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NURS 5463 / NURS5463 Exam 1: Adult Gerontology Acute
Care | Questions & Answers (Latest Update 2025 / 2026)
Grade A | 100% Correct – UTA
Question:
Atypical s/s of AMI in older adults
Answer:
diaphoresis, SOB, N/V, AMS, syncope
Question:
What differential diagnoses are most important when presenting with chest pain?
Answer:
AMI, PE, PTX, aortic dissection, esophageal rupture
Question:
What is considered ST elevation in men and women?
Answer:
Men = 2mm Women = 1.5mm OR new LBBB in 2 leads
Question:
Which troponin is more specific? I or T?
Answer:
Troponin I is more specific
Question:
How often to check troponins?
Answer:
Q6h
Question:
What 2 things can exclude PE?
Answer:
Negative DDIMER & low Wells score
Question:
Paradoxical abd movement during inspiration indicates...
Answer:
impending respiratory failure...indicates fatigue
Question:
Most common cause of hypoxia
Answer:
VQ mismatch
Question:
Causes of VQ mismatch
Answer:
COPD, asthma, ILD, PNA, increased A-a gradient
Question:
Does VQ mismatch improve with O2?
Answer:
Yes
Question:
Causes of right to left shunt?
Answer:
anatomic (heart problems), physiologic (PNA, ARDs, atelectasis)
Question:
Does right to left shunt respond to oxygen?
Answer:
difficult to correct with O
Question:
Causes of diffusion impairment
Answer:
PF, PCP, emphysema
Question:
Does diffusion impairment correct with O2? What makes it worse?
Answer:
Worsens with activity, corrects with oxygen
Question:
What is the cause of reduced inspired oxygen tension? Does it correct with O2?
Answer:
High altitude, yes
Question:
VQ mismatch causes _____ A-a gradient
Question:
Causes of RLQ pain
Answer:
App, IBD, hernia, gastroenteritis, ischemic colitis, kidney stone, ectopic pregnancy, diverticulitis (but esp LLQ)
Question:
Causes of LUQ pain
Answer:
Gastritis, PUD, pancreatitis, splenic enlargement/rupture, LLL PNA, AMI, pyelonephritis
Question:
Causes of LLQ pain
Answer:
Diverticulitis**, IBD, GE, ischemic colitis, hernia, kid stone, ectopic
Question:
Causes of epigastric pain
Answer:
PUD, pancreatitis, biliary colic, gallbladder, esophagitis, GERD, cholangitis, MI, aortic dissection, mesenteric ischemia
Question:
Causes of periumbilical pain
Answer:
SBO, GE, early appendicitis, aortic dissection, mesenteric ischemia
Question:
Causes of diffuse abd pain
Answer:
GE, peritonitis, perf, GI bleed, obstruction, mesenteric ischemia
Question:
What radiology scan is good for unexplained abd pain?
Answer:
CT abd
Question:
What test do you need if you suspect mesenteric ischemia?
Answer:
CTA abd
Question:
Peritoneal irritation
Question:
What does dullness indicate on an abd exam?
Answer:
Ascites
Question:
Most common cause of syncope
Answer:
vagal response
Question:
"The worst headache of my life"
Answer:
subarachnoid hemorrhage
Question:
Work-up if presenting with HA and known hx of HA?
Answer:
No w/u needed unless new/worsening s/s
Question:
What labs do you need for HA with scalp tenderness or suspected arteritis?
Answer:
ESR or CRP
Question:
Labs for suspected vasculitis
Answer:
ANA, ANCA
Question:
Onset of migraines after age 50 need
Answer:
MRI brain
Question:
primary team goes off duty and on-call team comes on
Answer:
shift change
Answer:
qualifying event that precedes a 3-night hospital admission
Question:
Requirements for home health
Answer:
must be home bound
Question:
Anticipated LOS for obs patients
Answer:
< 48h
Question:
What to document if need to transition from obs to inpatient
Answer:
"anticipated LOS is greater than 48 hours"
Question:
Electrolyte abnormalities that warrant admission
Answer:
K < 3 w/o clear etiology
Na < 120 w neuro s/s Ca > 10 w AMS Phos < 2.
Question:
Willingness of hospital staff to openly communicate concerns about patient care on their units
Answer:
Safety culture
Question:
Respond, report, investigate, communicate, performance improvement, follow-up
Answer:
Principles approach to patient harm
Question:
Order of surrogacy
Answer:
- Spouse or domestic partner
- Adult child, parent, or sibling
- Close friend
Question:
Pts complete this with their MD when they have a 1 yr life expectancy
Physiologic futility Qualitative futility Quantitative futility
Question:
Medically certain that is impossible to achieve a physiologic effect
Answer:
Physiologic futility
Question:
Patient's physiology may improve, but there is no patient-centered benefit
Answer:
Qualitative futility
Question:
Intervention has not worked in similar patients
Answer:
Quantitative futility
