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