Nr 601 Midterm Questions With Verified Answers A Graded

NR 601 MIDTERM QUESTIONS WITH VERIFIED ANSWERS A GRADED 43 year old Hispanic male has audible diastolic murmur best hard at the mitral point. No audible click. He has been monitored for 2 years. What is the most likely murmur - correct answer...Mitral Stenosis 55 year old post-menopausal woman with h/o HTN c/o jaw pain on heavy exertion. No c/o CP. EKG is normal sinus rhythm without ST segment abnormalities. Your plan may include - correct answer...Exercise stress test 60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his modifiable cardiac risk factors which include - correct answer...DM, obesity, hyperlipidemia 63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition has resolved. You look over her records and it has been 2 years since her last physical exam and any labs or diagnostic tests as she relocated and had not yet ID'd a provider. In prioritizing your management plan your first orders should include - correct answer...Duel energy X-ray scan and updating immunizations 65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage of HF is - correct answer...Stage B 72 year old woman and her husband are driving cross country. After a long day of driving, they stop to eat. Midway through the meal, the woman because very SOB with CP and a sense of panic. Which problem is most likely - correct answer...Pulmonary embolism A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? - correct answer...Lisinopril A 72 female has been diagnosed with gout. She also has chronic HF. The most likely contributing factor to development of gout in this older female is - correct answer...Thiazide diuretics A common auscultory finding in CHF is - correct answer...S3 A consistent finding in delirium regardless of cause i - correct answer...Reduction in regional cerebral perfusion A key symptom of ischemia heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because - correct answer...Women with ischemic heart disease many times don't present with chest pain. Some patient's may have no symptoms or atypical symptoms so diagnosis may only be made at the time of the actual MI A local chapter on NP organization has begun planning a community based screening for HTN at a local congregate living facility. The organization was select3d on the basis of - correct answer...A regcognized element of high risk within this group A statement not shown to be true about pharmacodynamic changes with aging is - correct answer...Decreased sensitivity to oral anticoagulants A statement not shown to be true about pharmacodynamic changes with aging is - correct answer...Decreased sensitivity to oral anticoagulants According it the 2017 ACC HTN guidelines, normal BP is - correct answer...120/80 According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American woman with a h/o HTN and DM and no h/o CKD is - correct answer...140/80 Ali is a 72 year old male who recent came to the US from Nigeria. He reports having BCG vax as a child. Which of the following is correct regarding a TB skin test - correct answer...Vax hx is irrelevant, read as usual All of the following statements about drug absorption are false except - correct answer...Underlying chronic disease has little impact on drug absorption All of the following statements are true about drug distribution in the elderly except - correct answer...Drugs distributed in water have a lower concentration All of the following statements are true about lab values in older adults except - correct answer...Abnormal findings are often due to physiological aging An example of an active strategy of health promotion for an individual to accomplish would be - correct answer...Beginning stress management program An example of an active strategy of health promotion for an individual to accomplish would be - correct answer...Beginning stress management progrma An example of secondary prevention you could recommend/order for older adults would be to - correct answer...Check for fecal occult blood An older man has a hx of medication therapy for hypertension. Which intervention does the nurse practitioner implement when the client reports that, I've fallen twice in 5 weeks. - correct answer...Orthostatic blood pressures Aortic regurgitation requires medical treatment for early signs of CHF with - correct answer...ACEi