NRNP6550 2021 July Week 4 Knowledge Check Latest

NRNP6550 Advanced Care of Adults in Acute Settings II
Week 4 Knowledge Check
Question 1In Heart Failure (HF), lack of forward flow can cause decrease perfusion to the kidneys. This will lead to fluid retention and HF exacerbation based on the activation of the ________________.
Portal system
Systolic/Diastolic system
Reno angiotensin (RAS) system
Pituitary/Thyroid feedback system
Question 2A 40-year-old male with no significant past medical history presents with intermittent shortness of breath when walking more than 2 blocks. He denies chest pain, smoking, and drug/alcohol abuse. He is in no acute distress and has normal vital signs and his lungs are clear to auscultation. Of note, he has a systolic murmur that is heard best at the apex and left lower sternal border. The ECG shows left ventricular hypertrophy. Which of the following is the BEST statement to describe further clinical management?
Order an Echocardiogram
Start a loop diuretic
Start Aspirin and Plavix
No further work up is indicated
Question 3Which of the following pharmacologic therapies is indicated for Aortic Insufficiency due to Aortic Stenosis?
Beta blocker
Calcium channel blocker
Nitrate
ACE Inhibitor
Question 4Which of the following is unlikely to be noted in the person experiencing HF?
Elevated serum B-type natriuretic peptide (BNP)
Kerley B lines noted on CXR
Left ventricular hypertrophy on ECG
Evidence of hemoconcentration on hemogram
Question 5A 30-year-old patient is transferred to your facility from the Caribbean for further treatment. The patient is currently in Atrial Fibrillation (Afib) and has dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. The patient has history of Rheumatic Fever and on auscultation has a low-pitched diastolic murmur best heard at the apex. What is the TOP differential diagnosis for this patient?
Mitral valve regurgitation
Mitral valve stenosis
Tricuspid valve regurgitation
Tricuspid valve stenosis
Question 6Which of the following best describes the patient presentation of NY Heart Association stage III heart disease?
Ordinary physical activity does not cause undue fatigue, dyspnea or palpitations
Ordinary physical activity results in fatigue, palpitations, dyspnea or angina
Less-than-ordinary activity leads to fatigue, dyspnea, palpitations or angina
Discomfort increases with any physical activity
Question 7Of the following people, who has no significant increased risk for developing bacterial endocarditis?
43-year-old woman with bicuspid aortic valve
55-year-old man who was diagnosed with a Still's murmur as a child
45-year-old woman with a history of endocarditis
75-year-old man with dilated cardiomyopathy
Question 8Almost all cases of Mitral Stenosis are related to ________________.
Rheumatic heart disease
Left ventricular hypertrophy
Kawasaki heart disease
Right ventricular hypertrophy
Question 9Heart Failure (HF) with an Ejection Fraction (EF) of 20% is most likely due to _____________.
Mitral valve dysfunction
Aortic valve dysfunction
Diastolic dysfunction
Systolic dysfunction
Question 10Which of the following initial diagnostic tests is the BEST for confirmation of the diagnosis of Aortic Stenosis?
Chest Xray
Arterial blood gas
Troponin levels
Echocardiogram (ECHO)

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Solution: NRNP6550 2021 July Week 4 Knowledge Check Latest