NR 661- CARDIOVASCULAR EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS ALREADY GRADED A+||2024 NEWEST 1 / 27

NR 661- CARDIOVASCULAR EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS ALREADY GRADED A+||2024 NEWEST 1 / 27 1. A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI) a. 5th intercostal space (ICS) midclavicular line (MCL) b. 8th ICS MCL c. 5th ICS, left of MCL d. 6th ICS, right of MCL 2. Valve most commonly involved in chronic rheumatic heart disease is the: a. aortic b. mitral c. pulmonic d. tricuspid 3. A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for the past 4 weeks. How should the nurse practitioner proceed? BP-155/95; 145/90 a. wait 4 weeks before making a dosage change b. increase the hydrochlorothiazide to 50mg daily c. add a drug from another class to the daily 25 mg hydrochlorothiazide d. stop the hydrochlorothiazide and start a drug from a different class 4. Which choice below would be the best choice for an 80-year old patient whose blood pressure is 172/72 a. chlorthalidone b. amlodipine c. monopril d. acebutolol 5. The diagnosis of mitral valve prolapse can be confirmed by: c. 5th ICS, left of MCL b. mitral c. add a drug from another class to the daily 25 mg hydrochlorothiazide b. amlodipine c. echocardiography 2 / 27 a. physical examination b. electrocardiography c. echocardiography d. chest xray 6. A patient taking candesartan for treatment for hypertension should avoid a. strenuous exercise b. potassium supplements c. protein rich meals d. grapefruit juice 7. According to the National Heart, Lung and Blood institute, which characteristic listed below is a coronary disease (CHD) risk equivelant; that is, which risk factor places the patient at a CHD risk similar to a history of CHD a. Hypertension b. cigarette smoking c. male age >45 years d. Diabetes Mellitus 8. Classic symptoms of deep vein thrombosis (DVT) include: a. swelling, pain, redness b. calf complaints, pain with walking, history of exercise c. swelling, pain, discoloration in lower extremity d. warmth, edema and relief of pain with walking 9. Which mitral valve disorder results from redundancy of the mitral valve's leaflets?? a. acute mitral regurgitation b. chronic mitral regurgitation b. potassium supplements d. Diabetes Mellitus c. swelling, pain, discoloration in lower extremity c. mitral valve prolapse 3 / 27 c. mitral valve prolapse d. mitral stenosis 10. Tables are used for determination of maximum blood pressure values for adolescents. How are blood pressure values established for adolescents? a. height percentile, body mass index and gender b. gender and age c. height percentile, gender and age d. body mass index and gender 11. The correlation between blood pressure and age greater than 60 years is that as age increases: a. diastolic blood pressure increases b. systolic blood pressure decreases c. blood pressure remains about the same d. diastolic blood pressure decreases 12. An 80 year old female who is otherwise well has the following blood pressure readings. How should she be managed? 160/70; 175/68; 171/71; 163/63 a. thiazide diruetic b. ace inhibitor c. calcium channel blocker d. angiotensin receptor blocker 13. Which choice below characterizes a patient who has aortic regurgitation? a. long asymptomatic period followed by exercise intolerance then dyspnea at rest b. an acute onset of shortness of breath in the fifth or sixth decade c. dyspnea on exertion for a long period of time before sudden cardiac death d. a long asymptomatic period with sudden death usually during exercise c. height percentile, gender and age d. diastolic blood pressure decreases c. calcium channel blocker a. long asymptomatic period followed by exercise intolerance then dyspnea at rest 4 / 27 14. How often should lipids be screened in patients who are 65 years and older if they have lipid disorders or cardiovascular risk fact