NURS 5463 Exam 1 (2026–2027) – Real Questions
with Accurate Answers
Atypical s/s of AMI in older adults - Answer-diaphoresis, SOB, N/V, AMS, syncope
What differential diagnoses are most important when presenting with chest pain?
- Answer-AMI, PE, PTX, aortic dissection, esophageal rupture
What is considered ST elevation in men and women? - Answer-Men = 2mm
Women = 1.5mm
OR new LBBB in 2 leads
Which troponin is more specific? I or T? - Answer-Troponin I is more specific
How often to check troponins? - Answer-Q6h
What 2 things can exclude PE? - Answer-Negative DDIMER & low Wells score
What is the cause of reduced inspired oxygen tension? Does it correct with O2? -
Answer-High altitude, yes
, VQ mismatch causes _____ A-a gradient - Answer-High
Hypoventilation causes a ____ A-a gradient - Answer-normal
Type of abd pain that is caused by stretching, distention, or contraction of organs
- Answer-Visceral pain
Type of abd pain that is caused from peritoneal irritation - Answer-Parietal pain
Causes of RUQ pain - Answer-Gallbladder, liver, perforated ulcer, pancreatitis
Causes of RLQ pain - Answer-App, IBD, hernia, gastroenteritis, ischemic colitis,
kidney stone, ectopic pregnancy, diverticulitis (but esp LLQ)
Causes of LUQ pain - Answer-Gastritis, PUD, pancreatitis, splenic
enlargement/rupture, LLL PNA, AMI, pyelonephritis
Causes of LLQ pain - Answer-Diverticulitis**, IBD, GE, ischemic colitis, hernia, kid
stone, ectopic
Causes of epigastric pain - Answer-PUD, pancreatitis, biliary colic, gallbladder,
esophagitis, GERD, cholangitis, MI, aortic dissection, mesenteric ischemia
Causes of periumbilical pain - Answer-SBO, GE, early appendicitis, aortic
dissection, mesenteric ischemia
with Accurate Answers
Atypical s/s of AMI in older adults - Answer-diaphoresis, SOB, N/V, AMS, syncope
What differential diagnoses are most important when presenting with chest pain?
- Answer-AMI, PE, PTX, aortic dissection, esophageal rupture
What is considered ST elevation in men and women? - Answer-Men = 2mm
Women = 1.5mm
OR new LBBB in 2 leads
Which troponin is more specific? I or T? - Answer-Troponin I is more specific
How often to check troponins? - Answer-Q6h
What 2 things can exclude PE? - Answer-Negative DDIMER & low Wells score
What is the cause of reduced inspired oxygen tension? Does it correct with O2? -
Answer-High altitude, yes
, VQ mismatch causes _____ A-a gradient - Answer-High
Hypoventilation causes a ____ A-a gradient - Answer-normal
Type of abd pain that is caused by stretching, distention, or contraction of organs
- Answer-Visceral pain
Type of abd pain that is caused from peritoneal irritation - Answer-Parietal pain
Causes of RUQ pain - Answer-Gallbladder, liver, perforated ulcer, pancreatitis
Causes of RLQ pain - Answer-App, IBD, hernia, gastroenteritis, ischemic colitis,
kidney stone, ectopic pregnancy, diverticulitis (but esp LLQ)
Causes of LUQ pain - Answer-Gastritis, PUD, pancreatitis, splenic
enlargement/rupture, LLL PNA, AMI, pyelonephritis
Causes of LLQ pain - Answer-Diverticulitis**, IBD, GE, ischemic colitis, hernia, kid
stone, ectopic
Causes of epigastric pain - Answer-PUD, pancreatitis, biliary colic, gallbladder,
esophagitis, GERD, cholangitis, MI, aortic dissection, mesenteric ischemia
Causes of periumbilical pain - Answer-SBO, GE, early appendicitis, aortic
dissection, mesenteric ischemia
