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NR 661-Cardiovascular Actual Exam Test Questions with Answers | Graded A+ 2024/2025

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NR 661-Cardiovascular Actual Exam Test Questions with Answers | Graded A+ 2024/2025 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 - ️️ -c. 5th ICS, left of MCL Valve most commonly involved in chronic rheumatic heart disease is the: a. aortic b. mitral c. pulmonic d. tricuspid - ️️ -b. mitral 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 - ️️ -c. add a drug from another class to the daily 25 mg hydrochlorothiazide 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 - ️️ -b. amlodipine The diagnosis of mitral valve prolapse can be confirmed by: a. physical examination b. electrocardiography c. echocardiography d. chest xray - ️️ -c. echocardiography A patient taking candesartan for treatment for hypertension should avoid a. strenuous exercise b. potassium supplements c. protein rich meals d. grapefruit juice - ️️ -b. potassium supplements 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 - ️️ -d. Diabetes Mellitus 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 - ️️ -c. swelling, pain, discoloration in lower extremity Which mitral valve disorder results from redundancy of the mitral valve's leaflets?? a. acute mitral regurgitation b. chronic mitral regu

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NR 661-Sexually Transmitted Diseases Exam
Test with Solution
A sexually active adolescent male has a warty growth on the shaft of his penis. It is
painless. This is likely


a. trichomonas
b. syphilis
c. herpes
d. human papilloma virus - ✔️✔️-d. human papilloma virus
The greatest risk of transmitting HIV is during


a. the acute phase
b. the time that detectable antibody is present
c. high viral load periods
d. late infection phase - ✔️✔️-c. high viral load periods
A 26 year old female patient has been diagnosed with gonorrhea. How should she be
managed?


a. ceftriaxone only
b. ceftriaxone and azithromycin
c. defixime and azithromycin
d. penicillin g - ✔️✔️-b. ceftriaxone and azithromycin
A female patient and her male partner are diagnosed with trichomonas. She has
complaints of vulval itching and discharge. He is asymptomatic. How should they be
treated?


a. she should receive metronidazole; he does not need treatment
b. they both should receive metronidazole
c. she should be treated with ceftriaxone; he should receive ciprofloxacin

, d. they both should be treated with azithromycin and doxycycline - ✔️✔️-b. they both
should receive metronidazole
A male patient presents with dysuria and penile discharge. He states that his female
partner has an STD, but she is not sure which one. Which of these should be part of the
differential?


a. bacterial vaginosis and trichomonas
b. chlamydia and gonorrhea
c. HIV and herpes
d. syphilis and chlamydia - ✔️✔️-b. chlamydia and gonorrhea
A male with gonorrhea might complain of


a. dysuria
b. penile lesion
c. abdominal pain
d. fatigue - ✔️✔️-a. dysuria
A patient with dysuria has a urine specimen that reveals <10,000 bacteria and
numerous trichomonads. How should this be managed


a. increased fluids and a urinary tract analgesic
b. cipro for 3 days
c. metronidazole for 7 days
d. cipro and metronidazole - ✔️✔️-c. metronidazole for 7 days
A patient requests screening for HIV after a sexual exposure. What are CDC's
recommendations for screening for this patient?


a. there are no recommendations for screening
b. she should be screened today, with repeat screening at 4-6 weeks and 3 months
c. she should be rescreened in 6-12 months

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