NSG 6001 FINAL EXAM (3 DIFFERENT VERSIONS ) FOR ADVANCED NURSING PRACTICE II LATEST 2023-2024(SOUTH UNIVERSITY)

NSG6001 FINAL EXAM /NSG 6001 FINAL
EXAM (3 DIFFERENT VERSIONS ) FOR
ADVANCED NURSING PRACTICE II
LATEST 2023-2024 | VERIFIED ANSWERS
AGRADE
VERSION 1

1. More than half of all cardiac arrhymias involve the atria

• True

1. What are the most common symptoms caused by tachyarryhthmias

• Palpitations

1. For women with known cad and diabetes, which is the most appropriate to assess CAD
   risk

• ETT with imaging

1. Of the following, which is the best answer when asked about the advantage of
   echocardiogram exercise testing over thallium stress testing

• Results are available more quickly

1. You 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?

• E coli

1. What purpose does the principle of fidelity serve

• Ensures that providers honor their committement to the patient

1. 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

• True

1. 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

• True

1. 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

• Prostate cancer

1. What ech changes can reduce the specificity of the ETT

• Paced rhythm and resting bundle branch blocks.

1. 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

• Back pain or flank pain

1. Which is one of the common causes of a saccular abdominal aneurysm

• Trauma

1. The diagnostic accuracy of stress testing is decreased among women compared to men
   for what reasons

• Women usually have single vessel or non obstructive disease

1. Population disease management is a term used to describe

• High prevalence specific diseases

1. 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

• Fusiform

1. You practice partner just ordered an exercise echocardiograph 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 patients cardiac risk

• Sensitivity is decreased

1. 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 should you consider in this patient

• Acute bacterial prostatitis

1. We all know that collaboration in integral to becoming a successful nurse practitioner.
   Among collaboration, however, only one can be considered the most important. While
   each example below is important, which is the most important collaboration. The one that
   occurs:

• Between the patient and the nurse practitioner

1. The sensitivity of a routine ETT is effort dependent. What physiological changes occur
   during effort in the routine ETT

• Increased coronary blood flow and increased systolic blood pressure

1. A 47 year old female with general complaints of fatigue and shortness of breath show up
   in your clinic as a referral from another nurse practitioner. Several blood tests and chest
   xrays have been completed without any diagnosis or outstanding abnormalities. You
   decide to 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

• Cad in women is under diagnosed

1. 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 patients
   care

• These changes have minimal predictive value for CAD

1. When there is a consequential loss of structural integrity of the abdominal aorta, the
   resulting issue is what condition

• AAA

1. You see a 60yr old AA male in your clinic with a recent diagnosis of htn. He asks you
   what he should restrict in his diet. And is particularly interested in limiting his sodium
   intake. What amount of sodium intake would you recommend on a daily basis for this
   patient

• 1.5g/day

1. Why would inability to exercise reduce the specificity of the routine ETT

• Produces persistent ST segment changes and T wave abnormalities

1. By standard criteria, how is a positive stress test defined

• Development of a horizontal or down sloping ST segment depression of 1mm

1. What are the two types of bradycardia recognized by the American heart association

• Relative and refractory

1. You see a 75 year old female in your clinic complaining of urinary incontinence. She is
   otherwise health based upon her last visit. She states that her mother told her this would
   happen someday because it happens to every woman at some age. What would you tell
   this patient

• This is not an expected conditions related to aging.

1. What do you know regarding ischemia that is confined to only the posterior and or lateral
   segments of the left ventricle

• Difficult to detect by ETT

1. What 3 conditions definitely alter the results of echocardiography in determining CAD

• Obesity, rapid heart rate, and lug disease

1. Specifically, when is an ETT considered to be negative

• Patient exercises to 85% of age predicted maximum heart rate without evidence of
  induced ischemia

1. All patient even if asymptomatic require risk stratification according to the Framingham
   risk score. At present ACC/AHA guidelines however do not normally support stress tests
   for asymptomatic patients without additional justification. What could be used to justify
   ETT in an asymptomatic patient

• Sedentary and wishes to begin aggressive exercise

1. BPH is not a risk factor for prostate cancer. Is this true to false

• True

1. Spread of genital herpes only occurs during the time period with active lesions. Is the true
   or false

• False

1. AAA are often asymptomatic, what percent of AAA are discovered in asymptomatic
   patient

• 75%

1. Improvement in the delivery and management of the healthcare are necessary if we are to
   improve the overall health of this nations population. Which of the following are
   identified in your readings as strategic in the movement to improve healthcare system

• Population management and healthcare practice

1. Two main types of heart failure

• Left sides, and main

1. The majority of all strokes are non ischemic. Is this statement true or false

• False

1. When a murmur is first heard. It is important to determine if it is due to a pathological
   condition or benign. For an experienced practitioner, it is always easy to determine the
   cause of a murmur merely by listening to the sound. Is this true or false