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 Arterial blood gases
B End-tidal CO2
C Pulse oximetry
D Listening to breath sounds
Question #3
A Ineffective right ventricular contraction
B Pulmonary embolus
C Myocardial ischemia
D Cystic fibrosis
Question #4
A 55%
B 45%
C 50%
D 40%
Question #5
A weight.
B fluid intake and output.
C vital signs.
D urine specific gravity.
Question #6
A Titrate oxygen therapy.
B Assess for jugular vein distention.
C Administer pain medication.
D Assess the surgical incisional area.
Question #7
A Hold any further treatment until the client’s blood pressure increases.
B Wait ten minutes after the second tablet to assess pain.
C Notify the health care provider of the chest pain.
D Administer the third sublingual nitroglycerin tablet.
Question #8
A Absence of cough
B Decrease in blood pressure
C Increase in CVP
D Decrease in central venous pressure (CVP)
Question #9
A Decreased central venous pressure
B Increase in the cardiac index
C Increased pulmonary artery diastolic pressure
D Decreased mean pulmonary artery pressure
Question #10
A decrease in renal perfusion
B dehydration
C increased blood volume ejected from ventricle
D vasodilation of skin
Question #11
A administration of a vasodilating drug (as ordered by a health care provider)
B application of antiembolytic stockings
C increasing activity
D sustained elevation of the client’s legs
Question #12
A ascites
B pitting edema of the legs
C jugular vein distention
D air hunger
Question #13
A Sinus tachycardia
B First-degree heart block
C Atrial fibrillation
D Supraventricular tachycardia
Question #14
A It causes a loss of elasticity in the myocardium.
B It reduces ventricular ejection volume.
C It increases afterload.
D It increases preload.
Question #15
A Assess for elevated blood urea nitrogen levels.
B Assess for reduced blood sodium levels.
C Assess for reduced urine output.
D Assess for elevated blood potassium levels.
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 Cardiogenic shock
B Acute pulmonary edema
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 administer oxygen
D perform chest physiotherapy
Question #19
A decreased left ventricular pumping
B increased right atrial resistance
C decreased right ventricular elasticity
D increased left atrial contractility
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 Low ejection fraction (EF)
B Basilar crackles
C Pulmonary congestion
D Limited activities of daily living (ADLs)
Question #22
A Tissue hypoperfusion
B Increased urinary output
C High blood pressure
D Hyperactive bowel sounds
Question #23
A Increased urine output
B Sleeping in a chair or recliner
C Gradual unexplained weight gain
D Increased perspiration
Question #24
A Systemic venous congestion
B Accumulation of blood in the lungs
C Reduction in cardiac output
D Reduction in forward flow
Question #25
A peripheral edema
B skin rash
C postural hypotension
D dry cough
Question #26
A 30%
B 65%
C 55%
D 5%
Question #27
A pedal edema
B fatigue
C irregular pulse
D nocturia
Question #28
A mannitol
B furosemide
C metolazone
D spironolactone
Question #29
A Ascites
B Pulmonary crackles
C Jugular vein distention
D Cough
E Dyspnea
Question #30
A 3.2 mg/mL
B 0.25 mg/mL
C 2.0 mg/mL
D 4.0 mg/mL
Question #31
A Reduction in cardiac output
B Congestion in the peripheral tissues
C Reduction in forward flow
D Accumulation of blood in the lungs
Question #32
A cardiac ultrasound
B cardiac catheterization
C electrocardiogram
D echocardiogram
Question #33
A magnesium level of 2.5 mg/dL
B potassium level of 2.8 mEq/L
C sodium level of 152 mEq/L
D calcium level of 7.5 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 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 atrial fibillation rhythm
B urine output of 300 mL in eight hours
C heart rate of 55 beats per minute
D blood pressure of 125/80
Question #36
A captopril
B Natrecor
C enalapril
D metoprolol
Question #37
A ascites
B inadequate cardiac output
C nocturia
D hepatomegaly
Question #38
A decompensated heart failure with pulmonary edema.
B acute exacerbation of chronic obstructive pulmonary disease.
C bilateral pneumonia.
D tuberculosis.
Question #39
A Blood urea nitrogen (BUN)
B Echocardiogram
C Electrocardiogram (ECG)
D Serum electrolytes
Question #40
A JVD is noted at the level of the sternal angle.
B JVD is noted 4 cm above the sternal angle.
C JVD is noted 2 cm above the sternal angle.
D No JVD is present.
Question #41
A Excess pericardial fluid compresses the heart and prevents adequate diastolic filling.
B Fibrin accumulation on the visceral pericardium infiltrates into the myocardium, creating generalized myocardial dysfunction.
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 taste and smell alterations.
B nocturia and sleep disturbances.
C dry mouth and urine retention.
D visual disturbances.
Question #43
A Assessing the client’s vital signs every 4 hours
B Measuring and recording fluid intake and output
C Weighing the client daily at the same time each day
D Checking the client’s lungs for crackles during every shift
Question #44
A urine specific gravity.
B vital signs.
C weight.
D fluid intake and output.
Question #45
A obtaining cardiac output with a pulmonary catheter
B asking the client about comfort level
C measuring intake and output
D using mechanical ventilation
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 Morphine sulfate
B Furosemide
C Nitroglycerin
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 his rings have become tight and are difficult to remove.
B The client says he is short of breath when ambulating.
C The client says that he has been urinating less frequently at night.
D The client says he has been hungry in the evening.
Question #50
A chest pain
B dyspnea on exertion
C confusion
D anxiety
Question #51
A II
B III
C I
D IV
Question #52
A Stroke volume
B Ejection fraction
C Afterload
D Preload
Question #53
A Flexion contractures
B nausea and vomiting
C Vasculitis
D Enlargement of joints
Question #54
A Heart failure
B Tension pneumothorax
C Pulmonary embolism
D Cardiac tamponade
Question #55
A An electrocardiogram
B A chest x-ray
C A ventriculogram
D An echocardiogram
Question #56
A Cough
B Pulmonary crackles
C Dyspnea
D Jugular vein distention (JVD)
Question #57
A Flexion contractures
B Potassium levels
C Enlargement of joints
D Vasculitis
Question #58
A Decreased urinary output
B Tachycardia
C Dyspnea on exertion
D Hypotension
Question #59
A Gradual unexplained weight gain
B Increased urine output
C Sleeping in a chair or recliner
D Increased perspiration
Question #60
A Ibuprofen
B Digoxin immune FAB
C Warfarin
D Amlodipine
Question #61
A Nocturia
B Ascites
C Dizziness
D Tachycardia
Question #62
A a murmur.
B a fourth heart sound (S4).
C a third heart sound (S3).
D a first heart sound (S1).
Question #63
A Pulse oximetry
B Lung sounds
C Arterial blood gas (ABG) analysis
D Skin color assessment
Question #64
A Increased urinary output
B Hyperactive bowel sounds
C High blood pressure
D Restlessness and confusion
Question #65
A paroxysmal nocturnal dyspnea.
B orthopnea.
C dyspnea upon exertion.
D hyperpnea.
Question #66
A “How far can you walk without becoming short of breath?”
B “Are you coughing up blood at night?”
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 Brain natriuretic peptide (BNP)
C Blood urea nitrogen (BUN)
D Creatinine