{"id":111428,"date":"2023-08-04T02:15:00","date_gmt":"2023-08-04T02:15:00","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111428"},"modified":"2023-08-04T02:15:04","modified_gmt":"2023-08-04T02:15:04","slug":"nr-601-midterm-exam","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/04\/nr-601-midterm-exam\/","title":{"rendered":"NR 601 Midterm Exam"},"content":{"rendered":"\n
    \n
  1. The percentage of the FVC expired in one second is:
    a. FEV1\/FVC ratio<\/li>\n\n\n\n
  2. The aging process causes what normal physiological changes in the heart?
    a. The heart valve thickens and becomes rigid, secondary to fibrosis and
    sclerosis.<\/li>\n\n\n\n
  3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his
    med is causing a cough and sometimes he has difficulty breathing. Which med
    was most likely prescribed?
    a. Lisinopril<\/li>\n\n\n\n
  4. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, smokes 1\/2
    PPD, BMI is 30. No other previous medical dx, no current complaints.
    According to the AHA\/ACC guidelines, JM is stage A HF. Treatment goals for
    him include:
    a. Heart healthy lifestyle<\/li>\n\n\n\n
  5. MJ presents with h\/o structural damage with current s\/s of HF. Treatment will
    be based on his stage of HF, which is:
    a. Stage C
    2 \/ 4
    3<\/li>\n\n\n\n
  6. 65yo Caucasian female presents with mitral valve stenosis, physical exam
    unremarkable. You know her stage of HF is:
    a. B<\/li>\n\n\n\n
  7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning
    after strenuous activity, including walking. Pain is dull, aching, 8\/10 during
    activity, otherwise 0\/10. Began few mo ago, intermittent, aggravated by
    exercise, relieved by rest. Occasional nausea. Pain is retrosternal, radiating to
    L shoulder, affects QOL by limiting activity. Pain is worse today, did not go
    away after stopped walking. BP 120\/80, HR 72 and regular. Normal heart
    sounds, no murmur, S1, S2. Which differential dx would be most likely?
    a. Coronary artery dz w\/angina pectoris<\/li>\n\n\n\n
  8. The best way to dx structural heart dz\/dysfunction non-invasively is:
    a. Echocardiogram<\/li>\n\n\n\n
  9. Chronic pain can have major impact on pt’s ability to function and have
    profound impact on overall QOL. Ongoing pain may be linked to:
    a. Depression, sleep disturbance, decreased socialization
    10.The Beers criteria are appropriate for use in evaluating use of certain meds in
    pts:
    a. >65yo
    3 \/ 4
    4
    11.Pt presents with c\/o increasing SOB, cough w\/occasional white sputum, fatigue.
    As part of the plan you order labs. You know the likelihood of HF is low if the
    BNP is:
    a. <100
    12.All of the following statements are true about lab values in older adults except:
    a. Normal ranges may not be applicable to older adults
    b. Abnormal findings are often due to physiological aging
    c. Reference ranges are preferable
    d. References values are not necessarily acceptable values
    a. B
    13.According to the 2017 ACC HTN guidelines, the recommended BP goal for a
    65yo African American woman w\/a h\/o HTN and DM and no h\/o CKD is:
    a. <140\/80
    14.The pathophysiology of HF is due to:
    a. Inadequate cardiac output to meet the metabolic and O2 demands of
    the body
    15.A 60yo woman w\/30 pack yr hx, presents for eval of persistent, daily cough
    w\/increased sputum, worse in the AM, occurring over past 3 months. She tells
    you, “I have the same thing year after year.” Which of the following choices
    would you consider strongly in your critical thinking process?
    a. Chronic bronchitis<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111428","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111428","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111428"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111428\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}