NR 601 Midterm questions with verified answers
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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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? Ans✓✓✓ 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 Ans✓✓✓
Thiazide diuretics
A common auscultory finding in CHF is Ans✓✓✓ S3
A consistent finding in delirium regardless of cause i Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ A regcognized element of high risk within this
group
A statement not shown to be true about pharmacodynamic changes with aging is
Ans✓✓✓ Decreased sensitivity to oral anticoagulants
A statement not shown to be true about pharmacodynamic changes with aging is
Ans✓✓✓ Decreased sensitivity to oral anticoagulants
, According it the 2017 ACC HTN guidelines, normal BP is Ans✓✓✓ <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 Ans✓✓✓
<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 Ans✓✓✓ Vax hx is irrelevant, read as usual
All of the following statements about drug absorption are false except Ans✓✓✓
Underlying chronic disease has little impact on drug absorption
All of the following statements are true about drug distribution in the elderly
except Ans✓✓✓ Drugs distributed in water have a lower concentration
All of the following statements are true about lab values in older adults except
Ans✓✓✓ Abnormal findings are often due to physiological aging
An example of an active strategy of health promotion for an individual to
accomplish would be Ans✓✓✓ Beginning stress management program
An example of an active strategy of health promotion for an individual to
accomplish would be Ans✓✓✓ Beginning stress management progrma
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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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? Ans✓✓✓ 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 Ans✓✓✓
Thiazide diuretics
A common auscultory finding in CHF is Ans✓✓✓ S3
A consistent finding in delirium regardless of cause i Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ A regcognized element of high risk within this
group
A statement not shown to be true about pharmacodynamic changes with aging is
Ans✓✓✓ Decreased sensitivity to oral anticoagulants
A statement not shown to be true about pharmacodynamic changes with aging is
Ans✓✓✓ Decreased sensitivity to oral anticoagulants
, According it the 2017 ACC HTN guidelines, normal BP is Ans✓✓✓ <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 Ans✓✓✓
<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 Ans✓✓✓ Vax hx is irrelevant, read as usual
All of the following statements about drug absorption are false except Ans✓✓✓
Underlying chronic disease has little impact on drug absorption
All of the following statements are true about drug distribution in the elderly
except Ans✓✓✓ Drugs distributed in water have a lower concentration
All of the following statements are true about lab values in older adults except
Ans✓✓✓ Abnormal findings are often due to physiological aging
An example of an active strategy of health promotion for an individual to
accomplish would be Ans✓✓✓ Beginning stress management program
An example of an active strategy of health promotion for an individual to
accomplish would be Ans✓✓✓ Beginning stress management progrma
