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MSN 622 FINAL EXAM LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||SURE PASS!!||
||BRANDNEW!!!||
A 65-year-old female patient presents with complaints of
progressive dyspnea on exertion for the past two weeks.
The patient has a past medical history of hypertension.
She has a 25-year smoking history but quit smoking 4
years ago. The patient reveals further that she initially had
dyspnea only on moderate exertion, but now it occurs with
activities like showering. The patient denies chest pain,
cough, or wheezing. Her medications include metformin,
amlodipine, and simvastatin. The patient appears
comfortable at rest. Currently, she is afebrile and
hemodynamically stable. Physical examination reveals
bibasilar crackles. The patient's troponin-T level is normal.
What changes are more likely to be seen on an
electrocardiogram (ECG) if this patient is a suspected
case of unstable angina? - Answer-Deep, symmetric T-
wave inversions in V2 and V3 accompanied by flat ST-
segment
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What heart sound would one hear in a patient with systolic
congestive heart failure (CHF)? - Answer-S3 heart sound
A 72-year-old man with a recent history of a large anterior
wall myocardial infarction complains of dyspnea on
exertion, orthopnea, and increasing pedal edema. There is
concern about congestive heart failure. Which of the
following would support the diagnosis? - Answer-A S3
gallop
Which of the following may be the initial presentation of
long-term hypertension? - Answer-Cerebrovascular
accident
A patient presents with shortness of breath. Rales are
heard in the lower lung fields. There is an S4.
Hepatojugular reflux is present. The chest x-ray shows
cardiomegaly and enlargement of the mediastinal veins.
Congestive heart failure is suspected. Reduced bloodflow
in the ascending aorta would not cause decreased blood
flow in which of the following arteries? - Answer-
Pulmonary artery
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A 65-year-old woman presents with intermittent, sudden-
onset chest pain and shortness of breath, which radiates
to her left jaw and arm. A history of present illness reveals
that the pain initially occurred with activity, but now it
occurs throughout the day. A review of systems is positive
for tiring easily with mild physical activity. Her medical
history is significant for hypertension and type 2 diabetes
mellitus. An electrocardiogram (ECG) and cardiac enzyme
markers are ordered. Which of the following tests will be
most helpful in differentiating unstable angina from a non-
ST segment elevation myocardial infarction (NSTEMI)? -
Answer-Troponin I
A 65-year-old man presents with a 4-hour history of
progressively worsening left chest pain that radiates to his
left neck. A history of present illness reveals minor
episodes of transient chest pain over the last 6 months
after climbing 2 flights of stairs or running. His past
medical history includes hypertension, type 2 diabetes
mellitus, and hyperlipidemia. His vital signs are oxygen
saturation 98% on room air, respiratory rate 18
breaths/min, heart rate 91 bpm, blood pressure 131/91
mm Hg, and temperature 98.6 °F (37 °C). A 12-lead
electrocardiogram (ECG) demonstrates ST depressions in
leads V5, V6, and aVL. The patient is administered
oxygen, morphine, nitroglycerin, and aspirin. What is the
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principle behind giving this patient nitroglycerin? - Answer-
To dilate the venous system and decrease cardiac
preload.
A 70-year-old patient comes to the clinic with complaints of
increased blood pressure. He was diagnosed with
hypertension 10 years ago. His other problems include
osteoporosis and hyperlipidemia. His readings range from
systolic 160 mmHg to 170 mmHg while diastolic falling in
between 70 mmHg to 90 mmHg. His current blood
pressure is 160/80 mmHg. His medications include
lisinopril, amlodipine, atorvastatin, calcium and vitamin D
supplements, and bisphosphonates. He does not exercise
and smokes a pack of cigarettes daily. He drinks two
glasses of beer every day. Family history is significant for
stroke in father and MI in his sister. Which of the following
is the most likely effect of increased blood pressure on his
heart? - Answer-Left ventricular (concentric) hypertrophy
A middle-aged patient with diabetes mellitus is referred to
the clinic by his primary care provider to diagnose heart
failure. The patient states that he does not have any
documentation or labs from his previous medical
encounters. Which of the following is the most significant
and earliest sign of heart failure? - Answer-An S3 gallop
MSN 622 FINAL EXAM LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||SURE PASS!!||
||BRANDNEW!!!||
A 65-year-old female patient presents with complaints of
progressive dyspnea on exertion for the past two weeks.
The patient has a past medical history of hypertension.
She has a 25-year smoking history but quit smoking 4
years ago. The patient reveals further that she initially had
dyspnea only on moderate exertion, but now it occurs with
activities like showering. The patient denies chest pain,
cough, or wheezing. Her medications include metformin,
amlodipine, and simvastatin. The patient appears
comfortable at rest. Currently, she is afebrile and
hemodynamically stable. Physical examination reveals
bibasilar crackles. The patient's troponin-T level is normal.
What changes are more likely to be seen on an
electrocardiogram (ECG) if this patient is a suspected
case of unstable angina? - Answer-Deep, symmetric T-
wave inversions in V2 and V3 accompanied by flat ST-
segment
,2|Page
What heart sound would one hear in a patient with systolic
congestive heart failure (CHF)? - Answer-S3 heart sound
A 72-year-old man with a recent history of a large anterior
wall myocardial infarction complains of dyspnea on
exertion, orthopnea, and increasing pedal edema. There is
concern about congestive heart failure. Which of the
following would support the diagnosis? - Answer-A S3
gallop
Which of the following may be the initial presentation of
long-term hypertension? - Answer-Cerebrovascular
accident
A patient presents with shortness of breath. Rales are
heard in the lower lung fields. There is an S4.
Hepatojugular reflux is present. The chest x-ray shows
cardiomegaly and enlargement of the mediastinal veins.
Congestive heart failure is suspected. Reduced bloodflow
in the ascending aorta would not cause decreased blood
flow in which of the following arteries? - Answer-
Pulmonary artery
,3|Page
A 65-year-old woman presents with intermittent, sudden-
onset chest pain and shortness of breath, which radiates
to her left jaw and arm. A history of present illness reveals
that the pain initially occurred with activity, but now it
occurs throughout the day. A review of systems is positive
for tiring easily with mild physical activity. Her medical
history is significant for hypertension and type 2 diabetes
mellitus. An electrocardiogram (ECG) and cardiac enzyme
markers are ordered. Which of the following tests will be
most helpful in differentiating unstable angina from a non-
ST segment elevation myocardial infarction (NSTEMI)? -
Answer-Troponin I
A 65-year-old man presents with a 4-hour history of
progressively worsening left chest pain that radiates to his
left neck. A history of present illness reveals minor
episodes of transient chest pain over the last 6 months
after climbing 2 flights of stairs or running. His past
medical history includes hypertension, type 2 diabetes
mellitus, and hyperlipidemia. His vital signs are oxygen
saturation 98% on room air, respiratory rate 18
breaths/min, heart rate 91 bpm, blood pressure 131/91
mm Hg, and temperature 98.6 °F (37 °C). A 12-lead
electrocardiogram (ECG) demonstrates ST depressions in
leads V5, V6, and aVL. The patient is administered
oxygen, morphine, nitroglycerin, and aspirin. What is the
, 4|Page
principle behind giving this patient nitroglycerin? - Answer-
To dilate the venous system and decrease cardiac
preload.
A 70-year-old patient comes to the clinic with complaints of
increased blood pressure. He was diagnosed with
hypertension 10 years ago. His other problems include
osteoporosis and hyperlipidemia. His readings range from
systolic 160 mmHg to 170 mmHg while diastolic falling in
between 70 mmHg to 90 mmHg. His current blood
pressure is 160/80 mmHg. His medications include
lisinopril, amlodipine, atorvastatin, calcium and vitamin D
supplements, and bisphosphonates. He does not exercise
and smokes a pack of cigarettes daily. He drinks two
glasses of beer every day. Family history is significant for
stroke in father and MI in his sister. Which of the following
is the most likely effect of increased blood pressure on his
heart? - Answer-Left ventricular (concentric) hypertrophy
A middle-aged patient with diabetes mellitus is referred to
the clinic by his primary care provider to diagnose heart
failure. The patient states that he does not have any
documentation or labs from his previous medical
encounters. Which of the following is the most significant
and earliest sign of heart failure? - Answer-An S3 gallop
