NR 667 CEA Week 5 Full Length Practice Exam with 150 Questions & Answers Latest Update

CEA Week 5 Full Length Practice Exam with 150 Questions




Week 5 Full Length Practice Exam

• Due Feb 9 at 11:59pm



• Points 150



• Questions 150



• Available Feb 3 at 12am - Feb 9 at 11:59pm



• Time Limit 180

Minutes Attempt History

Attempt Time Score

LATEST Attempt 1 110 minutes 142 out of 150


Score for this quiz: 142 out of 150

Submitted Feb 9 at 1:17pm

This attempt took 110 minutes.



Question 1

pts

As the nurse practitioner on call on at a long term care facility, a
nurse calls you to notify you that your patient who was in normal
sinus rhythm has started to have extra premature beats noted on
bedside telemetry. The nurse states these extra beats occur
approximately every 6 normal beats and has an inverted p wave
located after the narrow QRS complex which appears otherwise
identical to the normal sinus rhythm QRS complex. What is this nurse
likely describing?
Correct!



NR 667 CEA Week 5 Full Length Practice Exam with 150 Questions & Answers Latest Update

,CEA Week 5 Full Length Practice Exam with 150 Questions




Premature Junctional Contractions



Sinus exit block does have a pause, but no change in P wave
morphology. PACs will maintain an early but otherwise normal P
wave/QRS. PJCs will have absent, inverted or retrograde P
waves(after the QRS) and be otherwise narrow complex QRS. PVCs
will be absent of any P wave and have a wide complex QRS.



Premature Ventricular Contractions




Premature Atrial Contractions




Sinus Exit Block




Question 2

pts

A 60-year-old man with a history of hypertension and diabetes
presents with a new-onset headache and visual disturbances. His
blood pressure is 200/110 mmHg. What is the most appropriate
management?



Prescribe antihypertensive medication and follow up in a week



Correct!



Refer to the emergency department




NR 667 CEA Week 5 Full Length Practice Exam with 150 Questions & Answers Latest Update

,CEA Week 5 Full Length Practice Exam with 150 Questions




Start insulin therapy




Advise dietary changes




Question 3

pts

You are the nurse practitioner caring for the patient with a diagnosis
of premature atrial contractions. Initial treatment should include
which priority intervention?



Performing a comprehensive physical examination



Correct Answer



Ordering 2L NC oxygen if symptomatic



You Answered



Ordering a 12-lead EKG



Premature atrial contractions are both common and typically not
harmful to the patient other than causing mild symptoms such as
SOB, palpitations, and anxiety. This question is asking for an
intervention. Although all these are reasonable choices in managing
this patient’s care, none of the options above other than applying
oxygen are interventions; rather, they are evaluations.




NR 667 CEA Week 5 Full Length Practice Exam with 150 Questions & Answers Latest Update

, CEA Week 5 Full Length Practice Exam with 150 Questions




Palpating a radial pulse while auscultating heart tones for pulse deficits




Question 4

pts

Your patient has been diagnosed with a 4.5cm ascending aortic
aneurysm. Which medical imaging is considered standard of care for
serial surveillance?



Plain film chest X-ray (CXR)




Transesophageal Echocardiogram



Correct!



CT angiography of the chest



CT angiography is considered the standard of care for measuring
vascular luminal dimensions with contrast. CT PE protocol is not timed
properly for the aorta (it’s timed for the pulmonary artery). Although
a plain film is able to catch large aneurysms at times, they are not
able to provide multi-axis reconstruction needed to accurately
measure the size. Transesophageal echo is not needed to accurately
measure the aorta and requires the patient to undergo sedation
which is unnecessary.




CT PE rule-out protocol



NR 667 CEA Week 5 Full Length Practice Exam with 150 Questions & Answers Latest Update