NURS 620 ADULT 1 CORRECT EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔A patient presents with a dry cough, causing chest discomfort x 10 days. He has a
runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and
rhinitis in the nasal passages. Denies smoking, fever, wheezing. What do we expect? -
✔✔Acute bronchitis
✔✔According to JNC 8, a 40 yo with 168/88 with CKD should have treatment with? -
✔✔Lisinopril (ACE inhibitors)
✔✔a new 58yo pt has a BP 152/90, first time seeing this patient, what should you do? -
✔✔Come back for 3 more BP checks
✔✔What HDL level is considered cardioprotective? - ✔✔>60
✔✔which of the following is the drug of choice for a African American pt with HTN and
DM? - ✔✔HCTZ (diuretic)
✔✔There are 4 stages of heart failure, classified as A-D- Describe the evolution and
progression of the disease - ✔✔A -Asymptomatic; B -structural change; C-Fatigue,
DOE, -Pulmonary congestion on CXR, Cardiomegaly; D-nocturnal dyspnea, edema,
JVD, S3, crackles, Pleural effusion
✔✔Patients who have symptoms of HF at rest despite medical therapy and are
hospitalized or require special interventions.. which stage would it be? - ✔✔D
✔✔Risk factors for HTN - ✔✔age, race (AA), gender (male), obesity, FH, ETOH,
sedentary, smoking, stress, diet
✔✔BP goals per JNC 8 - ✔✔≤ 60 y/o or DM, CKD <140/90; ≥ 60 y/o <150/90
, ✔✔what are Cozaar (losartan), Benicar (olmesartan), Micardis (telmisartan), and
Avapro (Irbesartan) examples of? - ✔✔angiotensin receptor blockers (ARBs)
✔✔What would you see on EKG with ischemia? - ✔✔T-wave inversion
✔✔Which of the following is in the heart and rapidly rises in the blood stream in heart
failure? - ✔✔BNP
✔✔James is in your office for annual exam. His cholesterol screening is 198. Which
action would you take? - ✔✔initiate drug therapy with a statin
✔✔Which diagnostic test would be used for dx of a venous embolism (gold standard)? -
✔✔Ascending venogram
✔✔Sam age 78 presents to the clinic with respiratory symptoms. His PFT- normal, total
lung capacity, decreased PaO2, increased PaCO2, on assessment crackles and forced
expiratory wheezes. What is our DX? - ✔✔Chronic Bronchitis
✔✔At what LDL level would you start a person on a statin with no risk factors regardless
of comorbidities? - ✔✔>190
✔✔What does this CXR Show? - ✔✔infiltrates; pneumonia
✔✔Heart Failure Classification System - ✔✔I - Asymptomatic; II - Symptoms only with
marked exertion; III - Symptoms with moderate exertion; IV - Symptoms at rest
✔✔What would a diagnosis of HTN w/o further confirmation be based on? - ✔✔Initial
screening BP of ≥180/110 mmHg or who presents with hypertensive emergency
✔✔What is the first lifestyle modification to address for someone diagnosed with HTN -
✔✔Weight reduction
✔✔African Americans dx with HTN without chronic kidney disease should use -
✔✔CCBs and thiazides
✔✔what 2 classes of HTN medication should not be used together? - ✔✔ACEIs and
ARBs
✔✔What should be used instead of ACEIs and ARBs in patients over age 75 with
impaired kidney function - ✔✔CCBs and thiazides
QUESTIONS AND ANSWERS SURE A+
✔✔A patient presents with a dry cough, causing chest discomfort x 10 days. He has a
runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and
rhinitis in the nasal passages. Denies smoking, fever, wheezing. What do we expect? -
✔✔Acute bronchitis
✔✔According to JNC 8, a 40 yo with 168/88 with CKD should have treatment with? -
✔✔Lisinopril (ACE inhibitors)
✔✔a new 58yo pt has a BP 152/90, first time seeing this patient, what should you do? -
✔✔Come back for 3 more BP checks
✔✔What HDL level is considered cardioprotective? - ✔✔>60
✔✔which of the following is the drug of choice for a African American pt with HTN and
DM? - ✔✔HCTZ (diuretic)
✔✔There are 4 stages of heart failure, classified as A-D- Describe the evolution and
progression of the disease - ✔✔A -Asymptomatic; B -structural change; C-Fatigue,
DOE, -Pulmonary congestion on CXR, Cardiomegaly; D-nocturnal dyspnea, edema,
JVD, S3, crackles, Pleural effusion
✔✔Patients who have symptoms of HF at rest despite medical therapy and are
hospitalized or require special interventions.. which stage would it be? - ✔✔D
✔✔Risk factors for HTN - ✔✔age, race (AA), gender (male), obesity, FH, ETOH,
sedentary, smoking, stress, diet
✔✔BP goals per JNC 8 - ✔✔≤ 60 y/o or DM, CKD <140/90; ≥ 60 y/o <150/90
, ✔✔what are Cozaar (losartan), Benicar (olmesartan), Micardis (telmisartan), and
Avapro (Irbesartan) examples of? - ✔✔angiotensin receptor blockers (ARBs)
✔✔What would you see on EKG with ischemia? - ✔✔T-wave inversion
✔✔Which of the following is in the heart and rapidly rises in the blood stream in heart
failure? - ✔✔BNP
✔✔James is in your office for annual exam. His cholesterol screening is 198. Which
action would you take? - ✔✔initiate drug therapy with a statin
✔✔Which diagnostic test would be used for dx of a venous embolism (gold standard)? -
✔✔Ascending venogram
✔✔Sam age 78 presents to the clinic with respiratory symptoms. His PFT- normal, total
lung capacity, decreased PaO2, increased PaCO2, on assessment crackles and forced
expiratory wheezes. What is our DX? - ✔✔Chronic Bronchitis
✔✔At what LDL level would you start a person on a statin with no risk factors regardless
of comorbidities? - ✔✔>190
✔✔What does this CXR Show? - ✔✔infiltrates; pneumonia
✔✔Heart Failure Classification System - ✔✔I - Asymptomatic; II - Symptoms only with
marked exertion; III - Symptoms with moderate exertion; IV - Symptoms at rest
✔✔What would a diagnosis of HTN w/o further confirmation be based on? - ✔✔Initial
screening BP of ≥180/110 mmHg or who presents with hypertensive emergency
✔✔What is the first lifestyle modification to address for someone diagnosed with HTN -
✔✔Weight reduction
✔✔African Americans dx with HTN without chronic kidney disease should use -
✔✔CCBs and thiazides
✔✔what 2 classes of HTN medication should not be used together? - ✔✔ACEIs and
ARBs
✔✔What should be used instead of ACEIs and ARBs in patients over age 75 with
impaired kidney function - ✔✔CCBs and thiazides
