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2024 NURS 5463 TEST 4 PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NURS 5463 TEST 4 PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NURS 5463 TEST 4 PRACTICEEXAM QUESTIONS WITH CORRECT
ANSWERS
A 63-year-old man has a 4-minute period of documented expressive aphasia
that completely resolved. A workup reveals 70% left internal carotid stenosis
and a 50% right internal carotid stenosis. In addition to best medical
management, which of the following is the most appropriate treatment? -
CORRECT-ANSWERSA. Left CEA
A patient experiencing an asthma exacerbation is unarousable and has a
decreasing respiratory rate. Which action should the AGACNP take next? -
CORRECT-ANSWERSPrepare for intubation and admit to the ICU
A patient's chest x-ray reveals an increased retrosternal airspace and
flattened diaphragm. The AGACNP accurately interprets this as evidence of
which diagnosis? - CORRECT-ANSWERSCOPD
A 48-year-old female with acute pancreatitis is in the ICU and is ventilated.
Current vitals are: heart rate 116, BP 92/60 mmHg. Hemodynamics are: CVP
9 mmHg, PAP 29/18 mmHg, PCWP 14 mmHg. Ventilator settings are: Assist
Control, Tidal volume 800ml, Rate 14, FiO2 0.85, PEEP 5.0 cm H2O. ABG
results are: pH 7.31, PaCO2 48 mmHg, PaO2 62 mmHg. The chest x-ray
shows diffuse, fluffy infiltrates. Which intervention is most appropriate for the
AGACNP to complete? - CORRECT-ANSWERSIncrease PEEP 7.5 cm H2O
A 102-year-old Hispanic female presents to the ED with dyspnea and
weakness. Her respiratory rate is 30, O2 sat is 82% on high flow oxygen, BP
is 86/60 mmHg. Labs reveal an acute kidney injury with a creatinine of 6.0,
and elevated troponins consistent with an acute coronary syndrome. EKG
shows inferior wall changes. CXR reveals pulmonary edema and a CT of the
head shows an acute ischemic stroke. The patient is not responding. Which
topic is most important to discuss with the family? - CORRECT-
ANSWERSGoals of Care
A 102-year-old Hispanic female presents to the ED with dyspnea and
weakness. Her respiratory rate is 30, O2 sat is 82% on high flow oxygen, BP
is 86/60 mmHg. Labs reveal an acute kidney injury with a creatinine of 6.0,
and elevated troponins consistent with an acute coronary syndrome. EKG
, shows inferior wall changes. CXR reveals pulmonary edema and a CT of the
head shows an acute CVA. Who is most important for the AGACNP consult? -
CORRECT-ANSWERSPalliative Care
When should oral beta blocker therapy be initiated for an individual with
acute coronary syndrome? - CORRECT-ANSWERSWithin 24 hours of onset in
those who do not have signs of acute heart failure, evidence of a low output
state, increased risk for cardiogenic shock, or other contraindications to beta
blockade (PR interval > 0.24 or second or third-degree heart block without a
pacemaker, Asthma, reactive airway disease).
What are the most common risk factors for developing heart failure? -
CORRECT-ANSWERSCoronary Heart Disease
Hypertension
Obesity
Prediabetes and Diabetes
How does diastolic heart failure (HFpEF) differ from systolic heart failure
(HFrEF)? How does this affect how you treat your patient for exacerbations? -
CORRECT-ANSWERSSystolic heart failure results in myocardial contraction
failure. Diastolic heart failure is present when the ventricle is not able to
relax completely. In this instance, contraction is normal, but filling is
reduced. Diastolic HF patients are preload dependent, so diuresis should be
gentle. You can cause them harm by taking off the fluid to aggressively i.e.
AKI, decrease cardiac output
When a patient comes in for an acute exacerbation of a chronic heart failure,
what do you need to explore? - CORRECT-ANSWERSWhen a patient presents
with an exacerbation of an acute illness there is typically a trigger which has
caused the exacerbation. The AGACNP should find the triggering event to
treat it. Things which may cause an acute decompensation of chronic, stable
heart failure include: ACS, thyroid disease, noncompliance with medication
and diet, and medications such as diltiazem and verapamil in persons with
systolic dysfunction.
v1, v2 ST elevation - CORRECT-ANSWERSAnteroseptal MI
LAD
v2-v4 ST elevation - CORRECT-ANSWERSAnterior MI
LAD
I, avL, v4-v6 ST elevation - CORRECT-ANSWERSLateral
LCA
II, III, avF ST elevation - CORRECT-ANSWERSInferior MI
RCA
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