NSG6001 Final Study Guide with Correct Answers, Exams of Nursing

Download NSG6001 Final Study Guide with Correct Answers and more Exams Nursing in PDF only on Docsity! NSG6001 Final Study Guide with correct answers You are in the clinic with your mentor observing exercise test of a 45 year old who has been experiencing slight chest pressure almost daily during exercise. While observing your patient your mentor points out that the left ventricle wall is thinning and there is some hyperkinesia of the ventricular wall. From your time in the clinic you know that this test will be what type of result - correct answers positive What are the most common mechanisms to produce cardiac arrhythmias? - correct answers enhanced automaticity, triggered activity or reentry A 65 year old white male arrives in your clinic with general complaints of slight abdominal discomfort. He has a known history of smoking two packs per day for 40 years and hypertension. He also has COPD and has been treated numerous times with oral steroids. You consider optimal diagnoses. Of the ones listed below which should be included as a potential top suspect in our choice diagnosis - correct answers abdominal aortic aneurysm More than half of all cardiac arrhythmias involve in the atria - correct answers true What are the most common symptoms caused by tachyarrhythmias - correct answers palpitations For women with known cad and diabetes, which is the most appropriate to assess CAD risk - correct answers ETT with imaging Of the following, which is the best answer when asked about the advantage of echocardiogram exercise testing over thallium stress testing - correct answers Results are available more quickly 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? - correct answers E. coli What purpose does the principle of fidelity serve - correct answers Ensures that providers honor their commitment to the patient NSG6001 Final Study Guide with correct answers 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 - correct answers true 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 - correct answers true Skin cancer is the most common malignant neoplasms in males in the US. What is the second leading cause of cancer deaths in men greater than 50 years of age - correct answers Prostate cancer What ech changes can reduce the specificity of the ETT - correct answers paced rhythm and resting bundle branch blocks You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In teaching your patient about symptoms to report immediately to the vascular surgeon you instruct the patient to report which of the following - correct answers back pain or flank pain Which is one of the common causes of a saccular abdominal aneurysm - correct answers trauma The diagnostic accuracy of stress testing is decreased among women compared to men for what reasons - correct answers women usually have single vessel or non-obstructive disease population disease management is a term used to describe - correct answers high prevalence specific diseases 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. You know that this form of aneurysm is referred to as what kind of aneurysm - correct answers Fusiform NSG6001 Final Study Guide with correct answers AAA are often asymptomatic, what percent of AAA are discovered in asymptomatic patient - correct answers 75% Improvement in the delivery and management of the healthcare are necessary if we are to improve the overall health of this nation's population. Which of the following are identified in your readings as strategic in the movement to improve healthcare system - correct answers Population management and healthcare practice Two main types of heart failure - correct answers systolic and diastolic The majority of all strokes are non-ischemic. Is this statement true or false - correct answers false When a murmur is first heard. It is important to determine if it is due to a pathological condition or benign. For an experience practitioner, it is always easy to determine the cause of a murmur merely by listening to the sound true or false - correct answers False Maintenance of an isometric ST segment during exercise is the response of - correct answers normal heart The goal of self-management is to specifically do what - correct answers engage patients in own care Your 56 year old patient presents with bradycardia with a rate of 55 and a first degree av block. The patient is hemodynamically stable and is not experiencing any syncope or chest pain. Hx includes: MI, home meds include BB, ASA, lab work is non-significant for electrolyte imbalances. You decide to treat this patient for the arrhythmia to prevent future destabilizations. Which might be the appropriate first measure to consider - correct answers Discontinue BB and replace with another therapy if neccessary Your patient is morbidly obese and cannot sit on a bicycle or walk a treadmill.. She also has marked and severe emphysema. You need to make an assessment of the risk of significant CAD and your patients family says that their relative had their diagnosis base on an ultrasound echo. What facts would influence your decisions regarding the family request for echo assessment - correct answers Sensitivity would be reduced because of obesity and lung disease NSG6001 Final Study Guide with correct answers Your are in a clinic with your mentor observing the echocardiogram exercise test of a 45 year old male that had been experiencing slight chest pressure almost daily during exercise. While observing your patient, your mentor points out that the left ventricle wall is thinning and there is some hyperkinesia. From your time in the clinic, you know that this test will be considered to be what type of result? - correct answers positive Your patient is newly diagnosed with persistent Atria Fibrillation. You consider electro cardioversion. Before undergoing this procedure you should order the following examination to assess thrombus risk. - correct answers transesophageal echocardiography Tachyarrhythmias cause a drop in commonly blood pressure, cardiac output, syncope, shortness of breath, and chest pain. What phenomenon most often occurs during these arrhythmias to cause these symptoms? - correct answers shortened diastole At what age is atria fibrillation most common? - correct answers 60 or older Automaticity is a property common to all cardiac cells. Is this statement true or false? - correct answers true Your patient has a maximum age-predicted heart rate of 180. During the exercise he reaches a heart rate of 140 and then states he can no longer exercise. You see evidence of ischemic changes on the ECG. This would be predictive of what condition? - correct answers significant CAD You tell a patient that he has a murmur. He says he has been told this before, but wonders what causes the unique sounds of a murmur. Which of the following would be your best option? - correct answers turbulent blood flow What is the treatment of choice for uncomplicated community acquired cystitis - correct answers Any patient presenting with symptomatic bradycardia should be referred to a cardiologist for management. Is this statement true or false? - correct answers true NSG6001 Final Study Guide with correct answers Encouragement of patients to take effective actions in their own healthcare refers to the concept of: - correct answers self management support You are considering adding an adjunctive form of testing to detect wall motion abnormalities during the ETT. You select Echocardiography as the added testing. You choose this test because you know that echocardiography does what when added to a standard ETT? - correct answers enhances sensitivity and specificity of CAD detection Medicaid is mandated to be provided by each state through federal codes. Each state must offer Medicaid exactly as the federal government prescribes. True or false? - correct answers False What sexually transmitted disease is most widespread in the USA today - correct answers Chlamydia Your preceptor decides to add Doppler Flow studies to the echocardiogram exercise test for a patient with a recent history of a holistic murmur best auscultated at the left sternal boarder. The patient has no history of cardiac surgeries. He asks you what might be the main advantages of adding Doppler Flow for this particular patient. You know from your readings that there are several reasons to add Doppler Flow and below are listed more than one correct reason. Your best response for this specific case, however, would be that Doppler Flow studies would be of what additive value during the echocardiogram study? - correct answers detect and evaluate blood shunting from a septal defect Your patient presents with tachycardia. The QRS is measured at 0.10 seconds. Which of the following tachycardias would be an appropriate conclusion based on this information alone? - correct answers Premature junctional contractions sexual partners of a patient with diagnosed STI should always be examined and treated - correct answers true Patient urinates then has incontinence right after what type of incontinence is this - correct answers overflow How long should you take TMP-SMZ for uncomplicated UTI - correct answers 7 to 10 days