NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023, Exams of Nursing

Download NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023 and more Exams Nursing in PDF only on Docsity! NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. 3 criteria for certification if patient on anticoagulation for a CV condition - Exact Answer: 1. Stable on meds for 1 month 2. Provide copy of INR at exam 3. Have INR checked and monitored at least monthly 3 requirements for a passing ETT - Exact Answer: 1. increased SBP of at least 20 without angina 2. workload capacity >6 METs 3. no significant ST depression 4 reasons to DQ a pulmonary hypertension patient - Exact Answer: 1. dyspnea at rest 2. dizziness 3. hypotension 4. PaO2 <65mmHg 5 reasons to DQ a driver with AAA - Exact Answer: 1. Symptomatic 2. AAA >5cm 3. AAA 4-5 cm and does not have clearance from a cardiologist 4. AAA increased in size 0.5cm in 6 months NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. 5. Surgical repair was recommended but not done 6 neuromuscular conditions that are automatic DQ - Exact Answer: 1. congenital myopathies 2. metabolic muscle diseases 3. motor neuron diseases 4. muscular dystrophies 5. neuromuscular junction disorders 6. peripheral neuropathies Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA - Exact Answer: 30 BP above which you cannot certify until lowered below 140/90 - Exact Answer: 180/110 - and then this patient can only be certified for 6 months BP above which you must treat and do one time 3 month certificate - Exact Answer: 160/100. For 140/90 and above up to this level, it says 3 month certificate but does not say must treat. NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. Max cert period for balloon mitral valvotomy - Exact Answer: 1 year Max cert period for being on anticoagulation for a CV condition - Exact Answer: 1 year Max cert period for CPAP - Exact Answer: 1 year (1 month waiting period after starting CPAP or 3 months after surgery) Max cert period for diabetic patients - Exact Answer: Technically 2 years, but 1 year is RECOMMENDED. What the hell. Max cert period for post heart transplant - Exact Answer: 6 months Max cert period for pulmonary hypertension - Exact Answer: 1 year Max cert period for Syncope - Exact Answer: 1 year (needs neurologist clearance) NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. Max certification for a diabetic on insulin with a federal exemption - Exact Answer: 1 year Max certification for acute seizure secondary to acute structural insult to CNS - Exact Answer: 1 year Max certification for adult ADHD - Exact Answer: 1 year (needs clearance from a mental health professional) Max certification for alcoholism - Exact Answer: 2 years but only for history of alcoholism, not current dx of alcoholism Max certification for embolic/ thrombotic stroke - Exact Answer: 1 year and they have to be cleared by neuro max certification for history of drug abuse - Exact Answer: 2 years Max certification for history of stage 3 hypertension (>180/110) - Exact Answer: 6 months NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. Max certification for personality disorders - Exact Answer: 1 year Max certification for schizophrenia and related disorders - Exact Answer: 1 year, but it has to be well controlled (no side effects from meds, no active psychosis or compromised judgment) Max certification for severe aortic regurgitation - Exact Answer: 6 months and must be asymptomatic, normal LV function, LVEDD <=60mm, LVESD <=50mm Max certification for single unprovoked seizure - Exact Answer: 1 year Max certification for TIA - Exact Answer: 1 year Max certification post aortic valve repair - Exact Answer: 1 year Max size of a thoracic aneurysm that can be certified - Exact Answer: 3.5 cm NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. Min waiting period for TBI with early seizures, stroke with risk for seizures, intracranial bleed with risk for seizures - Exact Answer: 5 years Min waiting period for thoracic aneurysm repair - Exact Answer: 3 months Min waiting period for TIA or stroke with no risk for seizures - Exact Answer: 1 year min waiting period for valve surgery - Exact Answer: 3 months Min waiting period for vertigo/ dizziness caused by dx of BPV or peripheral vestibulopathy - Exact Answer: 2 months Min waiting period post AAA repair - Exact Answer: 3 months Min waiting period post MI - Exact Answer: 2 months Min waiting period post PCI (percutaneous coronary intervention) - Exact Answer: 1 week NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. minimum waiting period post CABG - Exact Answer: 3 months Must DQ COPD patients if 1 of 3 things: - Exact Answer: 1. hypoxemia at rest 2. chronic resp failure 3. Continuing cough with cough syncope Name 3 reasons you should check PFTs/ spirometry prior to certifying - Exact Answer: 1. Hx of specific lung disease (asthma, CF, COPD) 2. symptoms of SOB, cough, chest tightness, wheezing, etc 3. Smokers over age 35 name 4 otic conditions that are automatic DQs - Exact Answer: Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth peripheral vision - Exact Answer: 70 degrees NRCME Study Guide Exam Questions & Answers Best Rated A+ 2023. Post MI drivers can be certified for 1 year with all 5 of these criteria: (almost the same criteria for post CABG) (first 4 also apply for CHF drivers) - Exact Answer: 1. Asymptomatic 2. Tolerating meds 3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially) 4. LVEF >=40% 5. No ST depression on ECG - for post CABG this one is replaced by completely healed sternal incision Recommended max certification for diabetic not on insulin - Exact Answer: 2 years Should instruct drivers to refrain from driving for how many hours after cold or cough medicines? - Exact Answer: 12 hours Stable angina: max cert period - Exact Answer: 1 year The rule for DQ if they have history of hypoglycemic reactions - Exact Answer: 1 episode in 12 months resulting in seizure, LOC, etc; or 2