09 Oct NR 603-Week 3 Quiz and Answers
NR 603-Week 3 Quiz and Answers
NR 603-Week 3 Quiz and Answers
A 60 year old male with a history of type 2 Diabetes and HTN comes in for a follow up blood pressure check to evaluate the recent medication/diet/exercise plan you prescribed at his visit 3 months ago. His BMI is 20
His Blood pressures sitting and standing are:
138/80
132/76
What is the best analysis of the prescribed treatment plan
a. His blood pressure is within JNC 8 guidelines so no adjustments will be made at this time
b. his blood pressure is within JNC 8 guidelines but there should be less variability with position change
c. His blood pressure is within JNC 8 guidelines but there should be less variability with position change
d. His blood pressure is NOT within JNC 8 guidelines and therefore his therapy needs to be increased
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You are reviewing the labs of a 50 year old female patient who presented to you for a physical exam. You note, upon review of her labs, that her triglycerides are 670. Triglyceride levels over 500 raise immediate concern for which of the following disorders?
a. liver failure
b. acute pancreatitis
c. myocardial infarction
d. pulmonary embolism
A 44 year old male patient presents to the clinic for evaluation of an episode of chest tightness that radiated to his back that he had earlier in the day when he was out for a walk. He states that once he came home and sat down, the chest tightness resolved. What is the most likely cause of his chest tightness?
a. dissecting aortic aneurysm
b. angina pectoris
c. Gastroesophageal disease
A 52 year old caucasian male with a past medical history of COPD comes in for follow up on his stage 2 HTN. Hydrochlorothiazide is at the maximum dose and a new medication needs to be added. Which medication would be the best second line therapy?
a. a calcium channel blocker such as Cardizem
b. an Ace inhibitor such as Lisinopril
c. a beta blocker such as Metoprolol
d. an alpha 1 receptor blocker such as cardura
Which of the following drugs does the 8th Joint National Committee (JNC8) 2014 Evidence Based Guidelines for the Management of High Blood pressure in adults recommend for the treatment for Caucasian males with microalbuminuria?
a. Diruetics
b. Angiotensin-Converting enzymes (ACE inhibitors)
c. calcium channel blockers
d. beta blocker
Exercise tolerance Test (ETT) is the first line approach to detecting CAD in stable patients. However ETT is contraindicated for some patients. Knowing when to consult with specialists is an important part of NP practice. Which patient should be referred to cardiology prior to ordering an exercise tolerence test
a. 60 year old male with cardiac chest pain and high cholesterol
b. 60 year old male with cardiac chest pain and a history of smoking
c. 60 year old male with cardiac chest pain and symptomatic congestive heart failure
d. 60 year old male with cardiac chest pain, a history of diabetes and a BMI of 28
A 60 year old female patient presets to the clinic stating she had right arm and jaw pain about 2 hours ago along with “sweating” and shortness of breath. An EKG is performed immediately and reveals ST elevation in several leads. This clinical picture is consistent with:
a. this is a non-specific finding
b. Acute MI
c. Angina
A sedentary 58 year old African American female is here for her annual visit. Her VS are BP 130/70, HR 82, RR 18 BMI 30 Ht 5.2, works as an accountant in a law firm. Her past medical history includes and she states she’d like to begin training for a 10k marathon with some ladies at work. Per ACA/AHA guidelines your recommendations include
a. CBC, echocardiogram
b 12 lead EKG only
c. 12 lead EKG and an exercise stress test
d. no intervention as she has no identifiable risk factors
A 60 year old woman comes into the clinic complaining of nausea, shortness of breath and a dull pain in the middle of her back while playing tag in the yard with her granddaughter yesterday. Her past medical history includes CAD, Type 2 DM, and HTN. Lab work reveals negative troponins.
The most appropriate diagnostic testing includes
a. exercise stress test
b. single proton emmission CT
c. stress test with imaging
d. echocardiogram
NR 603-Week 3 Quiz and Answers
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