NRSG 7000 Heart Failure Questions With Complete
Solutions
________ is a potent vasodilator. Correct Answer
Angiotensin II
3 goals of HF therapy:
1. _______ preload
2. _______ afterload by _______ of systemic vascular resistance
3. Inhibition of the renin & _____ nervous system. Correct
Answer 1. Reduce
2. Reduce, reduction
3. sympathetic
A leading cause of heart failure is:
A. hypertensive heart disease
B. atrial fibrillation
C. pulmonary embolism
D. type 2 diabetes Correct Answer A. hypertensive heart
disease
A potential adverse effect of ACEI when used with
spironolactone therapy is:
A. hypertension
B. hyperkalemia
C. renal insufficiency
D. proteinuria Correct Answer B. hyperkalemia
,A weakened heart muscle cannot pump enough blood into the
_____, so blood pools in the heart, resulting in HF. Correct
Answer aorta
Additional therapies used in HF Correct Answer 1. Implanted
defibrillator
2. Cardiac resynchronization therapy/biventricular pacing (helps
remodeling & increases EF)
3. Ventricular Assist Device (bridge to transplant)
4. Heart Transplant
Aldosterone causes the kidneys to retain both _______ &
______ Correct Answer salt & H2O
Aldosterone is a very powerful _________ Correct Answer
vasoconstrictor
Aldosterone is secreted by the ________ Correct Answer
adrenal glands
An ECG finding in a patient who is taking digoxin in a
therapeutic dose typically includes:
a. shortened PR interval
b. slightly depressed, cupped ST segments
c. widened QRS complex
d. tall T waves Correct Answer b. slightly depressed, cupped
ST segments
, Angiotensin I is converted to II in the lungs with the help of
_______ ________ enzyme. Correct Answer angiotensin
converting
Angiotensin II stimulates the release of ______. Correct
Answer aldosterone from the adrenal cortex
Any medications that cause ______, pose an increased risk for
digoxin toxicity. Correct Answer hypokalemia
Besides ST segment cupping, what other changes will be seen
on the EKG when digoxin levels are therapeutic? Correct
Answer Prolonged PR interval
Can Angiotensin I alter BP? Correct Answer Yes, but very
little
Define Heart Failure Correct Answer S/S r/t the inability of
the heart to pump efficiently in order to adequately support
physiological circulation
Describe ACC Class A Correct Answer A. High risk for HF,
but w/o structural heart disease or s/s of HF
Describe ACC Class B Correct Answer B. Structural heart
disease, but w/o s/s of HF.
Describe ACC Class C Correct Answer C. Structural heart
disease with prior or current s/s HF
Solutions
________ is a potent vasodilator. Correct Answer
Angiotensin II
3 goals of HF therapy:
1. _______ preload
2. _______ afterload by _______ of systemic vascular resistance
3. Inhibition of the renin & _____ nervous system. Correct
Answer 1. Reduce
2. Reduce, reduction
3. sympathetic
A leading cause of heart failure is:
A. hypertensive heart disease
B. atrial fibrillation
C. pulmonary embolism
D. type 2 diabetes Correct Answer A. hypertensive heart
disease
A potential adverse effect of ACEI when used with
spironolactone therapy is:
A. hypertension
B. hyperkalemia
C. renal insufficiency
D. proteinuria Correct Answer B. hyperkalemia
,A weakened heart muscle cannot pump enough blood into the
_____, so blood pools in the heart, resulting in HF. Correct
Answer aorta
Additional therapies used in HF Correct Answer 1. Implanted
defibrillator
2. Cardiac resynchronization therapy/biventricular pacing (helps
remodeling & increases EF)
3. Ventricular Assist Device (bridge to transplant)
4. Heart Transplant
Aldosterone causes the kidneys to retain both _______ &
______ Correct Answer salt & H2O
Aldosterone is a very powerful _________ Correct Answer
vasoconstrictor
Aldosterone is secreted by the ________ Correct Answer
adrenal glands
An ECG finding in a patient who is taking digoxin in a
therapeutic dose typically includes:
a. shortened PR interval
b. slightly depressed, cupped ST segments
c. widened QRS complex
d. tall T waves Correct Answer b. slightly depressed, cupped
ST segments
, Angiotensin I is converted to II in the lungs with the help of
_______ ________ enzyme. Correct Answer angiotensin
converting
Angiotensin II stimulates the release of ______. Correct
Answer aldosterone from the adrenal cortex
Any medications that cause ______, pose an increased risk for
digoxin toxicity. Correct Answer hypokalemia
Besides ST segment cupping, what other changes will be seen
on the EKG when digoxin levels are therapeutic? Correct
Answer Prolonged PR interval
Can Angiotensin I alter BP? Correct Answer Yes, but very
little
Define Heart Failure Correct Answer S/S r/t the inability of
the heart to pump efficiently in order to adequately support
physiological circulation
Describe ACC Class A Correct Answer A. High risk for HF,
but w/o structural heart disease or s/s of HF
Describe ACC Class B Correct Answer B. Structural heart
disease, but w/o s/s of HF.
Describe ACC Class C Correct Answer C. Structural heart
disease with prior or current s/s HF
