6531 Nrnp Combined Midterm And Final Review Exam
Questions And Correct Verified Answers Latest Update
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Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an
emergency department with symptoms of acute ST-segment elevation MI (STEMI).
The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL. - CORRECT ANSWERS
Patients who meet the criteria for statin therapy to help prevent atherosclerotic
cardiovascular disease are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL.
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Cauda equina syndrome - CORRECT ANSWERS A 75-year-old patient reports
pain and a feeling of tiredness in both legs that only relieves after sitting for 30
minutes or more. What the does provider suspect as the cause for these symptoms?
Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease
Oral contraceptives
NSAIDS
Sleep apnea - CORRECT ANSWERS Which are causes of secondary hypertension?
(Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Assessment of gasping breaths or not breathing - CORRECT ANSWERS A health
care provider in a clinic finds a patient in a room, unresponsive and pale. Which sign
should be used to identify the need to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
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Assessment of gasping breaths or not breathing
Admit to the hospital for evaluation and treatment - CORRECT ANSWERS An
African-American patient who is being treated with a thiazide diuretic for chronic
hypertension reports blurred vision and shortness of breath. The provider notes a
blood pressure of 185/115. What is the recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
Atrial fibrillation - CORRECT ANSWERS A patient reports sustained, irregular heart
palpitations. What is the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Hypertrophic cardiomyopathy - CORRECT ANSWERS A patient has a cardiac
murmur that peaks in midsystole and is best heard along the left sternal border. The
provider determines that the murmur decreases in intensity when the patient
changes from standing to squatting and increases in intensity with the Valsalva
maneuver. Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
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Hypertrophic cardiomyopathy
Mitral valve prolapse
Consult with cardiology to determine appropriate diagnostic tests - CORRECT
ANSWERS A young female patient has known mitral valve prolapse. During a
routine health maintenance exam, the provider notes an apical systolic murmur and
a midsystolic click on auscultation. The patient denies chest pain, syncope, or
palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests
US of the mass to determine size - CORRECT ANSWERS A patient reports
abdominal and back pain with anorexia and nausea. During an exam, the provider
notes a pulsatile abdominal mass. What is the initial action?
Scheduling an MRI to evaluate for aortic disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography
Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to an
emergency department with symptoms of acute ST-segment elevations MI (STEMI).
The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
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