D. regurgitant
chocardiogram
e
Upon detection of a suspected pathologic cardiac murmur, the next step in obtaining a
diagnostic procedure usually includes a:
. ventilation perfusion scan
A
B. echocardiogram
C. pulmonary artery angiography
D. cardiac computerized tomography (CT) scan
localized diastolic with little radiation
You are evaluating a patient who has rheumatic heart disease. When assessing her for mitral
stenosis, you auscultate the heart, anticipating finding the following murmur:
, . systolic with wide radiation over the precordium
A
B. localized diastolic with little radiation
C. diastolic with radiation to the neck
D. systolic with radiation to the axilla
ystolic with radiation to the axilla
s
In evaluating mitral valve incompetency, you expect to find the following murmur:
. systolic with radiation to the axilla
A
B. diastolic with little radiation
C. diastolic with radiation to the axilla
D. localized systolic
left ventricular hypertrophy
In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG changes
consistent with:
. right bundle branch block
A
B. extreme axis deviation
C. right atrial enlargement
D. left ventricular hypertrophy
radycardia
b
Signs and symptoms consistent with endocarditis include all of the following except:
. bradycardia
A
B. Osler's nodes
C. hematuria
D. petechiae
lood culture
b
From the following list, the most helpful test in suspected bacterial endocarditis includes:
. urine culture
A
B. blood culture
C. chest x-ray
D. myocardial biopsy
2
WITH Q&A 100% VERIFIED ANSWERS
{CLEANEST VERSION}
ectus excavatum
p
You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination
findings may also include:
. pectus excavatum
A
B. obesity
C. petite stature
D. hyper-extensible joints
mid- to late-systolic murmur
a
In performing a cardiac examination in a person with mitral valve prolapse, you expect to find:
. an early- to mid-systolic, crescendo-descrendo murmur.
A
B. a pansystolic murmur
C. a low-pitched, diastolic rumble
D. a mid- to late-systolic murmur
arfan syndrome
M
A risk factor for MVP (mitral valve prolapse) includes a history of:
. rheumatic fever
A
B. rheumatoid arthritis
C. Kawasaki disease
D. Marfan syndrome
mid-systolic click
a
Additional findings in MVP (mitral valve prolapse) include:
. an opening snap
A
B. a mid-systolic click
C. a paradoxical splitting of the second heart sound (S2).
,D. a fourth heart sound
ncouragement of a regular program of aerobic activity
e
Intervention for patients with MVP (mitral valve prolapse) often includes advice about which of
the following?
. restricted activity because of low cardiac output
A
B. control of fluid intake to minimize risk of volume overload
C. routine use of beta-adrenergic antagonists to control palpitations
D. encouragement of a regular program of aerobic activity
tenotic
s
When a heart valve fails to open to its normal orifice size, it is said to be:
. stenotic
A
B. incompetent
C. sclerotic
D. regurgitant
incompetent
When a heart valve fails to close properly, it is said to be:
. stenotic
A
B. incompetent
C. sclerotic
D. regurgitant
chocardiogram
e
Upon detection of a suspected pathologic cardiac murmur, the next step in obtaining a
diagnostic procedure usually includes a:
. ventilation perfusion scan
A
B. echocardiogram
C. pulmonary artery angiography
D. cardiac computerized tomography (CT) scan
localized diastolic with little radiation
You are evaluating a patient who has rheumatic heart disease. When assessing her for mitral
stenosis, you auscultate the heart, anticipating finding the following murmur:
, . systolic with wide radiation over the precordium
A
B. localized diastolic with little radiation
C. diastolic with radiation to the neck
D. systolic with radiation to the axilla
ystolic with radiation to the axilla
s
In evaluating mitral valve incompetency, you expect to find the following murmur:
. systolic with radiation to the axilla
A
B. diastolic with little radiation
C. diastolic with radiation to the axilla
D. localized systolic
left ventricular hypertrophy
In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG changes
consistent with:
. right bundle branch block
A
B. extreme axis deviation
C. right atrial enlargement
D. left ventricular hypertrophy
radycardia
b
Signs and symptoms consistent with endocarditis include all of the following except:
. bradycardia
A
B. Osler's nodes
C. hematuria
D. petechiae
lood culture
b
From the following list, the most helpful test in suspected bacterial endocarditis includes:
. urine culture
A
B. blood culture
C. chest x-ray
D. myocardial biopsy
