Heberden’s nodes and Bouchard’s nodes are physical exam findings consistent with which disorder?

Which type of myocardial infarction can be diagnoses via EKG using the “mirror test” in which the ECG is flipped upside down and viewed from the backside looking into the light?

Which combination of medications should be added to the medication regimen of African Americans with persistent heart failure with reduce EF despite the use of guideline-directed medical therapy?

A 61-year-old male presents to a critical access emergency department with sudden-onset, crushing chest pain radiating to his left arm and jaw, which started 30 minutes ago. He is diaphoretic and nauseated. Vital signs: BP 148/86 mmHg, HR 98 bpm, RR 24, SpO₂ 95% on room air, Temp 97.9F. The triage nurse obtains the following ECG.  (Knechtel, M.A. (2021). EKG 8.25. In EKGs for the Nurse Practitioner & Physician Assistant) The nearest PCI-capable facility is a 30-minute drive away.  What is the most appropriate treatment plan? 

A 45-year-old female presents with complaints of sharp pain in her right heel that is worse with the first few steps in the morning or after prolonged periods of sitting. She denies any recent trauma or acute illnesses. She has a history of migraines and obesity. She denies any recent new medications. On examination, there is point tenderness across the arch of the foot and pain with dorsiflexion of the toes. What is the most likely diagnosis?

Match each aspect of the cardiac cycle with its associated electrical activity.

A 36-year-old male is admitted to the hospital after sustaining a left femur fracture after falling off a roof while hanging Christmas lights. Orthopedic surgery is planned for tomorrow morning. Around 11 PM, the AGACNP is called by the surgical floor nurse, who reports she has given the patient IV pain medication, but he is still complaining of intense pain. The AGACNP examines the patient and notes that the left thigh is tense, swollen, and firm to the touch. He is unable to plantarflex the foot, and flexion of the knee is very limited.  There is diminished sensation to the plantar surface of the foot and a decreased dorsalis pedis pulse compared to the right leg. Vitals: BP 167/89, RR 30, Pulse 125, O2 94% on room air, Temp 99.1F What is the most appropriate action by the AGACNP?

A nurse is teaching a patient on continuous ambulatory peritoneal dialysis (CAPD) how to monitor for potential complications at home. Which patient statements indicate correct understanding? (Select all that apply).

A 68-year-old male is admitted to the hospital for a COPD exacerbation. On admission, he also complains to the AGACNP of acute pain and swelling in his right great toe. The joint is warm and tender on examination. History: HTN, COPD, DM Type II, gout, and tobacco use Vitals: BP 154/88, Pulse 101, RR 26, O2 92% on 4L NC, Temp 98.4F Labs:  WBC: 13,500 /µL Hemoglobin: 13.2 g/dL Creatinine: 1.9 mg/dL BUN: 35 mg/dL eGFR: 42 mL/min/1.73m² Serum Uric Acid: 9.6 mg/dL Lactic Acid: 1.5 mmol/L CRP: 8.1 mg/dL Urinalysis: Normal Admission medications:  Methylprednisolone (Solu-Medrol) IV 80 mg every 8 hours DuoNeb (albuterol/ipratropium combo) nebulized every 8 hours  Albuterol (Ventolin) nebulizer 2.5 mg every 4–6 hours PRN Pantoprazole 40 mg PO daily Heparin 5000 units subcutaneously every 8 hours   What is the most appropriate treatment plan? 

The nurse is assessing telemetry monitors on the cardiac unit. Match each patient’s status with the most likely rhythm identified in each scenario.