100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NR 601 Week 4 Midterm Exam / NR601 Week 4 Midterm Exam(160 Q/A) (Version-1)(NEWEST, 2021): Chamberlain College Of Nursing (Download to Score A) CA$29.45   Add to cart
Quickly navigate to
Preview
  2.  
  3. Chamberlain College Of Nursing
  4.  
  5. NR 601 / NR601 (NR601/NR601)

Exam (elaborations)

NR 601 Week 4 Midterm Exam / NR601 Week 4 Midterm Exam(160 Q/A) (Version-1)(NEWEST, 2021): Chamberlain College Of Nursing (Download to Score A)

1 review
 18 views  0 purchase
  • Course
  • NR 601 / NR601 (NR601/NR601)
  • Institution
  • Chamberlain College Of Nursing

NR 601 Week 4 Midterm Exam / NR601 Week 4 Midterm Exam(160 Q/A) (Version-1)(NEWEST, 2021): Chamberlain College Of Nursing (Download to Score A)

Preview 3 out of 23  pages

Document information

  • July 28, 2021
  • 23
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nr 601 week 4 midterm exam nr601 week 4 midterm exam160 qa version 1newest
  • 2021 chamberlain college of nursing

Written for

  • Chamberlain College Of Nursing
  • NR 601 / NR601 (NR601/NR601)
All documents for this subject (229)

1  review

review-writer-avatar

By: indirajetty • 3 year ago

Seller

avatar-seller
EXAMTUTOR

Reviews received

Content preview

1


NR 601 Week 4 Midterm Exam
(160 Q & A)

1. The percentage of the FVC expired in one second is:
a. FEV1/FVC ratio

2. The aging process causes what normal physiological changes in the heart?
a. The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis.

3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing
a cough and sometimes he has difficulty breathing. Which med was most likely prescribed?
a. Lisinopril

4. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, smokes 1/2 PPD, BMI
is 30. No other previous medical dx, no current complaints. According to the AHA/ACC
guidelines, JM is stage A HF. Treatment goals for him include:
a. Heart healthy lifestyle

5. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on
his stage of HF, which is:
a. Stage C

6. 65yo Caucasian female presents with mitral valve stenosis, physical exam unremarkable.
You know her stage of HF is:
a. B

7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after strenuous
activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise 0/10. Began
few mo ago, intermittent, aggravated by exercise, relieved by rest. Occasional nausea. Pain
is retrosternal, radiating to L shoulder, affects QOL by limiting activity. Pain is worse today,
did not go away after stopped walking. BP 120/80, HR 72 and regular. Normal heart sounds,
no murmur, S1, S2. Which differential dx would be most likely?
a. Coronary artery dz w/angina pectoris

8. The best way to dx structural heart dz/dysfunction non-invasively is:
a. Echocardiogram

9. Chronic pain can have major impact on pt's ability to function and have profound impact on
overall QOL. Ongoing pain may be linked to:
a. Depression, sleep disturbance, decreased socialization

10. The Beers criteria are appropriate for use in evaluating use of certain meds in pts:
a. >65yo

11. Pt presents with c/o increasing SOB, cough w/occasional white sputum, fatigue. As part of
the plan you order labs. You know the likelihood of HF is low if the BNP is:
a. <100

,2

12. All of the following statements are true about lab values in older adults except:

a. Normal ranges may not be applicable to older adults
b. Abnormal findings are often due to physiological aging
c. Reference ranges are preferable
d. References values are not necessarily acceptable values
a. B

13. According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65yo African
American woman w/a h/o HTN and DM and no h/o CKD is:
a. <140/80

14. The pathophysiology of HF is due to:
a. Inadequate cardiac output to meet the metabolic and O2 demands of the body

15. A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased
sputum, worse in the AM, occurring over past 3 months. She tells you, "I have the same
thing year after year." Which of the following choices would you consider strongly in your
critical thinking process?
a. Chronic bronchitis

16. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His BMI
is 32. He has HTN, smoker (10 cigs/day x20yrs). He denies other medical problems. Fam hx
includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He is
asymptomatic today, exam is normal, EKG NSR. According to AHA/ACC guidelines, JM is at
risk for what stage of HF?
a. Stage A

The volume of air a pt is able to exhale for total duration of the test during maximal effort is:
a.FVC

17. According to the 2017 ACC HTN guidelines, normal BP is:
a. <120/80

18. Functional abilities are best assessed by:
a. Observed assessment of function

19. LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include prevention of
target organ damage. During your eval you will assess for evidence of:
a. L ventricular hypertrophy

20. Aortic regurgitation requires medical treatment for early signs of HF with:
a. ACEi

21. The volume of air in the lungs at max inflation is:
a. TLC (total lung capacity)

22. Preferred amount of exercise for older adults is:
a. 30min/day of aerobic activity 5 days/wk

23. The total volume of air a pt is able to exhale in the first second during max effort is:

, 3

a. FEV1

24. You know the following statements regarding the pain of acute coronary syndrome are true
except:

a. Present atypically more often in men than women


25. Elderly pt presents w/new onset of feeling heart race, fatigue. EKG reveals afib w/rate >100.
Pt also has a new tremor in both hands. Which of the following would you suspect?
a. Hyperthyroidism

26. 62yo female c/o fatigue, lack of energy. Constipation increased, pt gained 10lbs in past
3mo. Depression is denied although pt reports lack of interest in usual hobbies. VS are
WNL, skin is dry/cool. Which of the following must be included in the DD?
a. Hypothyroidism

27. Mrs. Black, 87yo, has been taking 100mcg Synthroid x10yrs. She comes for routine follow-
up, feeling well. HR is 90. Your first response is to:
a. Order TSH

28. Which pt is most likely to have osteoporosis?
29. 80yo underweight male who smokes and has been on steroids for psoriasis
30. When evaluating the expected outcome for hypothyroid elderly pt on levothyroxine, you will:
a. Assess TSH in 4-6wks

31. Postmenopausal woman w/osteoporosis is taking bisphosphonate daily PO. What action
info statement would indicate she understood your instructions regarding this med?
a. Take med w/full glass of water when up in the AM 30min before other food and
meds

32. Primary reason levothyroxine sodium is initiated at low dose in elderly pt w/hypothyroidism is
to prevent which of the following untoward effects?
a. Angina and arrhythmia

33. 6mo ago an elderly pt was dx'd w/subclinical hypothyroidism. Today the pt returns and has
TSH of 11 and c/o fatigue. He has taken Synthroid 25mcg daily as prescribed. What is the
best course of action?
a. Double the dose

34. A fluoroquinolone (Cipro) is prescribed for a male pt w/a UTI. What should you teach him
regarding this med?
a. Its effectiveness is decreased by antacids, iron, or caffeine

35. Pt has been rx'd metformin (Glucophage). One wk later, he returns w/lowered BGL but c/o
loose stools during the week. How should you respond?
a. Reassure him that this is an anticipated SE

36. Which of the following s/s of hyperthyroidism commonly manifest in younger populations,
but is notably lacking in elderly?
a. Exopthalmos

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 EXAMTUTOR. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$29.45. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67474 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

Recently viewed by you

Summary ·

(0)

Samenvatting Omgevingsrecht

CA$29.45
  • (1)
  Add to cart