6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers

Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an emergency department with symptoms of acute ST-segment elevation MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the initial treatment for this patient? Give the patient an oral beta blocker Transfer to the PCI-capable institution Administer heparin Initiate fibrinolytic treatment previous myocardial infarction. a low-density lipoprotein (LDL) level >190 mg/dL. a 10 year risk score of 8% with an LDL of 80 mg/dL. - CORRECT ANSWERS Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular disease are those with a history of (Select all that apply.) previous myocardial infarction. a low-density lipoprotein (LDL) level >190 mg/dL. diabetes and an LDL between 40 and 70 mg/dL. a 10 year risk score of 8% with an LDL of 80 mg/dL. a 10 year risk score of 5% and an LDL of 165 mg/dL. Cauda equina syndrome - CORRECT ANSWERS A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves after sitting for 30 minutes or more. What the does provider suspect as the cause for these symptoms? Buerger's disease Cauda equina syndrome Diabetic neuropathy Peripheral arterial disease Oral contraceptives NSAIDS Sleep apnea - CORRECT ANSWERS Which are causes of secondary hypertension? (Select all that apply.) 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ Oral contraceptives Isometic excercises NSAIDS Sleep apnea Increased salt intake Assessment of gasping breaths or not breathing - CORRECT ANSWERS A health care provider in a clinic finds a patient in a room, unresponsive and pale. Which sign should be used to identify the need to initiate cardiopulmonary resuscitation (CPR)? Evaluation of peripheral perfusion and level of consciousness Obtaining a history of previous myocardial infarction Determination of pulselessness or bradycardia Assessment of gasping breaths or not breathing Admit to the hospital for evaluation and treatment - CORRECT ANSWERS An AfricanAmerican patient who is being treated with a thiazide diuretic for chronic hypertension reports blurred vision and shortness of breath. The provider notes a blood pressure of 185/115. What is the recommended action for this patient? Increase the dose of the thiazide medication Add a beta blocker to the patient's regimen Admit to the hospital for evaluation and treatment Prescribe a calcium channel blocker Atrial fibrillation - CORRECT ANSWERS A patient reports sustained, irregular heart palpitations. What is the most likely cause of these symptoms? Atrial fibrillation Anemia Extrasystole Paroxysmal attacks 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ Hypertrophic cardiomyopathy - CORRECT ANSWERS A patient has a cardiac murmur that peaks in midsystole and is best heard along the left sternal border. The provider determines that the murmur decreases in intensity when the patient changes from standing to squatting and increases in intensity with the Valsalva maneuver. Which cause will the provider suspect for this murmur? Aortic stenosis Tricuspid regurgitation Hypertrophic cardiomyopathy Mitral valve prolapse Consult with cardiology to determine appropriate diagnostic tests - CORRECT ANSWERS A young female patient has known mitral valve prolapse. During a routine health maintenance exam, the provider notes an apical systolic murmur and a midsystolic click on auscultation. The patient denies chest pain, syncope, or palpitations. What will the provider do? Reassure the patient that these findings are expected Continue to monitor the patient every 3 years Admit the patient to the hospital for evaluation and treatment Consult with cardiology to determine appropriate diagnostic tests US of the mass to determine size - CORRECT ANSWERS A patient reports abdominal and back pain with anorexia and nausea. During an exam, the provider notes a pulsatile abdominal mass. What is the initial action? Scheduling an MRI to evaluate for aortic disease Immediate referral to a thoracic surgeon US of the mass to determine size Ordering CT angiography Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an emergency department with symptoms of acute ST-segment elevations MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the initial treatment for this patient? Give the patient an oral beta blocker Initiate fibrinolytic treatment Administer heparin 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ Transfer to the PCI-capable institution Order urinalysis, CBC, BUN and creatinine - CORRECT ANSWERS A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient denies headaches, palpitations, snoring, muscle weakness, and nocturia and does not take any medications. What will the provider do next to evaluate this patient? Continue to monitor blood pressure at each health maintenance visit Assess serum cortisol levels Order urinalysis, CBC, BUN and creatinine Refer to specialist for sleep study Walking to the point of pain each day - CORRECT ANSWERS A patient is diagnosed with PAD and elects to not have angioplasty after an angiogram reveals partial obstruction in lower extremity arteries. What will the provider recommend to help with relief of symptoms in this patient? Statin therapy with clopidogrel Walking to the point of pain each day Daily aspirin therapy to prevent clotting Walking slowly for 15 to 20 minutes twice daily Evaluate the patient's orthostatic vital signs - CORRECT ANSWERS An adult patient reports frequent episodes of syncope and lightheadedness. The provider notes a heart rate of 70 beats per minute. What will the provider do next? Order an electrocardiogram and exercise stress test Monitor the patient's heart rate while the patient is bearing down Evaluate the patient's orthostatic vital signs Reassure the patient that the symptoms are non-cardiac in origin Ventricular fibrillation - CORRECT ANSWERS The AHA recommends early CPR and AED use for adult victims of cardiac arrest outside of a hospital setting because most victims have which arrhythmia? Atrial flutter Ventricular fibrillation 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ Atrial fibrillation Ventricular tachycardia Using a vagal maneuver or carotid massage - CORRECT ANSWERS A child with a history of asthma is brought to the clinic with a rapid heart rate. A cardiac monitor shows a heart rate of 225 beats per minute. The provider notifies transport to take the child to the child emergency department. What initial intervention may be attempted in the clinic? Administration of intravenous adenosine Using a vagal maneuver or carotid massage Providing a loading dose of digoxin Giving a beta blocker Using a ratio of 2 rescue breaths to 30 compressions A rate of 100 compressions per minute at a minimum Untrained rescuers giving compressions without breaths - CORRECT ANSWERS Current American Heart Association (AHA) recommendations include: (Select all that apply.) Using a ratio of 2 rescue breaths to 30 compressions A compression depth of 1.5 inches or more on an adult A rate of 100 compressions per minute at a minimum Untrained rescuers giving compressions without breaths Rescue breaths given during 2 seconds to allow full chest rise Give the patient a beta blocker medication - CORRECT ANSWERS A patient reports recurrent chest pain that occurs regardless of activity and is not relieved by rest. The provider administers a nitroglycerin tablet which does not relieve the discomfort. What is the next action? Prescribe a calcium channel blocker medication Start aspirin therapy and refer the patient to a cardiologist Give the patient a beta blocker medication Administer a second nitroglycerin tablet Serial ultrasonographic surveillance of the aneurysm - CORRECT ANSWERS A 70-year-old male patient has an aortic aneurysm measuring 5.0 cm. The patient has poorly-controlled 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ 6531 Nrnp Combined Midterm And Final Review Exam Questions And Correct Verified Answers Latest Update 2024/2025 GRADED A+ hypertension, and decompensated heart failure. What is the recommendation for treatment for this patient? No intervention is necessary for this patient Immediate open surgical repair of the aneurysm Endovascular stent grafting of the aneurysm Serial ultrasonographic surveillance of the aneurysm Inappropriate secretion of PTH along with hypercalcemia - CORRECT ANSWERS Which laboratory values representing parathyroid hormone (PTH) and serum calcium are consistent with a diagnosis of primary hyperparathyroidism? Appropriately increased PTH and low or normal serum calcium Inappropriate secretion of PTH along with hypercalcemia Appropriately high PTH along with hypocalcemia Prolonged inappropriate secretion of PTH with subsequent hypercalcemia Hemoglobin A1C - CORRECT ANSWERS A patient who is obese has recurrent urinary tract infections and reports feeling tired most of the time. What initial diagnostic test will the provider order in the clinic at this visit? Hemoglobin A1C Random serum glucose C-peptide level Thyroid studies 0.2 uIU/L - CORRECT ANSWERS Which thyroid stimulating hormone (TSH) level indicates hyperthyroidism? (normal TSH is 0.3-4) 0.2 uIU/L 4.2 uIU/L 0.4 uIU/L 2.4 uIU/L Beta blocker medications - CORRECT ANSWERS A 20-year-old female patient with tachycardia and weight loss but no optic symptoms has the following laboratory values: