NSG 6001 MIDTERM EXAM REVIEW – QUESTION
AND ANSWERS
Graduate Nursing Nsg 6001
Maintenance of an Isometric ST-segment during exercise is the response of?
A normal heart (Maintenance of an Isometric ST-segment during exercise is the response of a normal heart. )
The sensitivity of a routine ETT is effort dependent. What physiological changes occur during
effort in the routine ETT?
Increased coronary flow and increased systolic blood pressure (The physiological changes that occur during effort in the routine
ETT are increased coronary flow and increased systolic blood pressure.)
The diagnostic accuracy of stress testing is decreased among women compared to men for what
reasons?
Women usually have single vessel or non-obstructive disease (The diagnostic accuracy of stress testing is decreased among
women compared to men because women usually have single vessel or non-obstructive disease.)
What do you know regarding ischemia that is confined to only the posterior and or lateral
segments of the left ventricle? m
Difficult to detect by ETT (Ischemia that is confined to only the posterior and or lateral segments of the left ventricle is difficult
to detect by ETT, but that does not mean that ETT cannot detect ischemia limited to these functional areas of the heart. ) n
Your preceptor decides to add Doppler Flow studies to the echocardiogram exercise test for a
patient with a recent history of a holistic murmur best auscultated at the left steral boarder. The
patient has no history of cardiac surgeries. He asks you what might be the main advantages of
adding Doppler Flow for this particular patient. You know from your readings that there are
several reasons to add Doppler Flow and below are listed more than one correct reason. Your
best response for this specific case, however, would be that Doppler Flow studies would be of
what additive value during the echocardiogram study?
, Detect and evaluate blood shunting from a septal defect (Your best response for this specific case, however, would be that
Doppler Flow studies would detect and evaluate blood shunting from a septal defect.)
Your patient cannot sit on a bicycle and has difficulties walking a treadmill with limited capacity
for exercising. Still, you know that the ETT is the preferred test for CAD. You consider adding a
pharmacological agent to get to maximum heart rate. What agent would be the most commonly
used agent to assist in an ETT?
Dobutamine (The pharmacological agent most commonly used to assist in an ETT is dobutamine.)
Medicare covers inpatient hospital services under which part of the Medicare insurance?
Part A (Medicare covers inpatient hospital services under Part A. )
Medicare hospital insurance (Part A) is funded through what system?
Federal payroll taxes (Medicare Part A is funded through federal payroll taxes. )
Your patient has a maximum age-predicted heart rate of 180. During the exercise he reaches a
heart rate of 140 and then states he can no longer exercise. You see evidence of ischemic
changes on the ECG. This would be predictive of what condition?
Significant CAD (This scenario is predictive of significant CAD.)
Your patient underwent an exercise stress test for CAD. There is significant elevation of the ST-
segment. What do you need to know about these changes to manage your patient’s care?
These changes have minimal predictive value for CAD (Significant elevation of the ST-segment has minimal predictive value for
CAD. )
What purpose does the principle of fidelity serve in the provider/patient relationship?
AND ANSWERS
Graduate Nursing Nsg 6001
Maintenance of an Isometric ST-segment during exercise is the response of?
A normal heart (Maintenance of an Isometric ST-segment during exercise is the response of a normal heart. )
The sensitivity of a routine ETT is effort dependent. What physiological changes occur during
effort in the routine ETT?
Increased coronary flow and increased systolic blood pressure (The physiological changes that occur during effort in the routine
ETT are increased coronary flow and increased systolic blood pressure.)
The diagnostic accuracy of stress testing is decreased among women compared to men for what
reasons?
Women usually have single vessel or non-obstructive disease (The diagnostic accuracy of stress testing is decreased among
women compared to men because women usually have single vessel or non-obstructive disease.)
What do you know regarding ischemia that is confined to only the posterior and or lateral
segments of the left ventricle? m
Difficult to detect by ETT (Ischemia that is confined to only the posterior and or lateral segments of the left ventricle is difficult
to detect by ETT, but that does not mean that ETT cannot detect ischemia limited to these functional areas of the heart. ) n
Your preceptor decides to add Doppler Flow studies to the echocardiogram exercise test for a
patient with a recent history of a holistic murmur best auscultated at the left steral boarder. The
patient has no history of cardiac surgeries. He asks you what might be the main advantages of
adding Doppler Flow for this particular patient. You know from your readings that there are
several reasons to add Doppler Flow and below are listed more than one correct reason. Your
best response for this specific case, however, would be that Doppler Flow studies would be of
what additive value during the echocardiogram study?
, Detect and evaluate blood shunting from a septal defect (Your best response for this specific case, however, would be that
Doppler Flow studies would detect and evaluate blood shunting from a septal defect.)
Your patient cannot sit on a bicycle and has difficulties walking a treadmill with limited capacity
for exercising. Still, you know that the ETT is the preferred test for CAD. You consider adding a
pharmacological agent to get to maximum heart rate. What agent would be the most commonly
used agent to assist in an ETT?
Dobutamine (The pharmacological agent most commonly used to assist in an ETT is dobutamine.)
Medicare covers inpatient hospital services under which part of the Medicare insurance?
Part A (Medicare covers inpatient hospital services under Part A. )
Medicare hospital insurance (Part A) is funded through what system?
Federal payroll taxes (Medicare Part A is funded through federal payroll taxes. )
Your patient has a maximum age-predicted heart rate of 180. During the exercise he reaches a
heart rate of 140 and then states he can no longer exercise. You see evidence of ischemic
changes on the ECG. This would be predictive of what condition?
Significant CAD (This scenario is predictive of significant CAD.)
Your patient underwent an exercise stress test for CAD. There is significant elevation of the ST-
segment. What do you need to know about these changes to manage your patient’s care?
These changes have minimal predictive value for CAD (Significant elevation of the ST-segment has minimal predictive value for
CAD. )
What purpose does the principle of fidelity serve in the provider/patient relationship?
