Question 1

The nurse practitioner sees a patient in the emergency department with reports of chest pain and nausea.To analyze the patient's condition, what further information is needed?

Accepted Answer

A detailed description of the pain can provide crucial insights into its cause, differentiating between cardiac-related issues and other potential causes.

Question 2

Mr.Thomas comes in for a health examination with his nurse practitioner.When the nurse practitioner measures his blood pressure, the systolic is 150 mm and the diastolic is 80 mm.When Mr.Thomas asks if that is a good pressure for him, the nurse practitioner responds:

Accepted Answer

B

Question 3

The nurse practitioner implements an approved plan of care proposed in the National Asthma Education and Prevention Program Expert Panel Report-3 (NAEPP-EPR-3)for an older adult patient with asthma.This includes which of the following? Select all that apply.

Accepted Answer

The NAEPP-EPR-3 emphasizes ongoing assessment and monitoring, patient and professional education, control of comorbidities, and appropriate medication use. A standardized care plan is not specifically mentioned.

Question 4

John is 80 years old and is experiencing the following: weight gain, tachycardia, neck vein distention, and cognitive impairment.The nurse practitioner assesses for which of the following to support a diagnosis of heart failure? Select all that apply.

Accepted Answer

A) A laterally displaced point of maximum impulse (PMI) indicates an enlarged heart, which is common in heart failure.B) Rales (crackles) in the lungs can indicate fluid backup due to heart failure, especially when not caused by other conditions like atelectasis or ascites.C) Functional impairment is common in heart failure due to decreased cardiac output and the resulting fatigue and weakness.

Question 5

A patient comes to the health-care provider office for a checkup.The nurse practitioner notes that the patient is 67 years old and is presenting symptoms of dizziness, orthopnea, and edema.The nurse practitioner begins a focused assessment of the:

Accepted Answer

The symptoms of dizziness, orthopnea (difficulty breathing when lying down), and edema (swelling) are commonly associated with cardiovascular issues, suggesting that a focused assessment of the cardiovascular system is appropriate.

Question 6

The nurse practitioner is preparing discharge instructions for a 79-year-old man with newly diagnosed asthma.Which of the following are important instructions to include? Select all that apply.

Accepted Answer

The answer of The nurse practitioner is preparing discharge instructions...

Question 7

Ms.Jameson, 72 years old, comes to the clinic with concerns about her breathing.She states that she is having trouble with mucus collection and difficulty coughing it out.The nurse practitioner suggests which of the following? Select all that apply.

Accepted Answer

As we age, the tissue in our lungs becomes less flexible, making it harder to exhale. Additionally, the body contains less water as we age, which can cause the mucus to dry out and become more difficult to cough out.

Question 8

Sam is 64 years old and has been feeling weak, lightheaded, and slightly nauseous.He goes to the urgent care center where the nurse practitioner initiates an assessment.Which of the following suggest an arrhythmia? Select all that apply.

Accepted Answer

The answer of Sam is 64 years old and has...

Question 9

The nurse practitioner identifies a late cardiac murmur in an older adult patient.A student nurse asks what condition this suggests.The nurse practitioner responds that this kind of murmur is most often due to which of the following? Select all that apply.

Accepted Answer

The answer of The nurse practitioner identifies a late cardiac...

Question 10

The nurse practitioner is seeing patients in the respiratory clinic.An 85-year-old woman comes in with concerns about having difficulty breathing.When considering asthma, the nurse practitioner asks which of the following questions? Select all that apply.

Accepted Answer

The answer of The nurse practitioner is seeing patients in...

Question 11

A 58-year-old man is being seen by his nurse practitioner for a cardiac work-up.His cholesterol is 320 mg/d.The nurse practitioner includes teaching about lowering his cholesterol by discussing blood levels and dietary choices.The nurse practitioner says which of the following?

Accepted Answer

A) The statement correctly identifies the patient's cholesterol level as above normal and indicates a need to address lowering it, which is an appropriate response for managing high cholesterol and reducing the risk of cardiac disease.

Question 12

The nurse practitioner and a student are examining the apical pulse of an 82-year-old man.The student perceives that there is an S₄ sound.The nurse practitioner interprets that this is likely:

Accepted Answer

The description of the sound, likely meant to represent the normal heart sounds "S1" and "S2" with some added characters possibly due to a typographical error, suggests a normal heart sound pattern. In older adults, changes in heart sounds can occur due to the physiological changes in the heart and blood vessels associated with aging, making this interpretation normal for his age.

Question 13

The nurse practitioner knows that risk factors for coronary artery disease (CAD)include atherosclerosis.The nurse practitioner includes teaching on these factors that can be remediated to help prevent CAD:

Accepted Answer

Cholesterol levels and smoking are modifiable risk factors for coronary artery disease (CAD), meaning individuals can take steps to change these factors, such as improving diet, exercising, or quitting smoking, to help prevent CAD. Age, advanced age, and male gender are non-modifiable risk factors that cannot be changed.

Question 14

Ms.Alma, 69 years old, seeks medical advice because she is having trouble breathing.She is experiencing dyspnea, chronic cough with sputum production, decreased activity tolerance, and wheezing.She states that she had not been near anyone with any upper respiratory infections and wonders why this is happening.The nurse practitioner asks which of the following questions? Select all that apply.

Accepted Answer

These questions are relevant to understanding Ms. Alma's condition. A) Smoking is a major risk factor for chronic obstructive pulmonary disease (COPD) and other respiratory conditions. B) Occupational exposure to dust and chemicals can lead to respiratory issues. C) The duration of symptoms can help differentiate between acute and chronic conditions. D) Past respiratory difficulties could indicate a chronic condition or predisposition. E) Progressive worsening of symptoms with age could suggest a chronic, deteriorating respiratory condition like COPD.

Question 15

Mr.Borden is 79 years old and lives with his daughter.The daughter provides excellent care for her father and wants to know which changes in his heart and circulatory system are due to aging and which are due to lifestyle choices.The nurse practitioner replies:

Accepted Answer

As people age, the heart's ability to handle stress and maintain physical strength decreases, which is a natural part of the aging process.

Quiz 8: Chest Disorders

The nurse practitioner sees a patient in the emergency department with reports of chest pain and nausea.To analyze the patient's condition, what further information is needed?

Mr.Thomas comes in for a health examination with his nurse practitioner.When the nurse practitioner measures his blood pressure, the systolic is 150 mm and the diastolic is 80 mm.When Mr.Thomas asks if that is a good pressure for him, the nurse practitioner responds:

The nurse practitioner implements an approved plan of care proposed in the National Asthma Education and Prevention Program Expert Panel Report-3 (NAEPP-EPR-3) for an older adult patient with asthma.This includes which of the following? Select all that apply.

John is 80 years old and is experiencing the following: weight gain, tachycardia, neck vein distention, and cognitive impairment.The nurse practitioner assesses for which of the following to support a diagnosis of heart failure? Select all that apply.

A patient comes to the health-care provider office for a checkup.The nurse practitioner notes that the patient is 67 years old and is presenting symptoms of dizziness, orthopnea, and edema.The nurse practitioner begins a focused assessment of the:

The nurse practitioner is preparing discharge instructions for a 79-year-old man with newly diagnosed asthma.Which of the following are important instructions to include? Select all that apply.

Ms.Jameson, 72 years old, comes to the clinic with concerns about her breathing.She states that she is having trouble with mucus collection and difficulty coughing it out.The nurse practitioner suggests which of the following? Select all that apply.

Sam is 64 years old and has been feeling weak, lightheaded, and slightly nauseous.He goes to the urgent care center where the nurse practitioner initiates an assessment.Which of the following suggest an arrhythmia? Select all that apply.

The nurse practitioner identifies a late cardiac murmur in an older adult patient.A student nurse asks what condition this suggests.The nurse practitioner responds that this kind of murmur is most often due to which of the following? Select all that apply.

The nurse practitioner is seeing patients in the respiratory clinic.An 85-year-old woman comes in with concerns about having difficulty breathing.When considering asthma, the nurse practitioner asks which of the following questions? Select all that apply.

A 58-year-old man is being seen by his nurse practitioner for a cardiac work-up.His cholesterol is 320 mg/d.The nurse practitioner includes teaching about lowering his cholesterol by discussing blood levels and dietary choices.The nurse practitioner says which of the following?

The nurse practitioner and a student are examining the apical pulse of an 82-year-old man.The student perceives that there is an S₄ sound.The nurse practitioner interprets that this is likely:

The nurse practitioner knows that risk factors for coronary artery disease (CAD) include atherosclerosis.The nurse practitioner includes teaching on these factors that can be remediated to help prevent CAD:

Mr.Borden is 79 years old and lives with his daughter.The daughter provides excellent care for her father and wants to know which changes in his heart and circulatory system are due to aging and which are due to lifestyle choices.The nurse practitioner replies:

Quiz 8: Chest Disorders

The nurse practitioner sees a patient in the emergency department with reports of chest pain and nausea.To analyze the patient's condition, what further information is needed?

Mr.Thomas comes in for a health examination with his nurse practitioner.When the nurse practitioner measures his blood pressure, the systolic is 150 mm and the diastolic is 80 mm.When Mr.Thomas asks if that is a good pressure for him, the nurse practitioner responds:

The nurse practitioner implements an approved plan of care proposed in the National Asthma Education and Prevention Program Expert Panel Report-3 (NAEPP-EPR-3) for an older adult patient with asthma.This includes which of the following? Select all that apply.

John is 80 years old and is experiencing the following: weight gain, tachycardia, neck vein distention, and cognitive impairment.The nurse practitioner assesses for which of the following to support a diagnosis of heart failure? Select all that apply.

A patient comes to the health-care provider office for a checkup.The nurse practitioner notes that the patient is 67 years old and is presenting symptoms of dizziness, orthopnea, and edema.The nurse practitioner begins a focused assessment of the:

The nurse practitioner is preparing discharge instructions for a 79-year-old man with newly diagnosed asthma.Which of the following are important instructions to include? Select all that apply.

Ms.Jameson, 72 years old, comes to the clinic with concerns about her breathing.She states that she is having trouble with mucus collection and difficulty coughing it out.The nurse practitioner suggests which of the following? Select all that apply.

Sam is 64 years old and has been feeling weak, lightheaded, and slightly nauseous.He goes to the urgent care center where the nurse practitioner initiates an assessment.Which of the following suggest an arrhythmia? Select all that apply.

The nurse practitioner identifies a late cardiac murmur in an older adult patient.A student nurse asks what condition this suggests.The nurse practitioner responds that this kind of murmur is most often due to which of the following? Select all that apply.

The nurse practitioner is seeing patients in the respiratory clinic.An 85-year-old woman comes in with concerns about having difficulty breathing.When considering asthma, the nurse practitioner asks which of the following questions? Select all that apply.

A 58-year-old man is being seen by his nurse practitioner for a cardiac work-up.His cholesterol is 320 mg/d.The nurse practitioner includes teaching about lowering his cholesterol by discussing blood levels and dietary choices.The nurse practitioner says which of the following?

The nurse practitioner and a student are examining the apical pulse of an 82-year-old man.The student perceives that there is an S4 sound.The nurse practitioner interprets that this is likely:

The nurse practitioner knows that risk factors for coronary artery disease (CAD) include atherosclerosis.The nurse practitioner includes teaching on these factors that can be remediated to help prevent CAD:

Mr.Borden is 79 years old and lives with his daughter.The daughter provides excellent care for her father and wants to know which changes in his heart and circulatory system are due to aging and which are due to lifestyle choices.The nurse practitioner replies:

The nurse practitioner and a student are examining the apical pulse of an 82-year-old man.The student perceives that there is an S₄ sound.The nurse practitioner interprets that this is likely: