100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 504 3P APEA EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) / ALREADY GRADED A+ $17.99   Add to cart

Exam (elaborations)

NUR 504 3P APEA EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) / ALREADY GRADED A+

 1 view  0 purchase
  • Course
  • Institution
  • Book

NUR 504 3P APEA EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) / ALREADY GRADED A+

Preview 3 out of 26  pages

  • October 28, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
avatar-seller
NUR 504 3P APEA EXAM ACTUAL EXAM COMPLETE 200
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY GRADED A+
A patient has had poorly controlled hypertension for more than 10 years. Indicate
the most likely position of his point of maximal impulse
a. 5th intercostal space mid clavicular line
b. 8th intercostal space mid clavicular line
c. 5th intercostal space left of MCL
d. 5th intercostal space right of MCL - ANSWER: B

A 43-year old Hispanic male has an audible diastolic murmur best heard in the mitral
listening point. There is no audible click. His status has been monitored for the past
two years. This murmur is probably what?
a. Mitral valve prolapse
b. Acute mitral regurgitation
c. Chronic mitral stenosis
d. Mitral Stenosis - ANSWER: D

A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic
as sloughing of the skin and hospitalization. Which medication is contraindicated in
this patient?
a. Lisinopril
b. Metoprolol
c. Hydrochlorothiazide
d. Verapamil - ANSWER: C

A 75-year old patient who has aortic stenosis wants to know what symptoms
indicate worsening of his stenosis. The nurse practitioner replies:
a. Palpitations and weakness
b. Ventricular arrhythmias
c. Shortness of breath and syncope
d. Fatigue and exercise intolerance - ANSWER: C

A 74-year old patient has peripheral artery disease. Which term listed below is an
important non-modifiable risk factor for PAD?
a. Cigarette smoking
b. Hyperlipidemia
c. Diabetes
d. Alcohol consumption - ANSWER: C

Lisinopril should be discontinued immediately if:
a. Dry cough develops
b. Pregnancy occurs
c. Potassium levels decrease
d. Gout develops - ANSWER: B

,The valve most commonly involved in chronic rheumatic heart disease is the:
a. Aortic
b. Mitral
c. Pulmonic
d. Tricuspid - ANSWER: B

A patient taking an ACE inhibitor should avoid what:
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice - ANSWER: B

A 28-year old has a grade 3 murmur. Which characteristic indicates a need for
referral?
a. A fixed split
b. An increase in splitting with inspiration
c. A split S2 with inspiration
d. Changes in intensity with position change - ANSWER: A

Mr. Smith is a 72-year old patient who takes warfarin for chronic atrial fibrillation.
His INR today is 4.0. The nurse practitioner should:
a. Stop the warfarin for the next four days and repeat the INR on day 5
b. admit to the hospital immediately
c. Administer Vitamin K and repeat INR in two hours
d. Stop the Warfarin today and repeat the INR tomorrow - ANSWER: D

According to the National Heart Lung and Blood Institute, which characteristic listed
below is a coronary heart disease risk equivalent that is which risk factor places the
patient at AC CHD risk similar to a history of CHD?
a. Hypertension
b. Cigarette smoking
c. Males over the age of 45
d. Diabetes - ANSWER: D

A patient diagnosed is with mild heart failure. What drug listed below would be a
good choice for reducing morbidity and mortality long-term?
a. Verapamil
b. Digoxin
c. Furosemide
d. Metoprolol - ANSWER: D

A patient has shortness of breath. If heart failure is the etiology which test
demonstrates the highest sensitivity in diagnosing this?
a. Echocardiogram
b. B type natriuretic peptide (BNP)
c. EKG

, d. Chest X-ray - ANSWER: B

A 50-year old patient with hypertension has taken hydrochlorothiazide 25mg daily
for the past four weeks. Her blood pressure has decreased from 155/95 to 145/90.
How should the nurse practitioner proceed?
a. Wait four weeks before making a dosage change
b. Increase the hydrochlorothiazide to 50mg a day
c. Add a drug from another class to the daily 25mg hydrochlorothiazide
d. Stop the HCTZ and start a drug from a different class - ANSWER: C

Where would the murmur associated with mitral regurgitation best be auscultated?
a. Aortic listening point
b. Microl listening point
c. Pulmonic listening point
d. Tricuspid listening point - ANSWER: B

What is the earliest detectable glycemic abnormality in a patient with type 2
diabetes?
a. Postprandial glucose elevation
b. Nighttime hyperglycemia
c. Fasting glucose elevation
d. Abnormal HgbA1c - ANSWER: A

Mr. Jones is a patient with type 2 diabetes. He brings his obese 15-year old son in to
see the nurse practitioner. You examined the 15-year old son and find acanthosis
nigricans. This probably indicates:
a. undiagnosed diabetes
b. insulin resistance
c. familial skin change
d. poor hygiene - ANSWER: B

A 45-year old female patient has had fatigue for the past three months and a 10
pound weight gain. She previously had regular periods occurring about every 30 days
but in the last three months her periods have varied between 30 and 45 days. Her
TSH value is 13M LU/L. It was repeated and one week later found to be 15 M LU/L.
What explains this finding?
a. Subclinical hypothyroidism
b. Hypothyroidism
c. Transient hypothyroidism
d. Perimenopause - ANSWER: B

A patient who is taking long-acting basal insulin has elevated blood sugars. Which
blood sugars are important to review in order to increase the dose of insulin?
a. AM fasting
b. Two-hour postprandial
c. Preprandial
d. Bedtime - ANSWER: A

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 charitywairimuuu. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84866 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$17.99
  • (0)
  Add to cart