NURS 5463 TEST 4 PRACTICE
QUESTIONS EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A 63-year-old man has a 4-minute period of documented expressive aphasia that completely
resolved. A workup reveals 70% left internal carotid stenosis and a 50% right internal carotid
stenosis. In addition to best medical management, which of the following is the most
appropriate treatment? - CORRECT-ANSWERSA. Left CEA
An 84-year-old woman has diabetes and congestive heart failure that is refractory to medical
treatment. A right carotid bruit is detected on physical examination. A duplex study suggests
a 50% to 75% right carotid stenosis. Which of the following is the most appropriate
treatment? - CORRECT-ANSWERSA. Medical management
Which of the following statements regarding carotid artery stenting is most accurate? -
CORRECT-ANSWERSA. CREST study suggests that older patients have increased combined
stroke and death rates in comparison to younger patients
,Which of the following does NOT need to be instituted for a patient following carotid
endarterectomy? - CORRECT-ANSWERSA. Coumadin to target an INR of 2 to 3
For which of the following patients is a left carotid endarterectomy most indicated? -
CORRECT-ANSWERSA. A 70-year-old man with transient loss of vision in the left eye that
recovered after 20 minutes, and he has 75% left carotid stenosis
A 73-year-old woman is evaluated in the ED and transferred to the ICU because of chest pain
of 4 hours' duration. Her medical history includes a 20-year history of hypertension and Type
II diabetes mellitus. Her medications include metformin, atenolol, and ASA. On physical
examination, her blood pressure is 130/84 mm Hg, and her heart rate is 87 beats/min and
regular. Her jugular vein is distended to 5 cm while the patient is upright. She has a faint left
carotid bruit and bibasilar crackles to one quarter up from the lung bases. A normal S1 and S2
is heard, with a grade II/VI holosystolic murmur heard best at the apex to the axilla. An
electrocardiogram from six months ago was normal. The ECG was seen during the chest pain.
The initial serum troponin measurement is elevated. She is now admitted to the ICU for an MI.
, She is free of chest pain while on IV nitroglycerin, and her vital signs are stable. Which of the
fol - CORRECT-ANSWERSA. Left bundle branch block with normal sinus rhythm
A 55-year-old man in the ICU has ACS, with 2 mm of ST elevation on the leads II, III, and aVF.
The troponins are positive. The blood pressure is 130/70 mm Hg on
a nitroglycerin drip at 5 μg/kg/min keeping the patient chest pain free, but ECG changes
persist and only 1 mm of ST elevation is seen. There is no lower extremity edema. The patient
was given ASA upon entry into the ED. What is/are the next best steps in the management of
this patient? - CORRECT-ANSWERSAnticoagulation, IV β-blocker, ACE inhibitor,
nitroglycerin, and alert catheterization lab
A 65-year-old man with history of diabetes presents to the Emergency Department stating he
has had substernal chest pain and diaphoresis for 45 minutes. Which is the most important
next step in management? - CORRECT-ANSWERSAspirin to chew
QUESTIONS EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A 63-year-old man has a 4-minute period of documented expressive aphasia that completely
resolved. A workup reveals 70% left internal carotid stenosis and a 50% right internal carotid
stenosis. In addition to best medical management, which of the following is the most
appropriate treatment? - CORRECT-ANSWERSA. Left CEA
An 84-year-old woman has diabetes and congestive heart failure that is refractory to medical
treatment. A right carotid bruit is detected on physical examination. A duplex study suggests
a 50% to 75% right carotid stenosis. Which of the following is the most appropriate
treatment? - CORRECT-ANSWERSA. Medical management
Which of the following statements regarding carotid artery stenting is most accurate? -
CORRECT-ANSWERSA. CREST study suggests that older patients have increased combined
stroke and death rates in comparison to younger patients
,Which of the following does NOT need to be instituted for a patient following carotid
endarterectomy? - CORRECT-ANSWERSA. Coumadin to target an INR of 2 to 3
For which of the following patients is a left carotid endarterectomy most indicated? -
CORRECT-ANSWERSA. A 70-year-old man with transient loss of vision in the left eye that
recovered after 20 minutes, and he has 75% left carotid stenosis
A 73-year-old woman is evaluated in the ED and transferred to the ICU because of chest pain
of 4 hours' duration. Her medical history includes a 20-year history of hypertension and Type
II diabetes mellitus. Her medications include metformin, atenolol, and ASA. On physical
examination, her blood pressure is 130/84 mm Hg, and her heart rate is 87 beats/min and
regular. Her jugular vein is distended to 5 cm while the patient is upright. She has a faint left
carotid bruit and bibasilar crackles to one quarter up from the lung bases. A normal S1 and S2
is heard, with a grade II/VI holosystolic murmur heard best at the apex to the axilla. An
electrocardiogram from six months ago was normal. The ECG was seen during the chest pain.
The initial serum troponin measurement is elevated. She is now admitted to the ICU for an MI.
, She is free of chest pain while on IV nitroglycerin, and her vital signs are stable. Which of the
fol - CORRECT-ANSWERSA. Left bundle branch block with normal sinus rhythm
A 55-year-old man in the ICU has ACS, with 2 mm of ST elevation on the leads II, III, and aVF.
The troponins are positive. The blood pressure is 130/70 mm Hg on
a nitroglycerin drip at 5 μg/kg/min keeping the patient chest pain free, but ECG changes
persist and only 1 mm of ST elevation is seen. There is no lower extremity edema. The patient
was given ASA upon entry into the ED. What is/are the next best steps in the management of
this patient? - CORRECT-ANSWERSAnticoagulation, IV β-blocker, ACE inhibitor,
nitroglycerin, and alert catheterization lab
A 65-year-old man with history of diabetes presents to the Emergency Department stating he
has had substernal chest pain and diaphoresis for 45 minutes. Which is the most important
next step in management? - CORRECT-ANSWERSAspirin to chew
