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Walden NURS6501 Week 5 Quiz 2017
$ 25.00

Question 1

A nurse is teaching a patient about anaphylactic shock. Which information should the nurse include? The onset of anaphylactic shock is usually:

a. Mild
b. Immediate and life threatening
c. Delayed by several hours
d. Delayed by 24 hours

Question 2

A nurse is planning care for a patient in shock. Which principle should the nurse remember? During shock states, glucose uptake is usually:

a. Enhanced
b. Normal
c. Impaired
d. Energy intensive

Question 3

A 20-year-old female is being admitted to the hospital with fever and septic shock. Which set of assessment findings would the nurse expect the patient to exhibit?

a. Bradycardia, palpitations, confusion, truncal rash
b. Severe respiratory distress, jugular venous distention, chest pain
c. Low blood pressure, tachycardia, generalized edema
d. Reduced cardiac output, increased systemic vascular resistance, moist cough

Question 4

A 10-year-old male presents with fever, lymphadenopathy, arthralgia, and nose bleeds. He is diagnosed with rheumatic heart disease. While planning care, which characteristic changes should the nurse remember?

a. Congenital heart defects
b. Human immunodeficiency virus (HIV) infections
c. Group A ß-hemolytic streptococcus infections
d. Acute pericarditis

Question 5

While planning care, the nurse remembers which principle? In valvular _____, the valve opening is constricted and narrowed because the valve leaflets, or cusps, fail to open completely.

a. Regurgitation
b. Insufficiency
c. Stenosis
d. Incompetence

Question 6

Which of the following lab tests will the nurse check to help diagnose heart failure and provide insight into its severity?

a. Renin level
b. Brain natriuretic
c. Potassium
d. Troponin

Question 7

When a patient with left heart failure starts to have a cough and dyspnea, which principle should the nurse remember? Pulmonary symptoms, common to left heart failure, are a result of:

a. Inflammatory pulmonary edema
b. Decreased cardiac output
c. Pulmonary vascular congestion
d. Bronchoconstriction

Question 8

A 55-year-old male died of a myocardial infarction. Autopsy would most likely reveal:

a. Embolization of plaque from the aorta
b. Decreased ventricular diastolic filling time
c. Platelet aggregation within the atherosclerotic coronary artery
d. Smooth muscle dysplasia in the coronary artery

Question 9

A 28-year-old female presents to the ER reporting severe chest pain that worsens with respirations or lying down. She has a fever, tachycardia, and a friction rub. Based upon the assessment findings, the nurse determines the patient is experiencing:

a. Acute pericarditis
b. Myocardial infarction (MI)
c. Stable angina
d. Pericardial effusion

Question 10

A 30-year-old female presents to her primary care provider with fever, cardiac murmur, and petechial skin lesions. She is diagnosed with infective endocarditis. When the patient wants to know what caused the disease, what is the nurse’s best response? The most likely cause of the disease is:

a. Bacteria
b. Viruses
c. Fungi
d. Parasites

Question 11

An infant undergoes an echocardiogram for a suspected heart defect. Tests reveal an opening in the middle of the atrial septum. What term would the nurse use to describe this defect?

a. ostium primum atrial septal defect (ASD)
b. ostium secumdum ASD
c. sinus venosus ASD
d. eisenmenger syndrome

Question 12

A 15-year-old male who is allergic to peanuts eats a peanut butter cup. He then goes into anaphylactic shock. Which assessment findings will the nurse assess for?

a. bradycardia, decreased arterial pressure, and oliguria
b. bronchoconstriction, hives or edema, and hypotension 
c. hypertension, anxiety, and tachycardia
d. fever, hypotension, and erythematous rash

Question 13

A 1-month-old infant visits his primary care provider for a well-baby check. Physical exam reveals decreased cardiac output, hypotension, tachycardia, and a loud murmur suggestive of aortic stenosis. Which of the following would be expected with this diagnosis?

a. atrial dilation
b. ventricular hypertrophy
c. atrial rigidity 
d. decreased contractility

Question 14

For an infection to progress to septic shock, which of the following factors should the nurse determine occurred?

a. The individual must be immunosuppressed.
b. The myocardium must be impaired.
c. The infection must be gram negative.
d. Bacteria must enter the bloodstream.

Question 15

A 3-year-old male is diagnosed with Kawasaki disease. Which of the following does the nurse suspect is the most likely cause?

a. A genetic defect causing left heart failure
b. Autoimmune injury to the lymphatic vessels
c. Infectious pericarditis
d. Inflammation of the small capillaries, arteries, and veins

Question 16

Upon assessment of the patient, the nurse finds a widened pulse pressure and throbbing peripheral pulses. Which valve disorder does the nurse suspect?

a. Mitral regurgitation
b. Mitral stenosis
c. Aortic regurgitation
d. Aortic stenosis

Question 17

A nurse is explaining the function of the heart. Which is a correct response by the nurse? A function of the pericardium is to:

a. Provide a barrier against extracardial infections.
b. Improve blood flow through the heart.
c. Play a role in cardiac conduction.
d. Assist in cardiac contraction.

Question 18

A nurse recalls the most common cardiac valve disease in the United States, which tends to be most prevalent in young women, is:

a. Mitral valve prolapse
b. Pulmonary stenosis
c. Tricuspid valve prolapse
d. Aortic stenosis

Question 19

A 75-year-old male has severe chest pain and dials 911. Lab tests at the hospital reveal elevated levels of cardiac troponins I and T. Based upon the lab findings, the nurse suspects which of the following has occurred?

a. Raynaud disease
b. Myocardial infarction (MI)
c. Orthostatic hypotension
d. Varicose veins

Question 20

A 52-year-old female is admitted to the cardiac unit with a diagnosis of pericarditis. She asks the nurse to explain where the infection is. In providing an accurate description, the nurse states that the pericardium is:

a. The outer muscular layer of the heart
b. The innermost layer of the heart chambers
c. A membranous sac that encloses the heart
d. The heart's fibrous skeleton

Question 21

A 51-year-old male presents with recurrent chest pain on exertion. He is diagnosed with angina pectoris. When he asks what causes the pain, how should the nurse respond? The pain occurs when:

a. Cardiac output has fallen below normal levels.
b. The myocardial oxygen supply has fallen below demand.
c. Myocardial stretch has exceeded the upper limits.
d. The vagus nerve is stimulated

Question 22

A 1-month-old infant was diagnosed with truncus arteriosus (TA) with a ventricular septal defect. Which of the following would the nurse also expect?

a. hypertrophy of the aorta and major arteries 
b. transposition of the aorta and pulmonary trunk
c. the aorta returning blood to the right atrium
d. blood from both ventricles mixing in a common vessel

Question 23

A newborn is suspected of having coarctation of the aorta. Which of the following assessments would aid in diagnosis?

a. cyanosis
b. bounding pedal pulses
c. cool arms
d. weak or absent femoral pulses

Question 24

A 20-year-old male underwent an echocardiogram to assess chest pain. Results revealed a congenital defect in papillary muscles. Which of the following would the nurse expect to occur?

a. Closure of the semilunar valve
b. Backward expulsion of the atrioventricular valves
c. Closure of the atrioventricular valve
d. Backward expulsion of the semilunar valves

Question 25

When a patient asks the nurse what is the most common cause of myocardial ischemia, which statement is the correct response? The most common cause of myocardial ischemia is:

a. Idiopathic vasospasm
b. Arterial emboli from heart valve
c. Atherosclerosis
d. Venous emboli

Question 26

A 72-year-old female has a history of hypertension and atherosclerosis. An echocardiogram reveals backflow of blood into the left ventricle. Which of the following is the most likely diagnosis documented on the chart?

a. Mitral regurgitation
b. Mitral stenosis
c. Aortic regurgitation
d. Aortic stenosis

Question 27

A 60-year-old female had a myocardial infarction. She was brought to the hospital 30 minutes later. She survived, but now the nurse is providing care for impaired ventricular function because:

a. There is a temporary alteration in electrolyte balance.
b. There is too much stress on the heart.
c. The cells become hypertrophic.
d. The resulting ischemia leads to hypoxic injury and myocardial cell death.

Question 28

An 8-week-old infant presents to her primary care provider for a well-baby check. Physical exam reveals a murmur, and an echocardiogram shows a large ventricular septal defect. If left untreated, what condition should the nurse discuss with the parents?

a. pulmonary hypertension
b. cyanosis
c. dysrhythmias
d. valve damage

Question 29

A 27-year-old male is admitted to a neurologic unit with a complete C-5 spinal cord transection. On initial assessment, he is bradycardic, hypotensive, and hyperventilating. He appears to be going into shock. The most likely mechanism of his shock is:

a. Hypovolemia caused by blood loss
b. Hypovolemia caused by evaporative fluid losses
c. Vasodilation caused by gram-negative bacterial infection
d. Vasodilation caused by a decrease in sympathetic stimulation

Question 30

A newborn child is diagnosed with tetralogy of Fallot. What symptoms would the nurse expect to observe in the child?

a. high-pitched cry and dyspnea
b. cyanosis and hypoxia
c. leg pain and twitching
d. epistaxis and anemia

 

 

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  • Walden NURS6501 Week 5 Quiz 2017
    $25.00

    Question 1 A nurse is teaching a patient about anaphylactic shock. Which information should the nurse include? The onset of anaphylactic shock is usually: a. Mild b. Immediate and life threatening c. Delayed by several hours d. Delayed by 24 hours Question 2 A nurse is planning care for a patient in shock. Which principle should the nurse remember? During shock states, glucose uptake is usually: a. Enhanced b. Normal c. Impaired d. Energy intensive Question 3 A 20-year-ol

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