NR 601 Midterm Exam
1. The percentage of the FVC expired in one second is:
a. FEV1/FVC ratio
2. The aging process causes what normal physiological changes in the heart?
a. The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis.
3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is
causing a cough and sometimes he has difficulty breathing. Which med was most likely
prescribed?
a. Lisinopril
4. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, smokes 1/2 PPD,
BMI is 30. No other previous medical dx, no current complaints. According to the AHA/
ACC guidelines, JM is stage A HF. Treatment goals for him include:
a. Heart healthy lifestyle
5. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based
on his stage of HF, which is:
a. Stage C
6. 65yo Caucasian female presents with mitral valve stenosis, physical exam unremarkable.
You know her stage of HF is:
, a. B
7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after
strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise
0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest.
Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limiting
activity. Pain is worse today, did not go away after stopped walking. BP 120/80, HR 72
and regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be
most likely?
a. Coronary artery dz w/angina pectoris
8. The best way to dx structural heart dz/dysfunction non-invasively is:
a. Echocardiogram
9. Chronic pain can have major impact on pt's ability to function and have profound impact
on overall QOL. Ongoing pain may be linked to:
a. Depression, sleep disturbance, decreased socialization
10. The Beers criteria are appropriate for use in evaluating use of certain meds in pts:
a. >65yo
11. Pt presents with c/o increasing SOB, cough w/occasional white sputum, fatigue. As part
of the plan you order labs. You know the likelihood of HF is low if the BNP is:
, a. <100
12. All of the following statements are true about lab values in older adults except:
a. Normal ranges may not be applicable to older adults
b. Abnormal findings are often due to physiological aging
c. Reference ranges are preferable
d. References values are not necessarily acceptable values
a. B
13. According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65yo
African American woman w/a h/o HTN and DM and no h/o CKD is:
a. <140/80
14. The pathophysiology of HF is due to:
a. Inadequate cardiac output to meet the metabolic and O2 demands of the body
15. A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased
sputum, worse in the AM, occurring over past 3 months. She tells you, "I have the same
thing year after year." Which of the following choices would you consider strongly in
your critical thinking process?
a. Chronic bronchitis
, 16. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His
BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He denies other medical problems.
Fam hx includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He
is asymptomatic today, exam is normal, EKG NSR. According to AHA/ACC guidelines,
JM is at risk for what stage of HF?
a. Stage A
17. The volume of air a pt is able to exhale for total duration of the test during maximal
effort is:
a. FVC
18. According to the 2017 ACC HTN guidelines, normal BP is:
a. <120/80
19. Functional abilities are best assessed by:
a. Observed assessment of function
20. LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include
prevention of target organ damage. During your eval you will assess for evidence of:
a. L ventricular hypertrophy
21. Aortic regurgitation requires medical treatment for early signs of HF with:
a. ACEi
1. The percentage of the FVC expired in one second is:
a. FEV1/FVC ratio
2. The aging process causes what normal physiological changes in the heart?
a. The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis.
3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is
causing a cough and sometimes he has difficulty breathing. Which med was most likely
prescribed?
a. Lisinopril
4. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, smokes 1/2 PPD,
BMI is 30. No other previous medical dx, no current complaints. According to the AHA/
ACC guidelines, JM is stage A HF. Treatment goals for him include:
a. Heart healthy lifestyle
5. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based
on his stage of HF, which is:
a. Stage C
6. 65yo Caucasian female presents with mitral valve stenosis, physical exam unremarkable.
You know her stage of HF is:
, a. B
7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after
strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise
0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest.
Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limiting
activity. Pain is worse today, did not go away after stopped walking. BP 120/80, HR 72
and regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be
most likely?
a. Coronary artery dz w/angina pectoris
8. The best way to dx structural heart dz/dysfunction non-invasively is:
a. Echocardiogram
9. Chronic pain can have major impact on pt's ability to function and have profound impact
on overall QOL. Ongoing pain may be linked to:
a. Depression, sleep disturbance, decreased socialization
10. The Beers criteria are appropriate for use in evaluating use of certain meds in pts:
a. >65yo
11. Pt presents with c/o increasing SOB, cough w/occasional white sputum, fatigue. As part
of the plan you order labs. You know the likelihood of HF is low if the BNP is:
, a. <100
12. All of the following statements are true about lab values in older adults except:
a. Normal ranges may not be applicable to older adults
b. Abnormal findings are often due to physiological aging
c. Reference ranges are preferable
d. References values are not necessarily acceptable values
a. B
13. According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65yo
African American woman w/a h/o HTN and DM and no h/o CKD is:
a. <140/80
14. The pathophysiology of HF is due to:
a. Inadequate cardiac output to meet the metabolic and O2 demands of the body
15. A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased
sputum, worse in the AM, occurring over past 3 months. She tells you, "I have the same
thing year after year." Which of the following choices would you consider strongly in
your critical thinking process?
a. Chronic bronchitis
, 16. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His
BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He denies other medical problems.
Fam hx includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He
is asymptomatic today, exam is normal, EKG NSR. According to AHA/ACC guidelines,
JM is at risk for what stage of HF?
a. Stage A
17. The volume of air a pt is able to exhale for total duration of the test during maximal
effort is:
a. FVC
18. According to the 2017 ACC HTN guidelines, normal BP is:
a. <120/80
19. Functional abilities are best assessed by:
a. Observed assessment of function
20. LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include
prevention of target organ damage. During your eval you will assess for evidence of:
a. L ventricular hypertrophy
21. Aortic regurgitation requires medical treatment for early signs of HF with:
a. ACEi
