NR 603 CEA PRE-DIAGNOSTIC EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AnA2olderA2adultA2presentsA2withA2theA2singleA2complaintA2ofA2bilateralA2pediatricA2edema.
A2TheA2patientA2hasA2aA2historyA2ofA2diabetesA2andA2highA2bloodA2pressureA2andA2isA2onA2
oralA2medications.A2WhichA2ofA2theA2followingA2medicationsA2isA2theA2MOSTA2likelyA2caus
eA2ofA2theA2patient'sA2complaint?A2-A2Ans--A2Amlodipine(Narvasc)
YourA2patientA2isA2complainingA2ofA2paroxysmalA2atrialA2fibrillation.A2WhichA2medicalA2pro
cedureA2isA2commonlyA2usedA2toA2treatA2thisA2condition?A2-A2Ans--
A2CyroabliationA2ofA2theA2transitionA2zoneA2ofA2theA2leftA2pulmonaryA2veinA2inflowA2toA2theA
2leftA2atrium
AsA2theA2nurseA2practitionerA2workingA2inA2primaryA2careA2clinic,A2youA2haveA2beenA2notifi
edA2fromA2aA2hospitalizationsA2thatA2yourA2long-
termA2patientA2withA2aA2historyA2ofA2HFrEFA2withA2anA2ejectionA2fractionA2ofA240%A2twoA2y
earsA2agoA2whoA2isA2alsoA2notA2onA2optimalA2medicalA2therapyA2hasA2beenA2diagnosedA2w
ithA2aA2MIA2thisA2admissionA2andA2receivedA2emergentA2placementA2ofA2aA2drug-
eludingA2stentA2toA2theA2leftA2anteriorA2descendingA2artery.A2WhoA2willA2manageA2thisA2pat
ientA2andA2whatA2isA2theirA2priorityA2forA2chfA2afterA2miA2-A2Ans--
A2OrderingA2aA2newA2thransthoracicA2echocardiogramA2andA2orderA2aA2lifeA2vestA2ifA2EFA2i
sA2lessA2thanA235%
AA265A2yearA2oldA2womanA2presentA2forA2followA2upA2SheA2isA2aA2smokerA2andA2HTNA2isA2
nowA2controlledA2HerA2motherA2diedA2atA2ageA240A2fromA2heartA2attackA2FastingA2lipidsA2s
howsA2cholesterolA2240A2HDLA230A2andA2LDLA2200A2InA2additionA2toA2therapeuticA2lifestyl
eA2changesA2whatA2shouldA2theA2NPA2startA2-A2Ans--A2StatinA2drug
AnA2adultA2patientA2mustA2maintainA2INRA2betweenA22-
3A2TheA2patientA2goesA2toA2aA2clinicA2forA2INRA2checkA2andA2resultsA2isA21.4A2whatA2would
A2decreaseA2theA2effectsA2ofA2CoumadinA2-A2Ans--A2Broccoli
TheA2patientA2admittedA2withA2crushingA2chestA2painA2justA2convertedA2fromA2NSRA2toA2Br
adyA2withA2elevatedA2STA2segmentsA2whatA2isA2theA2priorityA2-A2Ans--A2CathA2lab
AA250A2yearA2oldA2womanA2withA2aA2historyA2ifA2htnA2presentA2withA2dyspneaA2onA2exertio
nA2andA2orthopneaA2sheA2hasA2jvdA2andA2bilateralA2cracklesA2whatA2isA2theirA2priorityA2dia
gnosisA2-A2Ans--A2Chf
65A2alcoholicA2patientA2presentA2withA2aA2newA2onsetA2ofA2persistentA2palpitationsA2andA2a
nxietyA2forA2theA2pastA23A2daysA2MonitorA2isA2appliedA2andA2hasA2irregularlyA2irregularA2rat
herA2WhichA2evaluationA2shouldA2beA2performedA2firstA2-A2Ans--
A2OrderingA2aA2transthoracicA2echocardiogram
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AnA2olderA2adultA2presentsA2withA2theA2singleA2complaintA2ofA2bilateralA2pediatricA2edema.
A2TheA2patientA2hasA2aA2historyA2ofA2diabetesA2andA2highA2bloodA2pressureA2andA2isA2onA2
oralA2medications.A2WhichA2ofA2theA2followingA2medicationsA2isA2theA2MOSTA2likelyA2caus
eA2ofA2theA2patient'sA2complaint?A2-A2Ans--A2Amlodipine(Narvasc)
YourA2patientA2isA2complainingA2ofA2paroxysmalA2atrialA2fibrillation.A2WhichA2medicalA2pro
cedureA2isA2commonlyA2usedA2toA2treatA2thisA2condition?A2-A2Ans--
A2CyroabliationA2ofA2theA2transitionA2zoneA2ofA2theA2leftA2pulmonaryA2veinA2inflowA2toA2theA
2leftA2atrium
AsA2theA2nurseA2practitionerA2workingA2inA2primaryA2careA2clinic,A2youA2haveA2beenA2notifi
edA2fromA2aA2hospitalizationsA2thatA2yourA2long-
termA2patientA2withA2aA2historyA2ofA2HFrEFA2withA2anA2ejectionA2fractionA2ofA240%A2twoA2y
earsA2agoA2whoA2isA2alsoA2notA2onA2optimalA2medicalA2therapyA2hasA2beenA2diagnosedA2w
ithA2aA2MIA2thisA2admissionA2andA2receivedA2emergentA2placementA2ofA2aA2drug-
eludingA2stentA2toA2theA2leftA2anteriorA2descendingA2artery.A2WhoA2willA2manageA2thisA2pat
ientA2andA2whatA2isA2theirA2priorityA2forA2chfA2afterA2miA2-A2Ans--
A2OrderingA2aA2newA2thransthoracicA2echocardiogramA2andA2orderA2aA2lifeA2vestA2ifA2EFA2i
sA2lessA2thanA235%
AA265A2yearA2oldA2womanA2presentA2forA2followA2upA2SheA2isA2aA2smokerA2andA2HTNA2isA2
nowA2controlledA2HerA2motherA2diedA2atA2ageA240A2fromA2heartA2attackA2FastingA2lipidsA2s
howsA2cholesterolA2240A2HDLA230A2andA2LDLA2200A2InA2additionA2toA2therapeuticA2lifestyl
eA2changesA2whatA2shouldA2theA2NPA2startA2-A2Ans--A2StatinA2drug
AnA2adultA2patientA2mustA2maintainA2INRA2betweenA22-
3A2TheA2patientA2goesA2toA2aA2clinicA2forA2INRA2checkA2andA2resultsA2isA21.4A2whatA2would
A2decreaseA2theA2effectsA2ofA2CoumadinA2-A2Ans--A2Broccoli
TheA2patientA2admittedA2withA2crushingA2chestA2painA2justA2convertedA2fromA2NSRA2toA2Br
adyA2withA2elevatedA2STA2segmentsA2whatA2isA2theA2priorityA2-A2Ans--A2CathA2lab
AA250A2yearA2oldA2womanA2withA2aA2historyA2ifA2htnA2presentA2withA2dyspneaA2onA2exertio
nA2andA2orthopneaA2sheA2hasA2jvdA2andA2bilateralA2cracklesA2whatA2isA2theirA2priorityA2dia
gnosisA2-A2Ans--A2Chf
65A2alcoholicA2patientA2presentA2withA2aA2newA2onsetA2ofA2persistentA2palpitationsA2andA2a
nxietyA2forA2theA2pastA23A2daysA2MonitorA2isA2appliedA2andA2hasA2irregularlyA2irregularA2rat
herA2WhichA2evaluationA2shouldA2beA2performedA2firstA2-A2Ans--
A2OrderingA2aA2transthoracicA2echocardiogram