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AGACNP EXAM 3 QUESTIONS WITH 100% CORRECT ANSWERS UPDATED 2024

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AGACNP EXAM 3 QUESTIONS WITH 100% CORRECT ANSWERS UPDATED 2024 pectus excavatum - Correct Answer-You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination findings may also include: A. pectus excavatum B. obesity C. petite stature D. hyper-extensible joints ...

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  • February 16, 2024
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NURSINGEXAMS
AGACNP EXAM 3 QUESTIONS WITH 100%
CORRECT ANSWERS UPDATED 2024

pectus excavatum - Correct Answer-You examine a 24-year-old woman with mitral valve
prolapse (MVP). Her physical examination findings may also include:

A. pectus excavatum
B. obesity
C. petite stature
D. hyper-extensible joints

a mid- to late-systolic murmur - Correct Answer-In performing a cardiac examination in a
person with mitral valve prolapse, you expect to find:

A. an early- to mid-systolic, crescendo-descrendo murmur.
B. a pansystolic murmur
C. a low-pitched, diastolic rumble
D. a mid- to late-systolic murmur

Marfan syndrome - Correct Answer-A risk factor for MVP (mitral valve prolapse)
includes a history of:

A. rheumatic fever
B. rheumatoid arthritis
C. Kawasaki disease
D. Marfan syndrome

a mid-systolic click - Correct Answer-Additional findings in MVP (mitral valve prolapse)
include:

A. an opening snap
B. a mid-systolic click
C. a paradoxical splitting of the second heart sound (S2).
D. a fourth heart sound

encouragement of a regular program of aerobic activity - Correct Answer-Intervention
for patients with MVP (mitral valve prolapse) often includes advice about which of the
following?

A. restricted activity because of low cardiac output
B. control of fluid intake to minimize risk of volume overload
C. routine use of beta-adrenergic antagonists to control palpitations
D. encouragement of a regular program of aerobic activity

,stenotic - Correct Answer-When a heart valve fails to open to its normal orifice size, it is
said to be:

A. stenotic
B. incompetent
C. sclerotic
D. regurgitant

incompetent - Correct Answer-When a heart valve fails to close properly, it is said to be:

A. stenotic
B. incompetent
C. sclerotic
D. regurgitant

echocardiogram - Correct Answer-Upon detection of a suspected pathologic cardiac
murmur, the next step in obtaining a diagnostic procedure usually includes a:

A. ventilation perfusion scan
B. echocardiogram
C. pulmonary artery angiography
D. cardiac computerized tomography (CT) scan

localized diastolic with little radiation - Correct Answer-You are evaluating a patient who
has rheumatic heart disease. When assessing her for mitral stenosis, you auscultate the
heart, anticipating finding the following murmur:

A. systolic with wide radiation over the precordium
B. localized diastolic with little radiation
C. diastolic with radiation to the neck
D. systolic with radiation to the axilla

systolic with radiation to the axilla - Correct Answer-In evaluating mitral valve
incompetency, you expect to find the following murmur:

A. systolic with radiation to the axilla
B. diastolic with little radiation
C. diastolic with radiation to the axilla
D. localized systolic

left ventricular hypertrophy - Correct Answer-In evaluating the person with aortic
stenosis, the NP anticipates finding 12-lead ECG changes consistent with:

A. right bundle branch block
B. extreme axis deviation

, C. right atrial enlargement
D. left ventricular hypertrophy

bradycardia - Correct Answer-Signs and symptoms consistent with endocarditis include
all of the following except:

A. bradycardia
B. Osler's nodes
C. hematuria
D. petechiae

blood culture - Correct Answer-From the following list, the most helpful test in suspected
bacterial endocarditis includes:

A. urine culture
B. blood culture
C. chest x-ray
D. myocardial biopsy

a 54-year-old woman with a prosthetic aortic valve - Correct Answer-Of the following
patients, who is in greatest need of endocarditis prophylaxis when planning dental
work?

A. a 22-year-old woman with MVP with trace mitral regurgitation noted on
echocardiogram
B. a 54-year-old woman with a prosthetic aortic valve
C. a 66-year-old man with cardiomyopathy
D. a 58-year-old woman who had a three-vessel coronary artery bypass graft with drug-
eluting stents 1 year ago

a 55-year-old man who was diagnosed with a Still's murmur during childhood - Correct
Answer-Of the following people, who has no significant increased risk for developing
bacterial endocarditis?

A. a 43-year-old woman with a bicuspid aortic valve
B. a 55-year-old man who was diagnosed with a Still's murmur during childhood
C. a 45-year-old woman with a history of endocarditis
D. a 75-year-old man with dilated cardiomyopathy

aortic stenosis - Correct Answer-You are examining an 85-year-old woman and find a
grade 3/6 crescendo-descrendo systolic murmur with radiation to the neck. This is most
likely caused by:

A. aortic stenosis
B. aortic regurgitation
C. anemia

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