EXAM 2 NURS 5455 LATEST 2025
QUESTIONS and CORRECT ANSWERS
GRADED A+|ASSURED SUCCESS
AN OLDER ADOLESCENT MALE PRESENTED AT THE CLINIC WITH C/C OF "CHEST PAIN". HIS
WEIGHT IS GREATER THAN 95TH PERCENTILE FOR HIS AGE. HIS BP IS 145/90. FAMILY HISTORY
REVEALED THAT BOTH HIS FATHER AND PATERNAL GRANDFATHER HAD HYPERLIPIDEMIA AND
SUFFERED MYOCARDIAL INFARCTIONS BEFORE THE AGE OF 45. THIS PANEL LDL IS 130 MG/DL.
THE APPROPRIATE ACTION IS: - CORRECT ANSWER-COUNSEL HIM ON LIFESTYLE
MODIFICATIONS AND REFER TO A NUTRITIONIST
A TYPICAL PRESENTATION OF MI INCLUDES: - CORRECT ANSWER-PRECORDIAL AREA
PRESSURE
,VERAMPAMIL WOULD BE THE ANTIHYPERTENSIVE DRUG OF CHOUCE FOR WHIC OF THE
FOLLOWING PATIENTS - CORRECT ANSWER-A PATIENT EXPERIENCING A.FIB
NYHA FUNCTIONAL CLASS I - CORRECT ANSWER-NO LIMITATION OF PHYSICAL ACTIVITY.
ORDINARY PHYSICAL ACTIVITY DOES NOT CAUSE UNDUE FATIGUE, PALPITATION, OR SOB
NYHA FUNCTIONAL CLASS II - CORRECT ANSWER-SLIGHT LIMITATION OF PHYSICAL
ACTIVITY. COMFORTABLE AT REST. ORDINARY PHYSICAL ACTIVITY RESULTS IN FATIGUE,
PALPITATION, SOB, OR CHEST PAIN
NYHA FUNCTIONAL CLASS III - CORRECT ANSWER-MARKED LIMITATION OF PHYSICAL
ACTIVITY. COMFORTABLE AT REST. LESS THAN ORDINARY ACTIVITY CAUSES FATIGUE,
PALPITATION, SOB, OR CHEST PAIN
NYHA FUNCTIONAL CLASS IV - CORRECT ANSWER-SYMPTOMS OF HEART FAILURE AT
REST. ANY PHYSICAL ACTIVITY CAUSES FURTHER DISCOMFORT
BETA BLOCKER MOA - CORRECT ANSWER-REDUCTION OF HEART RATE ANDCARDIAC
OUTPUT
T/F: HEART FAILURE IS A COMPLEX CLINICAL SYNDROME THAT RESULTS FROM ANY
STRUCTURAL OR FUNCTIONAL IMPAIRMENT OF VENTRICULAR FILLING OR EJECTION OF BLOOD
- CORRECT ANSWER-TRUE
, SYSTOLIC HEART FAILURE - CORRECT ANSWER-HEART FAILURE WITH A REDUCE
EJECTION FRACTION <40%
NORMAL JVD VALUE - CORRECT ANSWER-<4 CM
LEFT VENTRICULAR HEART FAILURE S/S - CORRECT ANSWER-EXERTIONAL DYSPNEA
COUGH
PND
ORTHOPNEA
FATIGUE
CAD PATHO - CORRECT ANSWER-ACCUMULATION OF PLAQUES INSIDE THE ARTERIES
CAUSING INFLAMMATORY RESPONSES, LEADING TO BLOCKAGES AND RUPTURES OF THE
ARTERIES
BETA BLOCKER - CORRECT ANSWER-ANTI-ANGINAL AGENT DEMONSTRATED TO
PROLONG LIFE IN PATIENT WITH CAD POST MI
FRAMINGHAM TOOL - CORRECT ANSWER-TOOL USED TO ASSESS A PATIENTS 10 YEAR
RISK OF DEVELOPING CORONARY HEART DISEASE
QUESTIONS and CORRECT ANSWERS
GRADED A+|ASSURED SUCCESS
AN OLDER ADOLESCENT MALE PRESENTED AT THE CLINIC WITH C/C OF "CHEST PAIN". HIS
WEIGHT IS GREATER THAN 95TH PERCENTILE FOR HIS AGE. HIS BP IS 145/90. FAMILY HISTORY
REVEALED THAT BOTH HIS FATHER AND PATERNAL GRANDFATHER HAD HYPERLIPIDEMIA AND
SUFFERED MYOCARDIAL INFARCTIONS BEFORE THE AGE OF 45. THIS PANEL LDL IS 130 MG/DL.
THE APPROPRIATE ACTION IS: - CORRECT ANSWER-COUNSEL HIM ON LIFESTYLE
MODIFICATIONS AND REFER TO A NUTRITIONIST
A TYPICAL PRESENTATION OF MI INCLUDES: - CORRECT ANSWER-PRECORDIAL AREA
PRESSURE
,VERAMPAMIL WOULD BE THE ANTIHYPERTENSIVE DRUG OF CHOUCE FOR WHIC OF THE
FOLLOWING PATIENTS - CORRECT ANSWER-A PATIENT EXPERIENCING A.FIB
NYHA FUNCTIONAL CLASS I - CORRECT ANSWER-NO LIMITATION OF PHYSICAL ACTIVITY.
ORDINARY PHYSICAL ACTIVITY DOES NOT CAUSE UNDUE FATIGUE, PALPITATION, OR SOB
NYHA FUNCTIONAL CLASS II - CORRECT ANSWER-SLIGHT LIMITATION OF PHYSICAL
ACTIVITY. COMFORTABLE AT REST. ORDINARY PHYSICAL ACTIVITY RESULTS IN FATIGUE,
PALPITATION, SOB, OR CHEST PAIN
NYHA FUNCTIONAL CLASS III - CORRECT ANSWER-MARKED LIMITATION OF PHYSICAL
ACTIVITY. COMFORTABLE AT REST. LESS THAN ORDINARY ACTIVITY CAUSES FATIGUE,
PALPITATION, SOB, OR CHEST PAIN
NYHA FUNCTIONAL CLASS IV - CORRECT ANSWER-SYMPTOMS OF HEART FAILURE AT
REST. ANY PHYSICAL ACTIVITY CAUSES FURTHER DISCOMFORT
BETA BLOCKER MOA - CORRECT ANSWER-REDUCTION OF HEART RATE ANDCARDIAC
OUTPUT
T/F: HEART FAILURE IS A COMPLEX CLINICAL SYNDROME THAT RESULTS FROM ANY
STRUCTURAL OR FUNCTIONAL IMPAIRMENT OF VENTRICULAR FILLING OR EJECTION OF BLOOD
- CORRECT ANSWER-TRUE
, SYSTOLIC HEART FAILURE - CORRECT ANSWER-HEART FAILURE WITH A REDUCE
EJECTION FRACTION <40%
NORMAL JVD VALUE - CORRECT ANSWER-<4 CM
LEFT VENTRICULAR HEART FAILURE S/S - CORRECT ANSWER-EXERTIONAL DYSPNEA
COUGH
PND
ORTHOPNEA
FATIGUE
CAD PATHO - CORRECT ANSWER-ACCUMULATION OF PLAQUES INSIDE THE ARTERIES
CAUSING INFLAMMATORY RESPONSES, LEADING TO BLOCKAGES AND RUPTURES OF THE
ARTERIES
BETA BLOCKER - CORRECT ANSWER-ANTI-ANGINAL AGENT DEMONSTRATED TO
PROLONG LIFE IN PATIENT WITH CAD POST MI
FRAMINGHAM TOOL - CORRECT ANSWER-TOOL USED TO ASSESS A PATIENTS 10 YEAR
RISK OF DEVELOPING CORONARY HEART DISEASE
