NURS 5463 Test 4 practice questions
Study online at https://quizlet.com/_cg3rg3
1. A 63-year-old man has a 4-minute period of docu- A. Left CEA
mented expressive aphasia that completely resolved.
A workup reveals 70% left internal carotid stenosis and
a 50% right internal carotid stenosis. In addition to
best medical management, which of the following is
the most appropriate treatment?
2. An 84-year-old woman has diabetes and congestive A. Medical management
heart failure that is refractory to medical treatment. A
right carotid bruit is detected on physical examination.
A duplex study suggests a 50% to 75% right carotid
stenosis. Which of the following is the most appropri-
ate treatment?
3. Which of the following statements regarding carotid A. CREST study suggests
artery stenting is most accurate? that older patients have in-
creased combined stroke
and death rates in com-
parison to younger pa-
tients
4. Which of the following does NOT need to be instituted A. Coumadin to target an
for a patient following carotid endarterectomy? INR of 2 to 3
5. For which of the following patients is a left carotid A. A 70-year-old man with
endarterectomy most indicated? transient loss of vision in
the left eye that recovered
after 20 minutes, and he
has 75% left carotid steno-
sis
6. A 73-year-old woman is evaluated in the ED and trans-
ferred to the ICU because of chest pain of 4 hours'
, NURS 5463 Test 4 practice questions
Study online at https://quizlet.com/_cg3rg3
duration. Her medical history includes a 20-year histo- A. Left bundle branch
ry of hypertension and Type II diabetes mellitus. Her block with normal sinus
medications include metformin, atenolol, and ASA. On rhythm
physical examination, her blood pressure is 130/84
mm Hg, and her heart rate is 87 beats/min and reg-
ular. Her jugular vein is distended to 5 cm while the
patient is upright. She has a faint left carotid bruit
and bibasilar crackles to one quarter up from the lung
bases. A normal S1 and S2 is heard, with a grade II/VI
holosystolic murmur heard best at the apex to the
axilla. An electrocardiogram from six months ago was
normal. The ECG was seen during the chest pain. The
initial serum troponin measurement is elevated. She is
now admitted to the ICU for an MI. She is free of chest
pain while on IV nitroglycerin, and her vital signs are
stable. Which of the following is the most likely ECG
diagnosis?
7. A 55-year-old man in the ICU has ACS, with 2 mm of ST Anticoagulation, IV β--
elevation on the leads II, III, and aVF. The troponins are blocker, ACE inhibitor,
positive. The blood pressure is 130/70 mm Hg on nitroglycerin, and alert
a nitroglycerin drip at 5 μg/kg/min keeping the patient catheterization lab
chest pain free, but ECG changes persist and only 1
mm of ST elevation is seen. There is no lower extremity
edema. The patient was given ASA upon entry into the
ED. What is/are the next best steps in the management
of this patient?
8. A 65-year-old man with history of diabetes presents to Aspirin to chew
the Emergency Department stating he has had sub-
sternal chest pain and diaphoresis for 45 minutes.
, NURS 5463 Test 4 practice questions
Study online at https://quizlet.com/_cg3rg3
Which is the most important next step in manage-
ment?
9. In the initial evaluation of a patient with chest pain, ECG
which is the most important diagnostic test?
10. A 54-year-old man is seen at a rural ED with 1 hour C Administer thrombolyt-
of nausea and substernal chest pain radiating to his ics, then transfer to PCI
jaw. The ECG shows STEMI. PCI is not performed at center.
this hospital and only performed at a hospital 2 1/2
hours away. Which of the following statements is most
accurate?
11. Which of the following is NOT an accurate descrip- B Therapeutic hypother-
tion of hypothermia therapy for post-cardiac arrest mia has a proven effect in
patients? reducing the rate of recur-
rent ventricular fibrillation
12. A 64-year-old man who was being treated in the hospi- A Percutaneous coronary
tal for acute cholecystitis is found to be unresponsive. angiography
He was noted to be in VF and underwent chest com-
pressions for several minutes in addition to cardiover-
sion. The patient has return of spontaneous rhythm
and vital signs. Which of the following is an important
treatment for this patient?
13. Which of the following statements regarding E Therapeutic hypother-
out-of-hospital sudden cardiac arrest (SCA) is true? mia improves neurologi-
cal outcome after SCA in
patients with depressed
mental status after resus-
citation.
Study online at https://quizlet.com/_cg3rg3
1. A 63-year-old man has a 4-minute period of docu- A. Left CEA
mented expressive aphasia that completely resolved.
A workup reveals 70% left internal carotid stenosis and
a 50% right internal carotid stenosis. In addition to
best medical management, which of the following is
the most appropriate treatment?
2. An 84-year-old woman has diabetes and congestive A. Medical management
heart failure that is refractory to medical treatment. A
right carotid bruit is detected on physical examination.
A duplex study suggests a 50% to 75% right carotid
stenosis. Which of the following is the most appropri-
ate treatment?
3. Which of the following statements regarding carotid A. CREST study suggests
artery stenting is most accurate? that older patients have in-
creased combined stroke
and death rates in com-
parison to younger pa-
tients
4. Which of the following does NOT need to be instituted A. Coumadin to target an
for a patient following carotid endarterectomy? INR of 2 to 3
5. For which of the following patients is a left carotid A. A 70-year-old man with
endarterectomy most indicated? transient loss of vision in
the left eye that recovered
after 20 minutes, and he
has 75% left carotid steno-
sis
6. A 73-year-old woman is evaluated in the ED and trans-
ferred to the ICU because of chest pain of 4 hours'
, NURS 5463 Test 4 practice questions
Study online at https://quizlet.com/_cg3rg3
duration. Her medical history includes a 20-year histo- A. Left bundle branch
ry of hypertension and Type II diabetes mellitus. Her block with normal sinus
medications include metformin, atenolol, and ASA. On rhythm
physical examination, her blood pressure is 130/84
mm Hg, and her heart rate is 87 beats/min and reg-
ular. Her jugular vein is distended to 5 cm while the
patient is upright. She has a faint left carotid bruit
and bibasilar crackles to one quarter up from the lung
bases. A normal S1 and S2 is heard, with a grade II/VI
holosystolic murmur heard best at the apex to the
axilla. An electrocardiogram from six months ago was
normal. The ECG was seen during the chest pain. The
initial serum troponin measurement is elevated. She is
now admitted to the ICU for an MI. She is free of chest
pain while on IV nitroglycerin, and her vital signs are
stable. Which of the following is the most likely ECG
diagnosis?
7. A 55-year-old man in the ICU has ACS, with 2 mm of ST Anticoagulation, IV β--
elevation on the leads II, III, and aVF. The troponins are blocker, ACE inhibitor,
positive. The blood pressure is 130/70 mm Hg on nitroglycerin, and alert
a nitroglycerin drip at 5 μg/kg/min keeping the patient catheterization lab
chest pain free, but ECG changes persist and only 1
mm of ST elevation is seen. There is no lower extremity
edema. The patient was given ASA upon entry into the
ED. What is/are the next best steps in the management
of this patient?
8. A 65-year-old man with history of diabetes presents to Aspirin to chew
the Emergency Department stating he has had sub-
sternal chest pain and diaphoresis for 45 minutes.
, NURS 5463 Test 4 practice questions
Study online at https://quizlet.com/_cg3rg3
Which is the most important next step in manage-
ment?
9. In the initial evaluation of a patient with chest pain, ECG
which is the most important diagnostic test?
10. A 54-year-old man is seen at a rural ED with 1 hour C Administer thrombolyt-
of nausea and substernal chest pain radiating to his ics, then transfer to PCI
jaw. The ECG shows STEMI. PCI is not performed at center.
this hospital and only performed at a hospital 2 1/2
hours away. Which of the following statements is most
accurate?
11. Which of the following is NOT an accurate descrip- B Therapeutic hypother-
tion of hypothermia therapy for post-cardiac arrest mia has a proven effect in
patients? reducing the rate of recur-
rent ventricular fibrillation
12. A 64-year-old man who was being treated in the hospi- A Percutaneous coronary
tal for acute cholecystitis is found to be unresponsive. angiography
He was noted to be in VF and underwent chest com-
pressions for several minutes in addition to cardiover-
sion. The patient has return of spontaneous rhythm
and vital signs. Which of the following is an important
treatment for this patient?
13. Which of the following statements regarding E Therapeutic hypother-
out-of-hospital sudden cardiac arrest (SCA) is true? mia improves neurologi-
cal outcome after SCA in
patients with depressed
mental status after resus-
citation.
