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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
,6531 Nrnp Combined Midterm And Final Review Exam Questions
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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.)
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
,6531 Nrnp Combined Midterm And Final Review Exam Questions
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Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
Admit to the hospital for evaluation and treatment - CORRECT
ANSWERS An African-American 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
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
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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