ACTUAL EXAM| COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| NSG
6440 FINAL EXAM REVIEW (BRAND NEW!!
Question 1
Which of the following is the proper way to take a blood
pressure measurement?
A. Patient seated with legs crossed, cuff size based on forearm
circumference
B. Patient supine with arm elevated above heart level
C. Patient in a sitting position, cuff size has a bladder length of
80% and a width of 40% of arm circumference, patient has
rested for 3 minutes
D. Patient standing immediately after walking into the clinic
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,Answer: C. Patient in a sitting position, cuff size has a bladder
length of 80% and a width of 40% of arm circumference,
patient has rested for 3 minutes
Rationale: Proper BP measurement requires the patient to be
seated quietly for at least 3-5 minutes, feet on floor, back
supported. The cuff bladder length should be 80% and width
40% of arm circumference to avoid artifactual readings. Legs
crossed can elevate BP .
Question 2
Which heart sound is associated with decreased elasticity of the
left ventricle in left ventricular hypertrophy?
A. S1
B. S2
C. S3
D. S4
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,Answer: D. S4
Rationale: An S4 gallop occurs during atrial contraction against
a non-compliant (stiff) left ventricle, as seen in left ventricular
hypertrophy, hypertension, and aortic stenosis. S3 indicates
volume overload .
Question 3
What is the most common cause of cardiac death in athletes?
A. Coronary artery disease
B. Hypertrophic cardiomyopathy
C. Aortic stenosis
D. Myocarditis
Answer: B. Hypertrophic cardiomyopathy
Rationale: Hypertrophic cardiomyopathy (HCM) is the most
common cause of sudden cardiac death in young athletes. It
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, causes asymmetric septal hypertrophy leading to outflow
obstruction and arrhythmias .
Question 4
Which of the following must be completed prior to administering
tPA (tissue plasminogen activator) for ischemic stroke?
A. Chest X-ray
B. Head CT without contrast
C. ECG
D. Coagulation studies only
Answer: B. Head CT without contrast
Rationale: A non-contrast head CT must be obtained before tPA
administration to rule out intracranial hemorrhage, which is an
absolute contraindication. The scan must show no evidence of
hemorrhage before thrombolytics are given .
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