NR 661 Cardiovascular Exam Questions with Correct Answers

NR 661 Cardiovascular Exam Questions with Correct Answers A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI) a. 5th intercostal space (ICS) midclavicular line (MCL) b. 8th ICS MCL c. 5th ICS, left of MCL d. 6th ICS, right of MCL - Answer-c. 5th ICS, left of MCL Valve most commonly involved in chronic rheumatic heart disease is the: a. aortic b. mitral c. pulmonic d. tricuspid - Answer-b. mitral A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for the past 4 weeks. How should the nurse practitioner proceed? BP-155/95; 145/90 a. wait 4 weeks before making a dosage change b. increase the hydrochlorothiazide to 50mg daily c. add a drug from another class to the daily 25 mg hydrochlorothiazide d. stop the hydrochlorothiazide and start a drug from a different class - Answer-c. add a drug from another class to the daily 25 mg hydrochlorothiazide Which choice below would be the best choice for an 80-year old patient whose blood pressure is 172/72 a. chlorthalidone b. amlodipine c. monopril d. acebutolol - Answer-b. amlodipine The diagnosis of mitral valve prolapse can be confirmed by: a. physical examination b. electrocardiography c. echocardiography d. chest xray - Answer-c. echocardiography