NURS 5463 TEST 1 EXAM WITH
CORRECT QUESTIONS AND ANSWERS
Atypical s/s of AMI in older adults - CORRECT ANSWERSdiaphoresis, SOB, N/V, AMS, syncope
What differential diagnoses are most important when presenting with chest pain? - CORRECT
ANSWERSAMI, PE, PTX, aortic dissection, esophageal rupture
What is considered ST elevation in men and women? - CORRECT ANSWERSMen = 2mm
Women = 1.5mm
OR new LBBB in 2 leads
Which troponin is more specific? I or T? - CORRECT ANSWERSTroponin I is more specific
How often to check troponins? - CORRECT ANSWERSQ6h
What 2 things can exclude PE? - CORRECT ANSWERSNegative DDIMER & low Wells score
Paradoxical abd movement during inspiration indicates... - CORRECT ANSWERSimpending
respiratory failure...indicates fatigue
, If a pt c/o dyspnea, it's always important to determine if... - CORRECT ANSWERSthey have a
problem with gas exchange
Hypoxia - CORRECT ANSWERSReduced level of tissue oxygenation
Hypoxemia - CORRECT ANSWERSdecrease in partial pressure of oxygen in the blood
Causes of hypoventilation? Treatment? - CORRECT ANSWERSCNS dep, narcs, obesity, A-a
gradient, elevated CO2.....corrects with oxygen
Most common cause of hypoxia - CORRECT ANSWERSVQ mismatch
Causes of VQ mismatch - CORRECT ANSWERSCOPD, asthma, ILD, PNA, increased A-a gradient
Does VQ mismatch improve with O2? - CORRECT ANSWERSYes
Causes of right to left shunt? - CORRECT ANSWERSanatomic (heart problems), physiologic (PNA,
ARDs, atelectasis)
CORRECT QUESTIONS AND ANSWERS
Atypical s/s of AMI in older adults - CORRECT ANSWERSdiaphoresis, SOB, N/V, AMS, syncope
What differential diagnoses are most important when presenting with chest pain? - CORRECT
ANSWERSAMI, PE, PTX, aortic dissection, esophageal rupture
What is considered ST elevation in men and women? - CORRECT ANSWERSMen = 2mm
Women = 1.5mm
OR new LBBB in 2 leads
Which troponin is more specific? I or T? - CORRECT ANSWERSTroponin I is more specific
How often to check troponins? - CORRECT ANSWERSQ6h
What 2 things can exclude PE? - CORRECT ANSWERSNegative DDIMER & low Wells score
Paradoxical abd movement during inspiration indicates... - CORRECT ANSWERSimpending
respiratory failure...indicates fatigue
, If a pt c/o dyspnea, it's always important to determine if... - CORRECT ANSWERSthey have a
problem with gas exchange
Hypoxia - CORRECT ANSWERSReduced level of tissue oxygenation
Hypoxemia - CORRECT ANSWERSdecrease in partial pressure of oxygen in the blood
Causes of hypoventilation? Treatment? - CORRECT ANSWERSCNS dep, narcs, obesity, A-a
gradient, elevated CO2.....corrects with oxygen
Most common cause of hypoxia - CORRECT ANSWERSVQ mismatch
Causes of VQ mismatch - CORRECT ANSWERSCOPD, asthma, ILD, PNA, increased A-a gradient
Does VQ mismatch improve with O2? - CORRECT ANSWERSYes
Causes of right to left shunt? - CORRECT ANSWERSanatomic (heart problems), physiologic (PNA,
ARDs, atelectasis)
