NSG 6001 Final Exam
I I I
Maintenance Iof Ian IIsometric IST-segment Iduring Iexercise Iis Ithe Iresponse Iof?
I
Student IAnswer:
An Iabnormal Iheart I
I
A Inormal Iheart I(Maintenance Iof Ian IIsometric IST-segment
I during Iexercise Iis Ithe Iresponse Iof Ia Inormal Iheart. I I) I
I
CAD I
I
Hypo Iprofusion I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: What Iis Ione Iof Ithe Icommon Icauses Iof Ia ISaccular IAbdominal
I2. IAneurysm?
I
Student IAnswer:
Drugs: Iillicit Iand Iprescribed I
I
Age I
I
Trauma I(One Iof Ithe Icommon Icauses Iof Ia Isaccular Iabdominal
I aneurysm Iis Itrauma.) I
I
Poor Ikidney Ifunctioning I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Your Ipatient Iof I58 Iyears Iof Iage Ihas Ichronic Ihypertension. IYou
I3. Ifollow Ithe Iguidelines Ifor Imanagement Ias Idescribed Iby Ithe
IAmerican IHeart IAssociation Iand Inow Ihave Iyour Ipatient Ifully
Imedicated Iand Idosed Iwith Ithree Iseparate Iantihypertensive
, I medications Iwithout Icontrol Iof Ithe Iblood Ipressure. IWhat Ishould
I be Iyour Inext Istep Iin Ithe Imanagement Iof Ithis Ipatient?
I
Student IAnswer:
Increase Iexercise Irecommendations Ito Iinclude Imarathons I
I
Add Ia Ifourth Iagent I
I
Physician Iconsult I(As Ia Inurse Ipractitioner Iit Iis Iimportant Ito
Iknow Iwhen Ito Iseek Iconsultation Iwith Ia Iphysician. IThe Inext Istep
Iwould Ibe Ia Iphysician Iconsult Iafter Iprescribing Ithree
Iantihypertensive Iagents.) I
I
Continue Ito Iobserve Ifor Ian Iadditional Ithree Imonths Iwithout
I any Ichanges I
I Points IReceived: 0 Iof I5 I
I Comments:
Question Question I: The Idiagnostic Iaccuracy Iof Istress Itesting Iis Idecreased Iamong
I4. Iwomen Icompared Ito Imen Ifor Iwhat Ireasons?
I
Student IAnswer:
Women Icannot Iexercise Ias Ivigorously Ias Imen I
I
Women Itypically Ihave Imultiple Ivessel Idisease I
I
Women Ihaving Ithinner Iventricular Iand Iseptal Imuscles I
I
Women Iusually Ihave Isingle Ivessel Ior Inon-obstructive Idisease
I(The Idiagnostic Iaccuracy Iof Istress Itesting Iis Idecreased Iamong
Iwomen Icompared Ito Imen Ibecause Iwomen Iusually Ihave Isingle
Ivessel Ior Inon-obstructive Idisease.) I
I
Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Any Ipatient Ipresenting Iwith Isymptomatic Ibradycardia Ishould Ibe
I5. Ireferred Ito Ia Icardiologist Ifor Imanagement. IIs Ithis Istatement Itrue
Ior Ifalse?
I
Student IAnswer:
False I
,I
True I(This Istatement Iis Itrue: Iany Ipatient Ipresenting Iwith
Isymptomatic Ibradycardia Ishould Ibe Ireferred Ito Ia Icardiologist Ifor
Imanagement.) I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Chronic, Inon-communicable Idiseases Iaccount Ifor
I6. Idisproportionate Icosts Ito Ithe Ihealthcare Isystem. IAccording Ito Ithe
IWorld IHealth IOrganization, Iwhat Ipercent Iof Ipreventable Ideaths
Iand Idisabilities Ioccur Iin Ithe IAmericas Irelated Ito Ichronic Inon-
communicable Idiseases?
I
Student IAnswer:
80%-90% I
I
60%-70% I(According Ito Ithe IWorld IHealth IOrganization,
I60%--7 I0% Iof Ipreventable Ideaths Iand Idisabilities Ioccur Iin Ithe
IAmericas Irelated Ito Ichronic Inon-communicable Idiseases. I I
I) I
I
10%-15% I
I
35%-45% I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: On Ithe Iechocardiography Iduring Ithe IETT Iyou Inotice Ithe
I7. Ifollowing Ichange: Iabnormal Ileft Iventricular Iejection Ifraction.
IWhat Ido Ithese Ichanges Isuggest Irelated Ito Ithis Ipatient?
I
Student IAnswer:
Ischemia Iof Ithe Imyocardium I(Abnormal Ileft Iventricular
I ejection Ifraction Isuggests Iischemia Iof Ithe Imyocardium.) I
I
Weak Iventricular Imuscles I
I
Rise Iin Iheart Irate Iwithout Ievidence Iof Iischemia I
I
Non-ischemic Ichanges Iof Ithe Ibaseline IECG I
, I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: What Iare Ithe Itwo Itypes Iof Ibradycardia Irecognized Iby Ithe
I8. IAmerican IHeart IAssociation?
I
Student IAnswer:
Relative Iand Idynamic I
I
Absolute Iand Ipending I
I
Refractory Iand Inon-refractory I
I
Relative Iand Iabsolute I(The Itwo Itypes Iof Ibradycardia
Irecognized Iby Ithe IAmerican IHeart IAssociation Iare Irelative Iand
Iabsolute.) I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Aortic Ianeurysms Iare Idescribed Ibased Ion Itheir Ishape. IAneurysms
I9. Imay Ibe Ifusiform Ior Isaccular. IWhen Ian Ianeurysm Iforms Ias Ia
Iweakness Ior Ibleb Ion Ione Iside Iof Ithe Iaorta, Iit Iis Idescribed Ias Iwhat
Iform Iof Ianeurysm?
I
Student IAnswer:
Fusiform I
I
Saccular I(When Ian Ianeurysm Iforms Ias Ia Iweakness Ior Ibleb Ion
Ione Iside Iof Ithe Iaorta, Iit Iis Idescribed Ias Isaccular Iform Iof
Ianeurysm.) I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: There Iis Ia Iwide Irange Iof Iantibiotic Iagents Ithat Ican Ibe Iselected Ito
I10. Itreat Ia Iurinary Itract Iinfection. IUnfortunately, Ithere Iis Ioften Ifailure
Iof Itreatment Inoticed. IFrom Ithe Ilist Ibelow, Iwhich Iwould Ibe
Iconsidered Ia Icommon Ireason Ifor Itreatment Ifailure Iin IUTI?
I I I
Maintenance Iof Ian IIsometric IST-segment Iduring Iexercise Iis Ithe Iresponse Iof?
I
Student IAnswer:
An Iabnormal Iheart I
I
A Inormal Iheart I(Maintenance Iof Ian IIsometric IST-segment
I during Iexercise Iis Ithe Iresponse Iof Ia Inormal Iheart. I I) I
I
CAD I
I
Hypo Iprofusion I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: What Iis Ione Iof Ithe Icommon Icauses Iof Ia ISaccular IAbdominal
I2. IAneurysm?
I
Student IAnswer:
Drugs: Iillicit Iand Iprescribed I
I
Age I
I
Trauma I(One Iof Ithe Icommon Icauses Iof Ia Isaccular Iabdominal
I aneurysm Iis Itrauma.) I
I
Poor Ikidney Ifunctioning I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Your Ipatient Iof I58 Iyears Iof Iage Ihas Ichronic Ihypertension. IYou
I3. Ifollow Ithe Iguidelines Ifor Imanagement Ias Idescribed Iby Ithe
IAmerican IHeart IAssociation Iand Inow Ihave Iyour Ipatient Ifully
Imedicated Iand Idosed Iwith Ithree Iseparate Iantihypertensive
, I medications Iwithout Icontrol Iof Ithe Iblood Ipressure. IWhat Ishould
I be Iyour Inext Istep Iin Ithe Imanagement Iof Ithis Ipatient?
I
Student IAnswer:
Increase Iexercise Irecommendations Ito Iinclude Imarathons I
I
Add Ia Ifourth Iagent I
I
Physician Iconsult I(As Ia Inurse Ipractitioner Iit Iis Iimportant Ito
Iknow Iwhen Ito Iseek Iconsultation Iwith Ia Iphysician. IThe Inext Istep
Iwould Ibe Ia Iphysician Iconsult Iafter Iprescribing Ithree
Iantihypertensive Iagents.) I
I
Continue Ito Iobserve Ifor Ian Iadditional Ithree Imonths Iwithout
I any Ichanges I
I Points IReceived: 0 Iof I5 I
I Comments:
Question Question I: The Idiagnostic Iaccuracy Iof Istress Itesting Iis Idecreased Iamong
I4. Iwomen Icompared Ito Imen Ifor Iwhat Ireasons?
I
Student IAnswer:
Women Icannot Iexercise Ias Ivigorously Ias Imen I
I
Women Itypically Ihave Imultiple Ivessel Idisease I
I
Women Ihaving Ithinner Iventricular Iand Iseptal Imuscles I
I
Women Iusually Ihave Isingle Ivessel Ior Inon-obstructive Idisease
I(The Idiagnostic Iaccuracy Iof Istress Itesting Iis Idecreased Iamong
Iwomen Icompared Ito Imen Ibecause Iwomen Iusually Ihave Isingle
Ivessel Ior Inon-obstructive Idisease.) I
I
Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Any Ipatient Ipresenting Iwith Isymptomatic Ibradycardia Ishould Ibe
I5. Ireferred Ito Ia Icardiologist Ifor Imanagement. IIs Ithis Istatement Itrue
Ior Ifalse?
I
Student IAnswer:
False I
,I
True I(This Istatement Iis Itrue: Iany Ipatient Ipresenting Iwith
Isymptomatic Ibradycardia Ishould Ibe Ireferred Ito Ia Icardiologist Ifor
Imanagement.) I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Chronic, Inon-communicable Idiseases Iaccount Ifor
I6. Idisproportionate Icosts Ito Ithe Ihealthcare Isystem. IAccording Ito Ithe
IWorld IHealth IOrganization, Iwhat Ipercent Iof Ipreventable Ideaths
Iand Idisabilities Ioccur Iin Ithe IAmericas Irelated Ito Ichronic Inon-
communicable Idiseases?
I
Student IAnswer:
80%-90% I
I
60%-70% I(According Ito Ithe IWorld IHealth IOrganization,
I60%--7 I0% Iof Ipreventable Ideaths Iand Idisabilities Ioccur Iin Ithe
IAmericas Irelated Ito Ichronic Inon-communicable Idiseases. I I
I) I
I
10%-15% I
I
35%-45% I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: On Ithe Iechocardiography Iduring Ithe IETT Iyou Inotice Ithe
I7. Ifollowing Ichange: Iabnormal Ileft Iventricular Iejection Ifraction.
IWhat Ido Ithese Ichanges Isuggest Irelated Ito Ithis Ipatient?
I
Student IAnswer:
Ischemia Iof Ithe Imyocardium I(Abnormal Ileft Iventricular
I ejection Ifraction Isuggests Iischemia Iof Ithe Imyocardium.) I
I
Weak Iventricular Imuscles I
I
Rise Iin Iheart Irate Iwithout Ievidence Iof Iischemia I
I
Non-ischemic Ichanges Iof Ithe Ibaseline IECG I
, I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: What Iare Ithe Itwo Itypes Iof Ibradycardia Irecognized Iby Ithe
I8. IAmerican IHeart IAssociation?
I
Student IAnswer:
Relative Iand Idynamic I
I
Absolute Iand Ipending I
I
Refractory Iand Inon-refractory I
I
Relative Iand Iabsolute I(The Itwo Itypes Iof Ibradycardia
Irecognized Iby Ithe IAmerican IHeart IAssociation Iare Irelative Iand
Iabsolute.) I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: Aortic Ianeurysms Iare Idescribed Ibased Ion Itheir Ishape. IAneurysms
I9. Imay Ibe Ifusiform Ior Isaccular. IWhen Ian Ianeurysm Iforms Ias Ia
Iweakness Ior Ibleb Ion Ione Iside Iof Ithe Iaorta, Iit Iis Idescribed Ias Iwhat
Iform Iof Ianeurysm?
I
Student IAnswer:
Fusiform I
I
Saccular I(When Ian Ianeurysm Iforms Ias Ia Iweakness Ior Ibleb Ion
Ione Iside Iof Ithe Iaorta, Iit Iis Idescribed Ias Isaccular Iform Iof
Ianeurysm.) I
I Points IReceived: 5 Iof I5 I
I Comments:
Question Question I: There Iis Ia Iwide Irange Iof Iantibiotic Iagents Ithat Ican Ibe Iselected Ito
I10. Itreat Ia Iurinary Itract Iinfection. IUnfortunately, Ithere Iis Ioften Ifailure
Iof Itreatment Inoticed. IFrom Ithe Ilist Ibelow, Iwhich Iwould Ibe
Iconsidered Ia Icommon Ireason Ifor Itreatment Ifailure Iin IUTI?