NURS 6501 Quiz 4 Questions and 100% Correct Answers

NURS 6501 Quiz 4 Questions and 100% Correct Answers • Question 1 1 out of 1 points A 35-year-old male presents with pulmonary hypertension. Testing reveals he is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart? Selected Answer: b. Tricuspid regurgitation Correct Answer: b. Tricuspid regurgitation • Question 2 1 out of 1 points Which of the following patients is at highest risk for developing pulmonary embolism (PE)? Selected Answer: d. 72-year-old male who is recovering from hip replacement surgery in the hospital Correct Answer: d. 72-year-old male who is recovering from hip replacement surgery in the hospital • Question 3 1 out of 1 points A 60-year-old male is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located? Selected Answer: c. Circle of Willis Correct Answer: c. Circle of Willis • Question 4 1 out of 1 points A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse assess for in this patient? Selected Answer: a. Right heart failure Correct Answer: a. Right heart failure • Question 5 1 out of 1 points A 30-year-old Caucasian female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis? Selected Answer: d. Genes Correct Answer: d. Genes • Question 6 1 out of 1 points A 5-year-old female is found to have hypertension during three separate visits to her primary care provider. The nurse would expect tests to suggest that the hypertension is secondary to: Selected Answer: a. Renal disease Correct Answer: a. Renal disease • Question 7 1 out of 1 points A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina? Selected Answer: c. Prinzmetal Correct Answer: c. Prinzmetal • Question 8 1 out of 1 points A 65-year-old male presents for a routine checkup. A blood pressure check reveals a systolic pressure of 160 mm Hg and a diastolic pressure of 70 mm Hg. Which of the following is the most likely cause of this type of pressure elevation? Selected Answer: b. Rigidity of the aorta Correct Answer: b. Rigidity of the aorta • Question 9 1 out of 1 points A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing measures would be most effective for preventing pulmonary embolism (PE) in this patient? Selected Answer: b. Prevent deep vein thrombosis formation. Correct Answer: b. Prevent deep vein thrombosis formation. • Question 10 1 out of 1 points A 56-year-old male is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change? Selected Answer: d. Smoking cigarettes Correct Answer: d. Smoking cigarettes • Question 11 1 out of 1 points A 50-year-old female presents with a low heart rate and low blood pressure. She is given an intravenous (IV) infusion of fluids. The increase in atrial distension results in: Selected Answer: d. Increased heart rate Correct Answer: d. Increased heart rate • Question 12 1 out of 1 points A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial: Selected Answer: b. Ischemia Correct Answer: b. Ischemia • Question 13 1 out of 1 points A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by: Selected Answer: b. Endothelial injury and inflammation Correct Answer: b. Endothelial injury and inflammation • Question 14 1 out of 1 points Which characteristic changes should the nurse keep in mind while caring for a patient with left heart failure? As left heart failure progresses: Selected Answer: a. Left ventricular preload increases. Correct Answer: a. Left ventricular preload increases. • Question 15 1 out of 1 points A 65-year-old male is transported to the ER for chest pain. An electrocardiogram reveals a prolonged QRS interval. What is the nurse monitoring when the nurse observes the QRS complex on the electrocardiogram? The QRS complex reflects: Selected Answer: a. Ventricular activity Correct Answer: a. Ventricular activity • Question 16 1 out of 1 points A 50-year-old male visits the cardiologist for an EKG. Results indicate that he has no PR interval and a variable QRS rate with rhythm irregularity. Which of the following is the most likely diagnosis to be recorded on the chart? Selected Answer: b. Atrial fibrillation Correct Answer: b. Atrial fibrillation • Question 17 1 out of 1 points A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by: Selected Answer: c. Abnormal thickening and hardening of vessel walls Correct Answer: c. Abnormal thickening and hardening of vessel walls • Question 18 1 out of 1 points A 50-year-old obese male with hypertension and coronary artery disease visits a nutritionist for food counseling. He has an elevated level of low-density lipoprotein (LDL) and a low level of high-density lipoprotein (HDL). Which of the following should the nurse advise him to avoid? Selected Answer: d. Trans fats Correct Answer: d. Trans fats • Question 19 1 out of 1 points A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart? Selected Answer: c. Superior vena cava syndrome (SVCS) Correct Answer: c. Superior vena cava syndrome (SVCS) • Question 20 1 out of 1 points Which condition should cause the nurse to assess for high-output failure in a patient? Selected Answer: d. Severe anemia Correct Answer: d. Severe anemia • Question 21 1 out of 1 points What term should the nurse document for a detached blood clot? Selected Answer: c. Thromboembolus Correct Answer: c. Thromboembolus • Question 22 1 out of 1 points When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do? Selected Answer: c. Stand up Correct Answer: c. Stand up • Question 23 1 out of 1 points A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause: Selected Answer: c. Increased systemic vascular resistance Correct Answer: c. Increased systemic vascular resistance • Question 24 1 out of 1 points A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood pressure. The nurse understands this is most likely caused by: Selected Answer: a. Sympathetic nervous system compensation for decreased cardiac output Correct Answer: a. Sympathetic nervous system compensation for decreased cardiac output • Question 25 1 out of 1 points A nurse monitors the patient for _____ when rapid onset of malignant hypertension results. Selected Answer: b. Encephalopathy Correct Answer: b. Encephalopathy • Question 26 0 out of 1 points When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for? Selected Answer: c. Disseminated intravascular coagulation (DIC) Correct Answer: a. Damage to the lung microcapillaries • Question 27 0 out of 1 points A 32-year-old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition? Selected Answer: d. Atherosclerosis Correct Answer: a. Venous thrombus • Question 28 1 out of 1 points An 80-year-old female is in the hospital for a bone fracture. While there she develops a large, nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow? Selected Answer: a. Pulmonary hypertension Correct Answer: a. Pulmonary hypertension • Question 29 1 out of 1 points Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunction? Selected Answer: c. Rheumatic fever or heart disease Correct Answer: c. Rheumatic fever or heart disease • Question 30 1 out of 1 points A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following? Selected Answer: d. The reserve has been exhausted, and the amount of oxygen consumed depends on the amount the circulation is able to deliver. Correct Answer: d. The reserve has been exhausted, and the amount of oxygen consumed depends on the amount the circulation is able to deliver. Tuesday, March 24, 2015 10:58:59 PM EDT