NURS 5463 Test 4 practice questions with correct answers 100% pass

NURS 5463 Test 4 practice questions with correct answers 100% pass 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? - ANSWER-A. Left CEA An 84-year-old woman has diabetes and congestive heart failure that is refractory to medical treatment. A right carotid bruit is detected on physical examination. A duplex study suggests a 50% to 75% right carotid stenosis. Which of the following is the most appropriate treatment? - ANSWER-A. Medical management Which of the following statements regarding carotid artery stenting is most accurate? - ANSWER-A. CREST study suggests that older patients have increased combined stroke and death rates in comparison to younger patients Which of the following does NOT need to be instituted for a patient following carotid endarterectomy? - ANSWER-A. Coumadin to target an INR of 2 to 3 Copyright ©EMILYCHARLENE2025. ALL RIGHTS RESERVED Page 2/19 For which of the following patients is a left carotid endarterectomy most indicated? - ANSWER-A. A 70-year-old man with transient loss of vision in the left eye that recovered after 20 minutes, and he has 75% left carotid stenosis A 73-year-old woman is evaluated in the ED and transferred to the ICU because of chest pain of 4 hours' duration. Her medical history includes a 20-year history of hypertension and Type II diabetes mellitus. Her medications include metformin, atenolol, and ASA. On physical examination, her blood pressure is 130/84 mm Hg, and her heart rate is 87 beats/min and regular. Her jugular vein is distended to 5 cm while the patient is upright. She has a faint left carotid bruit and bibasilar crackles to one quarter up from the lung bases. A normal S1 and S2 is heard, with a grade II/VI holosystolic murmur heard best at the apex to the axilla. An electrocardiogram from six months ago was normal. The ECG was seen during the chest pain. The initial serum troponin measurement is elevated. She is now admitted to the ICU for an MI. She is free of chest pain while on IV nitroglycerin, and her vital signs are stable. Which of the fol - ANSWER-A. Left bundle branch block with normal sinus rhythm A 55-year-old man in the ICU has ACS, with 2 mm of ST elevation on the leads II, III, and aVF. The troponins are positive. The blood pressure is 130/70 mm Hg on a nitroglycerin drip at 5 μg/kg/min keeping the patient chest pain free, but ECG changes persist and only 1 mm of ST elevation is seen. There is no lower extremity edema. The patient was given ASA upon entry into the ED. What is/are the next best Copyright ©EMILYCHARLENE2025. ALL RIGHTS RESERVED Page 3/19 steps in the management of this patient? - ANSWER-Anticoagulation, IV β-blocker, ACE inhibitor, nitroglycerin, and alert catheterization lab A 65-year-old man with history of diabetes presents to the Emergency Department stating he has had substernal chest pain and diaphoresis for 45 minutes. Which is the most important next step in management? - ANSWER-Aspirin to chew In the initial evaluation of a patient with chest pain, which is the most important diagnostic test? - ANSWER-ECG A 54-year-old man is seen at a rural ED with 1 hour of nausea and substernal chest pain radiating to his jaw. The ECG shows STEMI. PCI is not performed at this hospital and only performed at a hospital 2 1/2 hours away. Which of the following statements is most accurate? - ANSWER-C Administer thrombolytics, then transfer to PCI center. Which of the following is NOT an accurate description of hypothermia therapy for post- cardiac arrest patients? - ANSWER-B Therapeutic hypothermia has a proven effect in reducing the rate of recurrent ventricular fibrillation A 64-year-old man who was being treated in the hospital for acute cholecystitis is found to be unresponsive. He was noted to be in VF and underwent chest compressions for several minutes in addition to cardioversion. The patient has return of spontaneous rhythm and vital signs. Which of the following is an important treatment for this patient? - ANSWER-A Percutaneous coronary angiography Copyright ©EMILYCHARLENE2025. ALL RIGHTS RESERVED Page 4/19 Which of the following statements regarding out-of-hospital sudden cardiac arrest (SCA) is true? - ANSWER-E Therapeutic hypothermia improves neurological outcome after SCA in patients with depressed mental status after resuscitation. What type of MI is this II, III, AvF - ANSWER-C. Inferior A 59-year-old man complains of severe chest pain that radiates to his back. His brachial pulses appear unequal between his right and left arms. He appears hemodynamically stable. On chest radiography, he has a widened mediastinum. Which of the following is the best next step? - ANSWER-B Obtain CT of chest with intravenous contrast. A 45-year-old woman with new-onset aortic regurgitation is found to have aortic dissection of the ascending aorta and aortic arch by TEE. She is relatively asymptomatic. Which of the following is the best management? - ANSWER-C Surgical repair of the dissection A 61-year-old man is found on physical examination to h