Exam (elaborations)
NCA 621 Test Two Module 5 questions and answers already passed 2024
- Course
- Institution
NCA 621 Test Two Module 5 questions and answers already passed 2024
[Show more]
Content preview
NCA 621: Test Two Module 5All of the following are usually s/s of L sided heart failure except:
A. hepatic congestion
B. dyspnea
C. cyanosis
D. pulmonary edema - correct answer A. hepatic congestion
A patient presents with acute pulmonary edema and BP of 210/110 with acute dyspnea and hypoxia. Cxray with pulmonary edema and TTE with LVEF down to 30% from prior baseline of 40& and has pseudonormolization with grade 3 diastolic dysfunction. As an advanced provider you would document this type of heart failure as: - correct answer Acute on Chronic systolic HFrEF with Diastolic dysfuntion
All of the following are predisposing factors for CHF except:
A. DM
B. HTN
C. Illicit drug use
D. Cirrhosis - correct answer D. Cirrhosis
A 48 y/o male presents to clinic on treatment for his heart failure with enalapril, digoxin and lasix for three months. Over the past two weeks has developed a cough since starting these new meds with recent hopitalization discharge. Lungs are clear and euvolemic. The best intervention as an ACNP is to:
A. continue current regimen and add Metolazone for additional diuretic therapy
B. stop enalapril and start norvasc therapy 5mg daily
C. continue enalapril and lasix, stop digoxin
D. No medication change is necessary, follow up in 3 months - correct answer B. A 55 y/o female presents to clinic with c/o increased dyspnea over the past several days. She has had HTN since her 20s that has been difficult to control with medications. On exam an S3 and S4 is present with 2/6 systolic murmur. SR 91 with LVH on EKG and old stable L BBB present. As an ACNP you recognize
this patient likely has:
A. an AMI
B. cardiac tamponade
C. ASD that needs repair
D. Biventricular CHF with acute decompensation - correct answer D.
Decreased vascular compliance and hardening of the arteries predisposes older adults to what type of heart failure:
A. systolic/ HFrEF
B. diastolic/ HFpEF
C. biventricular/ CHFrEF
D. chronic heart failure
D. - correct answer A.
All of the following are COVID 19 effects on the heart except:
A. cardiac dysrhythmias
B. PTE
C. mitral stenosis
D. Acute coronary syndrome - correct answer C.
All of the following findings are consistent with dilated cardiomyopathy on exam except:
A. positive JVD
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LEWISSHAWN55. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80364 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now