NR 601 Midterm Exam 2 Question and Answers GradeAplus

1. The percentage of the FVC expired in one second is:

a. FEV1/FVC ratio

2. The aging process causes what normal physiological changes in the heart?

a. The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis.

3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough

and sometimes he has difficulty breathing. Which med was most likely prescribed?

a. Lisinopril

4. 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:

a. Heart healthy lifestyle

5. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage

of HF, which is:

a. Stage C

6. 65yo Caucasian female presents with mitral valve stenosis, physical exam unremarkable. You know

her stage of HF is:

a. B

7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning 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?

a. Coronary artery dz w/angina pectoris

8. The best way to dx structural heart dz/dysfunction non-invasively is:

a. Echocardiogram

9. 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:

a. Depression, sleep disturbance, decreased socialization

10. The Beers criteria are appropriate for use in evaluating use of certain meds in pts:

a. >65yo

11. 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:

a. <100

12. All of the following statements are true about lab values in older adults except:

a. Normal ranges may not be applicable to older adults

b. Abnormal findings are often due to physiological aging

c. Reference ranges are preferable

d. References values are not necessarily acceptable values

a. B

13. 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:

a. <140/80