NSG 430 EXAM 2 QUESTIONS AND
ANSWERS 100% PASS 2026 EDITION
S/S of ADHF - ANS Fluid overload, SOB, fatigue
What can rheumatic heart disease result in ? - ANS Mitral valve stenosis
What happens in mitral valve stenosis? - ANS Stiff valave is unable to open sufficiently during
left atrial systole (ejection)
What is main symptom of mitral valve stenosis? - ANS Exertional dyspnea (shortness of
breath on exertion)
Why do you do prophylactic antibiotic therapy for mitral valve stenosis? - ANS Prevent
recurrent rheumatic fever and infective endocarditis
What drug do you teach benefits and side effects for in mitral valve stenosis ? - ANS ACE
inhibitors
Surgical therapy for mitral valve stenosis - ANS Valve replacement or valvuloplasty
What do you need to tell patients about after getting a valve replacement? - ANS Patient will
need to be on lifelong anticoagulant therapy because clots form more easily in artificial
replacement valves
1
@2026 EDITION ALLRIGHTS RESERVED
, What is pericarditis? - ANS inflammation of the pericardium
What does the pericardium do? - ANS Holds serious fluid and anchors and provides
lubrication to decrease friction between heart contractures
What is the most common cause of pericarditis? - ANS Infectious (viral & bacterial)
Main s/s of pericarditis - ANS Pericardial friction rub and fever
How do you assess pericardial friction rub? - ANS Auscultate on lower left sternal border
What s/s needs to be reported immediately with pericarditis? - ANS Jugular venous
distention to jaw level
What are other s/s of pericarditis? - ANS Progressive frequent severe, sharp chest pain
(worse when lying flat)
Drug treatment for pericarditis - ANS NSAIDs (usually indocin), antibiotics to treat bacterial,
and corticosteroids
What are two types of infective endocarditis? - ANS Acute and subacute
What is acute infective endocarditis? - ANS Affects those with health valves and staph is
usually the bacteria most common; likely from IV drug use
What is subacute infective endocarditis? - ANS Affects those with preexisting valve disease or
congenital and strep is usually the bacteria
What is the assessment finding of nursing diagnosis of decreased cardiac output related to
valvular insufficiency for a patient with IE? - ANS Urine output less than 30 ml/hr
2
@2026 EDITION ALLRIGHTS RESERVED
ANSWERS 100% PASS 2026 EDITION
S/S of ADHF - ANS Fluid overload, SOB, fatigue
What can rheumatic heart disease result in ? - ANS Mitral valve stenosis
What happens in mitral valve stenosis? - ANS Stiff valave is unable to open sufficiently during
left atrial systole (ejection)
What is main symptom of mitral valve stenosis? - ANS Exertional dyspnea (shortness of
breath on exertion)
Why do you do prophylactic antibiotic therapy for mitral valve stenosis? - ANS Prevent
recurrent rheumatic fever and infective endocarditis
What drug do you teach benefits and side effects for in mitral valve stenosis ? - ANS ACE
inhibitors
Surgical therapy for mitral valve stenosis - ANS Valve replacement or valvuloplasty
What do you need to tell patients about after getting a valve replacement? - ANS Patient will
need to be on lifelong anticoagulant therapy because clots form more easily in artificial
replacement valves
1
@2026 EDITION ALLRIGHTS RESERVED
, What is pericarditis? - ANS inflammation of the pericardium
What does the pericardium do? - ANS Holds serious fluid and anchors and provides
lubrication to decrease friction between heart contractures
What is the most common cause of pericarditis? - ANS Infectious (viral & bacterial)
Main s/s of pericarditis - ANS Pericardial friction rub and fever
How do you assess pericardial friction rub? - ANS Auscultate on lower left sternal border
What s/s needs to be reported immediately with pericarditis? - ANS Jugular venous
distention to jaw level
What are other s/s of pericarditis? - ANS Progressive frequent severe, sharp chest pain
(worse when lying flat)
Drug treatment for pericarditis - ANS NSAIDs (usually indocin), antibiotics to treat bacterial,
and corticosteroids
What are two types of infective endocarditis? - ANS Acute and subacute
What is acute infective endocarditis? - ANS Affects those with health valves and staph is
usually the bacteria most common; likely from IV drug use
What is subacute infective endocarditis? - ANS Affects those with preexisting valve disease or
congenital and strep is usually the bacteria
What is the assessment finding of nursing diagnosis of decreased cardiac output related to
valvular insufficiency for a patient with IE? - ANS Urine output less than 30 ml/hr
2
@2026 EDITION ALLRIGHTS RESERVED
