NUR 504 LATEST EXAM 1 WITH ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS RATED A+
Abdominal Aortic Aneurysm (AAA) Correct Answer Commonly
asymptomatic and frequently rupture
Pain is gnawing quality, unaffected by movement, lasts
hours/days
Abdominal, flank, back pain
DO NOT PALPATE THE MASS, RISK FOR RUPTURE
Check pulses distal to site, Cap refill, temperature, color
S/S of rupture of aneurysm Correct Answer Assess for severe
pain of sudden onset in the back or lower abdomen à may radiate
to groin buttocks or legs.
s/s of rupture: (hypovolemic shock)
•hypotension
•diaphoresis
•decreased LOC
•Oliguria
,•Loss of pulses distal to rupture
•Dysrhythmias
lack of oxygenated blood to brain (decreased LOC), kidneys will
not make enough urine (30 cc/hr) → decreased output
Thoracic Aneurysm Correct Answer Asymptotic but found by
accident
Back Pain, dyspnea, hoarseness, difficulty swallowing
Rupture → sudden back or chest pain
•Assess for signs of rupture
•Blood pressure control
•Frequent focused perfusion assessment
•Specifically blood pressure, pulses, and peripheral circulation
Check pulses → distal pulses
Aortic Dissection Correct Answer EMERGENCY SITUATION,
sudden tear in tissue
HTN is a big cause
Sharp, ripping, tearing, stabbing pain
N/V, impending doom feeling
Start with HTN, then go into low BP
,Call for help, then give fluids/blood
endocarditis Correct Answer Most common cause is infection in
the valves
When blood stops → clots and infection risk (valves)
IVDA → IV drugs can cause the infections
New cardiac murmur from valve impairment
Systemic embolization → very small clots that clog smaller
vessels
Petechiae on the skin !!!!!!!!!
Patients can go home with a PICC, for IV antibiotics
S/S → Development of Heart Failure, Fever, chills, night sweats,
malaise and fatigue, anorexia and weight loss, Cardiac murmur,
Systemic embolization-clots break loose and travel randomly
through the systemic system leading to occlusion of smaller
vessels
Endocarditis Interventions Correct Answer •Utilization of aseptic
techniques
•Focused cardiovascular assessment
•Energy conservation - rest periods
•Anti-embolic stockings
•Monitor for signs of heart failure
, Frequent assessment of mental status
•IV antibiotics x4-6 weeks
•Central IV catheter care w/ aseptic technique
•Monitor for sign & symptoms of reoccurring or worsening
infection
•Dental care (directly affects the heart, bacteria can go to the
heart from mouth)
•Sign & Symptoms of embolic conditions and heart failure.
myocarditis Correct Answer Most common cause is Viral diseases
Heart muscles cannot work properly, the ability to pump blood
Fluid is going to back up into body and lungs
S/S → Dyspnea, Orthopnea, Leg swelling, Palpitations, Syncope
•Focused CV assessment
•Hemodynamic monitoring
•Strict I& O
•Cluster care/bedrest
•Cardiac diet
EXAM QUESTIONS AND CORRECT
ANSWERS RATED A+
Abdominal Aortic Aneurysm (AAA) Correct Answer Commonly
asymptomatic and frequently rupture
Pain is gnawing quality, unaffected by movement, lasts
hours/days
Abdominal, flank, back pain
DO NOT PALPATE THE MASS, RISK FOR RUPTURE
Check pulses distal to site, Cap refill, temperature, color
S/S of rupture of aneurysm Correct Answer Assess for severe
pain of sudden onset in the back or lower abdomen à may radiate
to groin buttocks or legs.
s/s of rupture: (hypovolemic shock)
•hypotension
•diaphoresis
•decreased LOC
•Oliguria
,•Loss of pulses distal to rupture
•Dysrhythmias
lack of oxygenated blood to brain (decreased LOC), kidneys will
not make enough urine (30 cc/hr) → decreased output
Thoracic Aneurysm Correct Answer Asymptotic but found by
accident
Back Pain, dyspnea, hoarseness, difficulty swallowing
Rupture → sudden back or chest pain
•Assess for signs of rupture
•Blood pressure control
•Frequent focused perfusion assessment
•Specifically blood pressure, pulses, and peripheral circulation
Check pulses → distal pulses
Aortic Dissection Correct Answer EMERGENCY SITUATION,
sudden tear in tissue
HTN is a big cause
Sharp, ripping, tearing, stabbing pain
N/V, impending doom feeling
Start with HTN, then go into low BP
,Call for help, then give fluids/blood
endocarditis Correct Answer Most common cause is infection in
the valves
When blood stops → clots and infection risk (valves)
IVDA → IV drugs can cause the infections
New cardiac murmur from valve impairment
Systemic embolization → very small clots that clog smaller
vessels
Petechiae on the skin !!!!!!!!!
Patients can go home with a PICC, for IV antibiotics
S/S → Development of Heart Failure, Fever, chills, night sweats,
malaise and fatigue, anorexia and weight loss, Cardiac murmur,
Systemic embolization-clots break loose and travel randomly
through the systemic system leading to occlusion of smaller
vessels
Endocarditis Interventions Correct Answer •Utilization of aseptic
techniques
•Focused cardiovascular assessment
•Energy conservation - rest periods
•Anti-embolic stockings
•Monitor for signs of heart failure
, Frequent assessment of mental status
•IV antibiotics x4-6 weeks
•Central IV catheter care w/ aseptic technique
•Monitor for sign & symptoms of reoccurring or worsening
infection
•Dental care (directly affects the heart, bacteria can go to the
heart from mouth)
•Sign & Symptoms of embolic conditions and heart failure.
myocarditis Correct Answer Most common cause is Viral diseases
Heart muscles cannot work properly, the ability to pump blood
Fluid is going to back up into body and lungs
S/S → Dyspnea, Orthopnea, Leg swelling, Palpitations, Syncope
•Focused CV assessment
•Hemodynamic monitoring
•Strict I& O
•Cluster care/bedrest
•Cardiac diet
