NRNP6550 2021 July Week 3 Knowledge Check Latest

NRNP6550 Advanced Care of Adults in Acute Settings II

Week 3 Knowledge Check

Question 1Noncardiac causes for elevated natriuretic peptide levels (BNP and proBNP) include the following:

Bacterial sepsis

End stage liver disease

Recent cardioversion

Malignancies

Question 2In assessing a woman with or at risk for acute coronary syndrome (ACS), the NP considers that the patient will likely present:

In a manner similar to that of a man with equivalent disease

At the same age as a man with similar health problems

More commonly with angina and less commonly with acute MI

Less commonly with heart failure

Question 3Causes of unstable angina include all of the following except:

Ventricular hypertrophy

Vasoconstriction

Non-occlussive thrombus

Infection or inflammation

Question 4A patient with symptomatic Aortic Stenosis (AS) requires surgery due to severe symptoms. The patient has several comorbidities and is deemed to have prohibitive surgical risks. Despite this risk stratification and due to the severity of the symptoms this patient may be a candidate for the following intervention:

Aortic Valve Replacement (AVR)

Transcatheter Aortic Valve Replacement (TAVR)

Either an AVR or TAVR

This patient is not a surgical candidate

Question 5Aortic stenosis in a 15-year-old is most likely:

A sequela of rheumatic fever

A result of congenital defect

Calcific in nature

Found with atrial septal defect

Question 6Examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates

decreased venous return

increased central venous pressure.

increased pulmonary artery capillary pressure.

left-sided heart failure

Question 7A 65-year-old African American male with NYHA class III CHF presents with decompensated heart failure despite compliance with taking an ACE inhibitor, beta-blocker, and diuretics. According to the ACCF/AHA guidelines the next pharmacologic agent to be added should be:

Calcium channel blocker

Nitrate

Alpha 2-receptor agonist

Prostacyclin inhibitor

Question 8You are examining an elderly woman and find a grade 3/6 crescendo-decrescendo systolic murmur with radiation to the neck. This is most likely caused by:

Aortic stenosis

Aortic reguritation

Mitral stenosis

Mitral regurgitation

Question 9The rationale for using beta blocker therapy in treatment of HF is to:

Increase myocardial contractility

Reduce the effects of circulating catecholamines

Relieve concomitant angina

Stabilize cardiac rhythm

Question 10Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)?

History of heart disease

Co-morbid conditions

Size and location of the MI.

Time since onset of symptoms