NSG6001 MIDTERM Exam Graded
NSG6001 MIDTERM Exam Graded
7. Question : Of the answers below, which would be included in defining a positive Exercise Echocardiogram?
: Death two days after test
Regional hypokensis of ventricular muscles walls
Induced decrease in regional wall motion
Increase in wall thickening
Question 19: Improvements in the delivery and management of healthcare are necessary if we are to improve the overall health of this nation’s population. Which of the following are identified in your readings as strategic in the movement to improve the healthcare system?
: Population management and healthcare practice Socialized medicine and governmental controls
Monetary savings and limited disruption in healthcare delivery
President and Congress
Question 20. Question : Specifically, when is an ETT considered to be negative?
: Patient has ST-segmental changes with down sloping of greater than 1 mm at 50% of age-predicted maximum heart rate
Patient exercises to 20% maximum age-predicted heart rate without induced ischemia
Patient exercises to 85% of age predicted maximum heart rate without evidence of induced ischemia
Patient exercises until tired without evidence of induced ischemia
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Question 23. Question : Your patient has a maximum age-predicted heart rate of 180. During the exercise, he reaches a heart rate of 140 and then states he can no longer exercise. You see no evidence of ischemia on the ECG. This would be diagnostic for what condition?
: Diagnostic of laziness
Has no diagnostic value to rule out CAD (This scenario has no diagnostic value to rule out CAD.)
Diagnostic for impending Myocardial Infarction
Predictive of no CAD
Question 27. Question : Your preceptor decides to add Doppler Flow studies to the echocardiogram exercise test for a patient with a recent history of a holistic murmur best auscultated at the left steral boarder. The patient has no history of cardiac surgeries. He asks you what might be the main advantages of adding Doppler Flow for this particular patient. You know from your readings that there are several reasons to add Doppler Flow and below are listed more than one correct reason. Your best response for this specific case, however, would be that Doppler Flow studies would be of what additive value during the echocardiogram study?
: Detect and evaluate blood shunting from a septal defect Gives better screen shots of wall abnormalities
Provides assessment of prosthetic valve function
No advantage is seen for this patient
Question 30. Question : The sensitivity of a routine ETT is effort dependent. What physiological changes occur during effort in the routine ETT?
: Rapid heart rates and coronary artery narrowing
Decreased heart rate and increased systolic blood pressure
Decrease in coronary blood flow
Increased coronary flow and increased systolic blood pressure
Question 32. Question : Medicare hospital insurance (Part A) is funded through what system?
: Federal income taxes
Interest from investments
Federal payroll taxes State income taxes
Question 34. Question : After completion of the exercise stress test, you would measure the ST-segment depression after the J point of the QRS. The J point is located where in relation to the QRS?
: Immediately after the P wave
After the H point
Junction between P and R
Junction between QRS and ST segment
Question 35. Question : Why would inability to exercise reduce the specificity of the routine ETT?
: Will not produce any changes in ECG
Causes ST-segment changes and P-wave abnormalities
Produces persistent ST-segmental changes and T-wave abnormalities
Produces QRS changes that cannot be interpreted
Question 36. Question : For women with known CAD and diabetes, which is most appropriate to assess CAD risk?
Coronary bypass surgery
ETT with imaging
Question 37. Question : Medicare covers inpatient hospital services under which part of the Medicare insurance?
: Part A
Question 40. Question : We all know that collaboration is integral to becoming a successful nurse practitioner. Among collaborations, however, only one can be considered as the most important. While each example below is important, which is the most important collaboration? The one that occurs:
: Between the patient and the nurse practitioner
Between the nurse practitioner and their physician mentor
Between the patient and their family
Between two healthcare providers about a single patient