667 FNP Capstone Practicum and Intensive
| Questions with Verified Answers| 100%
Correct| Chamberlain.
Question:
Jason, a 63-year-old male who had a cardiac drug-eluting stent placed
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and had an elevated troponin of 1.6, asks how long he will need to be on
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aspirin plus clopidogrel (Plavix). How long should Jason be on dual
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antiplatelet therapy after his stent?? i,- i,- i,- i,-
Answer:
6 to 12 months minimum
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Question:
Which of the following locations is most commonly described as the best
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location to identify the mitral valve in a healthy adult??
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Answer:
Left 5th intercostal space, midclavicular line
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Question:
,"Your patient is a 52-year-old post-MI patient in your clinic. What is the
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recommended initial i,-
medication choice for dual antiplatelet therapy after a myocardial
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infarction??
Answer:
Aspirin plus clopidogrel (Plavix)
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Question:
Your patient with congestive heart failure (EF 30%) becomes short of
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breath during activities of daily living (ADLs) but has no symptoms at rest.
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This presentation is most consistent with which New York Heart
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Association (NYHA) heart failure classification?? i,- i,- i,- i,-
Answer:
Class III i,-
Question:
"Your patient presents with a new-onset rapid heart rate that is 'regularly
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irregular' with a heart rate of 100, blood pressure of 120/74, respiratory
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rate of 15 (non-labored), and an oxygen saturation of 99%. They state that
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this has been occurring intermittently for about a week, but for the last 4
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days it has persisted continuously. What is your first priority intervention
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for this patient?"?
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Answer:
Maintain rate control and anticoagulated prior to rhythm control
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,Question:
"Your 61-year-old female patient presents with chest pressure, arm
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numbness/tingling, and shortness of breath with exertion. Her medical i,- i,- i,- i,- i,- i,- i,- i,- i,-
history includes diabetes mellitus, hypertension, hyperlipidemia, and
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rheumatoid arthritis. Her symptoms relieve with rest but are becoming
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more frequent, causing her considerable anxiety. Based on these findings,
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which diagnosis and management plan is most appropriate?"?
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Answer:
Stable angina, initiate a long-acting oral nitrate
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Question:
"Your 72-year-old female patient, with a history of CABG and a
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bioprosthetic aortic valve replacement 7 years ago, who is on a stable
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regimen including thrice-weekly dialysis via an arm fistula for ESRD, now
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presents with shortness of breath, fever, night sweats, and a new murmur.
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In evaluating her for potential endocarditis, which of the following
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physical signs should be assessed?"?
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Answer:
Splinter hemorrhages on the fingernails
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Question:
Your 51-year-old female patient has been diagnosed with a "new murmur"
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during a near syncopal episode workup. In evaluating this patient, during
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, which phase of the cardiac cycle would you anticipate auscultation of an
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S1 heart sound??
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Answer:
Systole
Question:
The initial workup for a patient with a new chief complaint of palpitations
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should include which of the following tests first??
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Answer:
BMP and 12-lead electrocardiogram (ECG)
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Question:
Which of the following locations is most commonly described as the best
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location to identify the aortic valve in a healthy adult??
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Answer:
Left 2nd intercostal space, right sternal border
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Question: