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Exam (elaborations)

AACN AGACNP boards material review Questions with Detailed Verified Answers

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AACN AGACNP boards material review Questions with Detailed Verified Answers

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AACN AGACNP boards material review Questions with
Detailed Verified Answers




Pericarditis Ans: ✓ ✓ ✓ Often present w/ friction rub, sharp CP w/ inspiration, low-grade fever,
muffled heart tones, hypotension. Tx w/ colchicine.


Pulmonary edema Ans: ✓ ✓ ✓ Pink/frothy sputum. Tachypnea, dyspnea, b/l wheeze. CXR shows
alveolar infiltrates, kerley B lines, and pleural effusions.


Cardiac tamponade Ans: ✓ ✓ ✓ Becks Triad= muffled tones, JVD, HoTN. Narrow pulse pressure.
Low C.O., low BP, tachy, high RR, JVD, pulsus paradoxus.


Diagnose w/ Echo


CPGs for hypertensive urgency BP reduction Ans: ✓ ✓ ✓ 10-25% in the 1st hour, then 160/100
within 6h, then to normal over next 24h.


Septal MI Ans: ✓ ✓ ✓ V1, V2


LAD


Anterior MI Ans: ✓ ✓ ✓ V3, V4




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LAD


Inferior/posterior MI Ans: ✓ ✓ ✓ II, III, aVF


RCA


Lateral MI Ans: ✓ ✓ ✓ I, aVL, V5, V6


Circumflex


Endocarditis Ans: ✓ ✓ ✓ Echo shows vegetation, abscess, or valve dysfunction. Tx ABX


Pulsus paradoxus Ans: ✓ ✓ ✓ Fall in SBP >10 mmHg during inspiration


S4 gallop Ans: ✓ ✓ ✓ Common in aortic stenosis


A-FIb ablation Ans: ✓ ✓ ✓ >90% pulmonary veins. Anticoags for 2-3 months following.


NYHA HF Classification Ans: ✓ ✓ ✓ Stages of HF:




Class I (mild): no sx, no limitations


Class II (mild): no sx @ rest, slight limitation, ordinary activity leads to sx




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