NURS 5463 TEST 1 UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS VERIFIED 2027 EDITION
1. Atypical s/s of AMI in older adults
diaphoresis, SOB, N/V, AMS, syncope
2. What differential diagnoses are most important when presenting with chest pain?
AMI, PE, PTX, aortic dissection, esophageal rupture
3. What is considered ST elevation in men and women?
Men = 2mm Women = 1.5mm OR new LBBB in 2 leads
4. Which troponin is more specific? I or T?
Troponin I is more specific
5. How often to check troponins?
Q6h
6. What 2 things can exclude PE?
Negative DDIMER & low Wells score
7. Paradoxical abd movement during inspiration indicates...
impending respiratory failure...indicates fatigue
8. If a pt c/o dyspnea, it's always important to determine if...
they have a problem with gas exchange
9. Hypoxia
Reduced level of tissue oxygenation
10. Hypoxemia
decrease in partial pressure of oxygen in the blood
11. Causes of hypoventilation? Treatment?
CNS dep, narcs, obesity, A-a gradient, elevated CO2.....corrects with oxygen
12. Most common cause of hypoxia
VQ mismatch
13. Causes of VQ mismatch
COPD, asthma, ILD, PNA, increased A-a gradient
14. Does VQ mismatch improve with O2?
Yes
15. Causes of right to left shunt?
anatomic (heart problems), physiologic (PNA, ARDs, atelectasis)
16. Does right to left shunt respond to oxygen?
difficult to correct with O2
1
ANSWERS VERIFIED 2027 EDITION
1. Atypical s/s of AMI in older adults
diaphoresis, SOB, N/V, AMS, syncope
2. What differential diagnoses are most important when presenting with chest pain?
AMI, PE, PTX, aortic dissection, esophageal rupture
3. What is considered ST elevation in men and women?
Men = 2mm Women = 1.5mm OR new LBBB in 2 leads
4. Which troponin is more specific? I or T?
Troponin I is more specific
5. How often to check troponins?
Q6h
6. What 2 things can exclude PE?
Negative DDIMER & low Wells score
7. Paradoxical abd movement during inspiration indicates...
impending respiratory failure...indicates fatigue
8. If a pt c/o dyspnea, it's always important to determine if...
they have a problem with gas exchange
9. Hypoxia
Reduced level of tissue oxygenation
10. Hypoxemia
decrease in partial pressure of oxygen in the blood
11. Causes of hypoventilation? Treatment?
CNS dep, narcs, obesity, A-a gradient, elevated CO2.....corrects with oxygen
12. Most common cause of hypoxia
VQ mismatch
13. Causes of VQ mismatch
COPD, asthma, ILD, PNA, increased A-a gradient
14. Does VQ mismatch improve with O2?
Yes
15. Causes of right to left shunt?
anatomic (heart problems), physiologic (PNA, ARDs, atelectasis)
16. Does right to left shunt respond to oxygen?
difficult to correct with O2
1
