EXAMS 1-4
(Applied Pathophysiology)
Actual Questions with Correct Answers
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,Table of Contents
NUR 376 EXAM 1................................................................................. 2
NUR 376 EXAM 1 STUDY GUIDE...................................................... 39
NUR 376 EXAM 2............................................................................... 81
NUR 376 EXAM 2 STUDY GUIDE.................................................... 104
NUR 376 EXAM 3............................................................................. 166
NUR 376 EXAM 3 STUDY GUIDE.................................................... 194
NUR 376 EXAM 4............................................................................. 218
NUR 376 FINAL EXAM STUDY GUIDE ........................................... 245
NUR 376 EXAM 1
1. A nurse is caring for a client with suspected mitral valve regurgitation. Which
diagnostic test is considered the gold standard for confirming valvular
disorders?
A. Cardiac catheterization
B. Echocardiogram
C. Electrocardiogram (ECG)
D. Chest X-ray
Correct Answer: B. Echocardiogram
Rationale:
An echocardiogram is the gold standard for diagnosing valvular disorders because it
provides real-time visualization of valve structure, motion, and blood flow. Cardiac
catheterization is invasive and used for hemodynamic assessment or intervention. ECG
, evaluateselectrical
evaluates electricalactivity,
activity,not
notvalve
valveanatomy.
anatomy.Chest
Chest X-ray
X-ray shows
shows cardiac
cardiac silhouette
silhouette
status but
and pulmonary status but cannot
cannotvisualize
visualizevalve
valveleaflets
leaflets directly.
directly.
Whichcardiac
2. Which cardiacarrhythmia
arrhythmiaisismost
most associated
associated with
with turbulent
turbulent blood
blood flow
flow andand
significantlyincreases
significantly increasesthe
therisk
riskfor
for thrombus
thrombus formation?
formation?
A. Atrial
A. Atrial flutter
flutter
B. Atrial
B. Atrial fibrillation
fibrillation (AFib)
(AFib)
C. Ventriculartachycardia
C. Ventricular tachycardia
D. Third-degree
Third-degreeheart heartblock
block
Correct Answer:
Correct B. Atrial
Answer: B. Atrial fibrillation
fibrillation(AFib)
(AFib)
Rationale:
Rationale:
fibrillation, the atria quiver instead
In atrial fibrillation, instead ofof contracting
contracting effectively,
effectively,causing
causingblood
bloodstasis
stasis
and turbulent flow—particularly in the the left
left atrial
atrial appendage.
appendage.ThisThisstagnant
stagnantblood
blood
significantly increases
increasesthetherisk
riskofofthrombus
thrombusformation,
formation,which
whichcan
canembolize
embolize and
and cause
cause
stroke. While
Whileother
otherarrhythmias
arrhythmiashave haverisks,
risks,AFib
AFib is is
thethe most
most thrombogenic
thrombogenic due
due to to
thethe
loss of organized
loss of organizedatrial
atrialcontraction.
contraction.
Whichformula
3. Which formulacorrectly
correctlycalculates
calculates cardiac
cardiac output
output (CO)? (Select
(CO)? (Selectall
allthat
thatapply.)
apply.)
A. CO
A. CO==Stroke
StrokeVolume
Volume (SV)
(SV) × Heart
× Heart Rate
Rate (HR)(HR)
B. CO==Blood
B. CO BloodPressure
Pressure (BP)
(BP) × Systemic
× Systemic Vascular
Vascular Resistance
Resistance (SVR) (SVR)
C. CO==Preload
C. CO Preload× Afterload
× Afterload
D. CO
CO==SV
SV × HR
× HR
Correct Answer:
Correct A, D
Answer: A, D
Rationale:
Rationale:
Cardiacoutput
Cardiac output isisdefined
definedas
asthethevolume
volumeofofblood
bloodejected
ejectedbyby the
the heart
heart in in
oneone minute
minute and
and
is calculated
calculatedbybymultiplying
multiplyingstroke
strokevolume
volume(the
(theamount
amountofofblood
bloodpumped
pumpedper perbeat)
beat)
byby
heart rate (beats
(beatsperperminute).
minute).Both
Bothoptions
optionsAAand
andDDstate
statethe
the same
same correct
correct formula.
formula.
Blood pressure
pressureisisnot
notused
usedtotocalculate
calculateCO
CO directly,
directly, andand preload
preload × afterload
× afterload is not
is not a a
valid formula
formula for cardiac
cardiac output.
output.
Atherosclerosisisisbest
4. Atherosclerosis best described
described as which
as which of the
of the following
following pathological
pathological
processes?
processes?
A. AA disease
A. diseaseofofthe
theveins
veinscharacterized
characterized
byby inflammation
inflammation and
and clot
clot formation
formation
B. AA disease
B. diseaseofofthe
thearteries
arteriescharacterized
characterizedbyby
thethe deposition
deposition of of fatty
fatty plaques
plaques on on
thethe inner
inner