NSG6001 MIDTERM exam graded

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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
 
 
 
                Points Received:         
                Comments:       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Question 19.      Question :           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
 
 
 
                Points Received:     
                Comments:       
 
 
 
 
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
 
 
                Points Received:           
                Comments:       
 
 
 
 
 
 
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
 
 
 
                Points Received:         
                Comments:       
 
 
 
 
 
 
 
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
 
 
 
                Points Received:        
                Comments:       
 
 
 
 
 
 
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
 
                Points Received:           
                Comments:       
 
 
 
 
 
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
 
 
 
                Points Received:    
 
 
 
 
 
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
 
                Points Received:            
                Comments:       
 
 
 
 
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
 
 
 
                Points Received:           
                Comments:       
 
 
 
 
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
 
 
 
                Points Received:           
                Comments:       
 
 
 
 
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
                Comments:       
 
 
 
 
 
 
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

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