(AGACNP) NU 664 Clinical Decision Making for the AGACNP - Latest Final Exam Review Q & S 2024.
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Course
Nursing
Institution
Nursing
(AGACNP) NU 664 Clinical Decision Making for the AGACNP - Latest Final Exam Review Q & S 2024.(AGACNP) NU 664 Clinical Decision Making for the AGACNP - Latest Final Exam Review Q & S 2024.(AGACNP) NU 664 Clinical Decision Making for the AGACNP - Latest Final Exam Review Q & S 2024.
,1. Which of the following is the most appropriate first-line
treatment for atrial fibrillation in a hemodynamically unstable
patient?
a) Beta-blockers
b) Calcium channel blockers
c) Synchronized cardioversion
d) Digoxin
Answer: c) Synchronized cardioversion
Rationale: In hemodynamically unstable patients with atrial
fibrillation, immediate synchronized cardioversion is indicated to
quickly restore normal sinus rhythm and stabilize the patient.
2. A 78-year-old patient presents with confusion, muscle
weakness, and ECG changes. Laboratory tests reveal a potassium
level of 6.8 mEq/L. What is the most immediate treatment?
, Answer: b) Intravenous calcium gluconate
Rationale: Calcium gluconate is used to stabilize the cardiac
membrane immediately in cases of severe hyperkalemia, especially
when ECG changes are present.
3. For a patient with suspected acute pulmonary embolism (PE),
which diagnostic test is considered the gold standard?
a) D-dimer test
b) Chest X-ray
c) Ventilation-perfusion (V/Q) scan
d) CT pulmonary angiography
Answer: d) CT pulmonary angiography
Rationale: CT pulmonary angiography is the gold standard for
diagnosing acute PE as it directly visualizes the blood clots in the
pulmonary arteries.
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