NURS 6531 Combined Midterm and Final
Review 2026
Latest Update Verified Q&A
Walden University
,A health care provider in a clinic finds a patient in a room, unresponsive and pale. Which sign
should be used to identify the need to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
An African-American patient who is being treated with a thiazide diuretic for chronic
hypertension reports blurred vision and shortness of breath. The provider notes a blood
pressure of 185/115. What is the recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
A patient reports sustained, irregular heart palpitations. What is the most likely cause of these
symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
,A patient has a cardiac murmur that peaks in midsystole and is best heard along the left sternal
border. The provider determines that the murmur decreases in intensity when the patient
changes from standing to squatting and increases in intensity with the Valsalva maneuver.
Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse
A patient is brought to an emergency department with symptoms of acute ST-segment elevation
MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular
disease are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
, A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves after
sitting for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease
Which are causes of secondary hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
A young female patient has known mitral valve prolapse. During a routine health maintenance
exam, the provider notes an apical systolic murmur and a midsystolic click on auscultation. The
patient denies chest pain, syncope, or palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests
Review 2026
Latest Update Verified Q&A
Walden University
,A health care provider in a clinic finds a patient in a room, unresponsive and pale. Which sign
should be used to identify the need to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
An African-American patient who is being treated with a thiazide diuretic for chronic
hypertension reports blurred vision and shortness of breath. The provider notes a blood
pressure of 185/115. What is the recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
A patient reports sustained, irregular heart palpitations. What is the most likely cause of these
symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
,A patient has a cardiac murmur that peaks in midsystole and is best heard along the left sternal
border. The provider determines that the murmur decreases in intensity when the patient
changes from standing to squatting and increases in intensity with the Valsalva maneuver.
Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse
A patient is brought to an emergency department with symptoms of acute ST-segment elevation
MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular
disease are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
, A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves after
sitting for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease
Which are causes of secondary hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
A young female patient has known mitral valve prolapse. During a routine health maintenance
exam, the provider notes an apical systolic murmur and a midsystolic click on auscultation. The
patient denies chest pain, syncope, or palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests
