NURS401 Quiz 2 – Practice Questions and Answers Study Guide
Which definition best describes left-sided heart failure?
A. Increased volume and pressure develop and result in peripheral edema
B. It can occur when cardiac output remains normal or above normal
C. There is decreased tissue perfusion from poor cardiac output and pulmonary congestion from
increased pressure in the pulmonary vessels
D. It is the percentage of blood ejected from the heart during systole - correct answer ✔✔C.
There is decreased tissue perfusion from poor cardiac output and pulmonary congestion from
increased pressure in the pulmonary vessels
When heart failure develops, what is the initial compensatory mechanism of the heart that
maintains cardiac output?
A. Sympathetic stimulation
B. Parasympathetic stimulation
C. Renin-angiotensin-activation system (RAAS)
D. Myocardial hypertrophy - correct answer ✔✔A. Sympathetic stimulation
The nurse is taking a history on a patient with recently diagnosed heart failure. The patient
admits to "sometimes have trouble catching my breath" but is unable to provide more specific
details. What question does the nurse ask to gather more data about the patient's symptoms?
A. "Do you have any medical problems, such as high blood pressure?"
B. "What did your doctor tell you about your diagnosis?"
C. "What was your most strenuous activity in the past week?"
D. "How do you feel about being told that you have heart failure?" - correct answer ✔✔C.
"What was your most strenuous activity in the past week?"
,The nurse is assessing a patient with left-sided heart failure. Which assessment findings does
the nurse expect to see in this patient? SATA
A. Dependent edema
B. weight loss
C. jugular venous distention
D. hypotension
E. hepatomegaly
F. angina - correct answer ✔✔a. dependent edema
C. jugular venous distention
E. hepatomegaly
Based on the etiology and the main cause of heart failure, which patient has the greatest need
for health promotion measures to prevent heart failure?
A. Patient with Alzheimer's
B. Patient with cystitis
C. Patient with asthma
D. Patient with hypertension - correct answer ✔✔D. Patient with hypertension
The nurse is reviewing diagnostic test results for a patient who is hypertensive. Which
laboratory results is an early warning sign of decreased heart compliance and prompts the
nurse to immediately notify the health care provider?
A. Normal B-type natriuretic peptide
B. Decreased hemoglobin
C. Elevated thyroxine (T4)
D. Presence of microalbuminuria - correct answer ✔✔D. Presence of microalbuminuria
,A patient who was admitted for newly diagnosed heart failure is now being discharged. The
nurse instructs the patient and family on how to manage heart failure at home. What major
self-management categories should the nurse include? SATA
A. Medications
B. Weight
C. Heart transplants
D. Activity
E. Diet
F. What to do when symptoms get worse - correct answer ✔✔A. Medications
B. Weight
D. Activity
E. Diet
F. What to do when symptoms get worse
A patient is at risk for heart failure but currently has no official medical diagnosis. While
assessing the patient's lungs, the nurse hears profuse fine crackles. What does the nurse do
next?
A. Report the finding to the health care provider
B. Document the finding as a baseline for later comparison
C. Give the patient low-flow supplemental oxygen
D. Ask the patient to cough and auscultate the lungs - correct answer ✔✔D. Ask the patient to
cough and auscultate the lungs
The home health nurse is evaluating a patient being treated for heart failure. Which statement
by the patient is the best indicator of hope and well-being as a desired psychological outcome?
A. "I'm taking the medication and following the doctor's orders"
B. "I'm looking forward to dancing with my wife on our wedding anniversary"
C. "I'm planning to go on a long trip; I'll never go back to the hospital again"
, D. "I want to thank you for all that you have done. I know you did your best" - correct answer
✔✔B. "I'm looking forward to dancing with my wife on our wedding anniversary"
The nursing student is assisting in the care of a patient with advanced right-sided heart failure.
In addition to bringing a stethoscope, what additional piece of equipment does the student
bring in order to assess this patient?
A. Tape measure
B. Glasgow Coma Scale
C. Portable Doppler
D. Bladder ultrasound scanner - correct answer ✔✔A. Tape measure
A patient with heart failure has inadequate tissue perfusion. Which nursing interventions are
included in the plan of care for this patient? SATA
A. Monitor respiratory rate, rhythm, and quality every 1-4 hours
B. Auscultate breath sounds every 4-8 hours
C. Provide supplemental oxygen to maintain oxygen saturations at 90% or greater
D. Place the patient in a supine position with pillows under each leg
E. Assist the patient in performing coughing and deep-breathing exercises every 2 hours
F. Encourage the patient to perform all ADLs even when tired - correct answer ✔✔A. Monitor
respiratory rate, rhythm, and quality every 1-4 hours
B. Auscultate breath sounds every 4-8 hours
C. Provide supplemental oxygen to maintain oxygen saturations at 90% or greater
E. Assist the patient in performing coughing and deep-breathing exercises every 2 hours
An older adult patient with heart failure is volume depleted and has a low sodium level. The
health care provider has ordered valsartan, an angiotensin receptor blocker (ARB). After the
initial dose, for what complication does the nurse carefully monitor in this patient?
A. Hypotension
Which definition best describes left-sided heart failure?
A. Increased volume and pressure develop and result in peripheral edema
B. It can occur when cardiac output remains normal or above normal
C. There is decreased tissue perfusion from poor cardiac output and pulmonary congestion from
increased pressure in the pulmonary vessels
D. It is the percentage of blood ejected from the heart during systole - correct answer ✔✔C.
There is decreased tissue perfusion from poor cardiac output and pulmonary congestion from
increased pressure in the pulmonary vessels
When heart failure develops, what is the initial compensatory mechanism of the heart that
maintains cardiac output?
A. Sympathetic stimulation
B. Parasympathetic stimulation
C. Renin-angiotensin-activation system (RAAS)
D. Myocardial hypertrophy - correct answer ✔✔A. Sympathetic stimulation
The nurse is taking a history on a patient with recently diagnosed heart failure. The patient
admits to "sometimes have trouble catching my breath" but is unable to provide more specific
details. What question does the nurse ask to gather more data about the patient's symptoms?
A. "Do you have any medical problems, such as high blood pressure?"
B. "What did your doctor tell you about your diagnosis?"
C. "What was your most strenuous activity in the past week?"
D. "How do you feel about being told that you have heart failure?" - correct answer ✔✔C.
"What was your most strenuous activity in the past week?"
,The nurse is assessing a patient with left-sided heart failure. Which assessment findings does
the nurse expect to see in this patient? SATA
A. Dependent edema
B. weight loss
C. jugular venous distention
D. hypotension
E. hepatomegaly
F. angina - correct answer ✔✔a. dependent edema
C. jugular venous distention
E. hepatomegaly
Based on the etiology and the main cause of heart failure, which patient has the greatest need
for health promotion measures to prevent heart failure?
A. Patient with Alzheimer's
B. Patient with cystitis
C. Patient with asthma
D. Patient with hypertension - correct answer ✔✔D. Patient with hypertension
The nurse is reviewing diagnostic test results for a patient who is hypertensive. Which
laboratory results is an early warning sign of decreased heart compliance and prompts the
nurse to immediately notify the health care provider?
A. Normal B-type natriuretic peptide
B. Decreased hemoglobin
C. Elevated thyroxine (T4)
D. Presence of microalbuminuria - correct answer ✔✔D. Presence of microalbuminuria
,A patient who was admitted for newly diagnosed heart failure is now being discharged. The
nurse instructs the patient and family on how to manage heart failure at home. What major
self-management categories should the nurse include? SATA
A. Medications
B. Weight
C. Heart transplants
D. Activity
E. Diet
F. What to do when symptoms get worse - correct answer ✔✔A. Medications
B. Weight
D. Activity
E. Diet
F. What to do when symptoms get worse
A patient is at risk for heart failure but currently has no official medical diagnosis. While
assessing the patient's lungs, the nurse hears profuse fine crackles. What does the nurse do
next?
A. Report the finding to the health care provider
B. Document the finding as a baseline for later comparison
C. Give the patient low-flow supplemental oxygen
D. Ask the patient to cough and auscultate the lungs - correct answer ✔✔D. Ask the patient to
cough and auscultate the lungs
The home health nurse is evaluating a patient being treated for heart failure. Which statement
by the patient is the best indicator of hope and well-being as a desired psychological outcome?
A. "I'm taking the medication and following the doctor's orders"
B. "I'm looking forward to dancing with my wife on our wedding anniversary"
C. "I'm planning to go on a long trip; I'll never go back to the hospital again"
, D. "I want to thank you for all that you have done. I know you did your best" - correct answer
✔✔B. "I'm looking forward to dancing with my wife on our wedding anniversary"
The nursing student is assisting in the care of a patient with advanced right-sided heart failure.
In addition to bringing a stethoscope, what additional piece of equipment does the student
bring in order to assess this patient?
A. Tape measure
B. Glasgow Coma Scale
C. Portable Doppler
D. Bladder ultrasound scanner - correct answer ✔✔A. Tape measure
A patient with heart failure has inadequate tissue perfusion. Which nursing interventions are
included in the plan of care for this patient? SATA
A. Monitor respiratory rate, rhythm, and quality every 1-4 hours
B. Auscultate breath sounds every 4-8 hours
C. Provide supplemental oxygen to maintain oxygen saturations at 90% or greater
D. Place the patient in a supine position with pillows under each leg
E. Assist the patient in performing coughing and deep-breathing exercises every 2 hours
F. Encourage the patient to perform all ADLs even when tired - correct answer ✔✔A. Monitor
respiratory rate, rhythm, and quality every 1-4 hours
B. Auscultate breath sounds every 4-8 hours
C. Provide supplemental oxygen to maintain oxygen saturations at 90% or greater
E. Assist the patient in performing coughing and deep-breathing exercises every 2 hours
An older adult patient with heart failure is volume depleted and has a low sodium level. The
health care provider has ordered valsartan, an angiotensin receptor blocker (ARB). After the
initial dose, for what complication does the nurse carefully monitor in this patient?
A. Hypotension
