NURS 6501 Adv Patho week 5 quiz 5 completed with 100% correct Answers

NURS 6501 Adv Patho week 5 quiz 5 completed with 100% correct Answers  Question 1 1 out of 1 points A newborn child has a murmur and cyanosis. An echocardiogram reveals that the tricuspid valve failed to develop and no blood flows between the right atrium and ventricle. What term will the nurse use to describe this condition? Tricuspid: Selected Answer: c. Atresia Correct Answer: c. Atresia  Question 2 1 out of 1 points A newborn baby is severely cyanotic. An echocardiogram reveals transposition of the great arteries. A nurse assesses for which of the following, as it usually occurs with this defect? Selected Answer: b. The aorta leaving the right ventricle Correct Answer: b. The aorta leaving the right ventricle  Question 3 1 out of 1 points 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: Selected Answer: d. The resulting ischemia leads to hypoxic injury and myocardial cell death. Correct Answer: d. The resulting ischemia leads to hypoxic injury and myocardial cell death.  Question 4 1 out of 1 points A 2-week-old infant presents with poor feeding, fatigue, dyspnea, and a murmur. She is diagnosed with a patent ductus arteriosus (PDA). A nurse recalls this condition results in a(n): Selected Answer: c. Left-to-right shunt Correct Answer: c. Left-to-right shunt  Question 5 1 out of 1 points 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? Selected Answer: d. Blood from both ventricles mixing in a common vessel Correct Answer: d. Blood from both ventricles mixing in a common vessel Question 6 1 out of 1 points A nurse is teaching a patient about anaphylactic shock. Which information should the nurse include? The onset of anaphylactic shock is usually: Selected Answer: b. Immediate and life threatening Correct Answer: b. Immediate and life threatening  Question 7 1 out of 1 points 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? Selected Answer: a. Pulmonary hypertension Correct Answer: a. Pulmonary hypertension  Question 8 1 out of 1 points 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? Selected Answer: b. Myocardial infarction (MI) Correct Answer: b. Myocardial infarction (MI)  Question 9 1 out of 1 points A 50-year-old male was admitted to the intensive care unit with a diagnosis of acute myocardial infarction (MI). He is being treated for shock. His cardiopulmonary symptoms include low blood pressure, tachycardia, and tachypnea. His skin is pale and cool. The primary cause of his shock is most likely: Selected Answer: b. Decreased cardiac contractility Correct Answer: b. Decreased cardiac contractility  Question 10 1 out of 1 points 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?Selected Answer: b. Ostium secundum ASD Correct Answer: b. Ostium secundum ASD  Question 11 1 out of 1 points A 72-year-old female has a history of right heart failure caused by a right ventricular myocardial infarction. Which of the following symptoms are specifically related to her right heart failure? Selected Answer: a. Significant edema to both lower legs and feet Correct Answer: a. Significant edema to both lower legs and feet  Question 12 1 out of 1 points When a person is in shock, a nurse remembers impairment in cellular metabolism is cause by: Selected Answer: c. Inadequate tissue perfusion Correct Answer: c. Inadequate tissue perfusion  Question 14 0 out of 1 points A 67-year-old female was previously diagnosed with rheumatic heart disease. Tests reveal lipoprotein deposition with chronic inflammation that impairs blood flow from the left ventricle into the aorta. Which of the following is the most likely diagnosis recorded on the chart? Selected Answer: b. Aortic stenosis Correct Answer: a. Aortic regurgitation  Question 15 1 out of 1 points A 42-year-old female is diagnosed with constrictive pericarditis. The nurse assesses the blood pressure for decreased cardiac output because of: Selected Answer: b. Fibrosis and calcification of the pericardial layers Correct Answer: b. Fibrosis and calcification of the pericardial layers  Question 16 1 out of 1 points When a patient with left heart failure starts to have a cough and dyspnea, which principle should thenurse remember? Pulmonary symptoms, common to left heart failure, are a result of: Selected Answer: c. Pulmonary vascular congestion Correct Answer: c. Pulmonary vascular congestion  Question 17 1 out of 1 points A 49-year-old male presents to his primary care provider reporting chest pain. EKG reveals ST elevation. He is diagnosed with myocardial ischemia. Which of the following interventions would be most beneficial? Selected Answer: b. Apply oxygen to increase myocardial oxygen supply. Correct Answer: b. Apply oxygen to increase myocardial oxygen supply.  Question 18 1 out of 1 points 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: Selected Answer: a. Bacteria Correct Answer: a. Bacteria  Question 19 1 out of 1 points 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? Selected Answer: c. Aortic regurgitation Correct Answer: c. Aortic regurgitation  Question 20 1 out of 1 points 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: Selected Answer: c. A membranous sac that encloses the heartCorrect Answer: c. A membranous sac that encloses the heart  Question 21 1 out of 1 points 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: Selected Answer: a. Acute pericarditis Correct Answer: a. Acute pericarditis  Question 22 0 out of 1 points A 60-year-old female was diagnosed with mitral stenosis. As a result, the nurse realizes the patient has incomplete emptying of the: Selected Answer: c. Left atrium Correct Answer: d. Left ventricle  Question 23 1 out of 1 points A newborn experiences frequent periods of cyanosis, usually occurring during crying or after feeding. Which of the following is the most likely diagnosis the nurse will observe on the chart? Selected Answer: c. Tetralogy of Fallot Correct Answer: c. Tetralogy of Fallot  Question 24 1 out of 1 points A nurse is explaining the function of the heart. Which is a correct response by the nurse? A function of the pericardium is to: Selected Answer: a. Provide a barrier against extracardial infections. Correct Answer: a. Provide a barrier against extracardial infections.  Question 25 1 out of 1 points A newborn child is diagnosed with tetralogy of Fallot. What symptoms would the nurse expect to observe in the child?Selected Answer: b. Cyanosis and hypoxia Correct Answer: b. Cyanosis and hypoxia  Question 26 1 out of 1 points A nurse is teaching staff about endocarditis. Which information should the nurse include? Inflammatory cells have difficulty limiting the colonization of microorganisms in infective endocarditis because the: Selected Answer: c. Microorganisms are sequestered in a fibrin clot. Correct Answer: c. Microorganisms are sequestered in a fibrin clot.  Question 27 1 out of 1 points 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. Selected Answer: c. Stenosis Correct Answer: c. Stenosis  Question 28 1 out of 1 points A 75-year-old obese female presents to her primary care provider reporting edema in the lower extremities. Physical exam reveals that she has varicose veins. Upon performing the history, which of the following is a possible cause for the varicose veins? Selected Answer: b. Long periods of standing Correct Answer: b. Long periods of standing  Question 29 1 out of 1 points 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? Selected Answer: c. Low blood pressure, tachycardia, generalized edema Correct Answer: c. Low blood pressure, tachycardia, generalized edema  Question 30 1 out of 1 points A nurse is planning care for a patient in shock. Which principle should the nurse remember? Duringshock states, glucose uptake is usually: Selected Answer: c. Impaired Correct Answer: c. Impaired  Question 4 1 out of 1 points A nurse recalls the most common cardiac valve disease in the United States, which tends to be most prevalent in young women, is: Selected Answer: a. Mitral valve prolapse Correct Answer: a. Mitral valve prolapse  Question 6 1 out of 1 points A newborn is suspected of having coarctation of the aorta. Which of the following assessments would aid in diagnosis? Selected Answer: d. Weak or absent femoral pulses Correct Answer: d. Weak or absent femoral pulses  Question 7 1 out of 1 points A newborn child has a murmur and cyanosis. An echocardiogram reveals that the tricuspid valve failed to develop and no blood flows between the right atrium and ventricle. What term will the nurse use to describe this condition? Tricuspid: Selected Answer: c. Atresi a Correct Answer: c. Atresi a  Question 8 1 out of 1 points What factors make a patient prone to neurogenic shock? Neurogenic shock can be caused by any factor that inhibits the:Selected Answer: b. Sympathetic nervous system Correct Answer: b. Sympathetic nervous system   Question 10 1 out of 1 points A 3-year-old male is diagnosed with Kawasaki disease. Which of the following does the nurse suspect is the most likely cause? Selected Answer: d. Inflammation of the small capillaries, arteries, and veins Correct Answer: d. Inflammation of the small capillaries, arteries, and veins  Question 15 1 out of 1 points A 56-year-old male presents to his primary care provider for a checkup. Physical exam reveals edema, hepatomegaly, and mufed heart sounds. Which of the following is of greatest concern to the nurse? Selected Answer: a. Tampona de Correct Answer: a. Tampona de  Question 17 1 out of 1 points For an infection to progress to septic shock, which of the following factors should the nurse determine occurred? Selected Answer: d. Bacteria must enter the bloodstream. Correct Answer: d. Bacteria must enter the bloodstream.  Question 181 out of 1 points 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: Selected Answer: c. Atheroscler osis Correct Answer: c. Atheroscler osis  Question 19 1 out of 1 points Which is the most common type of congenital heart defect the nurse should assess for in infants? Selected Answer: b. Ventricular septal defect (VSD) Correct Answer: b. Ventricular septal defect (VSD)  Question 21 1 out of 1 points A 22-year-old pregnant female presents for a fetal echocardiogram. Tests reveal small left atrium and mitral valve and an absent left ventricle and aortic valve. The diagnosis is hypoplastic left heart syndrome (HLHS). The nurse will anticipate that the treatment for this defect is: Selected Answer: a. An indication for neonatal heart transplant Correct Answer: a. An indication for neonatal heart transplant  Question 22 1 out of 1 points A 15-year-old male who is allergic to peanuts eats a peanut butter cup. He then goes into anaphylactic shock. Which assessment fndings will the nurse assess for? Selected Answer: b. Bronchoconstriction, hives or edema, and hypotension Correct b.Answer: Bronchoconstriction, hives or edema, and hypotension  Question 24 1 out of 1 points 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: Selected Answer: b. The myocardial oxygen supply has fallen below demand. Correct Answer: b. The myocardial oxygen supply has fallen below demand.  Question 25 1 out of 1 points Upon assessment of the patient, the nurse fnds a widened pulse pressure and throbbing peripheral pulses. Which valve disorder does the nurse suspect? Selected Answer: d. Aortic stenosis Correct Answer: d. Aortic stenosis  Question 27 1 out of 1 points Which of the following lab tests will the nurse check to help diagnose heart failure and provide insight into its severity? Selected Answer: b. Brain natriuretic Correct Answer: b. Brain natriuretic  Question 28 1 out of 1 points A 55-year-old male died of a myocardial infarction. Autopsy would most likely reveal: Selected Answer: c. Platelet aggregation within the atheroscleroticcoronary artery Correct Answer: c. Platelet aggregation within the atherosclerotic coronary artery Sunday, April 2, 2017 2:35:06 PM EDT