NURS 318 EXAM 2 ( 2026-2027) QUESTIONS
AND ANSWERS GRADED A+
When assessing a Pt, you note a pulse deficit of 23 bpm. This finding may be
caused by
a. dsyrhythmias
b. heart murmurs
c. gallop rhythms
d. pericardial friction rub
a. dsyrhythmias
When assessing the CV system of a 79 y/o Pt, you might expect to find
a. a narrowed pulse pressure
b. diminished carotid artery pulses
c. difficulty in isolating the apical pulse
d. an increased HR in response to stress
c. difficulty in isolating the apical pulse
Which nursing responsibilities are priority when caring for a Pt returning from
cardiac cath (select all that apply)
a. monitor VS and ECG
b. check catheter insertion site and distal pulses
c. assisting the Pt to ambulate to the bathroom to void
d. informing the Pt that he will be sleepy from the GA
,e. instructing the Pt about the risks of radioactive isotope injection
a. monitor VS and ECG
b. check catheter insertion site and distal pulses
Which BP-regulating mechanism(s) can result in the development of HTN if
defective (select all that apply)
a. release of norepinephrine
b. secretion of prostaglandins
c. stimulation of sympathetic nervous system
d. stimulation of parasympathetic nervous system
e. activation of renin-angiotensin-aldosterone system
a. release of norepinephrine
c. stimulation of sympathetic nervous system
e. activation of renin-angiotensin-aldosterone system
While obtaining subjective assessment data from a Pt w/ HTN, the nurse
recognizes that a modifiable risk factor for the development of HTN is
a. a low-calcium diet
b. excessive alcohol consumption
c. a family Hx of HTN
d. consumption of a high-protein diet
b. excessive alcohol consumption
,In teaching a Pt w/ HTN about controlling the condition, the nurse recognizes that
a. all Pts w/ elevated BP require medication
b. obese persons must achieve a normal weight to lower BP
c. it is not necessary to limit salt in the diet if taking a diuretic
d. lifestyle modifications are indicated for all persons w/ elevated BP
d. lifestyle modifications are indicated for all persons w/ elevated BP
A Pt w/ a tricuspid valve disorder will have impaired blood flow between the
a. vena cava and right atrium
b. left atrium and left ventricle
c. right atrium and right ventricle
d. right ventricle and pulmonary artery
c. right atrium and right ventricle
A Pt has a severe blockage in his right coronary artery. Which cardiac structures
are most likely to be affected by this blockage (select all that apply)
a. AV node
b. left ventricle
c. coronary sinus
d. right ventricle
e. pulmonic valve
a. AV node
b. left ventricle
d. right ventricle
, The portion of the vascular system responsible for hemostasis is the
a. thin capillary vessels
b. endothelial layer of the arteries
c. elastic middle layer of the veins
d. smooth muscle of the arterial wall
b. endothelial layer of the arteries
When a person's blood pressure rises, the homeostatic mechanism to compensate
for an elevation involves stimulation of
a. baroreceptors that inhibit the sympathetic nervous system, causing vasodilation
b. chemoreceptors that inhibit the sympathetic nervous system, causing
vasodilation
c. baroreceptors that inhibit the parasympathetic nervous system, causing
vasodilation
d. chemoreceptors that stimulate the sympathetic nervous system, causing an
increased HR
a. baroreceptors that inhibit the sympathetic nervous system, causing vasodilation
A P wave on an ECG represents an impulse arising at the
a. SA node and repolarizing the atria
b. SA node and depolarizing the atria
c. AV node and depolarizing the atria
d. AV node and spreading to the bundle of His
b. SA node and depolarizing the atria
AND ANSWERS GRADED A+
When assessing a Pt, you note a pulse deficit of 23 bpm. This finding may be
caused by
a. dsyrhythmias
b. heart murmurs
c. gallop rhythms
d. pericardial friction rub
a. dsyrhythmias
When assessing the CV system of a 79 y/o Pt, you might expect to find
a. a narrowed pulse pressure
b. diminished carotid artery pulses
c. difficulty in isolating the apical pulse
d. an increased HR in response to stress
c. difficulty in isolating the apical pulse
Which nursing responsibilities are priority when caring for a Pt returning from
cardiac cath (select all that apply)
a. monitor VS and ECG
b. check catheter insertion site and distal pulses
c. assisting the Pt to ambulate to the bathroom to void
d. informing the Pt that he will be sleepy from the GA
,e. instructing the Pt about the risks of radioactive isotope injection
a. monitor VS and ECG
b. check catheter insertion site and distal pulses
Which BP-regulating mechanism(s) can result in the development of HTN if
defective (select all that apply)
a. release of norepinephrine
b. secretion of prostaglandins
c. stimulation of sympathetic nervous system
d. stimulation of parasympathetic nervous system
e. activation of renin-angiotensin-aldosterone system
a. release of norepinephrine
c. stimulation of sympathetic nervous system
e. activation of renin-angiotensin-aldosterone system
While obtaining subjective assessment data from a Pt w/ HTN, the nurse
recognizes that a modifiable risk factor for the development of HTN is
a. a low-calcium diet
b. excessive alcohol consumption
c. a family Hx of HTN
d. consumption of a high-protein diet
b. excessive alcohol consumption
,In teaching a Pt w/ HTN about controlling the condition, the nurse recognizes that
a. all Pts w/ elevated BP require medication
b. obese persons must achieve a normal weight to lower BP
c. it is not necessary to limit salt in the diet if taking a diuretic
d. lifestyle modifications are indicated for all persons w/ elevated BP
d. lifestyle modifications are indicated for all persons w/ elevated BP
A Pt w/ a tricuspid valve disorder will have impaired blood flow between the
a. vena cava and right atrium
b. left atrium and left ventricle
c. right atrium and right ventricle
d. right ventricle and pulmonary artery
c. right atrium and right ventricle
A Pt has a severe blockage in his right coronary artery. Which cardiac structures
are most likely to be affected by this blockage (select all that apply)
a. AV node
b. left ventricle
c. coronary sinus
d. right ventricle
e. pulmonic valve
a. AV node
b. left ventricle
d. right ventricle
, The portion of the vascular system responsible for hemostasis is the
a. thin capillary vessels
b. endothelial layer of the arteries
c. elastic middle layer of the veins
d. smooth muscle of the arterial wall
b. endothelial layer of the arteries
When a person's blood pressure rises, the homeostatic mechanism to compensate
for an elevation involves stimulation of
a. baroreceptors that inhibit the sympathetic nervous system, causing vasodilation
b. chemoreceptors that inhibit the sympathetic nervous system, causing
vasodilation
c. baroreceptors that inhibit the parasympathetic nervous system, causing
vasodilation
d. chemoreceptors that stimulate the sympathetic nervous system, causing an
increased HR
a. baroreceptors that inhibit the sympathetic nervous system, causing vasodilation
A P wave on an ECG represents an impulse arising at the
a. SA node and repolarizing the atria
b. SA node and depolarizing the atria
c. AV node and depolarizing the atria
d. AV node and spreading to the bundle of His
b. SA node and depolarizing the atria
