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SU NSG 6001 - Week 5 Final Exam

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NSG6001 Week 5 Final ExamQuestion 1: More than half of all cardiac arrhythmias involve the atria.A) TrueB) FalseQuestion 2: What are the most common symptoms caused by tachyarrhythmias?a) Sweatingb) Thirstc) Palpitationsd) HeadachesQuestion 3: For women with known CAD and diabetes, which is most appropriate to assess CADrisk?a) ETTb) Coronary bypass surgeryc) Coronary catheterizationd) ETT with imagingQuestion 4: Of the following, which is the best answer when asked for an advantage ofechocardiogram exercise testing over thallium stress testing?a) Does not depend on operator experienceb) Costs are the samec) Results are available more quicklyd) Doesn’t matter because there are no advantagesQuestion 5: Your patient has uncomplicated pyelonephritis. In deciding your recommendedtreatment, you consider the most common pathogenic reason for this diagnosis. What pathogenaccounts for the majority of pyelonephritis?a) E. Colib) Gardnerella Vaginalisc) Mycoplasmad) Hominis ChlamydiaQuestion 6: What purpose does the principle of fidelity serve in the provider/patient relationship?a) Ensures that providers honor their commitments to the patientb) Obligates the provider to a one-on-one relationship with the individualc) Ensures that patients receive whatever they wantd) Maintains costs in the healthcare arenaQuestion 7: In CAD, after both systolic and diastolic dysfunction have occurred, the typicalpattern of chest pain and related EKG changes occur. During an EKG, you should expect to seeST-segment and T-wave changes that are central to demonstration of ischemia occurringrelatively late in the ischemic cascade. Is this true or false?a) Trueb) FalseQuestion 8: The leads on the ECG showing ischemic changes during or immediately after anETT can correlate roughly to the culprit artery or arteries with significant CAD. Is this true orfalse?a) Trueb) FalseQuestion 9: Skin cancer is the most common malignant neoplasmin males in the US. What is thesecond leading cause of cancer deaths in men greater than 50 years of age?a) Prostate cancerb) Lung cancerc) Lymphomad) LupusQuestion 10: What ECG changes can reduce the specificity of theETT? Exercise induced bundlebranch blocks Paced rhythm and resting bundle branch block Paced rhythm and exercise inducedbundle branch blocks Low voltage up sloping of the ST-segment Question 11. Question : Youhave confirmed that your patient does indeed have an abdominal aortic aneurysm. In teachingyour patient about symptoms to report immediately to the vascularsurgeon, you instruct thepatient to report which of the following? Newly diagnosed diabetes Back pain or flank painVisual disturbances Headaches Question 12. Question : What is one of the common causes of aSaccular Abdominal Aneurysm? Poor kidney functioning Age Drugs: illicit and prescribedTrauma Question 13. Question : The diagnostic accuracy of stress testing is decreased amongwomen compared to men for what reasons? Women having thinner ventricular and septalmuscles Women usually have single vessel or non-obstructive disease Women cannot exercise asvigorously as men Women typically have multiple vessel disease Question 14. Question :Population disease management is a term used to describe: High specificity disease states Lowspecificity diseases states Low prevalence specific diseases High prevalence specific diseasesQuestion 15. Question : You receive a report back on the suspected abdominal aortic aneurysmfor your patient. It confirms your suspicion of AAA. The report describes the aneurysm as asymmetric weakness of the entire circumference of the aorta. Youknow that this form ofaneurysm is referred to as what kind of aneurysm? Thoracic aneurysm Budging sac aneurysmSaccular aneurysm Fusiform aneurysm Question 16. Question : Your practice partner justordered an exercise echocardiography 2DE for a patient with suspected cardiovascular risk. Thispatient has known resting wall motion abnormalities.Why would this not be the best test toassess this patient’s cardiac risk? Sensitivity is increased Sensitivity is decreased Specificity isincreased Specificity is decreased Question 17. Question : Your 60-year old male patient arrivesfor his appointment. He complains of general malaise and fever over the past several days withlow back pain. He also states that he is getting up at night more often to urinate and never feelshis bladder is completely empty.What differential diagnosis shouldyou consider in this patient?Acute viral prostatitis Stomach virus Acute bacterial prostatitis BPH only Question 18.Question : We all know that collaboration is integral to becoming asuccessful nurse practitioner.Among collaborations, however, only one can be considered as the most important. While eachexample below is important, which is the most important collaboration? The one that occurs:Between the nurse practitioner and their physician mentor Between two healthcare providersabout a single patient Between the patient and their family Between the patient and the nursepractitioner Question 19. Question : The sensitivity of a routine ETT is effort dependent. Whatphysiological changes occur during effort in the routine ETT? Rapid heart rates and coronaryartery narrowing Decrease in coronary blood flow Decreased heart rate and increased systolicblood pressure Increased coronary flow and increased systolic blood pressure Question 20.Question : A 47-year old female with general complaints of fatigueand shortness of breathshows up in your clinic as a referral from another nurse practitioner. Several blood tests andchest x-rays have been completed without any diagnosis or outstanding abnormalities.You decideto order an ETT despite the fact that the recent ECG does not show any abnormalities. From theanswers below, which would be the best answer to support your decision? You are out of otheroptions CAD in women is under diagnosed To please the patient Women present with the samepattern of CAD as do males Question 21. Question : Your patient underwent an exercise stresstest for CAD. There is significant elevation of the ST-segment.What do you need to know aboutthese changes to manage your patient’s care? : This patient needs to see someone moreexperienced in treatment

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