NURS 5463 Test 4 Practice Questions And Already Passed Answers.
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Course
Nurs 5463
Institution
Nurs 5463
A 63-year-old man has a 4-minute period of documented expressive aphasia that completely resolved. A workup reveals 70% left internal carotid stenosis and a 50% right internal carotid stenosis. In addition to best medical management, which of the following is the most appropriate treatment? - Answe...
NURS 5463 Test 4 Practice Questions
And Already Passed Answers.
A 63-year-old man has a 4-minute period of documented expressive aphasia that completely resolved. A
workup reveals 70% left internal carotid stenosis and a 50% right internal carotid stenosis. In addition to
best medical management, which of the following is the most appropriate treatment? - Answer A. Left
CEA
An 84-year-old woman has diabetes and congestive heart failure that is refractory to medical treatment.
A right carotid bruit is detected on physical examination. A duplex study suggests a 50% to 75% right
carotid stenosis. Which of the following is the most appropriate treatment? - Answer A. Medical
management
Which of the following statements regarding carotid artery stenting is most accurate? - Answer A.
CREST study suggests that older patients have increased combined stroke and death rates in comparison
to younger patients
Which of the following does NOT need to be instituted for a patient following carotid endarterectomy? -
Answer A. Coumadin to target an INR of 2 to 3
For which of the following patients is a left carotid endarterectomy most indicated? - Answer A. A 70-
year-old man with transient loss of vision in the left eye that recovered after 20 minutes, and he has 75%
left carotid stenosis
A 73-year-old woman is evaluated in the ED and transferred to the ICU because of chest pain of 4 hours'
duration. Her medical history includes a 20-year history of hypertension and Type II diabetes mellitus.
Her medications include metformin, atenolol, and ASA. On physical examination, her blood pressure is
130/84 mm Hg, and her heart rate is 87 beats/min and regular. Her jugular vein is distended to 5 cm
while the patient is upright. She has a faint left carotid bruit and bibasilar crackles to one quarter up
from the lung bases. A normal S1 and S2 is heard, with a grade II/VI holosystolic murmur heard best at
the apex to the axilla. An electrocardiogram from six months ago was normal. The ECG was seen during
the chest pain. The initial serum troponin measurement is elevated. She is now admitted to the ICU for
an MI. She is free of chest pain while on IV nitroglycerin, and her vital signs are stable. Which of the fol -
Answer A. Left bundle branch block with normal sinus rhythm
, A 55-year-old man in the ICU has ACS, with 2 mm of ST elevation on the leads II, III, and aVF. The
troponins are positive. The blood pressure is 130/70 mm Hg on
a nitroglycerin drip at 5 μg/kg/min keeping the patient chest pain free, but ECG changes persist and only
1 mm of ST elevation is seen. There is no lower extremity edema. The patient was given ASA upon entry
into the ED. What is/are the next best steps in the management of this patient? - Answer
Anticoagulation, IV β-blocker, ACE inhibitor, nitroglycerin, and alert catheterization lab
A 65-year-old man with history of diabetes presents to the Emergency Department stating he has had
substernal chest pain and diaphoresis for 45 minutes. Which is the most important next step in
management? - Answer Aspirin to chew
In the initial evaluation of a patient with chest pain, which is the most important diagnostic test? -
Answer ECG
A 54-year-old man is seen at a rural ED with 1 hour of nausea and substernal chest pain radiating to his
jaw. The ECG shows STEMI. PCI is not performed at this hospital and only performed at a hospital 2 1/2
hours away. Which of the following statements is most accurate? - Answer C Administer thrombolytics,
then transfer to PCI center.
Which of the following is NOT an accurate description of hypothermia therapy for post-cardiac arrest
patients? - Answer B Therapeutic hypothermia has a proven effect in reducing the rate of recurrent
ventricular fibrillation
A 64-year-old man who was being treated in the hospital for acute cholecystitis is found to be
unresponsive. He was noted to be in VF and underwent chest compressions for several minutes in
addition to cardioversion. The patient has return of spontaneous rhythm and vital signs. Which of the
following is an important treatment for this patient? - Answer A Percutaneous coronary angiography
Which of the following statements regarding out-of-hospital sudden cardiac arrest (SCA) is true? -
Answer E Therapeutic hypothermia improves neurological outcome after SCA in patients with
depressed mental status after resuscitation.
What type of MI is this
II, III, AvF - Answer C. Inferior
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