Chamberlain University-Illinois NR 511
603 CEA Exam with question and answer 100% correct
Students also studied
C
Terms in this set (153)
During a post-hospital discharge visit, you Diastole
notice your 71 year old female patient has
been diagnosed with a "new murmur"
found by the hospitalist during their
recent hospitalization for CHF
exacerbation. In evaluating the patient,
during which phase of the cardiac cycle
would you anticipate auscultation of a
S3 or S4 heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
The point of maximum impulse (PMI) is Left 5th intercostal space, midclavicular
line MOST often palpable in healthy adults when
positioned in the supine or left
lateral decubitus position. Which
one of the following locations is
most commonly described as the PMI
in a healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular
line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular
line.
,The nurse practitioner assessing the patientPeak of the R
wave. with a rapid cardiac rhythm may assess for a
pulse deficit by auscultating the
patient's heart while watching the
EKG rhythm.
Where would the S1 heart sounds correlate
with the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
Michael, a 72 year old male patient who Check for thyroid dysfunction
previously presented with stable cardiac-
type chest pain has underwent a stress
test. He presents today to review the
stress test results, which show EKG
findings of ST segment depression
during the exam in leads V3 and V4 as
well as some concurrent chest discomfort.
Based on these findings, which of the
following are NOT priority medical
decisions?
*Prescribe metoprolol (Lopressor) 12.5mg
PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
While examining a 53 year old female Positive for
egophony patient, you auscultate abnormal breath
sounds over all fields, and now assess
transmission of voice sounds by having the
patient say "ee" while auscultating the chest
with the diaphragm of your stethoscope.
Normally, you should auscultate a muffled
"e" sound, however, you hear hear a
nasally "a" sound. Which one of the
following will you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
,While assessing the 19 year old patient for a To identify if underlying tissue are air-filled,
fluid-filled or new onset cough, the nurse practitioner may consolidated
inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the
thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac
origin of angina.
*To assess for deep-seated lesion and
tumors.
*To assess for any pain or discomfort prior
to palpitation of the chest wall.
*To identify if underlying tissue are air-filled,
fluid-filled or consolidated
Your 42 year old male patient has been Approximately equal level of change in the descent of the
referred to your clinic for establishing care diaphragm bilaterally during maximal inspiration and
and on his intake survey, you note he has expiration. with a decreased overall inspiratory
capacity documented diagnosis of interstitial lung
disease. You have decided to perform a
diaphragmatic excursion test on the patient.
Which one of the following results would
you expect to see in this patient?
*Approximately equal level of change in the
descent of the diaphragm bilaterally during
maximal inspiration and expiration. with
a decreased overall inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm
noted bilaterally on expiration, though often
much less on the right side due to the
location of the heart and great vessels.
*Much greater descent of the diaphragm on
the right side due to the liver present (two-
three times larger).
*Absent or no change in movement of
the diaphragm noted between full
inspiration and full expiration
measurement.
Your 50 year old Caucasian male patient has Severe
hypothyroidism not seen a primary care giver in 20+ years
and is here for a history and physical
examination. While examining the head and
face, you see your patient has nonpitting
periorbital edema, particularly underneath
their eyes and very dry, thinned hair,
including the lateral third of eyebrows
(as pictured below: Sparse hairline, thin
lateral eyebrows, Periobital edema).
Which one of the folowing would you
expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
, A40 year old, female, African American Hyperthyroidism.
patient presents for history and physical.
Upon your initial assessment, you notice
she has severe exophthalmos as pictured
below. Which one of the following
diagnoses below would be the highest
on your differential diagnose of this
physical examination finding? (eyes
bulging out of her head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
*hypothyroidism
*myexedma
Your patient with a suspected diagnosis of Forced Vital Capacity.
COPD has been seen by pulmonology
and has underwent a pulmonary
function test (PFT) with spirometry. As
the patient's primary healthcare provider,
you have been asked to explain the
findings of the PFT to the patient in a
follow-up visit at which time the patient asks
what the study was evaluating. To describe
the PFT to the patient in more useful terms,
you state that the large inspiration of air
to the furthest extent they could
reasonably accomplish followed by a full
exhalation is referred to as which of the
following measurements during the PFT?
*Forced Expiratory Volume over 1 second
(FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.
Your newly established patient states in the Thyrotoxicosis
past year, they have progressively
developed a noticeable bump on their
neck and when asked about symptoms,
they report feeling very anxious, have
developed a tremor, and are commonly
feeling palpitations in their chest.
On examination, you identify an
enlarged thyroid gland suspicious for a
goiter. Of the following diagnoses, which is
most likely for the patient to develop
based on these findings above?
*Thyrotoxicosis.
*lodine Excess.
*Myxedema Coma.
*Hashimotos Thyroiditis.
603 CEA Exam with question and answer 100% correct
Students also studied
C
Terms in this set (153)
During a post-hospital discharge visit, you Diastole
notice your 71 year old female patient has
been diagnosed with a "new murmur"
found by the hospitalist during their
recent hospitalization for CHF
exacerbation. In evaluating the patient,
during which phase of the cardiac cycle
would you anticipate auscultation of a
S3 or S4 heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
The point of maximum impulse (PMI) is Left 5th intercostal space, midclavicular
line MOST often palpable in healthy adults when
positioned in the supine or left
lateral decubitus position. Which
one of the following locations is
most commonly described as the PMI
in a healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular
line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular
line.
,The nurse practitioner assessing the patientPeak of the R
wave. with a rapid cardiac rhythm may assess for a
pulse deficit by auscultating the
patient's heart while watching the
EKG rhythm.
Where would the S1 heart sounds correlate
with the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
Michael, a 72 year old male patient who Check for thyroid dysfunction
previously presented with stable cardiac-
type chest pain has underwent a stress
test. He presents today to review the
stress test results, which show EKG
findings of ST segment depression
during the exam in leads V3 and V4 as
well as some concurrent chest discomfort.
Based on these findings, which of the
following are NOT priority medical
decisions?
*Prescribe metoprolol (Lopressor) 12.5mg
PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
While examining a 53 year old female Positive for
egophony patient, you auscultate abnormal breath
sounds over all fields, and now assess
transmission of voice sounds by having the
patient say "ee" while auscultating the chest
with the diaphragm of your stethoscope.
Normally, you should auscultate a muffled
"e" sound, however, you hear hear a
nasally "a" sound. Which one of the
following will you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
,While assessing the 19 year old patient for a To identify if underlying tissue are air-filled,
fluid-filled or new onset cough, the nurse practitioner may consolidated
inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the
thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac
origin of angina.
*To assess for deep-seated lesion and
tumors.
*To assess for any pain or discomfort prior
to palpitation of the chest wall.
*To identify if underlying tissue are air-filled,
fluid-filled or consolidated
Your 42 year old male patient has been Approximately equal level of change in the descent of the
referred to your clinic for establishing care diaphragm bilaterally during maximal inspiration and
and on his intake survey, you note he has expiration. with a decreased overall inspiratory
capacity documented diagnosis of interstitial lung
disease. You have decided to perform a
diaphragmatic excursion test on the patient.
Which one of the following results would
you expect to see in this patient?
*Approximately equal level of change in the
descent of the diaphragm bilaterally during
maximal inspiration and expiration. with
a decreased overall inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm
noted bilaterally on expiration, though often
much less on the right side due to the
location of the heart and great vessels.
*Much greater descent of the diaphragm on
the right side due to the liver present (two-
three times larger).
*Absent or no change in movement of
the diaphragm noted between full
inspiration and full expiration
measurement.
Your 50 year old Caucasian male patient has Severe
hypothyroidism not seen a primary care giver in 20+ years
and is here for a history and physical
examination. While examining the head and
face, you see your patient has nonpitting
periorbital edema, particularly underneath
their eyes and very dry, thinned hair,
including the lateral third of eyebrows
(as pictured below: Sparse hairline, thin
lateral eyebrows, Periobital edema).
Which one of the folowing would you
expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
, A40 year old, female, African American Hyperthyroidism.
patient presents for history and physical.
Upon your initial assessment, you notice
she has severe exophthalmos as pictured
below. Which one of the following
diagnoses below would be the highest
on your differential diagnose of this
physical examination finding? (eyes
bulging out of her head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
*hypothyroidism
*myexedma
Your patient with a suspected diagnosis of Forced Vital Capacity.
COPD has been seen by pulmonology
and has underwent a pulmonary
function test (PFT) with spirometry. As
the patient's primary healthcare provider,
you have been asked to explain the
findings of the PFT to the patient in a
follow-up visit at which time the patient asks
what the study was evaluating. To describe
the PFT to the patient in more useful terms,
you state that the large inspiration of air
to the furthest extent they could
reasonably accomplish followed by a full
exhalation is referred to as which of the
following measurements during the PFT?
*Forced Expiratory Volume over 1 second
(FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.
Your newly established patient states in the Thyrotoxicosis
past year, they have progressively
developed a noticeable bump on their
neck and when asked about symptoms,
they report feeling very anxious, have
developed a tremor, and are commonly
feeling palpitations in their chest.
On examination, you identify an
enlarged thyroid gland suspicious for a
goiter. Of the following diagnoses, which is
most likely for the patient to develop
based on these findings above?
*Thyrotoxicosis.
*lodine Excess.
*Myxedema Coma.
*Hashimotos Thyroiditis.
