NSGl 550/l NSG550l Examl 2l –l Diagnosticl
Reasoningl forl Nursel Practitionersl
Review|l Wilkesl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Asymptomaticl hypertension..l whatl screeningl testsl wouldl youl order?
Answer:
-Repeatl thel testsl forl accuracy,l
-performl reallyl goodl comprehensivel Hl +l Pl
-lifestylel changes
Screeningl tests:
-lipidl panell (LDL,l triglycerides,l hdl,l cholesteroll levels)l
-chemistryl panell tol lookl atl renall functionl
-HgA1cl forl diabetes!l
-NOTl LIPASE
Q:l Whenl tol orderl troponin..
Answer:
It'sl timedl testl forl acutel MI,l
youl havel tol havel recent/activel chestl painl inl orderl forl itl tol bel accurate.l Youl wouldn'tl
orderl thisl outpatient..l it'sl veryl specificl youl wantl itl itmed.
Q:l BNP
Answer:
,heartl failure
Q:l Exercisel stressl test
Answer:
Studyl thatl evaluatesl cardiacl functionl duringl physicall stressl byl ridingl al bikel orl walkingl
onl al treadmill.l
-Bestl testl ifl patientl hasl nol limitations
Q:l Holterl monitor
Answer:
Al portablel electrocardiographl thatl isl wornl byl anl ambulatoryl patientl tol continuouslyl
monitorl thel heartl ratesl andl rhythmsl overl multiplel daysl tol monitorl forl arrhythmias.l
ifl al patientl comesl inl complainingl ofl palpitationsl thisl wouldl bel al goodl testl forl them
Q:l Indicationsl forl arteriall dopplerl studiesl vs.l venousl dopplerl studies
Answer:
arteriall doppler:l Intermittentl claudicationl (painl withl walking),l discoloration,l lossl ofl hair,l
nonhealingl wound/ulcer,l diminishedl pulses,l painl thatl getsl worsel atl nightl afterl walkingl
around.
venousl dopper:l dependentl edema/unilaterall swelling,l calfl painl (DVT)
Q:l Whatl arel EPl studies?
Answer:
Electrophysiologicall studiesl ofl thel conductionl systeml ofl thel heart.
Ifl al patientl isl experiencingl anl arrhythmia,l they'lll inducel thel arrhythmial tol seel wherel
it'sl comingl from,l andl thenl theyl canl dol al procedurel tol ablatel itl orl medicatel thel patient.
, Q:l Indicationsl forl anl echocardiogram
Answer:
ultrasoundl ofl thel heart;l looksl atl thel ejectionl fraction,l sizel ofl heart,l functionl ofl heart,l
valves,l alsol clots,l r/ol endocarditisl tol seel ifl there'sl vegetationl onl thel valvesl
-examples;l r/ol embolism,l endocarditis
Q:l transesophageall echo
Answer:
goesl downl thel throatl andl looksl internallyl atl thel heart,l that'sl goingl tol bel invasive
Q:l Transthoracicl echocardiography
Answer:
Noninvasivel eternall surfacel ofl thel heartl thatl measuresl ofl heartl structurel andl heartl walll
motion
Q:l Noncoronaryl percutaneousl cardiacl interventions
Answer:
-transcatheterl mitrall valvel repair
-leftl atriall appendagel closure
Q:l Goldl standardl testingl forl dxl appendicitis
Answer:
Firstl recommendationl ifl possiblel isl tol dol anl USl basedl onl examl findings...l especiallyl
inl kidsl sincel youl wantl tol reducel radiationl exposure!l
-Ifl youl cannotl visualizel everythingl youl needl withl anl US,l thenl dol CTl withl contrast
Reasoningl forl Nursel Practitionersl
Review|l Wilkesl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Asymptomaticl hypertension..l whatl screeningl testsl wouldl youl order?
Answer:
-Repeatl thel testsl forl accuracy,l
-performl reallyl goodl comprehensivel Hl +l Pl
-lifestylel changes
Screeningl tests:
-lipidl panell (LDL,l triglycerides,l hdl,l cholesteroll levels)l
-chemistryl panell tol lookl atl renall functionl
-HgA1cl forl diabetes!l
-NOTl LIPASE
Q:l Whenl tol orderl troponin..
Answer:
It'sl timedl testl forl acutel MI,l
youl havel tol havel recent/activel chestl painl inl orderl forl itl tol bel accurate.l Youl wouldn'tl
orderl thisl outpatient..l it'sl veryl specificl youl wantl itl itmed.
Q:l BNP
Answer:
,heartl failure
Q:l Exercisel stressl test
Answer:
Studyl thatl evaluatesl cardiacl functionl duringl physicall stressl byl ridingl al bikel orl walkingl
onl al treadmill.l
-Bestl testl ifl patientl hasl nol limitations
Q:l Holterl monitor
Answer:
Al portablel electrocardiographl thatl isl wornl byl anl ambulatoryl patientl tol continuouslyl
monitorl thel heartl ratesl andl rhythmsl overl multiplel daysl tol monitorl forl arrhythmias.l
ifl al patientl comesl inl complainingl ofl palpitationsl thisl wouldl bel al goodl testl forl them
Q:l Indicationsl forl arteriall dopplerl studiesl vs.l venousl dopplerl studies
Answer:
arteriall doppler:l Intermittentl claudicationl (painl withl walking),l discoloration,l lossl ofl hair,l
nonhealingl wound/ulcer,l diminishedl pulses,l painl thatl getsl worsel atl nightl afterl walkingl
around.
venousl dopper:l dependentl edema/unilaterall swelling,l calfl painl (DVT)
Q:l Whatl arel EPl studies?
Answer:
Electrophysiologicall studiesl ofl thel conductionl systeml ofl thel heart.
Ifl al patientl isl experiencingl anl arrhythmia,l they'lll inducel thel arrhythmial tol seel wherel
it'sl comingl from,l andl thenl theyl canl dol al procedurel tol ablatel itl orl medicatel thel patient.
, Q:l Indicationsl forl anl echocardiogram
Answer:
ultrasoundl ofl thel heart;l looksl atl thel ejectionl fraction,l sizel ofl heart,l functionl ofl heart,l
valves,l alsol clots,l r/ol endocarditisl tol seel ifl there'sl vegetationl onl thel valvesl
-examples;l r/ol embolism,l endocarditis
Q:l transesophageall echo
Answer:
goesl downl thel throatl andl looksl internallyl atl thel heart,l that'sl goingl tol bel invasive
Q:l Transthoracicl echocardiography
Answer:
Noninvasivel eternall surfacel ofl thel heartl thatl measuresl ofl heartl structurel andl heartl walll
motion
Q:l Noncoronaryl percutaneousl cardiacl interventions
Answer:
-transcatheterl mitrall valvel repair
-leftl atriall appendagel closure
Q:l Goldl standardl testingl forl dxl appendicitis
Answer:
Firstl recommendationl ifl possiblel isl tol dol anl USl basedl onl examl findings...l especiallyl
inl kidsl sincel youl wantl tol reducel radiationl exposure!l
-Ifl youl cannotl visualizel everythingl youl needl withl anl US,l thenl dol CTl withl contrast
