NURS 6531D - NURS 6531N Week 4 Quiz 2

NURS 6531 Week 4 Quiz 1. Characteristics associated with the murmur of aortic stenosis include: 2. A 28-year-old female presents to urgent care complaining of a fluttering feeling in her chest. She has been ill with vomiting and diarrhea for two days, but states the GI symptoms have now stopped. She just is concerned about the heart rate. The EKG reveals multifocal PVCs. The patient’s laboratory values are: serum potassium 2.6 mEq/L, serum sodium 144 mEq/L, serum chloride 90 mEq/L, and blood glucose 98 mg/dl. The nurse practitioner believes that the patient’s PVCs are likely caused by which of the following: 3. Which of the following disorders is associated with genetic cardiovascular disease? 4. Diastolic murmurs are best heard with: 5. A 58-year-old female presents to the office complaining about heaviness in both legs. She works at a local department store and complains of discomfort when standing. She states that her mother had similar problems with her legs. Physical exam findings reveal no varicosities or edema. The nurse practitioner suspects which of the following in the differential diagnosis? 6. During the physical examination, the nurse practitioner notes the presence of an S4 gallop. The nurse practitioner realizes that an S4 occurs: 7. Clinical diagnosis of an aortic aneurysm is suspected when the aorta is: 8. An 88-year-old female presents complaining of “liquid” draining from her leg. She denies pain or injury. The physical exam reveals an irregularly shaped shallow ulceration on the posterior left lower extremity above the ankle. An area of warmth and erythema surround the lesion. The nurse practitioner suspects: 9. The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than: 10. Which of the following are essential components of the vascular physical exam? 11. Important education for patients with moderate or severe aortic stenosis includes: 12. Which of the following best describes hypertrophic cardiomyopathy? 13. Which of the following physical disorders are associated with obesity? 14. Which of the following is not a risk factor for coronary arterial insufficiency? 15. Differential diagnosis of an abdominal aortic aneurysm includes which of the following? 16. A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory? 17. Which of the following physical exam findings suggests the presence of heart failure? 18. Studies have documented that cardiovascular disease is a leading cause of death in women. Which of the following are potential causes for the prevalence of this disease in women? 19. Causes of lipid disorders include: 20. Which of the following is not a risk factor for the development of an abdominal aortic aneurysm?