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

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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

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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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Comments:

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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

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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

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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

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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

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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

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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

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Question 36. Question : For women with known CAD and diabetes, which is most appropriate to assess CAD risk?

: ETT

Coronary bypass surgery

ETT with imaging

Coronary catheterization

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Question 37. Question : Medicare covers inpatient hospital services under which part of the Medicare insurance?

: Part A

Part B

Part D

Part C

Points Received

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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