NR507 Midterm Exam 2023 - NR 507
Week 4...lain College Of Nursing(VERSION
A), Exams of Nursing (success!!!)
Which of the following diagnostic tests are used to confirm coronary artery
disease (CAD)? Select all that apply.
Cardiac catheterization
Chest radiograph
Orthostatic blood pressures
Treadmill exercise stress test
ST elevation on an electrocardiogram<<<answer>>>Cardiac catheterization &
Treadmill exercise stress test
An individual who is at risk for coronary artery disease may be prescribed which
diagnostic tests? Select all that apply.
Stress test
Chest X-ray
Echocardiogram
Lipid profile
,Electrocardiogram<<<answer>>>ALL
S/S of left sided heart failure<<<answer>>>Pulmonary congestion, orthopnea,
hemoptasis
S/S of right sided heart failure<<<answer>>>Anorexia, peripheral edema, JVD,
hepatomegaly
S/S of systolic HF<<<answer>>>reduced EF <40%, L vent hypertrophy, pull
congestion with cardiomegaly, S3 gallop
S/S of diastolic HF<<<answer>>>reduced EF >50%, decreased LV size, pull
congestion without cardiomegaly on CXR, S4 gallop
Tricuspid Valve<<<answer>>>o Located between the right atrium and right
ventricle
o Consists of three leaflets
o During ventricular contraction, the tricuspid valve shuts to stop retrograde blood
flow into the right atrium
Aortic Valve<<<answer>>>o Located between the left ventricle and body
o Semilunar valve has three cusps that open when the ventricles contract
o During ventricular contraction, the aortic valve opens, allowing flow of blood to
the body
,Bicuspid (Mitral) Valve<<<answer>>>o Located between the left atrium and left
ventricle
o Consists of two leaflets
o During ventricular contraction, the mitral valve shuts to stop retrograde blood
flow into the left atrium
Pulmonary Valve<<<answer>>>o Located between the right ventricle and
pulmonary artery
o Semilunar valve has three cusps that open when the ventricles contract
o During ventricular contraction, the pulmonic valve opens, allowing flow of blood
into the pulmonary artery
Aortic valave stenosis causes<<<answer>>>Rheumatic heart disease, congenital
development or calcification
Mitral valve stenosis causes<<<answer>>>valvular damage from infections and
degenerative changes caused by calcium buildup
S/S aortic stenosis<<<answer>>>exertional dyspnea, chest pain resembling
angina, dizziness, or episodes of syncope, especially during physical activity,harsh,
systolic ejection murmur best heard at the right upper sternal border, which may
radiate to the neck, may have narrow pulse pressure
S/S mitral stenosis<<<answer>>>A diastolic murmur at the fifth intercostal left
midclavicular space, fatigue, shortness of breath, particularly with exertion or
when lying flat (orthopnea), episodes of palpitations, and a history of rheumatic
fever (or streptococcal infection).
, Mitral valve prolapse (MVP) dx and tx<<<answer>>>dx with echo, click on
auscultation
tx with BB for CP and palpitations, may need valve repair or replacement
Which of the following best describes mitral regurgitation?
Uneven closure of the valve flaps
Calcification of the leaflet edges
Retrograde flow through the valve
Narrowing of the valve limiting forward flow<<<answer>>>Retrograde flow
through the valve
Which of the following is the most common cause of mitral stenosis?
Congenital bicuspid valve
Chordae tendineae damage after myocardial infarction
Untreated streptococcal infection
Calcification of the leaflets<<<answer>>>Untreated streptococcal infection
Which of the following are the most common causes of aortic stenosis? Select all
that apply.
Insulin resistance
Week 4...lain College Of Nursing(VERSION
A), Exams of Nursing (success!!!)
Which of the following diagnostic tests are used to confirm coronary artery
disease (CAD)? Select all that apply.
Cardiac catheterization
Chest radiograph
Orthostatic blood pressures
Treadmill exercise stress test
ST elevation on an electrocardiogram<<<answer>>>Cardiac catheterization &
Treadmill exercise stress test
An individual who is at risk for coronary artery disease may be prescribed which
diagnostic tests? Select all that apply.
Stress test
Chest X-ray
Echocardiogram
Lipid profile
,Electrocardiogram<<<answer>>>ALL
S/S of left sided heart failure<<<answer>>>Pulmonary congestion, orthopnea,
hemoptasis
S/S of right sided heart failure<<<answer>>>Anorexia, peripheral edema, JVD,
hepatomegaly
S/S of systolic HF<<<answer>>>reduced EF <40%, L vent hypertrophy, pull
congestion with cardiomegaly, S3 gallop
S/S of diastolic HF<<<answer>>>reduced EF >50%, decreased LV size, pull
congestion without cardiomegaly on CXR, S4 gallop
Tricuspid Valve<<<answer>>>o Located between the right atrium and right
ventricle
o Consists of three leaflets
o During ventricular contraction, the tricuspid valve shuts to stop retrograde blood
flow into the right atrium
Aortic Valve<<<answer>>>o Located between the left ventricle and body
o Semilunar valve has three cusps that open when the ventricles contract
o During ventricular contraction, the aortic valve opens, allowing flow of blood to
the body
,Bicuspid (Mitral) Valve<<<answer>>>o Located between the left atrium and left
ventricle
o Consists of two leaflets
o During ventricular contraction, the mitral valve shuts to stop retrograde blood
flow into the left atrium
Pulmonary Valve<<<answer>>>o Located between the right ventricle and
pulmonary artery
o Semilunar valve has three cusps that open when the ventricles contract
o During ventricular contraction, the pulmonic valve opens, allowing flow of blood
into the pulmonary artery
Aortic valave stenosis causes<<<answer>>>Rheumatic heart disease, congenital
development or calcification
Mitral valve stenosis causes<<<answer>>>valvular damage from infections and
degenerative changes caused by calcium buildup
S/S aortic stenosis<<<answer>>>exertional dyspnea, chest pain resembling
angina, dizziness, or episodes of syncope, especially during physical activity,harsh,
systolic ejection murmur best heard at the right upper sternal border, which may
radiate to the neck, may have narrow pulse pressure
S/S mitral stenosis<<<answer>>>A diastolic murmur at the fifth intercostal left
midclavicular space, fatigue, shortness of breath, particularly with exertion or
when lying flat (orthopnea), episodes of palpitations, and a history of rheumatic
fever (or streptococcal infection).
, Mitral valve prolapse (MVP) dx and tx<<<answer>>>dx with echo, click on
auscultation
tx with BB for CP and palpitations, may need valve repair or replacement
Which of the following best describes mitral regurgitation?
Uneven closure of the valve flaps
Calcification of the leaflet edges
Retrograde flow through the valve
Narrowing of the valve limiting forward flow<<<answer>>>Retrograde flow
through the valve
Which of the following is the most common cause of mitral stenosis?
Congenital bicuspid valve
Chordae tendineae damage after myocardial infarction
Untreated streptococcal infection
Calcification of the leaflets<<<answer>>>Untreated streptococcal infection
Which of the following are the most common causes of aortic stenosis? Select all
that apply.
Insulin resistance
