EXAM 220+ QUESTIONS WITH DETAILED VERIF
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IED ANSWERS | ALREADY GRADED A+ |GUAR
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ANTEED PASS o
Molly has been a nurse for 10 months and is active in asking questions and findingar
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ticles in the nursing journals that explain and support the current hospital procedur
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e manual. What level of clinical inquiry does this behavior demonstrate?
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A. competent
B. expert
C. novice
D. unable to determine o o
A. competent
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Molly is demonstrating a competent level of clinical inquiry. That includesaski
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ng questions and reviewing basic EBP
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During fasting homeostasis, insulin levels are low and glucagon levels increase tos
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timulate the liver to make glucose. This allows a human fasting glucose level to st
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ay between which of the following?
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A. 60-75 mg/dL o
B. 70-80 mg/dL o
,C. 70-99 mg/dL o
D. 80-100 mg/dl
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C. 70-99 mg/dL
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Fasting homeostasis allows the human fasting glucose levels to stay between
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70-99 mg/dL o
On Mr. Key's ECG, the T wave represents:
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A. Atrial depolarization o
B. Atrial repolarization o
C. Ventricular depolarization o
D. Ventricular repolarization o
D. Ventricular repolarization
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P wave represents atrial depolarization QR
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S represents ventricular depolarization
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T wave represents ventricular repolarization
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Patients with variant or Printzmetal's angina experience which of the following?
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A. a warning sensation of impending doom
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B. Prolongation of the QT interval o o o o
C. ST segment depression on 2 mm or more
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D. T wave elevation of 3 mm or more
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,C. ST segment depression of 2 mm or more
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Variant or Printzmetal's angina is caused by coronary vasoaspasm and resents
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with transient ST segment elevation, ST segment depression or 2 mm or more,a
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nd T wave inversion in 2 or more leads
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A 65 year old male patient is admitted to your step down unit from his physician'sof
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fice where he experienced transient chest pain (less than 10 minutes) at a pain leve
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l 6/10. He was provided with nitroglycerin and transferred by ambulance to your h
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ospital with an oxygen saturation of 95%. What type of acute coronary syndrome (
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ACS) is he demonstrating?
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A. NSTEMI
B. Stable angina o
C. STEMI
D. Unstable angina o
B. Stable angina
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Stable angina is the result of a myocardial ischemia supply and demand mismatc
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h. The defining factors of stable angina are chest pain lasting less than15 minute
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s, relieved by NTG and rest, with atypical symptoms
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A 48 year old make is admitted to your unit with shortness of breath and chestp
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ain relieved by 3 sublingual nitroglycerin tabs and 2 mg IV morphine. The ECGha
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s ST segment elevation in leads 2, 3, and AVF. The patient has elevated
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, troponin and creatine phosphate kinase myocardial bands (CPK-
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MB). This patientis most likely experiencing a(n)?
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A. NSTEMI
B. Stable angina o
C. STEMI
D. Unstable angina o
C. STEMIo
An ST segment elevation MI (STEMI) is a severe occlusion or complete occlusion
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of a coronary artery leading to infarction of cardiac tissue. This results in ST seg
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ment elevation, a new left bundle branch block (LBBB), elevated cardiac markers
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, and often cardiac arrhythmias
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Initial management of a patient with acute coronary syndrome (ACS) includes all
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of the following except:
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A. aspirin 162-325 mg o o
B. 12 lead EEG o o
C. Obtaining IV access o o
D. Oxygen therapy o
D. 12 lead EEG
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Management of ACS includes stopping all patient activity, chewing aspirin 162-
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325 mg, supplemental oxygen, preliminary history and physical, 12 lead ECG, tel
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emetry, and IV access o o o