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NCA 621 Test Two Module 5 questions and answers already passed 2024
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NCA 621 Test Two Module 5 questions and answers already passed 2024
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NCA 621: Test Two Module 5All of the following are usually s/s of L sided heart failure except:
A. hepatic congestion
B. dyspnea
C. cyanosis
D. pulmonary edema - correct answer A. hepatic congestion
A patient presents with acute pulmonary edema and BP of 210/110 with acute dyspnea and hypoxia. Cxray with pulmonary edema and TTE with LVEF down to 30% from prior baseline of 40& and has pseudonormolization with grade 3 diastolic dysfunction. As an advanced provider you would document this type of heart failure as: - correct answer Acute on Chronic systolic HFrEF with Diastolic dysfuntion
All of the following are predisposing factors for CHF except:
A. DM
B. HTN
C. Illicit drug use
D. Cirrhosis - correct answer D. Cirrhosis
A 48 y/o male presents to clinic on treatment for his heart failure with enalapril, digoxin and lasix for three months. Over the past two weeks has developed a cough since starting these new meds with recent hopitalization discharge. Lungs are clear and euvolemic. The best intervention as an ACNP is to:
A. continue current regimen and add Metolazone for additional diuretic therapy
B. stop enalapril and start norvasc therapy 5mg daily
C. continue enalapril and lasix, stop digoxin
D. No medication change is necessary, follow up in 3 months - correct answer B. A 55 y/o female presents to clinic with c/o increased dyspnea over the past several days. She has had HTN since her 20s that has been difficult to control with medications. On exam an S3 and S4 is present with 2/6 systolic murmur. SR 91 with LVH on EKG and old stable L BBB present. As an ACNP you recognize
this patient likely has:
A. an AMI
B. cardiac tamponade
C. ASD that needs repair
D. Biventricular CHF with acute decompensation - correct answer D.
Decreased vascular compliance and hardening of the arteries predisposes older adults to what type of heart failure:
A. systolic/ HFrEF
B. diastolic/ HFpEF
C. biventricular/ CHFrEF
D. chronic heart failure
D. - correct answer A.
All of the following are COVID 19 effects on the heart except:
A. cardiac dysrhythmias
B. PTE
C. mitral stenosis
D. Acute coronary syndrome - correct answer C.
All of the following findings are consistent with dilated cardiomyopathy on exam except:
A. positive JVD
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