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 shows signs of aneurysm rupture.
B The client is experiencing heart failure.
C The client is in the early stage of right-sided heart failure.
D The client is going into cardiogenic shock.
Question #2
A Pulse oximetry
B Arterial blood gases
C End-tidal CO2
D Listening to breath sounds
Question #3
A Cystic fibrosis
B Myocardial ischemia
C Pulmonary embolus
D Ineffective right ventricular contraction
Question #4
A 50%
B 40%
C 55%
D 45%
Question #5
A fluid intake and output.
B weight.
C urine specific gravity.
D vital signs.
Question #6
A Administer pain medication.
B Assess the surgical incisional area.
C Titrate oxygen therapy.
D Assess for jugular vein distention.
Question #7
A Wait ten minutes after the second tablet to assess pain.
B Administer the third sublingual nitroglycerin tablet.
C Notify the health care provider of the chest pain.
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 Increased pulmonary artery diastolic pressure
B Increase in the cardiac index
C Decreased mean pulmonary artery pressure
D Decreased central venous pressure
Question #10
A decrease in renal perfusion
B increased blood volume ejected from ventricle
C vasodilation of skin
D dehydration
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 air hunger
B jugular vein distention
C ascites
D pitting edema of the legs
Question #13
A Supraventricular tachycardia
B Sinus tachycardia
C Atrial fibrillation
D First-degree heart block
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 blood sodium levels.
B Assess for elevated blood urea nitrogen levels.
C Assess for reduced urine output.
D Assess for elevated blood potassium levels.
Question #16
A Examine the client’s eyes for excess tears.
B Examine the client’s neck for distended veins.
C Monitor the client for signs of lethargy or confusion.
D Examine the client’s joints for crepitus.
Question #17
A Acute pulmonary edema
B Cardiogenic shock
C Pulmonary hypertension
D Progressive heart failure
Question #18
A have the client take deep breaths and cough
B place the client in high Fowler’s position
C perform chest physiotherapy
D administer oxygen
Question #19
A increased right atrial resistance
B decreased left ventricular pumping
C decreased right ventricular elasticity
D increased left atrial contractility
Question #20
A decreased left ventricular workload
B decreased right ventricular workload
C decreased renal perfusion
D decreased peripheral perfusion to the extremities
Question #21
A Low ejection fraction (EF)
B Limited activities of daily living (ADLs)
C Basilar crackles
D Pulmonary congestion
Question #22
A High blood pressure
B Tissue hypoperfusion
C Increased urinary output
D Hyperactive bowel sounds
Question #23
A Sleeping in a chair or recliner
B Increased urine output
C Gradual unexplained weight gain
D Increased perspiration
Question #24
A Accumulation of blood in the lungs
B Reduction in cardiac output
C Systemic venous congestion
D Reduction in forward flow
Question #25
A skin rash
B dry cough
C postural hypotension
D peripheral edema
Question #26
A 30%
B 65%
C 55%
D 5%
Question #27
A pedal edema
B fatigue
C nocturia
D irregular pulse
Question #28
A mannitol
B metolazone
C furosemide
D spironolactone
Question #29
A Jugular vein distention
B Cough
C Dyspnea
D Pulmonary crackles
E Ascites
Question #30
A 3.2 mg/mL
B 4.0 mg/mL
C 0.25 mg/mL
D 2.0 mg/mL
Question #31
A Reduction in cardiac output
B Accumulation of blood in the lungs
C Congestion in the peripheral tissues
D Reduction in forward flow
Question #32
A cardiac catheterization
B cardiac ultrasound
C electrocardiogram
D echocardiogram
Question #33
A magnesium level of 2.5 mg/dL
B sodium level of 152 mEq/L
C potassium level of 2.8 mEq/L
D calcium level of 7.5 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 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 heart rate of 55 beats per minute
B blood pressure of 125/80
C urine output of 300 mL in eight hours
D atrial fibillation rhythm
Question #36
A metoprolol
B enalapril
C Natrecor
D captopril
Question #37
A hepatomegaly
B nocturia
C inadequate cardiac output
D ascites
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 Electrocardiogram (ECG)
D Blood urea nitrogen (BUN)
Question #40
A JVD is noted 4 cm above the sternal angle.
B No JVD is present.
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 The parietal and visceral pericardial membranes adhere to each other, preventing normal myocardial contraction.
C Fibrin accumulation on the visceral pericardium infiltrates into the myocardium, creating generalized myocardial dysfunction.
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 Checking the client’s lungs for crackles during every shift
C Assessing the client’s vital signs every 4 hours
D Measuring and recording fluid intake and output
Question #44
A fluid intake and output.
B urine specific gravity.
C weight.
D vital signs.
Question #45
A obtaining cardiac output with a pulmonary catheter
B using mechanical ventilation
C measuring intake and output
D asking the client about comfort level
Question #46
A Attach a pulse oximeter probe and obtain values.
B Call for a chest x-ray.
C Listen for breath sounds over the epigastrium.
D Observe for mist in the endotracheal tube.
Question #47
A Morphine sulfate
B Furosemide
C Nitroglycerin
D Dopamine
Question #48
A Low-sodium diet
B Low-fat diet
C Low-potassium diet
D Low-cholesterol diet
Question #49
A The client says he is short of breath when ambulating.
B The client says his rings have become tight and are difficult to remove.
C The client says he has been hungry in the evening.
D The client says that he has been urinating less frequently at night.
Question #50
A confusion
B dyspnea on exertion
C chest pain
D anxiety
Question #51
A II
B I
C IV
D III
Question #52
A Stroke volume
B Ejection fraction
C Afterload
D Preload
Question #53
A Vasculitis
B nausea and vomiting
C Enlargement of joints
D Flexion contractures
Question #54
A Pulmonary embolism
B Tension pneumothorax
C Cardiac tamponade
D Heart failure
Question #55
A A ventriculogram
B A chest x-ray
C An echocardiogram
D An electrocardiogram
Question #56
A Jugular vein distention (JVD)
B Cough
C Pulmonary crackles
D Dyspnea
Question #57
A Vasculitis
B Potassium levels
C Flexion contractures
D Enlargement of joints
Question #58
A Hypotension
B Dyspnea on exertion
C Tachycardia
D Decreased urinary output
Question #59
A Increased urine output
B Gradual unexplained weight gain
C Sleeping in a chair or recliner
D Increased perspiration
Question #60
A Ibuprofen
B Amlodipine
C Warfarin
D Digoxin immune FAB
Question #61
A Dizziness
B Tachycardia
C Ascites
D Nocturia
Question #62
A a first heart sound (S1).
B a third heart sound (S3).
C a fourth heart sound (S4).
D a murmur.
Question #63
A Arterial blood gas (ABG) analysis
B Pulse oximetry
C Lung sounds
D Skin color assessment
Question #64
A Hyperactive bowel sounds
B High blood pressure
C Increased urinary output
D Restlessness and confusion
Question #65
A dyspnea upon exertion.
B hyperpnea.
C orthopnea.
D paroxysmal nocturnal dyspnea.
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 Blood urea nitrogen (BUN)
C Brain natriuretic peptide (BNP)
D Creatinine