1|Page
MSN 622 FINAL EXAM LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A 65-year-old woman with claudication symptoms for the last six
months presents to the clinic for evaluation. The patient has a
history of diabetes and hypertension. She denies smoking.
Physical exam shows palpable pulses on the bilateral lower
extremities. Ankle-brachial index done at bedside shows a 1.1 on
the right and 1.0 on the left lower extremity. What is the next best
step in the management of this patient? - ANSWER-Repeat
ankle-brachial index after exercise
A 65-year-old man presents with palpitations and dyspnea without
chest pain or lightheadedness. His medical history is significant
for hypertension and hyperthyroidism. A 12-lead ECG is shown
below. What is the mechanism of this patient's arrhythmia? -
ANSWER-Micro-reentry
A 65-year-old man presents to the emergency department with
chest pain, palpitations, and dyspnea. The client has a past
medical history significant for hypertension and hyperthyroidism.
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An electrocardiogram (EKG) is performed, as shown in the figure.
Initial medical management is initiated. Which of the following is
the most appropriate initial objective of this patient's treatment? -
A 65-year-old man presents to the emergency ANSWER-
Decrease the ventricular rate below 100/min
department with palpitations, lightheadedness, and chest
discomfort. He has a history of hypertension and mitral stenosis.
His vital signs include a heart rate of 141/minute, blood pressure
of 110/78 mm Hg, and oxygen saturation of 97% on room air. A
12-lead electrocardiogram is shown. Which of the following best
describes the rate of atrial activity associated with this patient's
condition? - ANSWER-More than 350/minute
A 45-year-old man presents for a two-month history of worsening
dyspnea. He denies a history of fever and sore throat with joint
pain during childhood. On examination, he is found to have
displaced, thrusting apex beats and a systolic murmur. His
echocardiographic images are shown below. What is the definitive
management for this patient's condition? - ANSWER-Mitral valve
repair or replacement
,3|Page
A 65-year-old man presents with complaints of palpitation,
dizziness, and dyspnea for the past 2 hours. The patient has a
past medical history significant for hypertension, diabetes
mellitus, and hyperthyroidism. An electrocardiogram (ECG) is
shown. After initial stabilization, the patient is discharged with a
Holter monitor and asked to return after 7 days. At his next visit,
ECG tracings show similar findings as seen on his first visit. The
patient's condition can be classified as which of the following? -
ANSWER-Persistent atrial fibrillation
A 65-year-old man presents with complaints of palpitations,
dyspnea, and chest discomfort. The patient has hypertension and
diabetes mellitus. His blood pressure is 140/90 mmHg, heart rate
120/min, and respiratory rate 23/min. An electrocardiogram is
performed, which is shown in the image. Which of the following
valvular diseases is associated with this patient's condition? -
ANSWER-Mitral stenosis
A 75-year-old man with a history of hypertension presents to the
emergency department with dizziness, lightheadedness, and
palpitations that started this morning. He reports occasional
palpitations at home while climbing stairs or doing heavy work,
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but these episodes do not last more than a few minutes. His blood
pressure is 95/70 mm Hg, heart rate 125 bpm, respiratory rate 22
breaths/min, and oxygen saturation 95% on room air. The
physical examination findings are unremarkable. An
electrocardiogram is negative for ST-segment changes or T-wave
abnormalities. A rhythm strip is shown below. What is the best
next step in the management of this patient? - ANSWER-
Intravenous fluid bolus followed by intravenous metoprolol
What is the most appropriate goal while treating a patient with
atrial fibrillation? - ANSWER-To reduce the ventricular response
rate below 100 beats/minute
A 65-year-old man presents with an enlarging, painless thyroid
nodule. Laboratory testing shows an elevated thyroid stimulating
hormone level and a positive anti-thyroid peroxidase and anti-
thyroglobulin antibodies. Histological exam shows dense
lymphoplasmacytic infiltrate with the formation of lymphoid
follicles. What is this patient at risk for developing? - ANSWER-
Lymphoma
MSN 622 FINAL EXAM LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A 65-year-old woman with claudication symptoms for the last six
months presents to the clinic for evaluation. The patient has a
history of diabetes and hypertension. She denies smoking.
Physical exam shows palpable pulses on the bilateral lower
extremities. Ankle-brachial index done at bedside shows a 1.1 on
the right and 1.0 on the left lower extremity. What is the next best
step in the management of this patient? - ANSWER-Repeat
ankle-brachial index after exercise
A 65-year-old man presents with palpitations and dyspnea without
chest pain or lightheadedness. His medical history is significant
for hypertension and hyperthyroidism. A 12-lead ECG is shown
below. What is the mechanism of this patient's arrhythmia? -
ANSWER-Micro-reentry
A 65-year-old man presents to the emergency department with
chest pain, palpitations, and dyspnea. The client has a past
medical history significant for hypertension and hyperthyroidism.
,2|Page
An electrocardiogram (EKG) is performed, as shown in the figure.
Initial medical management is initiated. Which of the following is
the most appropriate initial objective of this patient's treatment? -
A 65-year-old man presents to the emergency ANSWER-
Decrease the ventricular rate below 100/min
department with palpitations, lightheadedness, and chest
discomfort. He has a history of hypertension and mitral stenosis.
His vital signs include a heart rate of 141/minute, blood pressure
of 110/78 mm Hg, and oxygen saturation of 97% on room air. A
12-lead electrocardiogram is shown. Which of the following best
describes the rate of atrial activity associated with this patient's
condition? - ANSWER-More than 350/minute
A 45-year-old man presents for a two-month history of worsening
dyspnea. He denies a history of fever and sore throat with joint
pain during childhood. On examination, he is found to have
displaced, thrusting apex beats and a systolic murmur. His
echocardiographic images are shown below. What is the definitive
management for this patient's condition? - ANSWER-Mitral valve
repair or replacement
,3|Page
A 65-year-old man presents with complaints of palpitation,
dizziness, and dyspnea for the past 2 hours. The patient has a
past medical history significant for hypertension, diabetes
mellitus, and hyperthyroidism. An electrocardiogram (ECG) is
shown. After initial stabilization, the patient is discharged with a
Holter monitor and asked to return after 7 days. At his next visit,
ECG tracings show similar findings as seen on his first visit. The
patient's condition can be classified as which of the following? -
ANSWER-Persistent atrial fibrillation
A 65-year-old man presents with complaints of palpitations,
dyspnea, and chest discomfort. The patient has hypertension and
diabetes mellitus. His blood pressure is 140/90 mmHg, heart rate
120/min, and respiratory rate 23/min. An electrocardiogram is
performed, which is shown in the image. Which of the following
valvular diseases is associated with this patient's condition? -
ANSWER-Mitral stenosis
A 75-year-old man with a history of hypertension presents to the
emergency department with dizziness, lightheadedness, and
palpitations that started this morning. He reports occasional
palpitations at home while climbing stairs or doing heavy work,
, 4|Page
but these episodes do not last more than a few minutes. His blood
pressure is 95/70 mm Hg, heart rate 125 bpm, respiratory rate 22
breaths/min, and oxygen saturation 95% on room air. The
physical examination findings are unremarkable. An
electrocardiogram is negative for ST-segment changes or T-wave
abnormalities. A rhythm strip is shown below. What is the best
next step in the management of this patient? - ANSWER-
Intravenous fluid bolus followed by intravenous metoprolol
What is the most appropriate goal while treating a patient with
atrial fibrillation? - ANSWER-To reduce the ventricular response
rate below 100 beats/minute
A 65-year-old man presents with an enlarging, painless thyroid
nodule. Laboratory testing shows an elevated thyroid stimulating
hormone level and a positive anti-thyroid peroxidase and anti-
thyroglobulin antibodies. Histological exam shows dense
lymphoplasmacytic infiltrate with the formation of lymphoid
follicles. What is this patient at risk for developing? - ANSWER-
Lymphoma
