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