NSG 6001 PRACTICE FINAL EXAM (Latest Grade ) 2020/2021

NSG 6001 PRACTICE FINAL EXAM 1. Question : More than half of all cardiac arrhythmias involve the atria. Student Answer: False True (This is a true statement: more than half of all cardiac arrhythmias involve the atria.) - MultipleChoice 65 True 0 - MultipleChoice 65 Question 2 . Question : What are the most common symptoms caused by tachyarrhythmias? Student Answer: Sweating Thirst Palpitations (The most common symptoms caused by tachyarrhythmias are palpitations.) Headaches - MultipleChoice 69 True 0 - MultipleChoice 69 Question 3 . Question : For women with known CAD and diabetes, which is most appropriate to assess CAD risk? Student Answer: ETT Coronary bypass surgery Coronary catheterization ETT with imaging (ETT with imaging is most appropriate to assess CAD risk.) - MultipleChoice 50 True 0 - MultipleChoice 50 Question 4 . Question : Of the following, which is the best answer when asked for an advantage of echocardiogram exercise testing over thallium stress testing? Student Answer: Does not depend on operator experience Costs are the same Results are available more quickly (Echocardiogram exercise test results are available more quickly.) Doesn’t matter because there are no advantages - MultipleChoice 40 True 0 - MultipleChoice 40 Question 5 . Question : Your patient has uncomplicated pyelonephritis. In deciding your recommended treatment, you consider the most common pathogenic reason for this diagnosis. What pathogen accounts for the majority of pyelonephritis? Student Answer: E. Coli (E. Coli is the pathogen that accounts for the majority of pyelonephritis.) Gardnerella Vaginalis Mycoplasma Hominis Chlamydia Question 6 . Question : What purpose does the principle of fidelity serve in the provider/patient relationship? Student Answer: Ensures that providers honor their commitments to the patient (The principle of fidelity mandate assures that providers honor their commitments to the patient. ) Obligates the provider to a one-on-one relationship with the individual Ensures that patients receive whatever they want Maintains costs in the healthcare arena - MultipleChoice 2 True 0 - MultipleChoice 2 Question 7 . Question : In CAD, after both systolic and diastolic dysfunction have occurred, the typical pattern of chest pain and related EKG changes occur. During an EKG, you should expect to see ST- segment and T-wave changes that are central to demonstration of ischemia occurring relatively late in the ischemic cascade. Is this true or false? Student Answer: True (This is a true statement. During an EKG, you should expect to see ST-segment and T-wave changes that are central to demonstration of ischemia occurring relatively late in the ischemic cascade. ) False - MultipleChoice 15 True 0 - MultipleChoice 15 Question 8 . Question : The leads on the ECG showing ischemic changes during or immediately after an ETT can correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false? Student Answer: False True (This statement is true: the leads on the ECG showing ischemic changes during or immediately after an ETT can correlate roughly to the culprit artery or arteries with significant CAD. ) - MultipleChoice 30 True 0 - MultipleChoice 30 Question 9 . Question : Skin cancer is the most common malignant neoplasm in males in the US. What is the second leading cause of cancer deaths in men greater than 50 years of age? Student Answer: Prostate cancer (The second leading cause of cancer deaths in men greater than 50 years of age is prostate cancer.) Lung cancer Lymphoma Lupus Question 10 . Question : What ECG changes can reduce the specificity of the ETT? Student Answer: Exercise induced bundle branch blocks Paced rhythm and resting bundle branch block (The ECG changes that can reduce the specificity of the ETT are paced rhythm and resting bundle branch block. ) Paced rhythm and exercise induced bundle branch blocks Low voltage up sloping of the ST-segment - MultipleChoice 22 True 0 - MultipleChoice 22 Question 11. Question : You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In teaching your patient about symptoms to report immediately to the vascular surgeon, you instruct the patient to report which of the following? Student Answer: Newly diagnosed diabetes Back pain or flank pain (In teaching your patient about symptoms to report immediately to the vascular surgeon, you instruct the patient to report back pain or flank pain.) Visual disturbances Headaches Question 12 . Question : What is one of the common causes of a Saccular Abdominal Aneurysm? Student Answer: Poor kidney functioning Age Drugs: illicit and prescribed Trauma (One of the common causes of a saccular abdominal aneurysm is trauma.) - MultipleChoice 56 True 0 - MultipleChoice 56 Question 13 . Question : The diagnostic accuracy of stress testing is decreased among women compared to men for what reasons? Student Answer: Women having thinner ventricular and septal muscles Women usually have single vessel or non-obstructive disease (The diagnostic accuracy of stress testing is decreased among women compared to men because women usually have single vessel or non-obstructive disease.) Women cannot exercise as vigorously as men Women typically have multiple vessel disease Question 14 . Question : Population disease management is a term used to describe: Student Answer: High specificity disease states Low specificity diseases states Low prevalence specific diseases High prevalence specific diseases (Population disease management is a term used to describe the high prevalence of specific diseases. ) - MultipleChoice 7 True 0 - MultipleChoice 7 Question 15 . Question : You receive a report back on the suspected abdominal aortic aneurysm for your patient. It confirms your suspicion of AAA. The report describes the aneurysm as a symmetric weakness of the entire circumference of the aorta. You know that this form of aneurysm is referred to as what kind of aneurysm? Student Answer: Thoracic aneurysm Budging sac aneurysm Saccular aneurysm Fusiform aneurysm (This form of aneurysm is referred to as a fusiform aneurysm.) - MultipleChoice 55 True 0 - MultipleChoice 55 Question 16 . Question : Your practice partner just ordered an exercise echocardiography 2DE for a patient with suspected cardiovascular risk. This patient has known resting wall motion abnormalities. Why would this not be the best test to assess this patient’s cardiac risk? Student Answer: Sensitivity is increased Sensitivity is decreased (This would not be the best test to assess this patient’s cardiac risk because sensitivity is decreased. ) Specificity is increased Specificity is decreased Question 17 . Question : Your 60-year old male patient arrives for his appointment. He complains of general malaise and fever over the past several days with low back pain. He also states that he is getting up at night more often to urinate and never feels his bladder is completely empty. What differential diagnosis should you consider in this patient? Student Answer: Acute viral prostatitis Stomach virus Acute bacterial prostatitis (Acute bacterial prostatitis is the correct answer.) BPH only Question 18 . Question : We all know that collaboration is integral to becoming a successful nurse practitioner. Among collaborations, however, only one can be considered as the most important. While each example below is important, which is the most important collaboration? The one that occurs: Student Answer: Between the nurse practitioner and their physician mentor Between two healthcare providers about a single patient Between the patient and their family Between the patient and the nurse practitioner (The collaboration that is most important is the one that occurs between the patient and the nurse practitioner. ) - MultipleChoice 3 True 0 - MultipleChoice 3 Question 19 . Question : The sensitivity of a routine ETT is effort dependent. What physiological changes occur during effort in the routine ETT? Student Answer: Rapid heart rates and coronary artery narrowing Decrease in coronary blood flow Decreased heart rate and increased systolic blood pressure Increased coronary flow and increased systolic blood pressure (The physiological changes that occur during effort in the routine ETT are increased coronary flow and increased systolic blood pressure.) - MultipleChoice 24 True 0 - MultipleChoice 24 Question 20 . Question : A 47-year old female with general complaints of fatigue and shortness of breath shows up in your clinic as a referral from another nurse practitioner. Several blood tests and chest x-rays have been completed without any diagnosis or outstanding abnormalities. You decide to order an ETT despite the fact that the recent ECG does not show any abnormalities. From the answers below, which would be the best answer to support your decision? Student Answer: You are out of other options CAD in women is under diagnosed (You make this choice because you are aware that CAD in women is under diagnosed.) To please the patient Women present with the same pattern of CAD as do males - MultipleChoice 43 True 0 - MultipleChoice 43 Question 21 . Question : Your patient underwent an exercise stress test for CAD. There is significant elevation of the ST-segment. What do you need to know about these changes to manage your patient’s care? Student Answer: This patient needs to see someone more experienced in treatment of CAD These changes are predictive of myocardial infarction These changes have minimal predictive value for CAD (Significant elevation of the ST-segment has minimal predictive value for CAD. ) These changes predict dire outcomes - MultipleChoice 20 True 0 - MultipleChoice 20 Question 22 . Question : When there is a consequential loss of structural integrity of the abdominal aorta, the resulting issue is what condition? Student Answer: Bloated stomach Kidney failure Bleeding ulcers Abdominal aortic aneurysm (When there is a consequential loss of structural integrity of the abdominal aorta, the resulting issue is abdominal aortic aneurysm.) - MultipleChoice 53 True 0 - MultipleChoice 53 Question 23 . Question : You see a 60-year old African American male in your clinic with a recent diagnosis of hypertension. He asks you what he should restrict in his diet, and is particularly interested in limiting his sodium intake. What amount of sodium intake would you recommend on a daily basis for this patient? Student Answer: 1.5 g/day (The recommended daily intake is 1.5g per day.) No added table salt 3.0 g/day 2.3 g/day - MultipleChoice 84 True 0 - MultipleChoice 84 Question 24 . Question : Why would inability to exercise reduce the specificity of the routine ETT? Student Answer: Produces QRS changes that cannot be interpreted Produces persistent ST-segmental changes and T-wave abnormalities (The inability to exercise reduces the specificity of the routine ETT because it produces persistent ST-segmental changes and T-wave abnormalities. ) Causes ST-segment changes and P-wave abnormalities Will not produce any changes in ECG Question 25 . Question : By standard criteria, how is a positive stress test defined? Student Answer: Development of a horizontal or down sloping ST-segment depression of 1mm (A positive stress test is defined as the development of a horizontal or down sloping ST-segment depression of 1mm. ) Down sloping of the ST-segment at the J point of the QRS Development of a horizontal or down sloping ST-segment depression of 10mm Upward sloping ST-segment measured at the J point of the QRS - MultipleChoice 19 True 0 - MultipleChoice 19 Question 26 . Question : What are the two types of bradycardia recognized by the American Heart Association? Student Answer: Relative and absolute (The two types of bradycardia recognized by the American Heart Association are relative and absolute.) Absolute and pending Refractory and non-refractory Relative and dynamic - MultipleChoice 75 False 0 - MultipleChoice 75 Question 27 . Question : You see a 75-year old female in your clinic today complaining of urinary incontinence. She is otherwise healthy based upon her last visit. She states that her mother told her this would happen someday because it happens to every woman at some age. What would you tell this patient? Student Answer: This happens to all women as they age No need to worry. This is normal. Your mother was correct. This is not an expected condition related to aging. (Urinary incontinence is not an expected condition related to aging.) This happens to men as well and most women before your age. - MultipleChoice 87 True 0 - MultipleChoice 87 Question 28 . Question : What do you know regarding ischemia that is confined to only the posterior and or lateral segments of the left ventricle? Student Answer: ETT cannot be used for detection Difficult to detect by ETT (Ischemia that is confined to only the posterior and or lateral segments of the left ventricle is difficult to detect by ETT, but that does not mean that ETT cannot detect ischemia limited t