NSG 6001 QUIZ 5 LATEST 2026/2027 | PRIMARY
CARE ADULT-GERONTOLOGY | 50 VERIFIED
Q&A | DETAILED RATIONALES | NGN-ALIGNED |
PASS GUARANTEED – A+ GRADED
SECTION I: CARDIOVASCULAR DISORDERS – Questions 1-8
Q1: Hypertension – Masked Hypertension
The student is reviewing hypertension. A patient has normal blood pressure in the clinic but elevated
readings at home. What is this condition called?
A. White coat hypertension
B. Masked hypertension
C. Resistant hypertension
D. Secondary hypertension
Correct Answer: B
Rationale: Masked hypertension is defined as normal office BP but elevated out-of-office BP (home
or ambulatory). It carries similar cardiovascular risk to sustained hypertension. White coat
hypertension is elevated office BP with normal out-of-office readings. [100% CORRECT]
Q2: Heart Failure – Cardiomegaly on Chest X-ray
The student is reviewing heart failure. Which finding on chest X-ray suggests heart failure?
A. Cardiomegaly and pulmonary vascular congestion
B. Hyperinflation
C. Pleural effusion only
D. Normal heart size
Correct Answer: A
Rationale: Chest X-ray in heart failure typically shows cardiomegaly, pulmonary vascular congestion,
pleural effusions, and Kerley B lines. Hyperinflation suggests COPD. [100% CORRECT]
Q3: Atrial Fibrillation – Postoperative AF
The student is reviewing atrial fibrillation. Which surgery has the highest risk of postoperative AF?
A. Cardiac surgery
B. Abdominal surgery
C. Orthopedic surgery
D. Eye surgery
, 2
Correct Answer: A
Rationale: Cardiac surgery (especially CABG and valve surgery) has the highest risk of postoperative
atrial fibrillation, occurring in 20-40% of patients. [100% CORRECT]
Q4: Hyperlipidemia – Lipoprotein(a)
The student is reviewing lipid management. What is lipoprotein(a)?
A. An independent risk factor for cardiovascular disease
B. A protective lipoprotein
C. A marker of inflammation
D. A type of HDL
Correct Answer: A
Rationale: Lipoprotein(a) is an independent risk factor for cardiovascular disease and aortic stenosis.
It is not routinely measured but should be considered in patients with premature CVD or family
history. [100% CORRECT]
Q5: Acute Coronary Syndrome – Wellens' Syndrome
The student is reviewing ACS. What is Wellens' syndrome?
A. Critical stenosis of the LAD with specific T-wave changes
B. ST elevation in inferior leads
C. New LBBB
D. Q waves in lateral leads
Correct Answer: A
Rationale: Wellens' syndrome is characterized by biphasic or deeply inverted T waves in precordial
leads (V2-V3) with recent chest pain, indicating critical LAD stenosis. It is a high-risk finding requiring
urgent intervention. [100% CORRECT]
Q6: Peripheral Artery Disease – Acute Limb Ischemia
The student is reviewing PAD. What are the classic signs of acute limb ischemia?
A. Pain, pallor, pulselessness, paresthesia, paralysis
B. Erythema, warmth, swelling
C. Claudication only
D. Ulceration only
Correct Answer: A
Rationale: Acute limb ischemia presents with the 5 P's: pain, pallor, pulselessness, paresthesia, and
paralysis. It is a vascular emergency requiring immediate revascularization. [100% CORRECT]
Q7: DVT – Upper Extremity DVT
The student is reviewing DVT. What is the most common cause of upper extremity DVT?