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