The patient with congestive heart failure with an ejection Class Il
fraction of 35% has become symptomatic with shortness of
breath when performing activities of daily living but does
not have any symptoms at rest. This is suggestive of New
York Heart Association heart
failure classification?
*Class |
*Class I
*Class IV
*Class |
Your patient has presented with a new onset rapid heart Maintain rate control and anticoagulate prior to rhythm conversion
rate that
is irregularly irregular, heart rate 100, BP 120/74, R 16 non
labored, and SP02 is 99%. They state this has been going
on for a week or so intermittently, but for the last 4 days
straight it hasn't stopped. Your first priority intervention for
this patient is to do which of the following:
Treat with vagal maneuvers for suspected
supraventricular tachycardia (SVT) Maintain rate control
and anticoagulate prior to rhythm conversion
*Notify EMS to initiate transport for emergency evaluation
*Ask about their family cardiac history
You are evaluating a 63 year old male patient with Unstable angina, and treat with sublingual nitroglycerin and order a cardiac stress
symptoms of chest pressure, arm numbness and tingling, test.
as well as shortness of breath with excursion. Their health
history includes diabetes mellitus, hypertension,
hyperlipidemia, and rheumatoid arthritis. This
relieves with rest and is not becoming more frequent in the
episodes. Based on these findings, you diagnose and plan
for the patient includes which of the following?
*Stable angina, and initiate a long-acting oral nitrate.
*Acute myocardial infarction, and transfer to the hospital
via EMS.
*Heart failure, and initiate carvedilol and a loop diuretic.
*Unstable angina, and treat with sublingual nitroglycerin
and order a cardiac stress test.
Your 72 year old female patient with a pertinent medical Bioprosthetic aortic valve stenosis
history of coronary artery bypass grafting (CABG) and
aortic valve replacement 7 years ago with a porcine
bioprosthetic valve has been previously stable on their
medical regimen. Today she complains of near syncope
when standing, which she states has been getting worse
over the past 6 months but failed to tell anyone as she felt
it was just part of natural aging and taking medications.
Your workup should include evaluation of which of the
following potential cardiac complications?
*Hypertrophic obstructive cardiomyopathy
*Coronary arterial disease progression
*Bioprosthetic aortic valve stenosis
*Tricuspid regurgitation
While evaluating a patient in your clinic for a routine health ?Atelectasis
visit, you auscultate crackles in the poster left lower lobe,
have the patient cough, with follow-up auscultation
revealing clear breath sounds. Which one of the following
would you suspect?
*Congestive heart failure.
*Atelectasis.
*Laryngospasm.
*Bronchiactasis.
, You are working in an urgent care setting as a NP when a The trachea shifted toward the unaffected side.
patient presents with shortness of breath after a fall from a
ladder earlier this morning. You obtain a chest xray and
radiologist on call notifies you that it appears to be a
tension pneumothorax. Which one of the following findings
would you expect to see on the xray if this was the correct
diagnosis?
*The trachea shifted toward the unaffected side.
*The trachea shifting toward the pneumothorax on
inspiration and away from the pneumothorax on
expiration...NOT THIS ONE
*The trachea shifted toward the side of the pneumothorax.
*Midline with no movement due to changes in intrapleural
pressure.
Your 39 year old patient who has recently been Atelectasis
hospitalized for an appendectomy and is being seen in
your clinic for post-operative follow-up with primary care.
On assessment, the patient complains of some incisional
pain and otherwise examination is normal, with the
exception of dull percussion sounds noted on the thorax
over lung tissue. Which of the following diagnoses would
be explained by this finding in post-operative patient?
*Left-sided heart failure.
*Chronic bronchitis.
*Atelectasis.
*Healthy patient with no coexising disease.
Which one of the following patients would you most Lung cancer
anticipate to complain of hemoptysis?
*Acute asthmatic.
*Acute laryngitis.
*Lung cancer.
*Acute bronchitis
Gladys, a 72 year old patient with a history of anemia of Cold intolerance.
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism presents today with concerns her thyroid
medication is not working well enough. Her most recent
labs reflect her TSH is 5.9 (normal range 0.5-5 kU/mL) and
Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which
one of the following clinical signs and/or symptoms would
you expect a patient with these findings to present with?
*Weight loss.
*Excessive sweating
*Cold intolerance.
*Palpitations.
The patient you just saw in the clinic a week ago was just Tachycardia
admitted to the hospital in hyperthyroid crisis. The nurse
practitioner at the
emergency department calls your office to let you know
and also ask some information about the patient. They
asked about what the patient symptoms were during their
most recent a visit a week ago. Which one of the following
signs and symptoms would suggest a patient undergoing a
hyperthyroid crisis?
*Hypothermia.
*Lethargy.
*Tachycardia.
*Decreased systolic blood pressure.
fraction of 35% has become symptomatic with shortness of
breath when performing activities of daily living but does
not have any symptoms at rest. This is suggestive of New
York Heart Association heart
failure classification?
*Class |
*Class I
*Class IV
*Class |
Your patient has presented with a new onset rapid heart Maintain rate control and anticoagulate prior to rhythm conversion
rate that
is irregularly irregular, heart rate 100, BP 120/74, R 16 non
labored, and SP02 is 99%. They state this has been going
on for a week or so intermittently, but for the last 4 days
straight it hasn't stopped. Your first priority intervention for
this patient is to do which of the following:
Treat with vagal maneuvers for suspected
supraventricular tachycardia (SVT) Maintain rate control
and anticoagulate prior to rhythm conversion
*Notify EMS to initiate transport for emergency evaluation
*Ask about their family cardiac history
You are evaluating a 63 year old male patient with Unstable angina, and treat with sublingual nitroglycerin and order a cardiac stress
symptoms of chest pressure, arm numbness and tingling, test.
as well as shortness of breath with excursion. Their health
history includes diabetes mellitus, hypertension,
hyperlipidemia, and rheumatoid arthritis. This
relieves with rest and is not becoming more frequent in the
episodes. Based on these findings, you diagnose and plan
for the patient includes which of the following?
*Stable angina, and initiate a long-acting oral nitrate.
*Acute myocardial infarction, and transfer to the hospital
via EMS.
*Heart failure, and initiate carvedilol and a loop diuretic.
*Unstable angina, and treat with sublingual nitroglycerin
and order a cardiac stress test.
Your 72 year old female patient with a pertinent medical Bioprosthetic aortic valve stenosis
history of coronary artery bypass grafting (CABG) and
aortic valve replacement 7 years ago with a porcine
bioprosthetic valve has been previously stable on their
medical regimen. Today she complains of near syncope
when standing, which she states has been getting worse
over the past 6 months but failed to tell anyone as she felt
it was just part of natural aging and taking medications.
Your workup should include evaluation of which of the
following potential cardiac complications?
*Hypertrophic obstructive cardiomyopathy
*Coronary arterial disease progression
*Bioprosthetic aortic valve stenosis
*Tricuspid regurgitation
While evaluating a patient in your clinic for a routine health ?Atelectasis
visit, you auscultate crackles in the poster left lower lobe,
have the patient cough, with follow-up auscultation
revealing clear breath sounds. Which one of the following
would you suspect?
*Congestive heart failure.
*Atelectasis.
*Laryngospasm.
*Bronchiactasis.
, You are working in an urgent care setting as a NP when a The trachea shifted toward the unaffected side.
patient presents with shortness of breath after a fall from a
ladder earlier this morning. You obtain a chest xray and
radiologist on call notifies you that it appears to be a
tension pneumothorax. Which one of the following findings
would you expect to see on the xray if this was the correct
diagnosis?
*The trachea shifted toward the unaffected side.
*The trachea shifting toward the pneumothorax on
inspiration and away from the pneumothorax on
expiration...NOT THIS ONE
*The trachea shifted toward the side of the pneumothorax.
*Midline with no movement due to changes in intrapleural
pressure.
Your 39 year old patient who has recently been Atelectasis
hospitalized for an appendectomy and is being seen in
your clinic for post-operative follow-up with primary care.
On assessment, the patient complains of some incisional
pain and otherwise examination is normal, with the
exception of dull percussion sounds noted on the thorax
over lung tissue. Which of the following diagnoses would
be explained by this finding in post-operative patient?
*Left-sided heart failure.
*Chronic bronchitis.
*Atelectasis.
*Healthy patient with no coexising disease.
Which one of the following patients would you most Lung cancer
anticipate to complain of hemoptysis?
*Acute asthmatic.
*Acute laryngitis.
*Lung cancer.
*Acute bronchitis
Gladys, a 72 year old patient with a history of anemia of Cold intolerance.
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism presents today with concerns her thyroid
medication is not working well enough. Her most recent
labs reflect her TSH is 5.9 (normal range 0.5-5 kU/mL) and
Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which
one of the following clinical signs and/or symptoms would
you expect a patient with these findings to present with?
*Weight loss.
*Excessive sweating
*Cold intolerance.
*Palpitations.
The patient you just saw in the clinic a week ago was just Tachycardia
admitted to the hospital in hyperthyroid crisis. The nurse
practitioner at the
emergency department calls your office to let you know
and also ask some information about the patient. They
asked about what the patient symptoms were during their
most recent a visit a week ago. Which one of the following
signs and symptoms would suggest a patient undergoing a
hyperthyroid crisis?
*Hypothermia.
*Lethargy.
*Tachycardia.
*Decreased systolic blood pressure.
