(FNP) NU 611
Clinical Decision Making
LATEST FINAL EXAM REVIEW
Q&S
©2024/2025
,1. Multiple Choice: In evaluating a patient with suspected
myocardial infarction, which of the following diagnostic tests should
be ordered initially?
a) Echocardiogram
b) Chest X-ray
c) Electrocardiogram (ECG)
d) Complete blood count (CBC)
Answer: c) Electrocardiogram (ECG)
Rationale: An ECG is the most immediate test to assess for
cardiac ischemia and potential myocardial infarction.
2. Fill-in-the-Blank: A patient presents with symptoms of
hypothyroidism. The primary healthcare provider should order a
serum _______ level to confirm the diagnosis.
Answer: Thyroid-stimulating hormone (TSH)
Rationale: TSH levels are the initial test for assessing thyroid
function, as they can indicate whether the thyroid is underactive.
3. True/False: In patients with type 2 diabetes, insulin therapy is
only considered when lifestyle modifications and oral medications
fail to control blood glucose levels.
Answer: True
©2024/2025
, Rationale: Insulin therapy is typically considered a later approach
in type 2 diabetes management after other treatments have been
tried.
4. Multiple Response: Select all that apply. Which of the following
are potential complications of hypertension?
a) Stroke
b) Renal failure
c) Vision loss
d) Myocardial infarction
e) Joint pain
Answers: a) Stroke, b) Renal failure, c) Vision loss, d)
Myocardial infarction
Rationale: Hypertension can lead to multiple organ damage
including the brain, kidneys, eyes, and heart, but it is not directly
associated with joint pain.
[...Continues with 16 more questions in a similar format, each with
a correct Answer and rationale...]
20. Multiple Choice: When considering pharmacological treatment
for a patient with chronic obstructive pulmonary disease (COPD),
which medication class is typically used as a first-line maintenance
therapy?
©2024/2025
Clinical Decision Making
LATEST FINAL EXAM REVIEW
Q&S
©2024/2025
,1. Multiple Choice: In evaluating a patient with suspected
myocardial infarction, which of the following diagnostic tests should
be ordered initially?
a) Echocardiogram
b) Chest X-ray
c) Electrocardiogram (ECG)
d) Complete blood count (CBC)
Answer: c) Electrocardiogram (ECG)
Rationale: An ECG is the most immediate test to assess for
cardiac ischemia and potential myocardial infarction.
2. Fill-in-the-Blank: A patient presents with symptoms of
hypothyroidism. The primary healthcare provider should order a
serum _______ level to confirm the diagnosis.
Answer: Thyroid-stimulating hormone (TSH)
Rationale: TSH levels are the initial test for assessing thyroid
function, as they can indicate whether the thyroid is underactive.
3. True/False: In patients with type 2 diabetes, insulin therapy is
only considered when lifestyle modifications and oral medications
fail to control blood glucose levels.
Answer: True
©2024/2025
, Rationale: Insulin therapy is typically considered a later approach
in type 2 diabetes management after other treatments have been
tried.
4. Multiple Response: Select all that apply. Which of the following
are potential complications of hypertension?
a) Stroke
b) Renal failure
c) Vision loss
d) Myocardial infarction
e) Joint pain
Answers: a) Stroke, b) Renal failure, c) Vision loss, d)
Myocardial infarction
Rationale: Hypertension can lead to multiple organ damage
including the brain, kidneys, eyes, and heart, but it is not directly
associated with joint pain.
[...Continues with 16 more questions in a similar format, each with
a correct Answer and rationale...]
20. Multiple Choice: When considering pharmacological treatment
for a patient with chronic obstructive pulmonary disease (COPD),
which medication class is typically used as a first-line maintenance
therapy?
©2024/2025
