NR601 Study guide practice Questions with Verified Answers
(Correct Update)
Question 1: A 72-year-old woman presents with exertional dyspnea and syncope. A harsh systolic
murmur is heard at the right second intercostal space with radiation to the carotids. Which diagnosis
is most likely?
Answer: Aortic stenosis
Question 2: A patient with hypertension and bilateral renal artery stenosis is being treated. Which
medication should be avoided?
Answer: ACE inhibitor
Question 3: A 68-year-old woman presents with palpitations and an irregularly irregular pulse. ECG
shows absent P waves. What is the first priority in management?
Answer: Rate control
Question 4: A patient with paroxysmal atrial fibrillation has a CHA₂DS₂-VASc score of 3. Which
statement is correct?
Answer: Anticoagulation is indicated despite paroxysmal A-fib
Question 5: At what CHA₂DS₂-VASc score is anticoagulation recommended for women?
Answer: 3e
Question 6: A patient has frequent symptomatic PVCs but no structural heart disease. What is the
most appropriate initial treatment?
Answer: Beta-blocker therapy
Question 7: Which echocardiographic finding is most consistent Reduced with mitral stenosis?
Answer: mitral valve area with elevated left atrial pressure
Question 8: Which echocardiographic finding is most associated with atrial fibrillation?
Answer: Left atrial enlargement
Question 9: Which medication class is appropriate for pain management in hospice patients?
Answer: Opioids when indicated
Page 1
(Correct Update)
Question 1: A 72-year-old woman presents with exertional dyspnea and syncope. A harsh systolic
murmur is heard at the right second intercostal space with radiation to the carotids. Which diagnosis
is most likely?
Answer: Aortic stenosis
Question 2: A patient with hypertension and bilateral renal artery stenosis is being treated. Which
medication should be avoided?
Answer: ACE inhibitor
Question 3: A 68-year-old woman presents with palpitations and an irregularly irregular pulse. ECG
shows absent P waves. What is the first priority in management?
Answer: Rate control
Question 4: A patient with paroxysmal atrial fibrillation has a CHA₂DS₂-VASc score of 3. Which
statement is correct?
Answer: Anticoagulation is indicated despite paroxysmal A-fib
Question 5: At what CHA₂DS₂-VASc score is anticoagulation recommended for women?
Answer: 3e
Question 6: A patient has frequent symptomatic PVCs but no structural heart disease. What is the
most appropriate initial treatment?
Answer: Beta-blocker therapy
Question 7: Which echocardiographic finding is most consistent Reduced with mitral stenosis?
Answer: mitral valve area with elevated left atrial pressure
Question 8: Which echocardiographic finding is most associated with atrial fibrillation?
Answer: Left atrial enlargement
Question 9: Which medication class is appropriate for pain management in hospice patients?
Answer: Opioids when indicated
Page 1
