NUR 621 Exam 2 (2026/2027) | Real Exam
Questions | 100% Correct Answers | A+
Verified
• A patient presents with acute pulmonary edema and BP of 210/120
with acute dyspnea and hypoxia. CXR with pulmonary edema and TTE
with LVEF down to 30% from 40% and has pseudonormalization with
grade 3 diastolic dysfunction. You would document this type of heart
failure as: -✓✓Acute on Chronic Biventricular Systolic HFrEF with
Diastolic Dysfunction
• All of the following are predisposing factors for CHF EXCEPT:
DM
HTN
Illicit drug use
Cirrhosis -✓✓Cirrhosis
• A 48yo male presents to clinic on treatment for HF with enalapril,
digoxin, and lasix for three months. Over the past two weeks, he
developed a cough. Lungs are clear and euvolemic. What is the best
intervention?
- continue current regimen and add metolazone for additional diuretic
therapy
- stop enalapril and start norvasc
- continue enalapril and lasix and stop digoxin
,- no medication changes need to occur at this time -✓✓Stop enalapril
and start norvasc
* also causes angioedema
• A 55yo female presents with increased dyspnea over the past several
days. She has had HTN since her 20s that has been difficult to control.
She has an S3 and S4 with 2/6 systolic murmur. SR 91 with LVH and old
stable LBBB. This patient likely has:
- an AMI
- cardiac tamponade
- ASD that needs repair
- Biventricular CHF with acute decompression -✓✓Biventricular CHF
with acute decompensation
• Decreased vascular compliance and hardening of the arteries
predisposes older adults to what type of HF?
- Systolic/HFrEF
- Diastolic/HFpEF
- Biventricular CHFrEF
- Chronic HF -✓✓Systolic/HFrEF
• All of the following are COVID 19 effects on the heart except:
- Cardiac dysrhythmias
,- PTE
- Mitral stenosis -✓✓Mitral stenosis
• All of the following findings are consistent with dilated
cardiomyopathy on exam EXCEPT:
- Positive JVD
- Peripheral edema
- RUQ tenderness with palpation
- PMI murmur at the 5th intercostal space, midclavicular line -✓✓PMI
murmur at the 5th intercostal space, midclavicular line
• Mainstay treatment for dilated cardiomyopathy is: -✓✓Lasix
• The diagnostic test of choice for all cardiomyopathies is:
- MRI
- Echo
- BNP
- CXR -✓✓Echo
• What lipid modifying agent is safe in pregnancy but can interfere with
absorption of _____. -✓✓Bile acid binding resins
Fat soluble vitamins, A, D, E, K
, • A 22yo basketball player was diagnosed with hypertrophic
cardiomyopathy with an EF of 15%. His creatinine is 2.7 and has 3+
pitting edema with worsening renal function and has failed diuretics
and cardiac meds. What is the next step in his treatment?
- Cardiac transplant referral and evaluation
- Admit and place on Lasix drip
- Palliative care for home hospice
- Impella LVAD -✓✓Cardiac transplant referral
• Those with amyloidosis, sarcoidosis, and hemochromatosis are most
likely to develop what kind of cardiomyopathy, and how is it managed?
-✓✓Restrictive cardiomyopathy; symptom management
• What cardiovascular disease causes pulmonary hypertension and
right heart failure greater than left? -✓✓Restrictive cardiomyopathy
• The primary treatment for restrictive cardiomyopathy is: -
✓✓Symptom management
• The best treatment option for HFrEF and cardiomyopathies presented
with left heart failure symptoms is:
- Lasix
- ACEi
- Amlodipine
Questions | 100% Correct Answers | A+
Verified
• A patient presents with acute pulmonary edema and BP of 210/120
with acute dyspnea and hypoxia. CXR with pulmonary edema and TTE
with LVEF down to 30% from 40% and has pseudonormalization with
grade 3 diastolic dysfunction. You would document this type of heart
failure as: -✓✓Acute on Chronic Biventricular Systolic HFrEF with
Diastolic Dysfunction
• All of the following are predisposing factors for CHF EXCEPT:
DM
HTN
Illicit drug use
Cirrhosis -✓✓Cirrhosis
• A 48yo male presents to clinic on treatment for HF with enalapril,
digoxin, and lasix for three months. Over the past two weeks, he
developed a cough. Lungs are clear and euvolemic. What is the best
intervention?
- continue current regimen and add metolazone for additional diuretic
therapy
- stop enalapril and start norvasc
- continue enalapril and lasix and stop digoxin
,- no medication changes need to occur at this time -✓✓Stop enalapril
and start norvasc
* also causes angioedema
• A 55yo female presents with increased dyspnea over the past several
days. She has had HTN since her 20s that has been difficult to control.
She has an S3 and S4 with 2/6 systolic murmur. SR 91 with LVH and old
stable LBBB. This patient likely has:
- an AMI
- cardiac tamponade
- ASD that needs repair
- Biventricular CHF with acute decompression -✓✓Biventricular CHF
with acute decompensation
• Decreased vascular compliance and hardening of the arteries
predisposes older adults to what type of HF?
- Systolic/HFrEF
- Diastolic/HFpEF
- Biventricular CHFrEF
- Chronic HF -✓✓Systolic/HFrEF
• All of the following are COVID 19 effects on the heart except:
- Cardiac dysrhythmias
,- PTE
- Mitral stenosis -✓✓Mitral stenosis
• All of the following findings are consistent with dilated
cardiomyopathy on exam EXCEPT:
- Positive JVD
- Peripheral edema
- RUQ tenderness with palpation
- PMI murmur at the 5th intercostal space, midclavicular line -✓✓PMI
murmur at the 5th intercostal space, midclavicular line
• Mainstay treatment for dilated cardiomyopathy is: -✓✓Lasix
• The diagnostic test of choice for all cardiomyopathies is:
- MRI
- Echo
- BNP
- CXR -✓✓Echo
• What lipid modifying agent is safe in pregnancy but can interfere with
absorption of _____. -✓✓Bile acid binding resins
Fat soluble vitamins, A, D, E, K
, • A 22yo basketball player was diagnosed with hypertrophic
cardiomyopathy with an EF of 15%. His creatinine is 2.7 and has 3+
pitting edema with worsening renal function and has failed diuretics
and cardiac meds. What is the next step in his treatment?
- Cardiac transplant referral and evaluation
- Admit and place on Lasix drip
- Palliative care for home hospice
- Impella LVAD -✓✓Cardiac transplant referral
• Those with amyloidosis, sarcoidosis, and hemochromatosis are most
likely to develop what kind of cardiomyopathy, and how is it managed?
-✓✓Restrictive cardiomyopathy; symptom management
• What cardiovascular disease causes pulmonary hypertension and
right heart failure greater than left? -✓✓Restrictive cardiomyopathy
• The primary treatment for restrictive cardiomyopathy is: -
✓✓Symptom management
• The best treatment option for HFrEF and cardiomyopathies presented
with left heart failure symptoms is:
- Lasix
- ACEi
- Amlodipine
