EXAM 220+ QUESTIONS WITH DETAILED
VERIFIED ANSWERS | ALREADY GRADED A+ |
GUARANTEED PASS
Molly has been a nurse for 10 months and is active in asking questions and finding
articles in the nursing journals that explain and support the current hospital
procedure manual. What level of clinical inquiry does this behavior demonstrate?
A. competent
B. expert
C. novice
D. unable to determine
A. competent
Molly is demonstrating a competent level of clinical inquiry. That includes
asking questions and reviewing basic EBP
During fasting homeostasis, insulin levels are low and glucagon levels increase to
stimulate the liver to make glucose. This allows a human fasting glucose level to
stay between which of the following?
A. 60-75 mg/dL
B. 70-80 mg/dL
,C. 70-99 mg/dL
D. 80-100 mg/dl
C. 70-99 mg/dL
Fasting homeostasis allows the human fasting glucose levels to stay between
70-99 mg/dL
On Mr. Key's ECG, the T wave represents:
A. Atrial depolarization
B. Atrial repolarization
C. Ventricular depolarization
D. Ventricular repolarization
D. Ventricular repolarization
P wave represents atrial depolarization
QRS represents ventricular depolarization
T wave represents ventricular repolarization
Patients with variant or Printzmetal's angina experience which of the following?
A. a warning sensation of impending doom
B. Prolongation of the QT interval
C. ST segment depression on 2 mm or more
D. T wave elevation of 3 mm or more
,C. ST segment depression of 2 mm or more
Variant or Printzmetal's angina is caused by coronary vasoaspasm and resents
with transient ST segment elevation, ST segment depression or 2 mm or more,
and T wave inversion in 2 or more leads
A 65 year old male patient is admitted to your step down unit from his physician's
office where he experienced transient chest pain (less than 10 minutes) at a pain
level 6/10. He was provided with nitroglycerin and transferred by ambulance to
your hospital with an oxygen saturation of 95%. What type of acute coronary
syndrome (ACS) is he demonstrating?
A. NSTEMI
B. Stable angina
C. STEMI
D. Unstable angina
B. Stable angina
Stable angina is the result of a myocardial ischemia supply and demand
mismatch. The defining factors of stable angina are chest pain lasting less than
15 minutes, relieved by NTG and rest, with atypical symptoms
A 48 year old make is admitted to your unit with shortness of breath and chest
pain relieved by 3 sublingual nitroglycerin tabs and 2 mg IV morphine. The ECG
has ST segment elevation in leads 2, 3, and AVF. The patient has elevated
, troponin and creatine phosphate kinase myocardial bands (CPK-MB). This patient
is most likely experiencing a(n)?
A. NSTEMI
B. Stable angina
C. STEMI
D. Unstable angina
C. STEMI
An ST segment elevation MI (STEMI) is a severe occlusion or complete occlusion
of a coronary artery leading to infarction of cardiac tissue. This results in ST
segment elevation, a new left bundle branch block (LBBB), elevated cardiac
markers, and often cardiac arrhythmias
Initial management of a patient with acute coronary syndrome (ACS) includes all
of the following except:
A. aspirin 162-325 mg
B. 12 lead EEG
C. Obtaining IV access
D. Oxygen therapy
D. 12 lead EEG
Management of ACS includes stopping all patient activity, chewing aspirin 162-
325 mg, supplemental oxygen, preliminary history and physical, 12 lead ECG,
telemetry, and IV access