WEEK 3 PRACTICE EXAM | NR 667 | Chamberlain University-Illinois |
Questions with 100% Verified Answers | Latest Update
Question: An older adult with diabetes mellitus presents with leg
cramps. She states that the cramps were worst when walking to the
supermarket. If she stops to rest, the pain subsides. The nurse
practitioner knows that this patient needs a workup for:
Benign nocturnal leg cramps Popliteal aneurism Intermittent
claudication Deep vein thrombosis
Answer:
Intermittent claudication
Question: A patient has been complaining of palpitations for the past
week and presents to you at an urgent care clinic for evaluation. You
perform a 12 lead EKG and identify atrial fibrillation with a hear rate of
122 beats per minute. What is your next order?
Apply a Holter monitor Administer 150mg of amiodarone IV bolus
Order a stat transthoracic (2D) echocardiogram and prepare the patient
for transport to the closest appropriate hospital for inpatient evaluation
Administer 5mg of warfarin
Answer:
Order a stat transthoracic (2D) echocardiogram and prepare the patient for transport to the
closest appropriate hospital for inpatient evaluation
Question: Preventive cardiac care should focus primarily on addressing
all the following except? Smoking cessation Medication compliance
Genetic predisposition Daily exercise
Answer:
Genetic predisposition
Question: A 70-year-old man with a history of atrial fibrillation
presents with sudden-onset left-sided weakness and slurred speech.
What is the most likely diagnosis? Transient ischemic attack (TIA)
Stroke Seizure Myocardial infarction (MI)
Answer:
Stroke
,Question: At a follow up from a hospitalization, an adult patient
presents with ankle edema. Which of the following medications is the
most likely cause of the edema?
Norvasc Nebivolol Metformin HCTZ
Answer:
Norvasc
Question: A 60-year-old man with a history of hypertension and
diabetes presents with a new-onset headache and visual disturbances.
His blood pressure is 200/110 mmHg. What is the most appropriate
management?
Advise dietary changes Prescribe antihypertensive medication and
follow up in a week Start insulin therapy Refer to the emergency
department
Answer:
Refer to the emergency department
Question: Your patient presents with bradycardia, severe nausea, and
substernal pain. STEMI was identified on the EKG. Which region of the
heart is most likely involved? Septal Wall Inferior Wall Lateral Wall
Anterior Wall
Answer:
Inferior Wall
Question: A 45-year-old man presents with chest pain radiating to the
left arm, diaphoresis, and shortness of breath. His ECG shows
ST-segment elevation. What is the initial management response?
Administer nitroglycerin sublingually Perform immediate coronary
angiography Administer aspirin and call for emergency medical services
Start intravenous heparin
Answer:
Administer aspirin and call for emergency medical services
,Question: A patient presenting with symptoms of hypotension,
narrowed pulse pressures, muffled heart tones, and jugular venous
distention is most likely experiencing which of the following
life-threatening conditions?
Tension pneumothorax Pericardial tamponade Cardiac contusion
Pericarditis
Answer:
Pericardial tamponade
Question: What is the key long-term benefit of using carvedilol for
patients with coronary artery disease and heart failure with reduced
ejection fraction (HFrEF)?
Potential increase in ejection fraction Increase in libido Baseline
reduction of blood pressure Reduction in cardiac output
Answer:
Potential increase in ejection fraction
Question: A patient is having increased thirst and urination. You have
ruled out diabetes mellitus. After a compete history and physical you
suspect diabetes insipidus. Your initial lab tests should include?
Plasma sodium, 24-hour urine osmolality and volume Renal US and
24-hour urine for volume Recording Intake and output Plasma sodium
and renal US
Answer:
Plasma sodium, 24-hour urine osmolality and volume
Question: An adult female recently returned for a recheck appointment.
The only remarkable laboratory result is for thyroid-stimulating
hormone (TSH), at 0.3 microunits/mL (normal = 0.4-6 microunits/mL).
The patient reports that her neck hurts; examination reveals thyroid
tenderness. Which of the following laboratory tests should the nurse
practitioner order now?
Triiodothyronine (T3) only D Triiodothyronine (T3) and free
triiodothyronine (FT3) Triiodothyronine (T3) resin uptake assay
Triiodothyronine (T3) and free thyroxine (FT4)
Answer:
Triiodothyronine (T3) and free thyroxine (FT4)
, Question: Which of the following is produced in the pancreas and
counteracts hypoglycemia?
Growth hormone Glucagon Pancrease Insulin
Answer:
Glucagon
Question: An adult patient with type 2 diabetes mellitus returns at the
nurse practitioner's request to discuss medication management. Current
medications include metformin (Glucophage), 1000 mg twice daily,
sitagliptin (Januvia), 10 mg daily, and insulin detemir (Levemir), 60 U
daily. Lab values are:
A1c = 10.4% [normal = less than 7.0%], fasting blood glucose =
180-190 mg/dL range [normal = less than 99 mg/dL]. Which of the
following regimens should the nurse practitioner recommend?
Switching to glargine (Lantus) Basal insulin only, continuing oral
medications Basal and rapid-acting insulin Rapid-acting insulin only,
continuing oral medications
Answer:
Basal and rapid-acting insulin
Question: Your patient has a diagnosis of Hashimoto's and is on
Levothyroxine 75 mcg daily. Her recent TSH was elevated at 15
uU/mL. Your next best action is to:
Repeat anti-thyroperoxidase antibodies (anti-TPO) Assess for symptoms
and recheck TSH in 8 weeks Increase Levothyroxine to 100 mcg daily
Decrease Levothyroxine to 50 mcg daily
Answer:
Increase Levothyroxine to 100 mcg daily
Questions with 100% Verified Answers | Latest Update
Question: An older adult with diabetes mellitus presents with leg
cramps. She states that the cramps were worst when walking to the
supermarket. If she stops to rest, the pain subsides. The nurse
practitioner knows that this patient needs a workup for:
Benign nocturnal leg cramps Popliteal aneurism Intermittent
claudication Deep vein thrombosis
Answer:
Intermittent claudication
Question: A patient has been complaining of palpitations for the past
week and presents to you at an urgent care clinic for evaluation. You
perform a 12 lead EKG and identify atrial fibrillation with a hear rate of
122 beats per minute. What is your next order?
Apply a Holter monitor Administer 150mg of amiodarone IV bolus
Order a stat transthoracic (2D) echocardiogram and prepare the patient
for transport to the closest appropriate hospital for inpatient evaluation
Administer 5mg of warfarin
Answer:
Order a stat transthoracic (2D) echocardiogram and prepare the patient for transport to the
closest appropriate hospital for inpatient evaluation
Question: Preventive cardiac care should focus primarily on addressing
all the following except? Smoking cessation Medication compliance
Genetic predisposition Daily exercise
Answer:
Genetic predisposition
Question: A 70-year-old man with a history of atrial fibrillation
presents with sudden-onset left-sided weakness and slurred speech.
What is the most likely diagnosis? Transient ischemic attack (TIA)
Stroke Seizure Myocardial infarction (MI)
Answer:
Stroke
,Question: At a follow up from a hospitalization, an adult patient
presents with ankle edema. Which of the following medications is the
most likely cause of the edema?
Norvasc Nebivolol Metformin HCTZ
Answer:
Norvasc
Question: A 60-year-old man with a history of hypertension and
diabetes presents with a new-onset headache and visual disturbances.
His blood pressure is 200/110 mmHg. What is the most appropriate
management?
Advise dietary changes Prescribe antihypertensive medication and
follow up in a week Start insulin therapy Refer to the emergency
department
Answer:
Refer to the emergency department
Question: Your patient presents with bradycardia, severe nausea, and
substernal pain. STEMI was identified on the EKG. Which region of the
heart is most likely involved? Septal Wall Inferior Wall Lateral Wall
Anterior Wall
Answer:
Inferior Wall
Question: A 45-year-old man presents with chest pain radiating to the
left arm, diaphoresis, and shortness of breath. His ECG shows
ST-segment elevation. What is the initial management response?
Administer nitroglycerin sublingually Perform immediate coronary
angiography Administer aspirin and call for emergency medical services
Start intravenous heparin
Answer:
Administer aspirin and call for emergency medical services
,Question: A patient presenting with symptoms of hypotension,
narrowed pulse pressures, muffled heart tones, and jugular venous
distention is most likely experiencing which of the following
life-threatening conditions?
Tension pneumothorax Pericardial tamponade Cardiac contusion
Pericarditis
Answer:
Pericardial tamponade
Question: What is the key long-term benefit of using carvedilol for
patients with coronary artery disease and heart failure with reduced
ejection fraction (HFrEF)?
Potential increase in ejection fraction Increase in libido Baseline
reduction of blood pressure Reduction in cardiac output
Answer:
Potential increase in ejection fraction
Question: A patient is having increased thirst and urination. You have
ruled out diabetes mellitus. After a compete history and physical you
suspect diabetes insipidus. Your initial lab tests should include?
Plasma sodium, 24-hour urine osmolality and volume Renal US and
24-hour urine for volume Recording Intake and output Plasma sodium
and renal US
Answer:
Plasma sodium, 24-hour urine osmolality and volume
Question: An adult female recently returned for a recheck appointment.
The only remarkable laboratory result is for thyroid-stimulating
hormone (TSH), at 0.3 microunits/mL (normal = 0.4-6 microunits/mL).
The patient reports that her neck hurts; examination reveals thyroid
tenderness. Which of the following laboratory tests should the nurse
practitioner order now?
Triiodothyronine (T3) only D Triiodothyronine (T3) and free
triiodothyronine (FT3) Triiodothyronine (T3) resin uptake assay
Triiodothyronine (T3) and free thyroxine (FT4)
Answer:
Triiodothyronine (T3) and free thyroxine (FT4)
, Question: Which of the following is produced in the pancreas and
counteracts hypoglycemia?
Growth hormone Glucagon Pancrease Insulin
Answer:
Glucagon
Question: An adult patient with type 2 diabetes mellitus returns at the
nurse practitioner's request to discuss medication management. Current
medications include metformin (Glucophage), 1000 mg twice daily,
sitagliptin (Januvia), 10 mg daily, and insulin detemir (Levemir), 60 U
daily. Lab values are:
A1c = 10.4% [normal = less than 7.0%], fasting blood glucose =
180-190 mg/dL range [normal = less than 99 mg/dL]. Which of the
following regimens should the nurse practitioner recommend?
Switching to glargine (Lantus) Basal insulin only, continuing oral
medications Basal and rapid-acting insulin Rapid-acting insulin only,
continuing oral medications
Answer:
Basal and rapid-acting insulin
Question: Your patient has a diagnosis of Hashimoto's and is on
Levothyroxine 75 mcg daily. Her recent TSH was elevated at 15
uU/mL. Your next best action is to:
Repeat anti-thyroperoxidase antibodies (anti-TPO) Assess for symptoms
and recheck TSH in 8 weeks Increase Levothyroxine to 100 mcg daily
Decrease Levothyroxine to 50 mcg daily
Answer:
Increase Levothyroxine to 100 mcg daily
