NRNP 6566 Week 3 Knowledge Check (Collection)

(NRNP 6566 Week 3 Knowledge Check)

NRNP 6566 Week 3 Knowledge Check (Version 1)

1. Question: Franklin is a 68-year-old woman with long-standing, persistent AF being … with rhythm control on dofetilide. She also has type 2 diabetes mellitus (T2DM), hypertension, and a myocardial infarction 3 years ago.What is her CHADS2 and CHA2DS2-VASc score? How would you interpret those scores in deciding on treatment for Mrs. Franklin?
2. Question: A 58-year-old male complains of a galloping heart rate and shortness of breath. Vital signs are BP 110/74, P 156, RR 22 Oxygen sat is 96%. Continuous EKG monitoring identifies periods of sinus tachycardia as well as episodes of atrial fibrillation. Laboratory results for this patient show:
3. Question: A 63-year-old female has been successfully … and is now on amiodarone for rhythm maintenance. The patient is on the following medications:
4. Question: What is your interpretation of this 12-lead EKG?
5. Question: A 62-year-old male develops acute atrial tachycardia with a heart rate of 155. BP has been stable at 122/ 86. He is alert and … with adequate urine output. What medication would … to treat the heart rate?
6. Question: Franklin is a 68-year-old woman with long-standing, persistent AF being … with rhythm control on dofetilide. She also has type 2 diabetes mellitus (T2DM), hypertension, and a myocardial infarction 3 years ago. She also takes an 81 mg aspirin every day.Based on her CHADS2 score and HAS-BLED score, would you recommend starting her on anticoagulation? What data would help you explain why this is important preventative step for the patient?
7. Question: What is your interpretation of this 12-lead EKG?
8. Question: A 59-year-old male complains of dizziness, palpitations, weakness, and chest tightness. EKG shows atrial fibrillation with rapid ventricular response. His blood pressure is very labile, with readings of 70/42 to 110/66. Heart rate ranges from 150—210. Because he is hemodynamically unstable, immediate electric cardioversion is … Prior to the procedure, what testing is essential to complete?
9. A 79-year-old male with a history of atrial fibrillation is taking the following medications: Brilenta 60 mg po bid…. What medication could cause these lab results?
10. What is your interpretation of this 12-lead EKG? What initial treatment is … ?

NRNP 6566 Week 3 Knowledge Check (Version 2)

1. Question: A 63-year-old female has been successfully … and is now on amiodarone for rhythm maintenance. The patient is on the following medications:
2. Question: What is your interpretation of this 12-lead EKG?
3. Question: Franklin is a 68-year-old woman with long-standing, persistent AF being … with rhythm control on do fetilide. She also has type 2 diabetes mellitus (T2DM), hypertension, and a myocardial infarction 3 years ago. She also takes an 81 mg aspirin every day. Based on her CHADS2 score and HAS-BLED score, would you recommend starting her on anticoagulation? What data would help you explain why this is important preventative step for the patient?
4. Question: What is your interpretation of this 12-leadEKG? …. What initial treatment is … ?
5. Question: A 79-year-old male with a history of atrial fibrillation is taking the following medications:
6. Question: The EKG shows an extensive acute anterolateral STEMI. There are ST elevations in V2-6, I, and a VL with reciprocal changes in leads III and aVF.
7. Question: The patient has an extensive anterior Myocardial Infarction. The tombstone pattern is evident in the pre cordial leads (V1-V6) and high lateral leads (I, and aVL). Occlusion in the LAD is likely and is showing infarction in large areas with poor left ventricular eje ction fraction that if not … will cause cardiogenic shock and death.
8. Question: The AGACNP has … Inderal 5 mg IV to treat a patient with atrial tachycardia. What are the critical side effects of this drug?
9. Question: Franklin is a 68-year-old woman with long-standing, persistent AF being … with rhythm control on dofetilide. She also has type 2 diabetes mellitus (T2DM), hypertension, and a myocardial infarction 3 years ago…. What is her CHADS2 and CHA2DS2-VASc score? How would you interpret those scores in deciding on treatment for Mrs. Franklin?
10. Question: A 66-year-old female complains of dizziness, fatigue, and shortness of breath. Her EKG is below. What is your working diagnosis? What immediate treatment is … ?