NURS 620 ADULT 1 EXAM 2 MARYVILLE QUESTIONS AND ANSWERS
GRADED A+
Which group would most benefit from statins?
a. Those with a low density lipoprotein-cholesterol greater than 100 mg/dL
b. Individuals with clinical arteriosclerotic cardiovascular disease
c. Individuals with a 10-year risk greater than 10%
d. Individuals of all ages with diabetes mellitus (DM) - (answer)B
Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific
diagnostic test might help determine the cause?
a. Serum calcium
b. Electrocardiogram (ECG)
c. Thyroid-stimulating hormone test
d. Complete blood cell count - (answer)A
If chest pain can be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
a. Peptic ulcer
b. Hiatal hernia
c. Costochondritis
d. Pericarditis - (answer)C
A blood pressure (BP) of 150/90 is considered:
a. Stage 2 hypertension
b. Hypertensive
c. Normal in healthy older adults
d. Acceptable if the patient has DM - (answer)C
,Lifestyle modifications to manage hypertension (HTN) include:
a. Maintaining a body mass index of 17
b. Restricting dietary sodium to 2 grams per day
c. Engaging in exercise or physical activity for 90 minutes a day
d. Limiting beer intake to 24 ounces per day - (answer)D
Mary has hypertension and previously had a stroke. Which hypertensive drug would you order
for her?
a. Angiotensin converting enzyme inhibitor
b. Calcium channel blocker
c. Angiotensin II receptor blocker
d. Beta blocker - (answer)A
Which high-density lipoprotein (HDL) level is considered cardioprotective?
a. Greater than 30
b. Greater than 40
c. Greater than 50
d. Greater than 60 - (answer)D
You are assessing Sigred for metabolic syndrome. Which of her parameters is indicative of this
syndrome?
a. Her waist is 36 inches.
b. Her triglyceride level is 140 mg/dL.
c. Her BP is 128/84.
d. Her fasting blood sugar (BS) is 108 mg/dL. - (answer)A
Which type of angina do you suspect in Harvey, who complains of chest pain that occurs during
sleep and most often in the early morning hours?
a. Stable angina
, b. Unstable angina
c. Variant (Prinzmetal's angina)
d. Probably not angina but hiatal hernia - (answer)C
Which ECG change is typical of cardiac ischemia?
a. T-wave inversion
b. ST-segment elevation
c. Significant Q wave
d. U-wave - (answer)A
In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen until a
beat is dropped?
a. First-degree AV block
b. Second-degree Mobitz I AV block
c. Second-degree Mobitz II AV block
d. Third-degree AV block - (answer)B
A Delta wave on the ECG may be present in which condition?
a. Prinzmetal's angina
b. Bundle branch block
c. Wolff-Parkinson-White syndrome
d. Aortic stenosis - (answer)C
Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic heart
disease?
a. A physiologic split S2
b. A fixed split S2
c. S3
d. S4 - (answer)D
GRADED A+
Which group would most benefit from statins?
a. Those with a low density lipoprotein-cholesterol greater than 100 mg/dL
b. Individuals with clinical arteriosclerotic cardiovascular disease
c. Individuals with a 10-year risk greater than 10%
d. Individuals of all ages with diabetes mellitus (DM) - (answer)B
Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific
diagnostic test might help determine the cause?
a. Serum calcium
b. Electrocardiogram (ECG)
c. Thyroid-stimulating hormone test
d. Complete blood cell count - (answer)A
If chest pain can be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
a. Peptic ulcer
b. Hiatal hernia
c. Costochondritis
d. Pericarditis - (answer)C
A blood pressure (BP) of 150/90 is considered:
a. Stage 2 hypertension
b. Hypertensive
c. Normal in healthy older adults
d. Acceptable if the patient has DM - (answer)C
,Lifestyle modifications to manage hypertension (HTN) include:
a. Maintaining a body mass index of 17
b. Restricting dietary sodium to 2 grams per day
c. Engaging in exercise or physical activity for 90 minutes a day
d. Limiting beer intake to 24 ounces per day - (answer)D
Mary has hypertension and previously had a stroke. Which hypertensive drug would you order
for her?
a. Angiotensin converting enzyme inhibitor
b. Calcium channel blocker
c. Angiotensin II receptor blocker
d. Beta blocker - (answer)A
Which high-density lipoprotein (HDL) level is considered cardioprotective?
a. Greater than 30
b. Greater than 40
c. Greater than 50
d. Greater than 60 - (answer)D
You are assessing Sigred for metabolic syndrome. Which of her parameters is indicative of this
syndrome?
a. Her waist is 36 inches.
b. Her triglyceride level is 140 mg/dL.
c. Her BP is 128/84.
d. Her fasting blood sugar (BS) is 108 mg/dL. - (answer)A
Which type of angina do you suspect in Harvey, who complains of chest pain that occurs during
sleep and most often in the early morning hours?
a. Stable angina
, b. Unstable angina
c. Variant (Prinzmetal's angina)
d. Probably not angina but hiatal hernia - (answer)C
Which ECG change is typical of cardiac ischemia?
a. T-wave inversion
b. ST-segment elevation
c. Significant Q wave
d. U-wave - (answer)A
In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen until a
beat is dropped?
a. First-degree AV block
b. Second-degree Mobitz I AV block
c. Second-degree Mobitz II AV block
d. Third-degree AV block - (answer)B
A Delta wave on the ECG may be present in which condition?
a. Prinzmetal's angina
b. Bundle branch block
c. Wolff-Parkinson-White syndrome
d. Aortic stenosis - (answer)C
Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic heart
disease?
a. A physiologic split S2
b. A fixed split S2
c. S3
d. S4 - (answer)D
