NSG 6001 FINAL EXAM 1 – QUESTION AND
ANSWERS
1. More than half of all cardiac arrhymias involve the atria
- True
2. What are the most common symptoms caused by tachyarryhthmias
- Palpitations
3. For women with known cad and diabetes, which is the most appropriate to assess CAD
risk
- ETT with imaging
4. Of the following, which is the best answer when asked about the advantage of
echocardiogram exercise testing over thallium stress testing
- Results are available more quickly
5. You patient has uncomplicated pyelonephritis. In deciding your recommended treatment,
you consider the most common pathogenic reason for this diagnosis. What pathogen
accounts for the majority of pyelonephritis?
- E coli
6. What purpose does the principle of fidelity serve
- Ensures that providers honor their committement to the patient
7. In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern of
chest pain and related EKG changes occur. During an ekg you should expect to see ST
segment and T wave changes that are central to demonstration of ischemia occurring
relatively late in the ischemic cascade is this true or false
- True
8. The leads on the ECG showing ischemic changes during or immediately after an ETT can
correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false
- True
9. Skin cancer is the most common malignant neoplasms in males in the us . What is the
second leading cause of cancer deaths in men greater than 50 years of age
- Prostate cancer
10. What ech changes can reduce the specificity of the ETT
- Paced rhythm and resting bundle branch blocks.
11. You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In
teaching your patient about symptoms to report immediately to the vascular surgeon you
instruct the patient to report which of the following
- Back pain or flank pain
12. Which is one of the common causes of a saccular abdominal aneurysm
- Trauma
13. The diagnostic accuracy of stress testing is decreased among women compared to men
for what reasons
- Women usually have single vessel or non-obstructive disease
, 14. Population disease management is a term used to describe
- High prevalence specific diseases
15. You receive a report back on the suspected abdominal aortic aneurysm for your patient. It
confirms your suspicion of AAA. The report describes the aneurysm as a symmetric
weakness of the entire circumference of the aorta. You know that this form of aneurysm
is referred to as what kind of aneurysm
- Fusiform
16. You practice partner just ordered an exercise echocardiograph 2DE for a patient with
suspected cardiovascular risk. This patient has known resting wall motion abnormalities.
Why would this not be the best test to assess this patient’s cardiac risk
- Sensitivity is decreased
17. Your 60-year-old male patient arrives for his appointment. He complains of general
malaise and fever over the past several days with low back pain. He also states that he is
getting up at night more often to urinate and never feels his bladder is completely empty.
What differential diagnosis should you consider in this patient
- Acute bacterial prostatitis
18. We all know that collaboration in integral to becoming a successful nurse practitioner.
Among collaboration, however, only one can be considered the most important. While
each example below is important, which is the most important collaboration. The one that
occurs:
- Between the patient and the nurse practitioner
19. The sensitivity of a routine ETT is effort dependent. What physiological changes occur
during effort in the routine ETT?
- Increased coronary blood flow and increased systolic blood pressure
20. A 47-year-old female with general complaints of fatigue and shortness of breath show up
in your clinic as a referral from another nurse practitioner. Several blood tests and chest
xrays have been completed without any diagnosis or outstanding abnormalities. You
decide to order an ETT despite the fact that the recent ecg does not show any
abnormalities. From the answers below which would be the best answer to support your
decision
- Cad in women is under diagnosed
21. Your patient underwent an exercise stress test for CAD. There is significant elevation of
the ST segment. What do you need to know about these changes to manage your patients
care?
- These changes have minimal predictive value for CAD
22. When there is a consequential loss of structural integrity of the abdominal aorta, the
resulting issue is what condition
- AAA
23. You see a 60yr old AA male in your clinic with a recent diagnosis of htn. He asks you
what he should restrict in his diet. And is particularly interested in limiting his sodium
intake. What amount of sodium intake would you recommend on a daily basis for this
patient?
- 1.5g/day
ANSWERS
1. More than half of all cardiac arrhymias involve the atria
- True
2. What are the most common symptoms caused by tachyarryhthmias
- Palpitations
3. For women with known cad and diabetes, which is the most appropriate to assess CAD
risk
- ETT with imaging
4. Of the following, which is the best answer when asked about the advantage of
echocardiogram exercise testing over thallium stress testing
- Results are available more quickly
5. You patient has uncomplicated pyelonephritis. In deciding your recommended treatment,
you consider the most common pathogenic reason for this diagnosis. What pathogen
accounts for the majority of pyelonephritis?
- E coli
6. What purpose does the principle of fidelity serve
- Ensures that providers honor their committement to the patient
7. In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern of
chest pain and related EKG changes occur. During an ekg you should expect to see ST
segment and T wave changes that are central to demonstration of ischemia occurring
relatively late in the ischemic cascade is this true or false
- True
8. The leads on the ECG showing ischemic changes during or immediately after an ETT can
correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false
- True
9. Skin cancer is the most common malignant neoplasms in males in the us . What is the
second leading cause of cancer deaths in men greater than 50 years of age
- Prostate cancer
10. What ech changes can reduce the specificity of the ETT
- Paced rhythm and resting bundle branch blocks.
11. You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In
teaching your patient about symptoms to report immediately to the vascular surgeon you
instruct the patient to report which of the following
- Back pain or flank pain
12. Which is one of the common causes of a saccular abdominal aneurysm
- Trauma
13. The diagnostic accuracy of stress testing is decreased among women compared to men
for what reasons
- Women usually have single vessel or non-obstructive disease
, 14. Population disease management is a term used to describe
- High prevalence specific diseases
15. You receive a report back on the suspected abdominal aortic aneurysm for your patient. It
confirms your suspicion of AAA. The report describes the aneurysm as a symmetric
weakness of the entire circumference of the aorta. You know that this form of aneurysm
is referred to as what kind of aneurysm
- Fusiform
16. You practice partner just ordered an exercise echocardiograph 2DE for a patient with
suspected cardiovascular risk. This patient has known resting wall motion abnormalities.
Why would this not be the best test to assess this patient’s cardiac risk
- Sensitivity is decreased
17. Your 60-year-old male patient arrives for his appointment. He complains of general
malaise and fever over the past several days with low back pain. He also states that he is
getting up at night more often to urinate and never feels his bladder is completely empty.
What differential diagnosis should you consider in this patient
- Acute bacterial prostatitis
18. We all know that collaboration in integral to becoming a successful nurse practitioner.
Among collaboration, however, only one can be considered the most important. While
each example below is important, which is the most important collaboration. The one that
occurs:
- Between the patient and the nurse practitioner
19. The sensitivity of a routine ETT is effort dependent. What physiological changes occur
during effort in the routine ETT?
- Increased coronary blood flow and increased systolic blood pressure
20. A 47-year-old female with general complaints of fatigue and shortness of breath show up
in your clinic as a referral from another nurse practitioner. Several blood tests and chest
xrays have been completed without any diagnosis or outstanding abnormalities. You
decide to order an ETT despite the fact that the recent ecg does not show any
abnormalities. From the answers below which would be the best answer to support your
decision
- Cad in women is under diagnosed
21. Your patient underwent an exercise stress test for CAD. There is significant elevation of
the ST segment. What do you need to know about these changes to manage your patients
care?
- These changes have minimal predictive value for CAD
22. When there is a consequential loss of structural integrity of the abdominal aorta, the
resulting issue is what condition
- AAA
23. You see a 60yr old AA male in your clinic with a recent diagnosis of htn. He asks you
what he should restrict in his diet. And is particularly interested in limiting his sodium
intake. What amount of sodium intake would you recommend on a daily basis for this
patient?
- 1.5g/day
