Select the best answer: An 81-year-old adult female presents to a primary care nurse practitioner following a recent hospitalization for new-onset non-valvular atrial fibrillation. The patient has a history of hypertension and type 2 diabetes and no history of stroke or TIA. Current medications include metformin (Glucophage), lisinopril (Prinivil), and diltiazem (Cardizem). The patient has no known drug allergies.  The atrial fibrillation rate control has been effective. Diagnostic testing has shown no evidence of valvular heart disease. What is the calculated CHA2DS2-VASc score and what, if any, anticoagulation treatment is recommended?

to Select the best answer. A 72-year-old adult patient with a history of hypertension, hyperlipidemia, and osteoarthritis presents to the primary care nurse practitioner for pre-surgical clearance for an elective right knee replacement. Presenting BP is 138/94.  Current lab shows normal renal and liver function.  The patient is taking amlodipine (Norvasc) and simvastatin (Zocor). The patient did not take the medication before coming to clinic today. The patient reports intermittent, chest discomfort (currently rated as 3 of 10 on pain scale) several times over the past 24 hours but is asymptomatic at this time. Symptoms resolved with rest. Today’s ECG shows:      The most appropriate action by the nurse practitioner is to: 

What is/are Asimov’s law(s) of robotics?

Select the best answer: A 75-year-old adult presents to an urgent care clinic with significant weight gain and 3+ peripheral edema to the middle calf. Jugular venous distention, and hepatomegaly are noted. A grade-3 diastolic murmur is auscultated at the 5th intercostal space at the left mid-clavicular line. A diagnostic workup is completed and reveals the patient has an estimated ejection fraction of 62%. These findings are suggestive of what diagnosis?

Select the best answer. A 62-year-old adult with diagnosed alcohol-related cardiomyopathy reports no symptoms of fatigue or shortness of breath while sitting. The patient reports dyspnea when walking to the mailbox. Which of the following best describes this patient’s NYHA functional classification?

13 (7 pts). Find the volume of the solid revolution formed by rotating the x-axis with the region bounded by , y = 0, x = 0 and x = 2.   14 (7 pts). Find the average value of on the interval .   15 (7 pts). Find the average value of  on the interval .

On which financial statement would you find the Inventory account and what is the normal balance for Inventory?

Please submit the name of your exam partner.  If you did not take the exam with a partner, just say, “none.”

Using the genetic code, determine the amino acids coded for using the following DNA strand: TACAGCGTGAATCTGACT     *your answer must be typed in using lowercase letters, a – between the amino acids and NO SPACES.

Fill in the blanks. Changes of state of water. Must use the past tense of the words   To change state heat must be or .