NUR 103- Exam 2 Questions And Answers
What type of nursing education program is conducted in junior and community colleges
that is nominally 2 years in length?
a. diploma program
b. baccalaureate program
c. associate degree program
d. professional nursing program - ANSWER c
The nurse in a skilled nursing facility is caring for an 80-year-old patient who develops
a productive cough with pink, frothy sputum. Which independent interventions should
the nurse
implement immediately? (Select all that apply.)
a. Limit the patient's activity.
b. Morphine is given
c. Lasix is given
d. Place the patient in high Fowler.
e. Weight daily - ANSWER ANS: A, D
Acute pulmonary edema (acute left ventricular failure) is a medical emergency that
necessitates urgent
treatment. The patient with this condition demonstrates severe dyspnea; a cough
productive of frothy, pinktinged
sputum; tachycardia; and moist, bubbling respirations with cyanosis. Nursing
interventions for acute
pulmonary edema include placing the patient in high Fowler position to relieve the
dyspnea;
administering oxygen, diuretics, morphine, and other prescribed drugs; limiting and
monitoring activity;
,and assessing cardiopulmonary status. Limiting activity and placing the patient in high
Fowler do not
require a physician's order and should be implemented immediately. Acute pulmonary
edema is a
medical emergency, and activity necessary to obtain a daily weight is not indicated at
this time.
Administering morphine and diuretics are dependent nursing interventions.
The nurse is teaching a patient about cardiomyopathy. The nurse includes information
for which condition(s) the patient is at risk for developing cardiomyopathy? (Select all
that apply.)
a. Systemic hypertension
b. Chronic excessive alcohol consumption
c. Pregnancy
d. Diabetes
e. Systemic infection - ANSWER ANS: A, B, C, E
Cardiomyopathy is a group of diseases that cause enlargement of the heart and
subsequent inefficient
pumping action. Risk factors include systemic hypertension, chronic alcohol
consumption, pregnancy,
and certain systemic infections. Diabetes is not considered a risk factor for
cardiomyopathy.
Which factor(s) is/are potential causative agents for arrhythmias? (Select all that
apply.)
a. Hyperkalemia
b. Valvular prolapse
c. Infarct damage
d. Properly functioning sinoatrial (SA) node
e. Excess fluid - ANSWER ANS: A, B, C, E
Electrolyte imbalances, especially a high-potassium level, valvular prolapse, heart
, damage after a heart
attack, and fluid overload are all potential causative factors for abnormal heart rhythms.
A properly
functioning SA node results in normal sinus rhythm.
Which statement(s) accurately describe(s) characteristics of normal sinus rhythm
(NSR)? (Select all that apply.)
a. One atrial contraction (P wave)
b. One ventricular contraction (QRS complex)
c. One T wave
d. Heart rate 60 to 100
e. P wave immediately follows the QRS complex - ANSWER ANS: A, B, C, D
The P wave precedes the QRS complex. All the other options are seen in NSR.
The nurse is performing an initial assessment on a new patient who has been admitted
with suspected rightsided heart failure. Which finding(s) is/are consistent with the
patient's potential diagnosis? (Select all that apply.)
a. Clammy skin
b. Splenomegaly
c. Abdominal distention
d. Wheezing
e. Dyspnea - ANSWER ANS: B, C, E
Signs and symptoms of rightsided CHF include fatigue, peripheral edema,
gastrointestinal congestion
and abdominal distention, ascites with liver congestion, splenomegaly, and dyspnea.
Clammy skin and
wheezing are symptoms of left-sided CHF.
The nurse is caring for a 60-year-old African American patient with hypertension. The
patient is obese and a smoker. Which modifiable risk factors place this patient at an
What type of nursing education program is conducted in junior and community colleges
that is nominally 2 years in length?
a. diploma program
b. baccalaureate program
c. associate degree program
d. professional nursing program - ANSWER c
The nurse in a skilled nursing facility is caring for an 80-year-old patient who develops
a productive cough with pink, frothy sputum. Which independent interventions should
the nurse
implement immediately? (Select all that apply.)
a. Limit the patient's activity.
b. Morphine is given
c. Lasix is given
d. Place the patient in high Fowler.
e. Weight daily - ANSWER ANS: A, D
Acute pulmonary edema (acute left ventricular failure) is a medical emergency that
necessitates urgent
treatment. The patient with this condition demonstrates severe dyspnea; a cough
productive of frothy, pinktinged
sputum; tachycardia; and moist, bubbling respirations with cyanosis. Nursing
interventions for acute
pulmonary edema include placing the patient in high Fowler position to relieve the
dyspnea;
administering oxygen, diuretics, morphine, and other prescribed drugs; limiting and
monitoring activity;
,and assessing cardiopulmonary status. Limiting activity and placing the patient in high
Fowler do not
require a physician's order and should be implemented immediately. Acute pulmonary
edema is a
medical emergency, and activity necessary to obtain a daily weight is not indicated at
this time.
Administering morphine and diuretics are dependent nursing interventions.
The nurse is teaching a patient about cardiomyopathy. The nurse includes information
for which condition(s) the patient is at risk for developing cardiomyopathy? (Select all
that apply.)
a. Systemic hypertension
b. Chronic excessive alcohol consumption
c. Pregnancy
d. Diabetes
e. Systemic infection - ANSWER ANS: A, B, C, E
Cardiomyopathy is a group of diseases that cause enlargement of the heart and
subsequent inefficient
pumping action. Risk factors include systemic hypertension, chronic alcohol
consumption, pregnancy,
and certain systemic infections. Diabetes is not considered a risk factor for
cardiomyopathy.
Which factor(s) is/are potential causative agents for arrhythmias? (Select all that
apply.)
a. Hyperkalemia
b. Valvular prolapse
c. Infarct damage
d. Properly functioning sinoatrial (SA) node
e. Excess fluid - ANSWER ANS: A, B, C, E
Electrolyte imbalances, especially a high-potassium level, valvular prolapse, heart
, damage after a heart
attack, and fluid overload are all potential causative factors for abnormal heart rhythms.
A properly
functioning SA node results in normal sinus rhythm.
Which statement(s) accurately describe(s) characteristics of normal sinus rhythm
(NSR)? (Select all that apply.)
a. One atrial contraction (P wave)
b. One ventricular contraction (QRS complex)
c. One T wave
d. Heart rate 60 to 100
e. P wave immediately follows the QRS complex - ANSWER ANS: A, B, C, D
The P wave precedes the QRS complex. All the other options are seen in NSR.
The nurse is performing an initial assessment on a new patient who has been admitted
with suspected rightsided heart failure. Which finding(s) is/are consistent with the
patient's potential diagnosis? (Select all that apply.)
a. Clammy skin
b. Splenomegaly
c. Abdominal distention
d. Wheezing
e. Dyspnea - ANSWER ANS: B, C, E
Signs and symptoms of rightsided CHF include fatigue, peripheral edema,
gastrointestinal congestion
and abdominal distention, ascites with liver congestion, splenomegaly, and dyspnea.
Clammy skin and
wheezing are symptoms of left-sided CHF.
The nurse is caring for a 60-year-old African American patient with hypertension. The
patient is obese and a smoker. Which modifiable risk factors place this patient at an
