NRNP6531 Combined midterm and final review QUESTIONS WITH ANSWERS

NRNP6531 Combined midterm and final |\ |\ |\ |\ |\




review QUESTIONS WITH ANSWERS |\ |\ |\




A health care provider in a clinic finds a patient in a room,
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unresponsive and pale. Which sign should be used to identify the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


need to initiate cardiopulmonary resuscitation (CPR)?
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Evaluation of peripheral perfusion and level of consciousness
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Obtaining a history of previous myocardial infarction
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Determination of pulselessness or bradycardia |\ |\ |\ |\




Assessment of gasping breaths or not breathing - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Assessment of gasping breaths or not breathing
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An African-American patient who is being treated with a thiazide
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diuretic for chronic hypertension reports blurred vision and
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shortness of breath. The provider notes a blood pressure of
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185/115. What is the recommended action for this patient?
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Increase the dose of the thiazide medication
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|\ Add a beta blocker to the patient's regimen
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Admit to the hospital for evaluation and treatment
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Prescribe a calcium channel blocker - CORRECT ANSWERS
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✔✔Admit to the hospital for evaluation and treatment
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,A patient reports sustained, irregular heart palpitations. What is
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the most likely cause of these symptoms?
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Atrial fibrillation |\ |\




Anemia |\




Extrasystole |\




Paroxysmal attacks - CORRECT ANSWERS ✔✔Atrial fibrillation |\ |\ |\ |\ |\ |\




A patient has a cardiac murmur that peaks in midsystole and is
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best heard along the left sternal border. The provider determines
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that the murmur decreases in intensity when the patient changes
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from standing to squatting and increases in intensity with the
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Valsalva maneuver. Which cause will the provider suspect for this
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murmur?
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Aortic stenosis |\




Tricuspid regurgitation |\




Hypertrophic cardiomyopathy |\




Mitral valve prolapse - CORRECT ANSWERS ✔✔Hypertrophic
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cardiomyopathy


A patient is brought to an emergency department with symptoms
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of acute ST-segment elevation MI (STEMI). The nearest hospital
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that can perform percutaneous coronary intervention (PCI) is 3
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hours away. What is the initial treatment for this patient?
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Give the patient an oral beta blocker
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Transfer to the PCI-capable institution
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Administer heparin |\

,Initiate fibrinolytic treatment - CORRECT ANSWERS ✔✔Initiate
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fibrinolytic treatment |\




Patients who meet the criteria for statin therapy to help prevent
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atherosclerotic cardiovascular disease are those with a history of |\ |\ |\ |\ |\ |\ |\ |\ |\


(Select all that apply.) |\ |\ |\




previous myocardial infarction. |\ |\




a low-density lipoprotein (LDL) level >190 mg/dL.
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diabetes and an LDL between 40 and 70 mg/dL.
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|\ a 10 year risk score of 8% with an LDL of 80 mg/dL.
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a 10 year risk score of 5% and an LDL of 165 mg/dL. - CORRECT
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ANSWERS ✔✔previous myocardial infarction. |\ |\ |\




a low-density lipoprotein (LDL) level >190 mg/dL.
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|\ a 10 year risk score of 8% with an LDL of 80 mg/dL.
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A 75-year-old patient reports pain and a feeling of tiredness in
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both legs that only relieves after sitting for 30 minutes or more.
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What the does provider suspect as the cause for these
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symptoms?
Buerger's disease |\




Cauda equina syndrome |\ |\




Diabetic neuropathy |\




Peripheral arterial disease - CORRECT ANSWERS ✔✔Cauda equina
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syndrome
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Which are causes of secondary hypertension? (Select all that
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apply.)

, Oral contraceptives
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Isometic excercises |\




NSAIDS
Sleep apnea |\




Increased salt intake - CORRECT ANSWERS ✔✔Oral |\ |\ |\ |\ |\ |\ |\


contraceptives
NSAIDS
Sleep apnea |\




A young female patient has known mitral valve prolapse. During
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a routine health maintenance exam, the provider notes an apical
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systolic murmur and a midsystolic click on auscultation. The
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patient denies chest pain, syncope, or palpitations. What will the
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provider do? |\




Reassure the patient that these findings are expected
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Continue to monitor the patient every 3 years|\ |\ |\ |\ |\ |\ |\




Admit the patient to the hospital for evaluation and treatment
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Consult with cardiology to determine appropriate diagnostic tests
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- CORRECT ANSWERS ✔✔Consult with cardiology to determine
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appropriate diagnostic tests |\ |\




A patient reports abdominal and back pain with anorexia and
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nausea. During an exam, the provider notes a pulsatile
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abdominal mass. What is the initial action? |\ |\ |\ |\ |\ |\




Scheduling an MRI to evaluate for aortic disease |\ |\ |\ |\ |\ |\ |\




Immediate referral to a thoracic surgeon |\ |\ |\ |\ |\




US of the mass to determine size
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