geri final questions with answers
|\ |\ |\ |\
Which of the following are modifiable risk factors influential in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cardiovascular disease? Meiner, 6th edition, chapter 19, page |\ |\ |\ |\ |\ |\ |\ |\
331
a. Generational differences
|\ |\
b. Predisposing hereditary conditions.
|\ |\ |\
c. Age
|\
d. Diet and lifestyle factors
|\ |\ |\ |\
d. Diet and lifestyle factors
|\ |\ |\ |\
The nurse knows that heart rate ______ and this is seen as an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
age-related change in the cardiovascular system Meiner, 6th
|\ |\ |\ |\ |\ |\ |\ |\
edition, chapter 19, page 331 |\ |\ |\ |\
a. Increases
|\
b. Decreases
|\
c. Stays the same
|\ |\ |\
d. Is not identifiable
|\ |\ |\
b. Decreases
|\
Risk factors for heart disease are classified as: Meiner, 6th
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
edition, chapter 19, page 332 |\ |\ |\ |\
a. Modifiable and nonmodifiable
|\ |\ |\
b. Variable and invariable
|\ |\ |\
c. Reducible and incremental
|\ |\ |\
d. There is no classification of risk factors
|\ |\ |\ |\ |\ |\ |\
a. Modifiable and nonmodifiable
|\ |\ |\
Your patient's LDL is high and his HDL is low. He asks you what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this means. You explain Meiner, 6th edition, chapter 19, page 332
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. This settings increase cardiovascular risks because LDL carries
|\ |\ |\ |\ |\ |\ |\ |\ |\
cholesterol to the walls of the arteries, and HDL removes LDL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from arterial walls
|\ |\
,b. This settings increase cardiovascular risks because HDL carries
|\ |\ |\ |\ |\ |\ |\ |\
cholesterol to the walls of the arteries, and LDL removes HDL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from arterial walls |\ |\
c. This settings decrease cardiovascular risks because neither
|\ |\ |\ |\ |\ |\ |\ |\
type adheres to vessel walls
|\ |\ |\ |\
d. This settings do not influence cardiovascular risks because
|\ |\ |\ |\ |\ |\ |\ |\ |\
both types adhere to vessel walls
|\ |\ |\ |\ |\
a. This settings increase cardiovascular risks because LDL carries
|\ |\ |\ |\ |\ |\ |\ |\ |\
cholesterol to the walls of the arteries, and HDL removes LDL |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from arterial walls |\ |\
75 y/o patient presents with a history of smoking and having quit
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
10 years ago. The nurse understands that this action has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
influenced his cardiovascular risk to being Meiner, 6th edition,|\ |\ |\ |\ |\ |\ |\ |\ |\
chapter 19, page 333 |\ |\ |\
a. Greater than that of a current smoker
|\ |\ |\ |\ |\ |\ |\
b. Equal to that of a current smoker
|\ |\ |\ |\ |\ |\ |\
c. Equal to that of a nonsmoker
|\ |\ |\ |\ |\ |\
d. Less than that of a nonsmoker
|\ |\ |\ |\ |\ |\
c. Equal to that of a nonsmoker
|\ |\ |\ |\ |\ |\
The American Heart Association recommends moderate to
|\ |\ |\ |\ |\ |\ |\
vigorous aerobic activity for a total of Meiner, 6th edition,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chapter 19, page 333 |\ |\ |\
a. 0-100 minutes a week
|\ |\ |\ |\
b. 30-150 minutes a week
|\ |\ |\ |\
c. 75-150 minutes a week
|\ |\ |\ |\
d. 75-175 minutes a week
|\ |\ |\ |\
c. 75-150 minutes a week
|\ |\ |\ |\
Which patient is more likely to present with a "silent"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(asymptomatic) myocardial infarction? Meiner, 6th edition, |\ |\ |\ |\ |\ |\
chapter 19, page 333 |\ |\ |\
a. A 45 years old male with no prior medical history
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. A 20 years old female cashier
|\ |\ |\ |\ |\ |\
,c. A geriatric patient with a history of diabetes mellitus type 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. A geriatric patient with no diabetic history
|\ |\ |\ |\ |\ |\ |\
c. A geriatric patient with a history of diabetes mellitus type 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What should be the goal of treatment for hypertension in adults
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
65 and older according to the American College of Cardiology
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and the American Heart Association? Meiner, 6th edition, chapter
|\ |\ |\ |\ |\ |\ |\ |\
19, page 334
|\ |\ |\
a. Less than SBP 140 and DBP 90
|\ |\ |\ |\ |\ |\ |\
b. Less than SBP 130 and DBP 80
|\ |\ |\ |\ |\ |\ |\
c. Less than SBP 150 and DBP 100
|\ |\ |\ |\ |\ |\ |\
d. Less than SBP 180 and DBP 110
|\ |\ |\ |\ |\ |\ |\
b. Less than SBP 130 and DBP 80
|\ |\ |\ |\ |\ |\ |\
An older adult presents with a history of hypertension. When
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessing the medication list, the nurse should be aware that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following medication could account for a raise in blood pressure.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Meiner, 6th edition, chapter 19, page 334
|\ |\ |\ |\ |\ |\
a. 50+ multivitamins
|\ |\
b. Ibuprofen
|\
c. Metoprolol
|\
d. Lisinopril
|\
b. Ibuprofen
|\
What is the most commonly prescribed antihypertensive agent in
|\ |\ |\ |\ |\ |\ |\ |\
older adults? Meiner, 6th edition, chapter 19, page 335
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Angiotensin converting enzyme inhibitors
|\ |\ |\ |\
b. Calcium channel blockers
|\ |\ |\
c. Beta blockers
|\ |\
d. Thiazide diuretics
|\ |\
d. Thiazide diuretics
|\ |\
Mr. A comes in with a long history of hypertension for which he is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not compliant with his medication regimen related to his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aversion to its side effects. He comes in complaining of vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, changes. The nurse understands that ________ are a sign of late
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypertension. Meiner, 6th edition, chapter 19, page 338 |\ |\ |\ |\ |\ |\ |\
a. Vague discomfort
|\ |\
b. Fatigue
|\
c. Abdominal pain
|\ |\
d. Focal deficits
|\ |\
d. Focal deficits
|\ |\
69 y/o male presents to the ER complaining of angina. His VS are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
160/79, respirations 22, oxygen saturation 93%, HR 89, EKG- ST.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse anticipates what orders? Meiner, 6th edition, chapter
|\ |\ |\ |\ |\ |\ |\ |\ |\
19, page 339 |\ |\
a. Betablockers and morphine
|\ |\ |\
b. Nitroglycerin and rest
|\ |\ |\
c. ACEI + ARB
|\ |\ |\
d. Aspirin, rest and oxygen
|\ |\ |\ |\
b. Nitroglycerin and rest
|\ |\ |\
Mrs. B, a geriatric female patient presents to the ER with her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
daughter who explains her mother has been complaining of
|\ |\ |\ |\ |\ |\ |\ |\ |\
epigastric pain x several days. Mrs. B's daughter also states that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this morning her mother " is not making a whole lot of sense"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and that "it is impossible to get her attention". Based on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
presentation you would Meiner, 6th edition, chapter 19, page 339 |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Explain this could mean dementia, nothing can be done as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dementia is irreversible |\ |\
b. Assess for "sundowning", turn off lights, raise bedrails, fall
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
precautions.
c. Assume atypical presentation and the possibility of an
|\ |\ |\ |\ |\ |\ |\ |\ |\
underlying acute process, investigate further |\ |\ |\ |\
d. Administer sleeping pills to facilitate rest, order full workup in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
am.
c. Assume atypical presentation and the possibility of an
|\ |\ |\ |\ |\ |\ |\ |\ |\
underlying acute process, investigate further |\ |\ |\ |\
|\ |\ |\ |\
Which of the following are modifiable risk factors influential in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cardiovascular disease? Meiner, 6th edition, chapter 19, page |\ |\ |\ |\ |\ |\ |\ |\
331
a. Generational differences
|\ |\
b. Predisposing hereditary conditions.
|\ |\ |\
c. Age
|\
d. Diet and lifestyle factors
|\ |\ |\ |\
d. Diet and lifestyle factors
|\ |\ |\ |\
The nurse knows that heart rate ______ and this is seen as an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
age-related change in the cardiovascular system Meiner, 6th
|\ |\ |\ |\ |\ |\ |\ |\
edition, chapter 19, page 331 |\ |\ |\ |\
a. Increases
|\
b. Decreases
|\
c. Stays the same
|\ |\ |\
d. Is not identifiable
|\ |\ |\
b. Decreases
|\
Risk factors for heart disease are classified as: Meiner, 6th
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
edition, chapter 19, page 332 |\ |\ |\ |\
a. Modifiable and nonmodifiable
|\ |\ |\
b. Variable and invariable
|\ |\ |\
c. Reducible and incremental
|\ |\ |\
d. There is no classification of risk factors
|\ |\ |\ |\ |\ |\ |\
a. Modifiable and nonmodifiable
|\ |\ |\
Your patient's LDL is high and his HDL is low. He asks you what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this means. You explain Meiner, 6th edition, chapter 19, page 332
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. This settings increase cardiovascular risks because LDL carries
|\ |\ |\ |\ |\ |\ |\ |\ |\
cholesterol to the walls of the arteries, and HDL removes LDL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from arterial walls
|\ |\
,b. This settings increase cardiovascular risks because HDL carries
|\ |\ |\ |\ |\ |\ |\ |\
cholesterol to the walls of the arteries, and LDL removes HDL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from arterial walls |\ |\
c. This settings decrease cardiovascular risks because neither
|\ |\ |\ |\ |\ |\ |\ |\
type adheres to vessel walls
|\ |\ |\ |\
d. This settings do not influence cardiovascular risks because
|\ |\ |\ |\ |\ |\ |\ |\ |\
both types adhere to vessel walls
|\ |\ |\ |\ |\
a. This settings increase cardiovascular risks because LDL carries
|\ |\ |\ |\ |\ |\ |\ |\ |\
cholesterol to the walls of the arteries, and HDL removes LDL |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from arterial walls |\ |\
75 y/o patient presents with a history of smoking and having quit
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
10 years ago. The nurse understands that this action has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
influenced his cardiovascular risk to being Meiner, 6th edition,|\ |\ |\ |\ |\ |\ |\ |\ |\
chapter 19, page 333 |\ |\ |\
a. Greater than that of a current smoker
|\ |\ |\ |\ |\ |\ |\
b. Equal to that of a current smoker
|\ |\ |\ |\ |\ |\ |\
c. Equal to that of a nonsmoker
|\ |\ |\ |\ |\ |\
d. Less than that of a nonsmoker
|\ |\ |\ |\ |\ |\
c. Equal to that of a nonsmoker
|\ |\ |\ |\ |\ |\
The American Heart Association recommends moderate to
|\ |\ |\ |\ |\ |\ |\
vigorous aerobic activity for a total of Meiner, 6th edition,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chapter 19, page 333 |\ |\ |\
a. 0-100 minutes a week
|\ |\ |\ |\
b. 30-150 minutes a week
|\ |\ |\ |\
c. 75-150 minutes a week
|\ |\ |\ |\
d. 75-175 minutes a week
|\ |\ |\ |\
c. 75-150 minutes a week
|\ |\ |\ |\
Which patient is more likely to present with a "silent"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(asymptomatic) myocardial infarction? Meiner, 6th edition, |\ |\ |\ |\ |\ |\
chapter 19, page 333 |\ |\ |\
a. A 45 years old male with no prior medical history
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. A 20 years old female cashier
|\ |\ |\ |\ |\ |\
,c. A geriatric patient with a history of diabetes mellitus type 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. A geriatric patient with no diabetic history
|\ |\ |\ |\ |\ |\ |\
c. A geriatric patient with a history of diabetes mellitus type 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What should be the goal of treatment for hypertension in adults
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
65 and older according to the American College of Cardiology
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and the American Heart Association? Meiner, 6th edition, chapter
|\ |\ |\ |\ |\ |\ |\ |\
19, page 334
|\ |\ |\
a. Less than SBP 140 and DBP 90
|\ |\ |\ |\ |\ |\ |\
b. Less than SBP 130 and DBP 80
|\ |\ |\ |\ |\ |\ |\
c. Less than SBP 150 and DBP 100
|\ |\ |\ |\ |\ |\ |\
d. Less than SBP 180 and DBP 110
|\ |\ |\ |\ |\ |\ |\
b. Less than SBP 130 and DBP 80
|\ |\ |\ |\ |\ |\ |\
An older adult presents with a history of hypertension. When
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessing the medication list, the nurse should be aware that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following medication could account for a raise in blood pressure.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Meiner, 6th edition, chapter 19, page 334
|\ |\ |\ |\ |\ |\
a. 50+ multivitamins
|\ |\
b. Ibuprofen
|\
c. Metoprolol
|\
d. Lisinopril
|\
b. Ibuprofen
|\
What is the most commonly prescribed antihypertensive agent in
|\ |\ |\ |\ |\ |\ |\ |\
older adults? Meiner, 6th edition, chapter 19, page 335
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Angiotensin converting enzyme inhibitors
|\ |\ |\ |\
b. Calcium channel blockers
|\ |\ |\
c. Beta blockers
|\ |\
d. Thiazide diuretics
|\ |\
d. Thiazide diuretics
|\ |\
Mr. A comes in with a long history of hypertension for which he is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not compliant with his medication regimen related to his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aversion to its side effects. He comes in complaining of vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, changes. The nurse understands that ________ are a sign of late
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypertension. Meiner, 6th edition, chapter 19, page 338 |\ |\ |\ |\ |\ |\ |\
a. Vague discomfort
|\ |\
b. Fatigue
|\
c. Abdominal pain
|\ |\
d. Focal deficits
|\ |\
d. Focal deficits
|\ |\
69 y/o male presents to the ER complaining of angina. His VS are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
160/79, respirations 22, oxygen saturation 93%, HR 89, EKG- ST.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse anticipates what orders? Meiner, 6th edition, chapter
|\ |\ |\ |\ |\ |\ |\ |\ |\
19, page 339 |\ |\
a. Betablockers and morphine
|\ |\ |\
b. Nitroglycerin and rest
|\ |\ |\
c. ACEI + ARB
|\ |\ |\
d. Aspirin, rest and oxygen
|\ |\ |\ |\
b. Nitroglycerin and rest
|\ |\ |\
Mrs. B, a geriatric female patient presents to the ER with her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
daughter who explains her mother has been complaining of
|\ |\ |\ |\ |\ |\ |\ |\ |\
epigastric pain x several days. Mrs. B's daughter also states that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this morning her mother " is not making a whole lot of sense"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and that "it is impossible to get her attention". Based on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
presentation you would Meiner, 6th edition, chapter 19, page 339 |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Explain this could mean dementia, nothing can be done as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dementia is irreversible |\ |\
b. Assess for "sundowning", turn off lights, raise bedrails, fall
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
precautions.
c. Assume atypical presentation and the possibility of an
|\ |\ |\ |\ |\ |\ |\ |\ |\
underlying acute process, investigate further |\ |\ |\ |\
d. Administer sleeping pills to facilitate rest, order full workup in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
am.
c. Assume atypical presentation and the possibility of an
|\ |\ |\ |\ |\ |\ |\ |\ |\
underlying acute process, investigate further |\ |\ |\ |\
