NUR361 CARDIO EXAM 2 COMPLETE
QUESTIONS WITH 100% VERIFIED
ANSWERS
\.A 55-year-old man with aortic valve stenosis is being admitted for valve
replacement surgery. Which assessment finding should the nurse expect?
A. Pulse deficit
B. Systolic murmur
C. Distended neck veins
D. Splinter hemorrhages - ANSWERS✔-B. Systolic murmur
\.A 74-year-old woman who is admitted with severe dyspnea has a history of
heart failure and chronic obstructive lung disease. Which diagnostic study would
the nurse expect to be elevated if the cause of dyspnea was cardiac related?
A. Serum potassium
B. Serum homocysteine
C. High-density lipoprotein
D. b-type natriuretic peptide (BNP) - ANSWERS✔-D. b-type natriuretic peptide
(BNP)
\.The nurse is assessing a 62-year-old woman undergoing radiation treatment for
breast cancer. How should the nurse position the patient to auscultate for signs of
acute pericarditis?
,A. Supine without a pillow
B. Sitting and leaning forward
C. Left lateral sidelying position
D. Head of bed at a 45-degree angle - ANSWERS✔-B. Sitting and leaning forward
\.A nurse is preparing to teach a group of women in a community volunteer group
about heart disease. What should the nurse include in the teaching plan?
A. Women are less likely to delay seeking treatment than men.
B. Women are more likely to have noncardiac symptoms of heart disease.
C. Women are often less ill when presenting for treatment of heart disease.
D. Women experience more symptoms of heart disease at a younger age than
men. - ANSWERS✔-B. Women are more likely to have noncardiac symptoms of
heart disease.
\.A 64-year-old patient with a history of myocardial infarction is scheduled for a
transesophageal echocardiogram to visualize a suspected clot in the left atrium.
What information should the nurse include when teaching the patient about this
diagnostic study?
A. IV sedation may be administered to help the patient relax.
B. Food and fluids are restricted for 2 hours before the procedure.
C. Ambulation is restricted for up to 6 hours before the procedure.
D. Contrast medium is injected into the esophagus to enhance images. -
ANSWERS✔-A. IV sedation may be administered to help the patient relax.
\.The nurse knows that diuretics mostly affect which function of the kidneys?
,A. Cleansing and maintenance of extracellular fluid volume
B. Maintenance of acid-base balance
C. Excretion of metabolic waste
D. Elimination of foreign substances - ANSWERS✔-A. Cleansing and maintenance
of extracellular fluid volume
\.The nurse plans to closely monitor for which clinical manifestation after
administering furosemide [Lasix]?
A. Decreased pulse
B. Decreased temperature
C. Decreased blood pressure
D. Decreased respiratory rate - ANSWERS✔-C. Decreased blood pressure
\.The nurse caring for a patient taking furosemide [Lasix] is reviewing the patient's
most recent laboratory results, which are: sodium, 136 mEq/L; potassium, 3.2
mEq/L; chloride, 100 mEq/L; blood urea nitrogen, 15 mg/dL. What is the nurse's
best action?
A. Administer Lasix as ordered.
B. Place the patient on a cardiac monitor.
C. Begin a 24-hour urine collection
D. Hold the Lasix and notify the physician. - ANSWERS✔-D. Hold the Lasix and
notify the physician.
\.The nurse should monitor for which adverse effect after administering
hydrochlorothiazide [HydroDIURIL] and digoxin [Lanoxin] to a patient?
, A. Digoxin toxicity
B. Decreased diuretic effect
C. Dehydration
D. Heart failure - ANSWERS✔-A. Digoxin toxicity
\.The nurse is caring for a patient with heart failure who needs a diuretic. Which
agent is likely to be chosen, because it has been shown to greatly reduce mortality
in patients with heart failure?
A. Furosemide [Lasix]
B. Hydrochlorothiazide [HydroDIURIL]
C. Spironolactone [Aldactone]
D. Mannitol [Osmitrol] - ANSWERS✔-C. Spironolactone [Aldactone]
\.The nurse is teaching a patient who has a new prescription for spironolactone
[Aldactone]. Which statement by the patient indicates that the teaching was
effective?
A. "I will use salt substitutes to lower my sodium intake."
B. "I will increase my intake of foods that are high in potassium."
C. "I will call my doctor if I begin having menstrual irregularities."
D. "I will take this medication at bedtime each evening." - ANSWERS✔-C. "I will
call my doctor if I begin having menstrual irregularities."
\.The healthcare provider orders furosemide [Lasix] 20 mg IV twice daily. The
medication available is furosemide [Lasix] 10 mg/mL. How many mL will the nurse
administer with each dose?
QUESTIONS WITH 100% VERIFIED
ANSWERS
\.A 55-year-old man with aortic valve stenosis is being admitted for valve
replacement surgery. Which assessment finding should the nurse expect?
A. Pulse deficit
B. Systolic murmur
C. Distended neck veins
D. Splinter hemorrhages - ANSWERS✔-B. Systolic murmur
\.A 74-year-old woman who is admitted with severe dyspnea has a history of
heart failure and chronic obstructive lung disease. Which diagnostic study would
the nurse expect to be elevated if the cause of dyspnea was cardiac related?
A. Serum potassium
B. Serum homocysteine
C. High-density lipoprotein
D. b-type natriuretic peptide (BNP) - ANSWERS✔-D. b-type natriuretic peptide
(BNP)
\.The nurse is assessing a 62-year-old woman undergoing radiation treatment for
breast cancer. How should the nurse position the patient to auscultate for signs of
acute pericarditis?
,A. Supine without a pillow
B. Sitting and leaning forward
C. Left lateral sidelying position
D. Head of bed at a 45-degree angle - ANSWERS✔-B. Sitting and leaning forward
\.A nurse is preparing to teach a group of women in a community volunteer group
about heart disease. What should the nurse include in the teaching plan?
A. Women are less likely to delay seeking treatment than men.
B. Women are more likely to have noncardiac symptoms of heart disease.
C. Women are often less ill when presenting for treatment of heart disease.
D. Women experience more symptoms of heart disease at a younger age than
men. - ANSWERS✔-B. Women are more likely to have noncardiac symptoms of
heart disease.
\.A 64-year-old patient with a history of myocardial infarction is scheduled for a
transesophageal echocardiogram to visualize a suspected clot in the left atrium.
What information should the nurse include when teaching the patient about this
diagnostic study?
A. IV sedation may be administered to help the patient relax.
B. Food and fluids are restricted for 2 hours before the procedure.
C. Ambulation is restricted for up to 6 hours before the procedure.
D. Contrast medium is injected into the esophagus to enhance images. -
ANSWERS✔-A. IV sedation may be administered to help the patient relax.
\.The nurse knows that diuretics mostly affect which function of the kidneys?
,A. Cleansing and maintenance of extracellular fluid volume
B. Maintenance of acid-base balance
C. Excretion of metabolic waste
D. Elimination of foreign substances - ANSWERS✔-A. Cleansing and maintenance
of extracellular fluid volume
\.The nurse plans to closely monitor for which clinical manifestation after
administering furosemide [Lasix]?
A. Decreased pulse
B. Decreased temperature
C. Decreased blood pressure
D. Decreased respiratory rate - ANSWERS✔-C. Decreased blood pressure
\.The nurse caring for a patient taking furosemide [Lasix] is reviewing the patient's
most recent laboratory results, which are: sodium, 136 mEq/L; potassium, 3.2
mEq/L; chloride, 100 mEq/L; blood urea nitrogen, 15 mg/dL. What is the nurse's
best action?
A. Administer Lasix as ordered.
B. Place the patient on a cardiac monitor.
C. Begin a 24-hour urine collection
D. Hold the Lasix and notify the physician. - ANSWERS✔-D. Hold the Lasix and
notify the physician.
\.The nurse should monitor for which adverse effect after administering
hydrochlorothiazide [HydroDIURIL] and digoxin [Lanoxin] to a patient?
, A. Digoxin toxicity
B. Decreased diuretic effect
C. Dehydration
D. Heart failure - ANSWERS✔-A. Digoxin toxicity
\.The nurse is caring for a patient with heart failure who needs a diuretic. Which
agent is likely to be chosen, because it has been shown to greatly reduce mortality
in patients with heart failure?
A. Furosemide [Lasix]
B. Hydrochlorothiazide [HydroDIURIL]
C. Spironolactone [Aldactone]
D. Mannitol [Osmitrol] - ANSWERS✔-C. Spironolactone [Aldactone]
\.The nurse is teaching a patient who has a new prescription for spironolactone
[Aldactone]. Which statement by the patient indicates that the teaching was
effective?
A. "I will use salt substitutes to lower my sodium intake."
B. "I will increase my intake of foods that are high in potassium."
C. "I will call my doctor if I begin having menstrual irregularities."
D. "I will take this medication at bedtime each evening." - ANSWERS✔-C. "I will
call my doctor if I begin having menstrual irregularities."
\.The healthcare provider orders furosemide [Lasix] 20 mg IV twice daily. The
medication available is furosemide [Lasix] 10 mg/mL. How many mL will the nurse
administer with each dose?
