NURS 5463 TEST 4 PRACTICE QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100% CORRECT
DETAILED BEST RATED A+ FOR PASS
A 48-year-old female with acute pancreatitis is in the ICU and is ventilated. Current vitals are:
heart rate 116, BP 92/60 mmHg. Hemodynamics are: CVP 9 mmHg, PAP 29/18 mmHg, PCWP 14
mmHg. Ventilator settings are: Assist Control, Tidal volume 800ml, Rate 14, FiO2 0.85, PEEP 5.0
cm H2O. ABG results are: pH 7.31, PaCO2 48 mmHg, PaO2 62 mmHg. The chest x-ray shows
diffuse, fluffy infiltrates. Which intervention is most appropriate for the AGACNP to complete? -
CORRECT ANSWERS Increase PEEP 7.5 cm H2O
A 102-year-old Hispanic female presents to the ED with dyspnea and weakness. Her respiratory
rate is 30, O2 sat is 82% on high flow oxygen, BP is 86/60 mmHg. Labs reveal an acute kidney
injury with a creatinine of 6.0, and elevated troponins consistent with an acute coronary
syndrome. EKG shows inferior wall changes. CXR reveals pulmonary edema and a CT of the
head shows an acute ischemic stroke. The patient is not responding. Which topic is most
important to discuss with the family? - CORRECT ANSWERS Goals of Care
A 102-year-old Hispanic female presents to the ED with dyspnea and weakness. Her respiratory
rate is 30, O2 sat is 82% on high flow oxygen, BP is 86/60 mmHg. Labs reveal an acute kidney
injury with a creatinine of 6.0, and elevated troponins consistent with an acute coronary
syndrome. EKG shows inferior wall changes. CXR reveals pulmonary edema and a CT of the
head shows an acute CVA. Who is most important for the AGACNP consult? - CORRECT
ANSWERS Palliative Care
When should oral beta blocker therapy be initiated for an individual with acute coronary
syndrome? - CORRECT ANSWERS Within 24 hours of onset in those who do not have
signs of acute heart failure, evidence of a low output state, increased risk for cardiogenic shock,
or other contraindications to beta blockade (PR interval > 0.24 or second or third-degree heart
block without a pacemaker, Asthma, reactive airway disease).
What are the most common risk factors for developing heart failure? - CORRECT
ANSWERS Coronary Heart Disease
Hypertension
Obesity
Prediabetes and Diabetes
, NURS 5463 TEST 4 PRACTICE QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100% CORRECT
DETAILED BEST RATED A+ FOR PASS
How does diastolic heart failure (HFpEF) differ from systolic heart failure (HFrEF)? How does this
affect how you treat your patient for exacerbations? - CORRECT ANSWERS Systolic
heart failure results in myocardial contraction failure. Diastolic heart failure is present when the
ventricle is not able to relax completely. In this instance, contraction is normal, but filling is
reduced. Diastolic HF patients are preload dependent, so diuresis should be gentle. You can
cause them harm by taking off the fluid to aggressively i.e. AKI, decrease cardiac output
When a patient comes in for an acute exacerbation of a chronic heart failure, what do you need
to explore? - CORRECT ANSWERS When a patient presents with an exacerbation of an
acute illness there is typically a trigger which has caused the exacerbation. The AGACNP should
find the triggering event to treat it. Things which may cause an acute decompensation of
chronic, stable heart failure include: ACS, thyroid disease, noncompliance with medication and
diet, and medications such as diltiazem and verapamil in persons with systolic dysfunction.
v1, v2 ST elevation - CORRECT ANSWERS Anteroseptal MI
LAD
v2-v4 ST elevation - CORRECT ANSWERS Anterior MI
LAD
I, avL, v4-v6 ST elevation - CORRECT ANSWERS Lateral
LCA
II, III, avF ST elevation - CORRECT ANSWERS Inferior MI
RCA
How long post PCI should the following medications be continued?
2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100% CORRECT
DETAILED BEST RATED A+ FOR PASS
A 48-year-old female with acute pancreatitis is in the ICU and is ventilated. Current vitals are:
heart rate 116, BP 92/60 mmHg. Hemodynamics are: CVP 9 mmHg, PAP 29/18 mmHg, PCWP 14
mmHg. Ventilator settings are: Assist Control, Tidal volume 800ml, Rate 14, FiO2 0.85, PEEP 5.0
cm H2O. ABG results are: pH 7.31, PaCO2 48 mmHg, PaO2 62 mmHg. The chest x-ray shows
diffuse, fluffy infiltrates. Which intervention is most appropriate for the AGACNP to complete? -
CORRECT ANSWERS Increase PEEP 7.5 cm H2O
A 102-year-old Hispanic female presents to the ED with dyspnea and weakness. Her respiratory
rate is 30, O2 sat is 82% on high flow oxygen, BP is 86/60 mmHg. Labs reveal an acute kidney
injury with a creatinine of 6.0, and elevated troponins consistent with an acute coronary
syndrome. EKG shows inferior wall changes. CXR reveals pulmonary edema and a CT of the
head shows an acute ischemic stroke. The patient is not responding. Which topic is most
important to discuss with the family? - CORRECT ANSWERS Goals of Care
A 102-year-old Hispanic female presents to the ED with dyspnea and weakness. Her respiratory
rate is 30, O2 sat is 82% on high flow oxygen, BP is 86/60 mmHg. Labs reveal an acute kidney
injury with a creatinine of 6.0, and elevated troponins consistent with an acute coronary
syndrome. EKG shows inferior wall changes. CXR reveals pulmonary edema and a CT of the
head shows an acute CVA. Who is most important for the AGACNP consult? - CORRECT
ANSWERS Palliative Care
When should oral beta blocker therapy be initiated for an individual with acute coronary
syndrome? - CORRECT ANSWERS Within 24 hours of onset in those who do not have
signs of acute heart failure, evidence of a low output state, increased risk for cardiogenic shock,
or other contraindications to beta blockade (PR interval > 0.24 or second or third-degree heart
block without a pacemaker, Asthma, reactive airway disease).
What are the most common risk factors for developing heart failure? - CORRECT
ANSWERS Coronary Heart Disease
Hypertension
Obesity
Prediabetes and Diabetes
, NURS 5463 TEST 4 PRACTICE QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100% CORRECT
DETAILED BEST RATED A+ FOR PASS
How does diastolic heart failure (HFpEF) differ from systolic heart failure (HFrEF)? How does this
affect how you treat your patient for exacerbations? - CORRECT ANSWERS Systolic
heart failure results in myocardial contraction failure. Diastolic heart failure is present when the
ventricle is not able to relax completely. In this instance, contraction is normal, but filling is
reduced. Diastolic HF patients are preload dependent, so diuresis should be gentle. You can
cause them harm by taking off the fluid to aggressively i.e. AKI, decrease cardiac output
When a patient comes in for an acute exacerbation of a chronic heart failure, what do you need
to explore? - CORRECT ANSWERS When a patient presents with an exacerbation of an
acute illness there is typically a trigger which has caused the exacerbation. The AGACNP should
find the triggering event to treat it. Things which may cause an acute decompensation of
chronic, stable heart failure include: ACS, thyroid disease, noncompliance with medication and
diet, and medications such as diltiazem and verapamil in persons with systolic dysfunction.
v1, v2 ST elevation - CORRECT ANSWERS Anteroseptal MI
LAD
v2-v4 ST elevation - CORRECT ANSWERS Anterior MI
LAD
I, avL, v4-v6 ST elevation - CORRECT ANSWERS Lateral
LCA
II, III, avF ST elevation - CORRECT ANSWERS Inferior MI
RCA
How long post PCI should the following medications be continued?
