NR 601 MIDTERM EXAMS 2 LATEST

NR 601 MIDTERM EXAMS (2 LATEST

VERSIONS) / NR 601 ACTUAL MIDTERM EXAM

WITH 400 QUESTIONS AND CORRECT

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NR 601 MIDTERM EXAM 1

You are working as NP in Fast Track of ER. 76yo male presents w/LUQ pain.There can be many conditions that present as LUQ pain, but which of the following is least likely to cause pain here? - ANSWER-Acute pancreatitis

A 55 yo 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? - ANSWER-Lisinopril

Mr. White is 62yo, had CKD that has been relatively stable. He also has h/o hyperlipidemia, OA, HTN. He is compliant w/meds, BP has been well controlled

on CCB. Last lipids showed: TC = 201, HDL = 40, TG = 180, LDL = 98. He

currently takes Crestor 20mg daily. Today his BP is 188/90 and urine dip shows significant proteinuria. He denies changes in dietary habits or med regimen. What would be the best med change at this point? - ANSWER-Change CCB to ACEi

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? - ANSWER-Lisinopril

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: -

ANSWER-Heart healthy lifestyle 1 / 4

MJ presents with h/o structural damage with current s/s of HF. Treatment will be

based on his stage of HF, which is: - ANSWER-Stage C

65yo Caucasian female presents with mitral valve stenosis, physical exam

unremarkable. You know her stage of HF is: - ANSWER-B

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? - ANSWER-Coronary artery dz w/angina pectoris

The best way to dx structural heart dz/dysfunction non-invasively is: - ANSWER-

Echocardiogram

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: - ANSWER-Depression,

sleep disturbance, decreased socialization

The Beers criteria are appropriate for use in evaluating use of certain meds in pts: - ANSWER->65yo

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: - ANSWER-<100

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All of the following statements are true about lab values in older adults except:

• Normal ranges may not be applicable to older adults
• Abnormal findings are often due to physiological aging
• Reference ranges are preferable
• References values are not necessarily acceptable values - ANSWER-B

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: - ANSWER-

<140/80

The pathophysiology of HF is due to: - ANSWER-Inadequate cardiac output to

meet the metabolic and O2 demands of the body

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? - ANSWER-Chronic bronchitis

JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He denies other medical problems. Fam hx includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He is asymptomatic today, exam is normal, EKG NSR. According to AHA/ACC guidelines, JM is at risk for what stage of HF? - ANSWER-Stage A

The volume of air a pt is able to exhale for total duration of the test during

maximal effort is: - ANSWER-FVC

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According to the 2017 ACC HTN guidelines, normal BP is: - ANSWER- <120/80

Functional abilities are best assessed by: - ANSWER-Observed assessment of

function

LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include prevention of target organ damage. During your eval you will assess for evidence

of: - ANSWER-L ventricular hypertrophy

The percentage of the FVC expired in one second is - ANSWER-FEV1/FVC ratio

The aging process causes what normal physiological changes in the heart - ANSWER-The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis

MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of HF which is - ANSWER-Stage C

65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage of HF is - ANSWER-Stage B

The best way to diagnose structural heart disease/dysfunction noninvasively is - ANSWER-Echocardiogram

Chronic pain can have major impact on patients ability to function and have profound impact on overall QOL. Ongoing pain may be linked to - ANSWER- Depression, sleep disturbance, decreased socialization

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