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revision exam nursing NSG 430 EXAM 2
1. What is acute decompensated heart failure (HF)?
A. A condition caused primarily by right ventricular failure
that decreases systemic venous pressure
B. A condition where pulmonary venous pressure increases
due to left ventricular failure, leading to pulmonary vascular
engorgement and decreased lung compliance
C. A condition in which pulmonary vascular pressure
decreases because of increased cardiac output
D. A condition characterized by increased lung compliance
and decreased pulmonary congestion
CORRECT ANSWER: B. A condition where pulmonary
venous pressure increases due to left ventricular failure,
leading to pulmonary vascular engorgement and
decreased lung compliance
,Rationale: Acute decompensated HF involves increased
pulmonary venous pressure associated with left ventricular
failure. Pulmonary vascular engorgement and decreased lung
compliance contribute to impaired respiratory function.
2. Which group includes diagnostic tools used to assess
heart failure?
A. Echocardiogram, ECG, ambulatory heart monitors, chest
x-ray, 6-minute walk test, MUGA scan, cardiac MRI, cardiac
catheterization, endomyocardial biopsy, serum electrolytes,
and NT-proBNP or BNP levels
B. Colonoscopy, EEG, bone-density testing, and urinalysis
C. Skin biopsy, hearing evaluation, and pulmonary function
testing only
D. Liver biopsy, abdominal ultrasound, and stool testing
CORRECT ANSWER: A. Echocardiogram, ECG,
ambulatory heart monitors, chest x-ray, 6-minute walk
test, MUGA scan, cardiac MRI, cardiac catheterization,
endomyocardial biopsy, serum electrolytes, and NT-
proBNP or BNP levels
,Rationale: The provided material identifies multiple
diagnostic approaches for HF, including cardiac imaging,
electrical monitoring, exercise testing, laboratory evaluation,
and invasive cardiac studies.
3. Which findings are considered early signs and
symptoms of acute decompensated heart failure?
A. Alveolar edema, respiratory acidosis, and severe cyanosis
B. Increased pulmonary venous pressure, mild increase in
respiratory rate, and decreased PaO₂
C. Severe tachypnea, respiratory arrest, and profound
hypotension
D. Pulmonary fibrosis, bradycardia, and increased oxygen
saturation
CORRECT ANSWER: B. Increased pulmonary venous
pressure, mild increase in respiratory rate, and decreased
PaO₂
Rationale: The provided material identifies increased
pulmonary venous pressure, a mild increase in respiratory
rate, and decreased PaO₂ as early manifestations.
, 4. Which findings indicate later signs and symptoms of
acute decompensated heart failure?
A. Mild respiratory-rate elevation only
B. Increased appetite and improved exercise tolerance
C. Interstitial pulmonary edema, tachypnea, shortness of
breath, respiratory acidosis, and alveolar edema
D. Decreased pulmonary venous pressure and increased PaO₂
CORRECT ANSWER: C. Interstitial pulmonary edema,
tachypnea, shortness of breath, respiratory acidosis, and
alveolar edema
Rationale: The source describes progression from pulmonary
venous congestion to interstitial and alveolar pulmonary
edema, accompanied by worsening respiratory manifestations.
5. What is pulmonary edema, and why is it life-
threatening?
A. Air accumulation in the pleural space causing lung collapse
B. A condition where alveoli fill with fluid, often associated