1
PRIMEXAM.COM
Midterm Exam - NR 601 Correct Answers
- Chamberlain College of Nursing
Latest 2023 / 2024
1. The percentage of the FVC expired in one second is:
- FEV1/FVC ratio
- The aging process causes what normal physiological changes in the heart?
- The heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis.
- A 55yo Caucasian male follows up after referral to cardiologist. He thinks his
- Lisinopril
med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed?
- JM is a 68yo man who presents for a physical. He has T2DM x5yrs, smokes 1/2
PPD, BMI is 30. No other previous medical dx, no current complaints.According to the AHA/ACC guidelines, JM is stage A HF. Treatment goals for
him include:
- Heart healthy lifestyle
- MJ presents with h/o structural damage with current s/s of HF. Treatment will
be based on his stage of HF, which is: 1 / 4
2
PRIMEXAM.COM
- Stage C
- 65yo Caucasian female presents with mitral valve stenosis, physical exam
unremarkable. You know her stage of HF is:
- B
- DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning
- Coronary artery dz w/angina pectoris
after strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise 0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest. Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limiting activity. Pain is worse today, did not go away after stopped walking. BP 120/80, HR 72 and regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be most likely?
8. The best way to dx structural heart dz/dysfunction non-invasively is:
- Echocardiogram
- Chronic pain can have major impact on pt's ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to:
- Depression, sleep disturbance, decreased socialization
- The Beers criteria are appropriate for use in evaluating use of certain meds in
pts:
- >65yo 2 / 4
3
PRIMEXAM.COM
- Pt presents with c/o increasing SOB, cough w/occasional white sputum, fatigue.
As part of the plan you order labs. You know the likelihood of HF is low if the
BNP is:
- <100
- All of the following statements are true about lab values in older adults except:
- Normal ranges may not be applicable to older adults
- Abnormal findings are often due to physiological aging
- Reference ranges are preferable
- References values are not necessarily acceptable values
- B
- According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65yo African American woman w/a h/o HTN and DM and no h/o CKD is:
- <140/80
14. The pathophysiology of HF is due to:
- Inadequate cardiac output to meet the metabolic and O2 demands of
the body
- A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough
- Chronic bronchitis 3 / 4
w/increased sputum, worse in the AM, occurring over past 3 months. She tells you, "I have the same thing year after year." Which of the following choices would you consider strongly in your critical thinking process?
4
PRIMEXAM.COM
- JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet
- Stage A
controlled. His BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He denies other medical problems. Fam hx includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He is asymptomatic today, exam is normal, EKG NSR. According to AHA/ACC guidelines, JM is at risk for what stage of HF?
The volume of air a pt is able to exhale for total duration of the test during
maximal effort is:
- FVC
17. According to the 2017 ACC HTN guidelines, normal BP is:
- <120/80
18. Functional abilities are best assessed by:
- Observed assessment of function
- LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include
prevention of target organ damage. During your eval you will assess for
evidence of:
- L ventricular hypertrophy
20. Aortic regurgitation requires medical treatment for early signs of HF with:
- ACEi
- The volume of air in the lungs at max inflation is:
- / 4