NSG6001 FINAL EXAM /NSG 6001 FINAL
EXAM (3 DIFFERENT VERSIONS) FOR
ADVANCED NURSING PRACTICE II
LATEST EDITION 2023| VERIFIED ANSWERS.
EXPERT FEEDBACK
VERSION 1
1. More than half of all cardiac arrhymias involve the atria
- True
2. What are the most common symptoms caused by tachyarryhthmias
- Palpitations
3. For women with known cad and diabetes, which is the most appropriate to assess CAD
risk
- ETT with imaging
4. Of the following, which is the best answer when asked about the advantage of
echocardiogram exercise testing over thallium stress testing
- Results are available more quickly
5. You patient has uncomplicated pyelonephritis. In deciding your recommended treatment,
you consider the most common pathogenic reason for this diagnosis. What pathogen
accounts for the majority of pyelonephritis?
- E coli
6. What purpose does the principle of fidelity serve
- Ensures that providers honor their committement to the patient
7. In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern
of chest pain and related EKG changes occur. During an ekg you should expect to see ST
segment and T wave changes that are central to demonstration of ischemia occurring
relatively late in the ischemic cascade is this true or false
- True
8. The leads on the ECG showing ischemic changes during or immediately after an ETT
can correlate roughly to the culprit artery or arteries with significant CAD. Is this true or
false
- True
9. Skin cancer is the most common malignant neoplasms in males in the us . What is the
second leading cause of cancer deaths in men greater than 50 years of age - Prostate
cancer
1
, 10. What ech changes can reduce the specificity of the ETT - Paced rhythm and resting
bundle branch blocks.
11. You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In
teaching your patient about symptoms to report immediately to the vascular surgeon you
instruct the patient to report which of the following
- Back pain or flank pain
12. Which is one of the common causes of a saccular abdominal aneurysm
- Trauma
13. The diagnostic accuracy of stress testing is decreased among women compared to men for
what reasons
- Women usually have single vessel or non obstructive disease
14. Population disease management is a term used to describe - High prevalence specific
diseases
2
,15. You receive a report back on the suspected abdominal aortic aneurysm for your patient. It
confirms your suspicion of AAA. The report describes the aneurysm as a symmetric
weakness of the entire circumference of the aorta. You know that this form of aneurysm is
referred to as what kind of aneurysm
- Fusiform
16. You practice partner just ordered an exercise echocardiograph 2DE for a patient with
suspected cardiovascular risk. This patient has known resting wall motion abnormalities.
Why would this not be the best test to assess this patients cardiac risk
- Sensitivity is decreased
17. Your 60 year old male patient arrives for his appointment. He complains of general malaise
and fever over the past several days with low back pain. He also states that he is getting up at
night more often to urinate and never feels his bladder is completely empty.
What differential diagnosis should you consider in this patient
- Acute bacterial prostatitis
18. We all know that collaboration in integral to becoming a successful nurse practitioner.
Among collaboration, however, only one can be considered the most important. While each
example below is important, which is the most important collaboration. The one that occurs:
- Between the patient and the nurse practitioner
19. The sensitivity of a routine ETT is effort dependent. What physiological changes occur
during effort in the routine ETT
- Increased coronary blood flow and increased systolic blood pressure
20. A 47 year old female with general complaints of fatigue and shortness of breath show up in
your clinic as a referral from another nurse practitioner. Several blood tests and chest xrays
have been completed without any diagnosis or outstanding abnormalities. You decide to
order an ETT despite the fact that the recent ecg does not show any abnormalities. From the
answers below which would be the best answer to support your decision
- Cad in women is under diagnosed
21. Your patient underwent an exercise stress test for CAD. There is significant elevation of the
ST segment. What do you need to know about these changes to manage your patients care
- These changes have minimal predictive value for CAD
22. When there is a consequential loss of structural integrity of the abdominal aorta, the resulting
issue is what condition
- AAA
23. You see a 60yr old AA male in your clinic with a recent diagnosis of htn. He asks you what
he should restrict in his diet. And is particularly interested in limiting his sodium intake.
What amount of sodium intake would you recommend on a daily basis for this patient
- 1.5g/day
24. Why would inability to exercise reduce the specificity of the routine ETT
3
, -
Produces persistent ST segment changes and T wave abnormalities
25. By standard criteria, how is a positive stress test defined
- Development of a horizontal or down sloping ST segment depression of 1mm
26. What are the two types of bradycardia recognized by the American heart association -
Relative and refractory
27. You see a 75 year old female in your clinic complaining of urinary incontinence. She is
otherwise health based upon her last visit. She states that her mother told her this would
happen someday because it happens to every woman at some age. What would you tell
this patient
- This is not an expected conditions related to aging.
28. What do you know regarding ischemia that is confined to only the posterior and or lateral
segments of the left ventricle - Difficult to detect by ETT
29. What 3 conditions definitely alter the results of echocardiography in determining CAD -
Obesity, rapid heart rate, and lug disease
30. Specifically, when is an ETT considered to be negative
- Patient exercises to 85% of age predicted maximum heart rate without evidence of
induced ischemia
31. All patient even if asymptomatic require risk stratification according to the Framingham
risk score. At present ACC/AHA guidelines however do not normally support stress tests
for asymptomatic patients without additional justification. What could be used to justify
ETT in an asymptomatic patient
- Sedentary and wishes to begin aggressive exercise
32. BPH is not a risk factor for prostate cancer. Is this true to false
- True
33. Spread of genital herpes only occurs during the time period with active lesions. Is the
true or false
- False
34. AAA are often asymptomatic, what percent of AAA are discovered in asymptomatic
patient
- 75%
35. Improvement in the delivery and management of the healthcare are necessary if we are to
improve the overall health of this nations population. Which of the following are
identified in your readings as strategic in the movement to improve healthcare system
- Population management and healthcare practice
36. Two main types of heart failure
4
EXAM (3 DIFFERENT VERSIONS) FOR
ADVANCED NURSING PRACTICE II
LATEST EDITION 2023| VERIFIED ANSWERS.
EXPERT FEEDBACK
VERSION 1
1. More than half of all cardiac arrhymias involve the atria
- True
2. What are the most common symptoms caused by tachyarryhthmias
- Palpitations
3. For women with known cad and diabetes, which is the most appropriate to assess CAD
risk
- ETT with imaging
4. Of the following, which is the best answer when asked about the advantage of
echocardiogram exercise testing over thallium stress testing
- Results are available more quickly
5. You patient has uncomplicated pyelonephritis. In deciding your recommended treatment,
you consider the most common pathogenic reason for this diagnosis. What pathogen
accounts for the majority of pyelonephritis?
- E coli
6. What purpose does the principle of fidelity serve
- Ensures that providers honor their committement to the patient
7. In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern
of chest pain and related EKG changes occur. During an ekg you should expect to see ST
segment and T wave changes that are central to demonstration of ischemia occurring
relatively late in the ischemic cascade is this true or false
- True
8. The leads on the ECG showing ischemic changes during or immediately after an ETT
can correlate roughly to the culprit artery or arteries with significant CAD. Is this true or
false
- True
9. Skin cancer is the most common malignant neoplasms in males in the us . What is the
second leading cause of cancer deaths in men greater than 50 years of age - Prostate
cancer
1
, 10. What ech changes can reduce the specificity of the ETT - Paced rhythm and resting
bundle branch blocks.
11. You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In
teaching your patient about symptoms to report immediately to the vascular surgeon you
instruct the patient to report which of the following
- Back pain or flank pain
12. Which is one of the common causes of a saccular abdominal aneurysm
- Trauma
13. The diagnostic accuracy of stress testing is decreased among women compared to men for
what reasons
- Women usually have single vessel or non obstructive disease
14. Population disease management is a term used to describe - High prevalence specific
diseases
2
,15. You receive a report back on the suspected abdominal aortic aneurysm for your patient. It
confirms your suspicion of AAA. The report describes the aneurysm as a symmetric
weakness of the entire circumference of the aorta. You know that this form of aneurysm is
referred to as what kind of aneurysm
- Fusiform
16. You practice partner just ordered an exercise echocardiograph 2DE for a patient with
suspected cardiovascular risk. This patient has known resting wall motion abnormalities.
Why would this not be the best test to assess this patients cardiac risk
- Sensitivity is decreased
17. Your 60 year old male patient arrives for his appointment. He complains of general malaise
and fever over the past several days with low back pain. He also states that he is getting up at
night more often to urinate and never feels his bladder is completely empty.
What differential diagnosis should you consider in this patient
- Acute bacterial prostatitis
18. We all know that collaboration in integral to becoming a successful nurse practitioner.
Among collaboration, however, only one can be considered the most important. While each
example below is important, which is the most important collaboration. The one that occurs:
- Between the patient and the nurse practitioner
19. The sensitivity of a routine ETT is effort dependent. What physiological changes occur
during effort in the routine ETT
- Increased coronary blood flow and increased systolic blood pressure
20. A 47 year old female with general complaints of fatigue and shortness of breath show up in
your clinic as a referral from another nurse practitioner. Several blood tests and chest xrays
have been completed without any diagnosis or outstanding abnormalities. You decide to
order an ETT despite the fact that the recent ecg does not show any abnormalities. From the
answers below which would be the best answer to support your decision
- Cad in women is under diagnosed
21. Your patient underwent an exercise stress test for CAD. There is significant elevation of the
ST segment. What do you need to know about these changes to manage your patients care
- These changes have minimal predictive value for CAD
22. When there is a consequential loss of structural integrity of the abdominal aorta, the resulting
issue is what condition
- AAA
23. You see a 60yr old AA male in your clinic with a recent diagnosis of htn. He asks you what
he should restrict in his diet. And is particularly interested in limiting his sodium intake.
What amount of sodium intake would you recommend on a daily basis for this patient
- 1.5g/day
24. Why would inability to exercise reduce the specificity of the routine ETT
3
, -
Produces persistent ST segment changes and T wave abnormalities
25. By standard criteria, how is a positive stress test defined
- Development of a horizontal or down sloping ST segment depression of 1mm
26. What are the two types of bradycardia recognized by the American heart association -
Relative and refractory
27. You see a 75 year old female in your clinic complaining of urinary incontinence. She is
otherwise health based upon her last visit. She states that her mother told her this would
happen someday because it happens to every woman at some age. What would you tell
this patient
- This is not an expected conditions related to aging.
28. What do you know regarding ischemia that is confined to only the posterior and or lateral
segments of the left ventricle - Difficult to detect by ETT
29. What 3 conditions definitely alter the results of echocardiography in determining CAD -
Obesity, rapid heart rate, and lug disease
30. Specifically, when is an ETT considered to be negative
- Patient exercises to 85% of age predicted maximum heart rate without evidence of
induced ischemia
31. All patient even if asymptomatic require risk stratification according to the Framingham
risk score. At present ACC/AHA guidelines however do not normally support stress tests
for asymptomatic patients without additional justification. What could be used to justify
ETT in an asymptomatic patient
- Sedentary and wishes to begin aggressive exercise
32. BPH is not a risk factor for prostate cancer. Is this true to false
- True
33. Spread of genital herpes only occurs during the time period with active lesions. Is the
true or false
- False
34. AAA are often asymptomatic, what percent of AAA are discovered in asymptomatic
patient
- 75%
35. Improvement in the delivery and management of the healthcare are necessary if we are to
improve the overall health of this nations population. Which of the following are
identified in your readings as strategic in the movement to improve healthcare system
- Population management and healthcare practice
36. Two main types of heart failure
4
