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 End-tidal CO2
C Pulse oximetry
D Arterial blood gases
Question #3
A Ineffective right ventricular contraction
B Cystic fibrosis
C Myocardial ischemia
D Pulmonary embolus
Question #4
A 55%
B 40%
C 45%
D 50%
Question #5
A urine specific gravity.
B weight.
C vital signs.
D fluid intake and output.
Question #6
A Titrate oxygen therapy.
B Assess for jugular vein distention.
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 Administer the third sublingual nitroglycerin tablet.
C Notify the health care provider of the chest pain.
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 Increased pulmonary artery diastolic pressure
B Decreased mean pulmonary artery pressure
C Decreased central venous pressure
D Increase in the cardiac index
Question #10
A increased blood volume ejected from ventricle
B dehydration
C decrease in renal perfusion
D vasodilation of skin
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 Atrial fibrillation
B First-degree heart block
C Supraventricular tachycardia
D Sinus tachycardia
Question #14
A It reduces ventricular ejection volume.
B It causes a loss of elasticity in the myocardium.
C It increases afterload.
D It increases preload.
Question #15
A Assess for reduced urine output.
B Assess for elevated blood potassium levels.
C Assess for elevated blood urea nitrogen 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 Progressive heart failure
D Pulmonary hypertension
Question #18
A have the client take deep breaths and cough
B perform chest physiotherapy
C administer oxygen
D place the client in high Fowler’s position
Question #19
A increased left atrial contractility
B decreased right ventricular elasticity
C decreased left ventricular pumping
D increased right atrial resistance
Question #20
A decreased renal perfusion
B decreased left ventricular workload
C decreased peripheral perfusion to the extremities
D decreased right ventricular workload
Question #21
A Limited activities of daily living (ADLs)
B Pulmonary congestion
C Low ejection fraction (EF)
D Basilar crackles
Question #22
A Hyperactive bowel sounds
B Tissue hypoperfusion
C Increased urinary output
D High blood pressure
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 Accumulation of blood in the lungs
D Systemic venous congestion
Question #25
A postural hypotension
B peripheral edema
C skin rash
D dry cough
Question #26
A 5%
B 30%
C 55%
D 65%
Question #27
A pedal edema
B fatigue
C irregular pulse
D nocturia
Question #28
A spironolactone
B mannitol
C metolazone
D furosemide
Question #29
A Jugular vein distention
B Dyspnea
C Ascites
D Pulmonary crackles
E Cough
Question #30
A 3.2 mg/mL
B 0.25 mg/mL
C 4.0 mg/mL
D 2.0 mg/mL
Question #31
A Congestion in the peripheral tissues
B Reduction in forward flow
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 calcium level of 7.5 mg/dL
B magnesium level of 2.5 mg/dL
C sodium level of 152 mEq/L
D potassium level of 2.8 mEq/L
Question #34
A Detectable depression of less than 5 mm 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 Barely detectable depression 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 blood pressure of 125/80
B heart rate of 55 beats per minute
C urine output of 300 mL in eight hours
D atrial fibillation rhythm
Question #36
A captopril
B enalapril
C Natrecor
D metoprolol
Question #37
A ascites
B inadequate cardiac output
C hepatomegaly
D nocturia
Question #38
A acute exacerbation of chronic obstructive pulmonary disease.
B bilateral pneumonia.
C decompensated heart failure with pulmonary edema.
D tuberculosis.
Question #39
A Blood urea nitrogen (BUN)
B Echocardiogram
C Electrocardiogram (ECG)
D Serum electrolytes
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 Fibrin accumulation on the visceral pericardium infiltrates into the myocardium, creating generalized myocardial dysfunction.
B The pericardial space is eliminated with scar tissue and thickened pericardium.
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 taste and smell alterations.
B visual disturbances.
C nocturia and sleep disturbances.
D dry mouth and urine retention.
Question #43
A Checking the client’s lungs for crackles during every shift
B Assessing the client’s vital signs every 4 hours
C Weighing the client daily at the same time each day
D Measuring and recording fluid intake and output
Question #44
A urine specific gravity.
B vital signs.
C weight.
D fluid intake and output.
Question #45
A asking the client about comfort level
B measuring intake and output
C using mechanical ventilation
D obtaining cardiac output with a pulmonary catheter
Question #46
A Listen for breath sounds over the epigastrium.
B Observe for mist in the endotracheal tube.
C Call for a chest x-ray.
D Attach a pulse oximeter probe and obtain values.
Question #47
A Dopamine
B Morphine sulfate
C Furosemide
D Nitroglycerin
Question #48
A Low-sodium diet
B Low-potassium diet
C Low-fat diet
D Low-cholesterol diet
Question #49
A The client says that he has been urinating less frequently at night.
B The client says he has been hungry in the evening.
C The client says he is short of breath when ambulating.
D The client says his rings have become tight and are difficult to remove.
Question #50
A confusion
B chest pain
C anxiety
D dyspnea on exertion
Question #51
A IV
B II
C I
D III
Question #52
A Preload
B Afterload
C Stroke volume
D Ejection fraction
Question #53
A nausea and vomiting
B Vasculitis
C Enlargement of joints
D Flexion contractures
Question #54
A Pulmonary embolism
B Heart failure
C Tension pneumothorax
D Cardiac tamponade
Question #55
A An echocardiogram
B A ventriculogram
C A chest x-ray
D An electrocardiogram
Question #56
A Dyspnea
B Cough
C Jugular vein distention (JVD)
D Pulmonary crackles
Question #57
A Potassium levels
B Vasculitis
C Enlargement of joints
D Flexion contractures
Question #58
A Dyspnea on exertion
B Decreased urinary output
C Tachycardia
D Hypotension
Question #59
A Increased urine output
B Gradual unexplained weight gain
C Sleeping in a chair or recliner
D Increased perspiration
Question #60
A Amlodipine
B Digoxin immune FAB
C Ibuprofen
D Warfarin
Question #61
A Nocturia
B Tachycardia
C Ascites
D Dizziness
Question #62
A a third heart sound (S3).
B a fourth heart sound (S4).
C a murmur.
D a first heart sound (S1).
Question #63
A Lung sounds
B Arterial blood gas (ABG) analysis
C Pulse oximetry
D Skin color assessment
Question #64
A Increased urinary output
B Restlessness and confusion
C Hyperactive bowel sounds
D High blood pressure
Question #65
A dyspnea upon exertion.
B paroxysmal nocturnal dyspnea.
C hyperpnea.
D orthopnea.
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 Creatinine
B Brain natriuretic peptide (BNP)
C Complete blood count (CBC)
D Blood urea nitrogen (BUN)