NUR 313: Nursing Concepts for Adult Health Exam 1
Questions With Complete Solutions
Calcium possesses an inverse relationship with ___. Correct
Answers Phosphorus
Describe the pathophysiologic process of atherosclerosis.
Correct Answers Cholesterol & lipid deposits form in artery
walls, causing endothelial injury and inflammation
Determine the normal values for total cholesterol, triglycerides,
HDLs, & LDLs. Correct Answers Total cholesterol: < 200
Triglycerides: < 150
HDL: > 60
LDL: < 100
Factors that regulate ___ balance influence magnesium balance.
Correct Answers Calcium
How can symptom management be evaluated for someone with
heart failure? Correct Answers Activity tolerance
Oxygenation
Quality of life
How does left-sided heart failure develop? Correct Answers
From left ventricular dysfunction -
MI
HTN
CAD
Cardiomyopathy
,How does right-sided heart failure develop? Correct Answers
From left-sided heart failure; cor pulmonae
Backup of good into the right atrium & venous systemic
circulation
How does the renal system regulate acid-base balance? Correct
Answers Reabsorbs bicarbonate (HCO2-) & eliminates excess
hydrogen (H+)
Reabsorbs & secretes electrolytes
How does the respiratory system regulate acid-base balance?
Correct Answers Eliminates carbonic acid (CO2)
How is a myocardial infarction classified? Correct Answers
Affected area of the heart (anterior, lateral)
Depth of involvement (transmural vs. non-transmural)
ECG changes produced (Q wave or non-Q wave)
Hypertension is classified as a persistent elevation of: Correct
Answers Systolic BP > 140 mmHg
Diastolic BP > 90 mmHg
Current use of antihypertensive medications
In an ECG, the P wave represents ___. Correct Answers Atrial
depolarization
In an ECG, the QRS complex represent ___. Correct Answers
Ventricular depolarization
In an ECG, the T wave represents ___. Correct Answers
Ventricular repolarization
,In nursing care for the hypertensive patient, what is involved in
step 1 of management? Correct Answers Lifestyle
modifications:
Exercise
Weight control
Modify diet/limit sodium (DASH)
Quit smoking
Limit ETOH consumption
Eliminate stress
In nursing care for the hypertensive patient, what is involved in
step 2 of management? Correct Answers Lifestyle modification
& medication:
Drug therapy - decrease systemic vascular resistance (SVR) &
decrease volume of circulating blood
In nursing care for the hypertensive patient, what primary
prevention measures are taken? Correct Answers Modifiable
risk factors
Dietary changes
Community-wide effort
Pre-hypertension is classified as: Correct Answers Systolic BP
> 120 mmHg
Diastolic BP > 80 mmHg
Though hypertension is often asymptomatic, what are some
clinical manifestations that may be seen? Correct Answers
Hypertension headache
Cerebrovascular: blackouts, blurred vision, dizziness, syncope
, Cardiovascular: chest pain, dyspnea, palpitations, edema
What are some atypical manifestations of pneumonia? Correct
Answers Dry cough
Extrapulmonary - fever, headache, fatigue, sore throat, N/V,
diarrhea
What are some collaborative care measures taken for individuals
with pneumonia? Correct Answers Antibiotic therapy
O2 for hypoxemia
Increase fluids
Adequate caloric intake (1500 kcal/day) - increased metabolic
needs, difficulty eating due to difficulty breathing
Balance activity & rest
Antipyretics
Analgesics
What are some complications of an AMI? Correct Answers
Dysrhythmias (80% of patients)
Heart failure
Cardiogenic shock
Papillary muscle function - mitral valve regurgitation
Pericarditis
What are some examples of hypotonic solutions? Correct
Answers 0.45% NaCl
2.5% dextrose in water
What are some factors that may impair mucociliary mechanisms
and predispose someone to the development of pneumonia?
Correct Answers Pollution
Questions With Complete Solutions
Calcium possesses an inverse relationship with ___. Correct
Answers Phosphorus
Describe the pathophysiologic process of atherosclerosis.
Correct Answers Cholesterol & lipid deposits form in artery
walls, causing endothelial injury and inflammation
Determine the normal values for total cholesterol, triglycerides,
HDLs, & LDLs. Correct Answers Total cholesterol: < 200
Triglycerides: < 150
HDL: > 60
LDL: < 100
Factors that regulate ___ balance influence magnesium balance.
Correct Answers Calcium
How can symptom management be evaluated for someone with
heart failure? Correct Answers Activity tolerance
Oxygenation
Quality of life
How does left-sided heart failure develop? Correct Answers
From left ventricular dysfunction -
MI
HTN
CAD
Cardiomyopathy
,How does right-sided heart failure develop? Correct Answers
From left-sided heart failure; cor pulmonae
Backup of good into the right atrium & venous systemic
circulation
How does the renal system regulate acid-base balance? Correct
Answers Reabsorbs bicarbonate (HCO2-) & eliminates excess
hydrogen (H+)
Reabsorbs & secretes electrolytes
How does the respiratory system regulate acid-base balance?
Correct Answers Eliminates carbonic acid (CO2)
How is a myocardial infarction classified? Correct Answers
Affected area of the heart (anterior, lateral)
Depth of involvement (transmural vs. non-transmural)
ECG changes produced (Q wave or non-Q wave)
Hypertension is classified as a persistent elevation of: Correct
Answers Systolic BP > 140 mmHg
Diastolic BP > 90 mmHg
Current use of antihypertensive medications
In an ECG, the P wave represents ___. Correct Answers Atrial
depolarization
In an ECG, the QRS complex represent ___. Correct Answers
Ventricular depolarization
In an ECG, the T wave represents ___. Correct Answers
Ventricular repolarization
,In nursing care for the hypertensive patient, what is involved in
step 1 of management? Correct Answers Lifestyle
modifications:
Exercise
Weight control
Modify diet/limit sodium (DASH)
Quit smoking
Limit ETOH consumption
Eliminate stress
In nursing care for the hypertensive patient, what is involved in
step 2 of management? Correct Answers Lifestyle modification
& medication:
Drug therapy - decrease systemic vascular resistance (SVR) &
decrease volume of circulating blood
In nursing care for the hypertensive patient, what primary
prevention measures are taken? Correct Answers Modifiable
risk factors
Dietary changes
Community-wide effort
Pre-hypertension is classified as: Correct Answers Systolic BP
> 120 mmHg
Diastolic BP > 80 mmHg
Though hypertension is often asymptomatic, what are some
clinical manifestations that may be seen? Correct Answers
Hypertension headache
Cerebrovascular: blackouts, blurred vision, dizziness, syncope
, Cardiovascular: chest pain, dyspnea, palpitations, edema
What are some atypical manifestations of pneumonia? Correct
Answers Dry cough
Extrapulmonary - fever, headache, fatigue, sore throat, N/V,
diarrhea
What are some collaborative care measures taken for individuals
with pneumonia? Correct Answers Antibiotic therapy
O2 for hypoxemia
Increase fluids
Adequate caloric intake (1500 kcal/day) - increased metabolic
needs, difficulty eating due to difficulty breathing
Balance activity & rest
Antipyretics
Analgesics
What are some complications of an AMI? Correct Answers
Dysrhythmias (80% of patients)
Heart failure
Cardiogenic shock
Papillary muscle function - mitral valve regurgitation
Pericarditis
What are some examples of hypotonic solutions? Correct
Answers 0.45% NaCl
2.5% dextrose in water
What are some factors that may impair mucociliary mechanisms
and predispose someone to the development of pneumonia?
Correct Answers Pollution
