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NR 603 exam test guide with questions and answers
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NR 603 exam test guide with questions and answers
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NR 603 exam test guide with questionsand answers
A major difference between varicose veins and arteriosclerosis - ANS Arteriosclerosis
affects the arteries and is more common in men after age 70 years.
Varicose veins affect the veins. and is more common in women.
A pt had poorly controlled hypertension for more than 10 years Where would the PMI point of
maximal impulse be - ANS Correct 5th ICS left of MCL-This is because of certain diseases
like heart failure or cardiomyopathy or hypertension can displace the apical impulse to the left
laterally.
The normal PMI is at 5th intercostal space midclavicular.
43 yr old male has audible murmur best heard in the mitral listening point. There is not audible
click. His status has been monitored for the past 2 years. The murmur is probably heard: -
ANS Correct- Mitral Stenosis because it produces only diastolic murmur listed
- Mitral Prolapse is a systolic murmur with a mid to late systolic click
- Acute Mitral Regurgitation- usually develops after rupture of the chordae tendineae, rupture
papillary muscle after an MI or secondary to bacterial endocarditis. This pt would abruptly
deteriate.
Pt with diabetes present with pain in his lower legs when he walks and pain resolution with rest.
When asked about pain in his lower leg he like with will report pain - ANS He will have pain
in the CALF muscle. This is symptoms of ARTERIOSCLEROSIS- symptoms are intermittent
claudication.
A pt with hypertension described a previous allergic reaction to sulfa antibiotics as sloughing of
skin and hospitalized. Which medication is contraindicated in this pt. - ANS
Hydrochlorothiazide- has a sulfonamide ring which makes anyone allergic to sulfa drugs should
not take this medication
A 75 yr old pt who has aortic stenosis wantes to know what symtoms indicate worsening of his
stenosis - ANS Correct Answer Shortness of breath and syncope
- Three most common symptoms associated with aortic stenosis are Angina, Syncope and
Heart Failure evidence by dyspnea
74 yr old pt has peripheral artery disease. Which item listed below is a important nonmodifiable
risk factor for PAD - ANS Diabetes- is a typical nonmodifiable risk factors.
The modifiable risks factors are things like hyperlipidemia, cigarette smoking, and hypertension.
Benzopril should be disconnected if - ANS Correct answer- Pregnancy occurs
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