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NURS 5463 Test 4 practice questions with correct answers
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NURS 5463 Test 4 practice questions with correct answers
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NURS 5463 Test 4 practice questions withcorrect answers
A i63-year-old iman ihas ia i4-minute iperiod iof idocumented iexpressive iaphasia ithat icompletely
iresolved. iA iworkup ireveals i70% ileft iinternal icarotid istenosis iand ia i50% iright iinternal icarotid
istenosis. iIn iaddition ito ibest imedical imanagement, iwhich iof ithe ifollowing iis ithe imost
iappropriate itreatment? i- iANSWER: i i➡ iA. iLeft iCEA
An i84-year-old iwoman ihas idiabetes iand icongestive iheart ifailure ithat iis irefractory ito imedical
itreatment. iA iright icarotid ibruit iis idetected ion iphysical iexamination. iA iduplex istudy isuggests ia
i50% ito i75% iright icarotid istenosis. iWhich iof ithe ifollowing iis ithe imost iappropriate itreatment? i-
iANSWER: i i➡ iA. iMedical imanagement
Which iof ithe ifollowing istatements iregarding icarotid iartery istenting iis imost iaccurate? i-
iANSWER: i i➡ iA. iCREST istudy isuggests ithat iolder ipatients ihave iincreased icombined istroke iand
ideath irates iin icomparison ito iyounger ipatients
Which iof ithe ifollowing idoes iNOT ineed ito ibe iinstituted ifor ia ipatient ifollowing icarotid
iendarterectomy? i- iANSWER: i i➡ iA. iCoumadin ito itarget ian iINR iof i2 ito i3
For iwhich iof ithe ifollowing ipatients iis ia ileft icarotid iendarterectomy imost iindicated? i- iANSWER: i
i➡ iA. iA i70-year-old iman iwith itransient iloss iof ivision iin ithe ileft ieye ithat irecovered iafter i20
iminutes, iand ihe ihas i75% ileft icarotid istenosis
A i73-year-old iwoman iis ievaluated iin ithe iED iand itransferred ito ithe iICU ibecause iof ichest ipain iof
i4 ihours' iduration. iHer imedical ihistory iincludes ia i20-year ihistory iof ihypertension iand iType iII
idiabetes imellitus. iHer imedications iinclude imetformin, iatenolol, iand iASA. iOn iphysical
iexamination, iher iblood ipressure iis i130/84 imm iHg, iand iher iheart irate iis i87 ibeats/min iand
iregular. iHer ijugular ivein iis idistended ito i5 icm iwhile ithe ipatient iis iupright. iShe ihas ia ifaint ileft
icarotid ibruit iand ibibasilar icrackles ito ione iquarter iup ifrom ithe ilung ibases. iA inormal iS1 iand iS2
iis iheard, iwith ia igrade iII/VI iholosystolic imurmur iheard ibest iat ithe iapex ito ithe iaxilla. iAn
ielectrocardiogram ifrom isix imonths iago iwas inormal. iThe iECG iwas iseen iduring ithe ichest ipain.
iThe iinitial iserum itroponin imeasurement iis ielevated. iShe iis inow iadmitted ito ithe iICU ifor ian iMI.
iShe iis ifree iof ichest ipain iwhile ion iIV initroglycerin, iand iher ivital isigns iare istable. iWhich iof ithe ifol
i- iANSWER: i i➡ iA. iLeft ibundle ibranch iblock iwith inormal isinus irhythm
, A i55-year-old iman iin ithe iICU ihas iACS, iwith i2 imm iof iST ielevation ion ithe ileads iII, iIII, iand iaVF. iThe
itroponins iare ipositive. iThe iblood ipressure iis i130/70 imm iHg ion
a initroglycerin idrip iat i5 iμg/kg/min ikeeping ithe ipatient ichest ipain ifree, ibut iECG ichanges ipersist
iand ionly i1 imm iof iST ielevation iis iseen. iThere iis ino ilower iextremity iedema. iThe ipatient iwas igiven
iASA iupon ientry iinto ithe iED. iWhat iis/are ithe inext ibest isteps iin ithe imanagement iof ithis ipatient? i-
iANSWER: i i➡ iAnticoagulation, iIV iβ-blocker, iACE iinhibitor, initroglycerin, iand ialert
icatheterization ilab
A i65-year-old iman iwith ihistory iof idiabetes ipresents ito ithe iEmergency iDepartment istating ihe
ihas ihad isubsternal ichest ipain iand idiaphoresis ifor i45 iminutes. iWhich iis ithe imost iimportant inext
istep iin imanagement? i- iANSWER: i i➡ iAspirin ito ichew
In ithe iinitial ievaluation iof ia ipatient iwith ichest ipain, iwhich iis ithe imost iimportant idiagnostic itest?
i- iANSWER: i i➡ iECG
A i54-year-old iman iis iseen iat ia irural iED iwith i1 ihour iof inausea iand isubsternal ichest ipain
iradiating ito ihis ijaw. iThe iECG ishows iSTEMI. iPCI iis inot iperformed iat ithis ihospital iand ionly
iperformed iat ia ihospital i2 i1/2 ihours iaway. iWhich iof ithe ifollowing istatements iis imost iaccurate? i-
iANSWER: i i➡ iC iAdminister ithrombolytics, ithen itransfer ito iPCI icenter.
Which iof ithe ifollowing iis iNOT ian iaccurate idescription iof ihypothermia itherapy ifor ipost-cardiac
iarrest ipatients? i- iANSWER: i i➡ iB iTherapeutic ihypothermia ihas ia iproven ieffect iin ireducing ithe
irate iof irecurrent iventricular ifibrillation
A i64-year-old iman iwho iwas ibeing itreated iin ithe ihospital ifor iacute icholecystitis iis ifound ito ibe
iunresponsive. iHe iwas inoted ito ibe iin iVF iand iunderwent ichest icompressions ifor iseveral iminutes
iin iaddition ito icardioversion. iThe ipatient ihas ireturn iof ispontaneous irhythm iand ivital isigns.
iWhich iof ithe ifollowing iis ian iimportant itreatment ifor ithis ipatient? i- iANSWER: i i➡ iA
iPercutaneous icoronary iangiography
Which iof ithe ifollowing istatements iregarding iout-of-hospital isudden icardiac iarrest i(SCA) iis
itrue? i- iANSWER: i i➡ iE iTherapeutic ihypothermia iimproves ineurological ioutcome iafter iSCA iin
ipatients iwith idepressed imental istatus iafter iresuscitation.
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