NURS 5463 STUDY EXAM GUIDE ALL QUESTIONS
AND ANSWERS SURE A+
✔✔A 65-year-old man with history of diabetes presents to the Emergency Department
stating he has had substernal chest pain and diaphoresis for 45 minutes. Which is the
most important next step in management? - ✔✔Aspirin to chew
✔✔In the initial evaluation of a patient with chest pain, which is the most important
diagnostic test? - ✔✔ECG
✔✔A 54-year-old man is seen at a rural ED with 1 hour of nausea and substernal chest
pain radiating to his jaw. The ECG shows STEMI. PCI is not performed at this hospital
and only performed at a hospital 2 1/2 hours away. Which of the following statements is
most accurate? - ✔✔C Administer thrombolytics, then transfer to PCI center.
✔✔Which of the following is NOT an accurate description of hypothermia therapy for
post-cardiac arrest patients? - ✔✔B Therapeutic hypothermia has a proven effect in
reducing the rate of recurrent ventricular fibrillation
✔✔A 64-year-old man who was being treated in the hospital for acute cholecystitis is
found to be unresponsive. He was noted to be in VF and underwent chest
compressions for several minutes in addition to cardioversion. The patient has return of
, spontaneous rhythm and vital signs. Which of the following is an important treatment for
this patient? - ✔✔A Percutaneous coronary angiography
✔✔Which of the following statements regarding out-of-hospital sudden cardiac arrest
(SCA) is true? - ✔✔E Therapeutic hypothermia improves neurological outcome after
SCA in patients with depressed mental status after resuscitation.
✔✔What type of MI is this
II, III, AvF - ✔✔C. Inferior
✔✔A 59-year-old man complains of severe chest pain that radiates to his back. His
brachial pulses appear unequal between his right and left arms. He appears
hemodynamically stable. On chest radiography, he has a widened mediastinum. Which
of the following is the best next step? - ✔✔B Obtain CT of chest with intravenous
contrast.
✔✔A 45-year-old woman with new-onset aortic regurgitation is found to have aortic
dissection of the ascending aorta and aortic arch by TEE. She is relatively
asymptomatic. Which of the following is the best management? - ✔✔C Surgical repair
of the dissection
✔✔A 61-year-old man is found on physical examination to have an asymptomatic AAA.
Ultrasound evaluation reveals that the AAA measures 4 cm in diameter. Which of the
following is the best surveillance strategy for his AAA? - ✔✔D Ultrasound evaluation
every year
✔✔Which of the following is a known complication associated with AAA? - ✔✔Painful
discoloration of the great toe
✔✔Which of the following statements is true regarding EVAR? - ✔✔Most EVAR
complications do not require open interventions
✔✔For which of the following patients is nonoperative management most appropriate? -
✔✔B A 96-year-old man with severe dementia and a 6-cm AAA. The patient has been a
long-term resident of a chronic care facility due to inability to care for himself secondary
to his dementia
✔✔A 45-year-old man with a past medical history of diabetes, hyperlipidemia, and
hypertension has smoked one pack of cigarettes a day for the past 15 years and drinks
four glasses of wine every weekend. He is found to have an AAA incidentally on CT
imaging of the abdomen. Which of the following is the most important predisposing
factor for the development of his AAA? - ✔✔B Smoking
AND ANSWERS SURE A+
✔✔A 65-year-old man with history of diabetes presents to the Emergency Department
stating he has had substernal chest pain and diaphoresis for 45 minutes. Which is the
most important next step in management? - ✔✔Aspirin to chew
✔✔In the initial evaluation of a patient with chest pain, which is the most important
diagnostic test? - ✔✔ECG
✔✔A 54-year-old man is seen at a rural ED with 1 hour of nausea and substernal chest
pain radiating to his jaw. The ECG shows STEMI. PCI is not performed at this hospital
and only performed at a hospital 2 1/2 hours away. Which of the following statements is
most accurate? - ✔✔C Administer thrombolytics, then transfer to PCI center.
✔✔Which of the following is NOT an accurate description of hypothermia therapy for
post-cardiac arrest patients? - ✔✔B Therapeutic hypothermia has a proven effect in
reducing the rate of recurrent ventricular fibrillation
✔✔A 64-year-old man who was being treated in the hospital for acute cholecystitis is
found to be unresponsive. He was noted to be in VF and underwent chest
compressions for several minutes in addition to cardioversion. The patient has return of
, spontaneous rhythm and vital signs. Which of the following is an important treatment for
this patient? - ✔✔A Percutaneous coronary angiography
✔✔Which of the following statements regarding out-of-hospital sudden cardiac arrest
(SCA) is true? - ✔✔E Therapeutic hypothermia improves neurological outcome after
SCA in patients with depressed mental status after resuscitation.
✔✔What type of MI is this
II, III, AvF - ✔✔C. Inferior
✔✔A 59-year-old man complains of severe chest pain that radiates to his back. His
brachial pulses appear unequal between his right and left arms. He appears
hemodynamically stable. On chest radiography, he has a widened mediastinum. Which
of the following is the best next step? - ✔✔B Obtain CT of chest with intravenous
contrast.
✔✔A 45-year-old woman with new-onset aortic regurgitation is found to have aortic
dissection of the ascending aorta and aortic arch by TEE. She is relatively
asymptomatic. Which of the following is the best management? - ✔✔C Surgical repair
of the dissection
✔✔A 61-year-old man is found on physical examination to have an asymptomatic AAA.
Ultrasound evaluation reveals that the AAA measures 4 cm in diameter. Which of the
following is the best surveillance strategy for his AAA? - ✔✔D Ultrasound evaluation
every year
✔✔Which of the following is a known complication associated with AAA? - ✔✔Painful
discoloration of the great toe
✔✔Which of the following statements is true regarding EVAR? - ✔✔Most EVAR
complications do not require open interventions
✔✔For which of the following patients is nonoperative management most appropriate? -
✔✔B A 96-year-old man with severe dementia and a 6-cm AAA. The patient has been a
long-term resident of a chronic care facility due to inability to care for himself secondary
to his dementia
✔✔A 45-year-old man with a past medical history of diabetes, hyperlipidemia, and
hypertension has smoked one pack of cigarettes a day for the past 15 years and drinks
four glasses of wine every weekend. He is found to have an AAA incidentally on CT
imaging of the abdomen. Which of the following is the most important predisposing
factor for the development of his AAA? - ✔✔B Smoking
