NR 661 Cardiovascular (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct
- A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely
position of his point of maximal impulse (PMI)
- 5th intercostal space (ICS) midclavicular line (MCL)
- 8th ICS MCL
- 5th ICS, left of MCL
d. 6th ICS, right of MCL: c. 5th ICS, left of MCL
2. Valve most commonly involved in chronic rheumatic heart disease is the:
- aortic
- mitral
- pulmonic
d. tricuspid: b. mitral
- A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for the past 4
weeks. How should the nurse practitioner proceed?
BP-155/95; 145/90
- wait 4 weeks before making a dosage change
- increase the hydrochlorothiazide to 50mg daily
- add a drug from another class to the daily 25 mg hydrochlorothiazide
- stop the hydrochlorothiazide and start a drug from a different class: c. add a drug from another class
to the daily 25 mg hydrochlorothiazide
- Which choice below would be the best choice for an 80-year old patient whose blood pressure is
172/72
- chlorthalidone
- amlodipine
- monopril
d. acebutolol: b. amlodipine
5. The diagnosis of mitral valve prolapse can be confirmed by:
- physical examination
- electrocardiography 1 / 3
- echocardiography
d. chest xray: c. echocardiography
- A patient taking candesartan for treatment for hypertension should avoid
- strenuous exercise
- potassium supplements
- protein rich meals
d. grapefruit juice: b. potassium supplements
- According to the National Heart, Lung and Blood institute, which characteristic listed below is a
coronary disease (CHD) risk equivelant; that is, which risk factor places the patient at a CHD risk similar to a history of CHD
- Hypertension
- cigarette smoking
- male age >45 years
d. Diabetes Mellitus: d. Diabetes Mellitus
8. Classic symptoms of deep vein thrombosis (DVT) include:
- swelling, pain, redness
- calf complaints, pain with walking, history of exercise
- swelling, pain, discoloration in lower extremity
- warmth, edema and relief of pain with walking: c. swelling, pain, discoloration in lower extremity
- Which mitral valve disorder results from redundancy of the mitral valve's leaflets??
- acute mitral regurgitation
- chronic mitral regurgitation
- mitral valve prolapse
d. mitral stenosis: c. mitral valve prolapse
- Tables are used for determination of maximum blood pressure values for adolescents. How are
blood pressure values established for adolescents?
- height percentile, body mass index and gender
- gender and age
- height percentile, gender and age
- body mass index and gender: c. height percentile, gender and age 2 / 3
- The correlation between blood pressure and age greater than 60 years is that as age increases:
- diastolic blood pressure increases
- systolic blood pressure decreases
- blood pressure remains about the same
d. diastolic blood pressure decreases: d. diastolic blood pressure decreases
- An 80 year old female who is otherwise well has the following blood pressure readings. How
should she be managed? 160/70; 175/68; 171/71; 163/63
- thiazide diruetic
- ace inhibitor
- calcium channel blocker
d. angiotensin receptor blocker: c. calcium channel blocker
- Which choice below characterizes a patient who has aortic regurgitation?
- long asymptomatic period followed by exercise intolerance then dyspnea at rest
- an acute onset of shortness of breath in the fifth or sixth decade
- dyspnea on exertion for a long period of time before sudden cardiac death
- a long asymptomatic period with sudden death usually during exercise: a. long asymptomatic period
followed by exercise intolerance then dyspnea at rest
- How often should lipids be screened in patients who are 65 years and older if they have lipid disorders
or cardiovascular risk factors
- annually
- every other year
- every 3 years
d. every 5 years: a. annually
- Risk assessment for dyslipidemia should begin at
- 2 years
- 6 years
- 18 years
d. 21 years: a. 2 years
16. In older adults, the three most common ailments are:
- hearing loss, vision loss, hypertension
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