Exam (elaborations)
NR 603 WEEK 3 QUIZ
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Exam of 2 pages for the course NURSING at Chamberlain College Nursing (NR 603 WEEK 3 QUIZ)
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NR 603 Week 3 Quiz1. Which of the following drugs does the 8th Joint National Committee (JNC-8) 2014
Evidence Based Guidelines for the Management of High Blood Pressure in Adults
recommend for the initial treatment for Caucasian males with microalbuminuria?
Answer – Angiotensin-converting enzymes (ACE inhibitors)
2. A 58 year old male presents to the clinic with a several year history of uncontrolled
hypertension. You perform your physical assessment. Which group of physical
findings is commonly seen in target organ change in uncontrolled hypertension?
Answer – AV nicking, bibasalar crackles, and hepatomegaly
3. A 44 year old male patient presents to the clinic for evaluation of an episode of chest
tightness that radiated to his back that he had earlier in the day when he was out for
a walk. He states that once he came home and sat down, the chest tightness resolved.
What is the most likely cause of the chest tightness?
Answer - Angina pectoris
4. A 60 year old woman comes in to the clinic complaining of nausea, shortness of
breath, and a dull pain in the middle of her back while playing tag in the yard with
her grandchildren yesterday. Her past medical history includes CAD, Type 2 DM,
and HTN. Lab work reveals negative Troponins.
The most appropriate diagnostic testing includes:
Answer – Stress test with imaging
5. Exercise tolerance Test (ETT) is the first line approach to detecting CAD in stable
patients. However, ETT is contraindicated for some patients. Knowing when to
consult with specialists is an important part of NP practice. Which patient should be
referred to Cardiology to ordering and Exercise Tolerance Test?
Answer – 60 y/o male with cardiac chest pain Symptomatic Congestive Heart Failure
6. A 60 year old male with a history of Type 2 Diabetes and HTN comes in for a follow-
up Blood Pressure Check to evaluate the recent medication/diet/exercise plan you
prescribed at his visit 3 months ago. Hi BMI is 20
His Blood Pressures sitting and standing are
138/80 mm/Hg
132/76 mm/Hg
What is the best analysis of the prescribed treatment plan?
Answer – His Blood Pressure is within JNC-8 guidelines and so no adjustments should be
made at this time
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