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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 PRACTICEQUESTIONS WITH CORRECT ANSWERS
A pp63-year-old ppman pphas ppa pp4-minute ppperiod ppof ppdocumented ppexpressive
ppaphasia ppthat ppcompletely ppresolved. ppA ppworkup ppreveals pp70% ppleft ppinternal
ppcarotid ppstenosis ppand ppa pp50% ppright ppinternal ppcarotid ppstenosis. ppIn ppaddition
ppto ppbest ppmedical ppmanagement, ppwhich ppof ppthe ppfollowing ppis ppthe ppmost
ppappropriate pptreatment? pp- ppAnswer ppA. ppLeft ppCEA
An pp84-year-old ppwoman pphas ppdiabetes ppand ppcongestive ppheart ppfailure ppthat ppis
pprefractory ppto ppmedical pptreatment. ppA ppright ppcarotid ppbruit ppis ppdetected ppon
ppphysical ppexamination. ppA ppduplex ppstudy ppsuggests ppa pp50% ppto pp75% ppright
ppcarotid ppstenosis. ppWhich ppof ppthe ppfollowing ppis ppthe ppmost ppappropriate
pptreatment? pp- ppAnswer ppA. ppMedical ppmanagement
Which ppof ppthe ppfollowing ppstatements ppregarding ppcarotid ppartery ppstenting ppis
ppmost ppaccurate? pp- ppAnswer ppA. ppCREST ppstudy ppsuggests ppthat ppolder pppatients
pphave ppincreased ppcombined ppstroke ppand ppdeath pprates ppin ppcomparison ppto
ppyounger pppatients
Which ppof ppthe ppfollowing ppdoes ppNOT ppneed ppto ppbe ppinstituted ppfor ppa pppatient
ppfollowing ppcarotid ppendarterectomy? pp- ppAnswer ppA. ppCoumadin ppto pptarget ppan
ppINR ppof pp2 ppto pp3
For ppwhich ppof ppthe ppfollowing pppatients ppis ppa ppleft ppcarotid ppendarterectomy ppmost
ppindicated? pp- ppAnswer ppA. ppA pp70-year-old ppman ppwith pptransient pploss ppof ppvision
ppin ppthe ppleft ppeye ppthat pprecovered ppafter pp20 ppminutes, ppand pphe pphas pp75% ppleft
ppcarotid ppstenosis
A pp73-year-old ppwoman ppis ppevaluated ppin ppthe ppED ppand pptransferred ppto ppthe
ppICU ppbecause ppof ppchest pppain ppof pp4 pphours' ppduration. ppHer ppmedical pphistory
ppincludes ppa pp20-year pphistory ppof pphypertension ppand ppType ppII ppdiabetes
ppmellitus. ppHer ppmedications ppinclude ppmetformin, ppatenolol, ppand ppASA. ppOn
ppphysical ppexamination, ppher ppblood pppressure ppis pp130/84 ppmm ppHg, ppand ppher
ppheart pprate ppis pp87 ppbeats/min ppand ppregular. ppHer ppjugular ppvein ppis ppdistended
ppto pp5 ppcm ppwhile ppthe pppatient ppis ppupright. ppShe pphas ppa ppfaint ppleft ppcarotid
ppbruit ppand ppbibasilar ppcrackles ppto ppone ppquarter ppup ppfrom ppthe pplung ppbases. ppA
ppnormal ppS1 ppand ppS2 ppis ppheard, ppwith ppa ppgrade ppII/VI ppholosystolic ppmurmur
ppheard ppbest ppat ppthe ppapex ppto ppthe ppaxilla. ppAn ppelectrocardiogram ppfrom ppsix
ppmonths ppago ppwas ppnormal. ppThe ppECG ppwas ppseen ppduring ppthe ppchest pppain.
, ppThe ppinitial ppserum pptroponin ppmeasurement ppis ppelevated. ppShe ppis ppnow
ppadmitted ppto ppthe ppICU ppfor ppan ppMI. ppShe ppis ppfree ppof ppchest pppain ppwhile ppon
ppIV ppnitroglycerin, ppand ppher ppvital ppsigns ppare ppstable. ppWhich ppof ppthe ppfol pp-
ppAnswer ppA. ppLeft ppbundle ppbranch ppblock ppwith ppnormal ppsinus pprhythm
A pp55-year-old ppman ppin ppthe ppICU pphas ppACS, ppwith pp2 ppmm ppof ppST ppelevation
ppon ppthe ppleads ppII, ppIII, ppand ppaVF. ppThe pptroponins ppare pppositive. ppThe ppblood
pppressure ppis pp130/70 ppmm ppHg ppon
a ppnitroglycerin ppdrip ppat pp5 ppμg/kg/min ppkeeping ppthe pppatient ppchest pppain ppfree,
ppbut ppECG ppchanges pppersist ppand pponly pp1 ppmm ppof ppST ppelevation ppis ppseen.
ppThere ppis ppno pplower ppextremity ppedema. ppThe pppatient ppwas ppgiven ppASA ppupon
ppentry ppinto ppthe ppED. ppWhat ppis/are ppthe ppnext ppbest ppsteps ppin ppthe
ppmanagement ppof ppthis pppatient? pp- ppAnswer ppAnticoagulation, ppIV ppβ-blocker,
ppACE ppinhibitor, ppnitroglycerin, ppand ppalert ppcatheterization pplab
A pp65-year-old ppman ppwith pphistory ppof ppdiabetes pppresents ppto ppthe ppEmergency
ppDepartment ppstating pphe pphas pphad ppsubsternal ppchest pppain ppand ppdiaphoresis
ppfor pp45 ppminutes. ppWhich ppis ppthe ppmost ppimportant ppnext ppstep ppin
ppmanagement? pp- ppAnswer ppAspirin ppto ppchew
In ppthe ppinitial ppevaluation ppof ppa pppatient ppwith ppchest pppain, ppwhich ppis ppthe ppmost
ppimportant ppdiagnostic pptest? pp- ppAnswer ppECG
A pp54-year-old ppman ppis ppseen ppat ppa pprural ppED ppwith pp1 pphour ppof ppnausea ppand
ppsubsternal ppchest pppain ppradiating ppto pphis ppjaw. ppThe ppECG ppshows ppSTEMI.
ppPCI ppis ppnot ppperformed ppat ppthis pphospital ppand pponly ppperformed ppat ppa pphospital
pp2 pp1/2 pphours ppaway. ppWhich ppof ppthe ppfollowing ppstatements ppis ppmost
ppaccurate? pp- ppAnswer ppC ppAdminister ppthrombolytics, ppthen pptransfer ppto ppPCI
ppcenter.
Which ppof ppthe ppfollowing ppis ppNOT ppan ppaccurate ppdescription ppof pphypothermia
pptherapy ppfor pppost-cardiac pparrest pppatients? pp- ppAnswer ppB ppTherapeutic
pphypothermia pphas ppa ppproven ppeffect ppin ppreducing ppthe pprate ppof pprecurrent
ppventricular ppfibrillation
A pp64-year-old ppman ppwho ppwas ppbeing pptreated ppin ppthe pphospital ppfor ppacute
ppcholecystitis ppis ppfound ppto ppbe ppunresponsive. ppHe ppwas ppnoted ppto ppbe ppin ppVF
ppand ppunderwent ppchest ppcompressions ppfor ppseveral ppminutes ppin ppaddition ppto
ppcardioversion. ppThe pppatient pphas ppreturn ppof ppspontaneous pprhythm ppand ppvital
ppsigns. ppWhich ppof ppthe ppfollowing ppis ppan ppimportant pptreatment ppfor ppthis pppatient?
pp- ppAnswer ppA ppPercutaneous ppcoronary ppangiography
Which ppof ppthe ppfollowing ppstatements ppregarding ppout-of-hospital ppsudden ppcardiac
pparrest pp(SCA) ppis pptrue? pp- ppAnswer ppE ppTherapeutic pphypothermia ppimproves
ppneurological ppoutcome ppafter ppSCA ppin pppatients ppwith ppdepressed ppmental ppstatus
ppafter ppresuscitation.
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