Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 29 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A The client is experiencing heart failure.
B The client shows signs of aneurysm rupture.
C The client is going into cardiogenic shock.
D The client is in the early stage of right-sided heart failure.
Question #2
A Pulse oximetry
B Listening to breath sounds
C Arterial blood gases
D End-tidal CO2
Question #3
A Pulmonary embolus
B Cystic fibrosis
C Myocardial ischemia
D Ineffective right ventricular contraction
Question #4
A 55%
B 50%
C 40%
D 45%
Question #5
A urine specific gravity.
B fluid intake and output.
C vital signs.
D weight.
Question #6
A Titrate oxygen therapy.
B Administer pain medication.
C Assess the surgical incisional area.
D Assess for jugular vein distention.
Question #7
A Wait ten minutes after the second tablet to assess pain.
B Notify the health care provider of the chest pain.
C Hold any further treatment until the client’s blood pressure increases.
D Administer the third sublingual nitroglycerin tablet.
Question #8
A Decrease in blood pressure
B Absence of cough
C Decrease in central venous pressure (CVP)
D Increase in CVP
Question #9
A Decreased mean pulmonary artery pressure
B Increased pulmonary artery diastolic pressure
C Increase in the cardiac index
D Decreased central venous pressure
Question #10
A vasodilation of skin
B increased blood volume ejected from ventricle
C dehydration
D decrease in renal perfusion
Question #11
A administration of a vasodilating drug (as ordered by a health care provider)
B increasing activity
C sustained elevation of the client’s legs
D application of antiembolytic stockings
Question #12
A ascites
B air hunger
C pitting edema of the legs
D jugular vein distention
Question #13
A Supraventricular tachycardia
B First-degree heart block
C Sinus tachycardia
D Atrial fibrillation
Question #14
A It causes a loss of elasticity in the myocardium.
B It increases preload.
C It reduces ventricular ejection volume.
D It increases afterload.
Question #15
A Assess for reduced urine output.
B Assess for elevated blood urea nitrogen levels.
C Assess for elevated blood potassium levels.
D Assess for reduced blood sodium levels.
Question #16
A Examine the client’s joints for crepitus.
B Examine the client’s eyes for excess tears.
C Monitor the client for signs of lethargy or confusion.
D Examine the client’s neck for distended veins.
Question #17
A Acute pulmonary edema
B Cardiogenic shock
C Pulmonary hypertension
D Progressive heart failure
Question #18
A place the client in high Fowler’s position
B perform chest physiotherapy
C have the client take deep breaths and cough
D administer oxygen
Question #19
A decreased right ventricular elasticity
B increased left atrial contractility
C decreased left ventricular pumping
D increased right atrial resistance
Question #20
A decreased right ventricular workload
B decreased renal perfusion
C decreased left ventricular workload
D decreased peripheral perfusion to the extremities
Question #21
A Limited activities of daily living (ADLs)
B Basilar crackles
C Low ejection fraction (EF)
D Pulmonary congestion
Question #22
A Tissue hypoperfusion
B Hyperactive bowel sounds
C Increased urinary output
D High blood pressure
Question #23
A Increased urine output
B Sleeping in a chair or recliner
C Gradual unexplained weight gain
D Increased perspiration
Question #24
A Reduction in forward flow
B Reduction in cardiac output
C Accumulation of blood in the lungs
D Systemic venous congestion
Question #25
A postural hypotension
B dry cough
C skin rash
D peripheral edema
Question #26
A 5%
B 65%
C 30%
D 55%
Question #27
A fatigue
B nocturia
C irregular pulse
D pedal edema
Question #28
A spironolactone
B furosemide
C metolazone
D mannitol
Question #29
A Ascites
B Jugular vein distention
C Pulmonary crackles
D Cough
E Dyspnea
Question #30
A 4.0 mg/mL
B 2.0 mg/mL
C 0.25 mg/mL
D 3.2 mg/mL
Question #31
A Congestion in the peripheral tissues
B Accumulation of blood in the lungs
C Reduction in cardiac output
D Reduction in forward flow
Question #32
A echocardiogram
B cardiac catheterization
C electrocardiogram
D cardiac ultrasound
Question #33
A sodium level of 152 mEq/L
B potassium level of 2.8 mEq/L
C calcium level of 7.5 mg/dL
D magnesium level of 2.5 mg/dL
Question #34
A A depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling
B A 5- to 10-mm depression when the thumb is released from the swollen area; foot and leg swelling
C Detectable depression of less than 5 mm when the thumb is released from the swollen area; normal foot and leg contours
D Barely detectable depression when the thumb is released from the swollen area; normal foot and leg contours
Question #35
A blood pressure of 125/80
B urine output of 300 mL in eight hours
C atrial fibillation rhythm
D heart rate of 55 beats per minute
Question #36
A Natrecor
B captopril
C metoprolol
D enalapril
Question #37
A ascites
B nocturia
C inadequate cardiac output
D hepatomegaly
Question #38
A bilateral pneumonia.
B decompensated heart failure with pulmonary edema.
C tuberculosis.
D acute exacerbation of chronic obstructive pulmonary disease.
Question #39
A Blood urea nitrogen (BUN)
B Electrocardiogram (ECG)
C Serum electrolytes
D Echocardiogram
Question #40
A No JVD is present.
B JVD is noted at the level of the sternal angle.
C JVD is noted 2 cm above the sternal angle.
D JVD is noted 4 cm above the sternal angle.
Question #41
A Excess pericardial fluid compresses the heart and prevents adequate diastolic filling.
B Fibrin accumulation on the visceral pericardium infiltrates into the myocardium, creating generalized myocardial dysfunction.
C The pericardial space is eliminated with scar tissue and thickened pericardium.
D The parietal and visceral pericardial membranes adhere to each other, preventing normal myocardial contraction.
Question #42
A nocturia and sleep disturbances.
B visual disturbances.
C taste and smell alterations.
D dry mouth and urine retention.
Question #43
A Assessing the client’s vital signs every 4 hours
B Weighing the client daily at the same time each day
C Checking the client’s lungs for crackles during every shift
D Measuring and recording fluid intake and output
Question #44
A fluid intake and output.
B weight.
C vital signs.
D urine specific gravity.
Question #45
A obtaining cardiac output with a pulmonary catheter
B measuring intake and output
C using mechanical ventilation
D asking the client about comfort level
Question #46
A Attach a pulse oximeter probe and obtain values.
B Observe for mist in the endotracheal tube.
C Call for a chest x-ray.
D Listen for breath sounds over the epigastrium.
Question #47
A Nitroglycerin
B Dopamine
C Morphine sulfate
D Furosemide
Question #48
A Low-cholesterol diet
B Low-fat diet
C Low-sodium diet
D Low-potassium diet
Question #49
A The client says he is short of breath when ambulating.
B The client says he has been hungry in the evening.
C The client says his rings have become tight and are difficult to remove.
D The client says that he has been urinating less frequently at night.
Question #50
A confusion
B chest pain
C anxiety
D dyspnea on exertion
Question #51
A III
B II
C IV
D I
Question #52
A Ejection fraction
B Afterload
C Preload
D Stroke volume
Question #53
A nausea and vomiting
B Vasculitis
C Flexion contractures
D Enlargement of joints
Question #54
A Cardiac tamponade
B Tension pneumothorax
C Heart failure
D Pulmonary embolism
Question #55
A An echocardiogram
B A chest x-ray
C A ventriculogram
D An electrocardiogram
Question #56
A Pulmonary crackles
B Cough
C Jugular vein distention (JVD)
D Dyspnea
Question #57
A Vasculitis
B Enlargement of joints
C Flexion contractures
D Potassium levels
Question #58
A Hypotension
B Decreased urinary output
C Dyspnea on exertion
D Tachycardia
Question #59
A Increased perspiration
B Sleeping in a chair or recliner
C Gradual unexplained weight gain
D Increased urine output
Question #60
A Warfarin
B Digoxin immune FAB
C Amlodipine
D Ibuprofen
Question #61
A Dizziness
B Nocturia
C Tachycardia
D Ascites
Question #62
A a murmur.
B a fourth heart sound (S4).
C a third heart sound (S3).
D a first heart sound (S1).
Question #63
A Skin color assessment
B Pulse oximetry
C Arterial blood gas (ABG) analysis
D Lung sounds
Question #64
A Increased urinary output
B Restlessness and confusion
C Hyperactive bowel sounds
D High blood pressure
Question #65
A orthopnea.
B paroxysmal nocturnal dyspnea.
C hyperpnea.
D dyspnea upon exertion.
Question #66
A “Are you coughing up blood at night?”
B “Are you urinating excessively at night?”
C “Are you only able to breathe when you are sitting upright?”
D “How far can you walk without becoming short of breath?”
Question #67
A Complete blood count (CBC)
B Brain natriuretic peptide (BNP)
C Creatinine
D Blood urea nitrogen (BUN)