NURS 620 Exam 2 Cardiovascular and
Respiratory Review of Latest 400 Practice
Questions and Correct Verified Answers/ NURS
620 Adult 1 Exam 2 Prep Test A (Latest!)
Charles has chronic ischemic heart disease and is taking a beta-blocker, which
results in:
A. An increase in high-density lipoprotein cholesterol.
B. A reduced heart rate.
C. A decreased diastolic filling time.
D. An increase in oxygen demand. - ANSWER-B. A reduced heart rate.
Which of the following statements is true concerning auscultation of the typical
murmur associated with aortic stenosis?
A. It is a harsh, crescendo-decrescendo ejection type that often radiates to the
carotid arteries.
B. It is a diastolic murmur.
C. It is best heard at the apex of the heart.
D. The loudness of the murmur reflects the severity of the lesion. - ANSWER-A.
It is a harsh, crescendo-decrescendo ejection type that often radiates to the carotid
arteries.
You are managing a client with CHF. The client is presently on Carvedilol 12. 5
mg PO BID, Lisinopril 2.5 mg PO daily, Lasix 80 mg PO daily, and spironolactone
1
,(Aldactone) 25 mg po daily. He is in to see you for a 2-week follow-up and shares
he has gained 7 lb. in the past week. He shares he has been faithful to his fluid and
dietary restrictions and that his urinary output is somewhat less than it has been.
What medication could you add to optimize the response to the loop diuretic?
A. Bumex
B. Metoloazone
C. Demadex
D. Diamox - ANSWER-B. Metoloazone
Sandra says she wants to know more about the Pooled Cohort Equation to
determine her 10-year risk of ASCVD. You tell her that the variables include
which of the following?
A. Total and HDL cholesterol levels.
B. Systolic BP
C. Diabetes.
D. Current smoking status.
E. All of the above. - ANSWER-E. All of the above.
Martha, age 36, presents with a complaint of increasing shortness of breath and
fatigue over the past 6 months. She has been trying to lose weight, has been on a
walking exercise program for over a year, and had taken the fenfluramine-
phentermine (Fen-Phen) combination many years ago but stopped when its adverse
effects were reported. You examination reveals a grade II/VII systolic murmur
along the apex. What do you do?
A. Obtain pulmonary function tests.
2
,B. Instruct the client about other exercise activities that may not produce her
symptoms.
C. Refer the client to a cardiologist for an echocardiogram and cardiovascular
work-up.
D. Start endocarditis prophylaxis. - ANSWER-C. Refer the client to a cardiologist
for an echocardiogram and cardiovascular work-up.
Which statement about mitral valve prolapse (MVP) is true?
A. MVP occurs in about 10% of the population.
B. MVP is usually detected in older adults.
C. The incidence is equal in men and women younger than age 20.
D. The incidence is more common in women younger than age 20. - ANSWER-D.
The incidence is more common in women younger than age 20.
Selma, age 76, has acute peripheral arterial occlusion of a lower extremity. Before
you begin your examination, you know that it:
A. May present with only complaints of coldness or paresthesia of the extremity.
B. May present as the only disease.
C. Always occurs in the lower extremities.
D. Will result in an extremity that appears blue. - ANSWER-A. May present with
only complaints of coldness or paresthesia of the extremity.
JNC 8 recommends four classifications of HTN drugs to be used for initial therapy
of adult hypertension. Which of the following classifications is NOT recommended
to begin therapy with?
3
, A. Thiazide-type diuretics
B. Calcium Channel blockers
C. Angiotensin-converting enzyme inhibitors
D. Beta blockers - ANSWER-D. Beta blockers
What is the most important question to ask when a patient presents with chest
pain?
A. What were you doing at the time of onset of chest pain?
B. What was the time of the onset of pain?
C. Are you a smoker?
D. When was the last time you had bloodwork done? - ANSWER-B. What was
the time of onset of pain?
Which of the following statements about aortic stenosis is true?
A. The disease typically manifests during midlife.
B. Once symptoms appear, life expectancy without surgery is about 10 years.
C. Right from the early course of disease, symptoms are bothersome.
D. The cardinal symptoms include dypsnea, angina, and syncope. - ANSWER-D.
The cardinal symptoms include dypsnea, angina, and syncope.
Bob is being seen in the office, and you suspect and acute ischemic syndrome and
an acute myocardial infarction. Which would be the LAST step that you would
consider?
A. Prompt admission to a monitored bed with cardiology consultation.
4
Respiratory Review of Latest 400 Practice
Questions and Correct Verified Answers/ NURS
620 Adult 1 Exam 2 Prep Test A (Latest!)
Charles has chronic ischemic heart disease and is taking a beta-blocker, which
results in:
A. An increase in high-density lipoprotein cholesterol.
B. A reduced heart rate.
C. A decreased diastolic filling time.
D. An increase in oxygen demand. - ANSWER-B. A reduced heart rate.
Which of the following statements is true concerning auscultation of the typical
murmur associated with aortic stenosis?
A. It is a harsh, crescendo-decrescendo ejection type that often radiates to the
carotid arteries.
B. It is a diastolic murmur.
C. It is best heard at the apex of the heart.
D. The loudness of the murmur reflects the severity of the lesion. - ANSWER-A.
It is a harsh, crescendo-decrescendo ejection type that often radiates to the carotid
arteries.
You are managing a client with CHF. The client is presently on Carvedilol 12. 5
mg PO BID, Lisinopril 2.5 mg PO daily, Lasix 80 mg PO daily, and spironolactone
1
,(Aldactone) 25 mg po daily. He is in to see you for a 2-week follow-up and shares
he has gained 7 lb. in the past week. He shares he has been faithful to his fluid and
dietary restrictions and that his urinary output is somewhat less than it has been.
What medication could you add to optimize the response to the loop diuretic?
A. Bumex
B. Metoloazone
C. Demadex
D. Diamox - ANSWER-B. Metoloazone
Sandra says she wants to know more about the Pooled Cohort Equation to
determine her 10-year risk of ASCVD. You tell her that the variables include
which of the following?
A. Total and HDL cholesterol levels.
B. Systolic BP
C. Diabetes.
D. Current smoking status.
E. All of the above. - ANSWER-E. All of the above.
Martha, age 36, presents with a complaint of increasing shortness of breath and
fatigue over the past 6 months. She has been trying to lose weight, has been on a
walking exercise program for over a year, and had taken the fenfluramine-
phentermine (Fen-Phen) combination many years ago but stopped when its adverse
effects were reported. You examination reveals a grade II/VII systolic murmur
along the apex. What do you do?
A. Obtain pulmonary function tests.
2
,B. Instruct the client about other exercise activities that may not produce her
symptoms.
C. Refer the client to a cardiologist for an echocardiogram and cardiovascular
work-up.
D. Start endocarditis prophylaxis. - ANSWER-C. Refer the client to a cardiologist
for an echocardiogram and cardiovascular work-up.
Which statement about mitral valve prolapse (MVP) is true?
A. MVP occurs in about 10% of the population.
B. MVP is usually detected in older adults.
C. The incidence is equal in men and women younger than age 20.
D. The incidence is more common in women younger than age 20. - ANSWER-D.
The incidence is more common in women younger than age 20.
Selma, age 76, has acute peripheral arterial occlusion of a lower extremity. Before
you begin your examination, you know that it:
A. May present with only complaints of coldness or paresthesia of the extremity.
B. May present as the only disease.
C. Always occurs in the lower extremities.
D. Will result in an extremity that appears blue. - ANSWER-A. May present with
only complaints of coldness or paresthesia of the extremity.
JNC 8 recommends four classifications of HTN drugs to be used for initial therapy
of adult hypertension. Which of the following classifications is NOT recommended
to begin therapy with?
3
, A. Thiazide-type diuretics
B. Calcium Channel blockers
C. Angiotensin-converting enzyme inhibitors
D. Beta blockers - ANSWER-D. Beta blockers
What is the most important question to ask when a patient presents with chest
pain?
A. What were you doing at the time of onset of chest pain?
B. What was the time of the onset of pain?
C. Are you a smoker?
D. When was the last time you had bloodwork done? - ANSWER-B. What was
the time of onset of pain?
Which of the following statements about aortic stenosis is true?
A. The disease typically manifests during midlife.
B. Once symptoms appear, life expectancy without surgery is about 10 years.
C. Right from the early course of disease, symptoms are bothersome.
D. The cardinal symptoms include dypsnea, angina, and syncope. - ANSWER-D.
The cardinal symptoms include dypsnea, angina, and syncope.
Bob is being seen in the office, and you suspect and acute ischemic syndrome and
an acute myocardial infarction. Which would be the LAST step that you would
consider?
A. Prompt admission to a monitored bed with cardiology consultation.
4
