MDC 3 FINAL EXAM EXAM SCRIPT 2026
COMPLETE EXAM Q AND A GRADED A+
◉ S/S of left sided heart failure. Answer: -Restlessness
-Confusion
-Orthopnea
-Exertional Dyspnea
-Cyanosis
-Blood tinged sputum
-wheezes
-Crackles
-Cough
-Elevated pulmonary capillary wedge pressure
-Nocturnal Dyspnea
◉ Right sided heart failure. Answer: -Fatigue
-Distended jugular veins
-Anorexia (GI distress)
-Hand and feet swelling
-Dependent edema
-Enlarged Liver and spleen
,-Ascites
-Increased peripheral venous pressure
◉ Discharge teaching for Heart Failure. Answer: Diet, activity,
medications, weight monitoring, Fluids, Exercise, Smoking cessation,
Prevent complications, signs of complications
◉ Diagnostic teaching for Heart failure. Answer: -Echocardiogram to
determine how well the heart is pumping,
-Lab test like electrolyte panel, H&H, BNP (elevated means heart
failure), Urinalysis, and ABG for signs of hypoxemia
-Chest X-Rays
◉ Lifestyle changed for Heart failure. Answer: -Exercise to improve
efficiency and strength of cardiac muscle
-helps lose weight,
-Decreases hypertension and atherosclerosis
◉ Nutrition therapy/assessment for Heart failure. Answer: -Reduce
sodium to help reduce BP
-Might need to restrict fluids so monitor I&O's
- Daily weight on the same scale at the same time (Can be delegated)
, ◉ Other treatment options for Heart failure. Answer: -CPAP for left-
side failure
-HEART transplant
-VAD
◉ Medications for Heart failure. Answer: -Ace & Arbs
-Diuretics (volume reduction
-Vasodilators
-Digoxin
-Beta Blockers
◉ Post op care for heart transplant. Answer: -Closely monitor for
dysrhythmias
-Monitor for complication
-Prevent infections
-Prevent rejection
◉ Hemochromatosis S/S. Answer: -Abdominal pain
-Liver enlargement first effected
-Hyperglycemia
-Gradual darkening of the skin
COMPLETE EXAM Q AND A GRADED A+
◉ S/S of left sided heart failure. Answer: -Restlessness
-Confusion
-Orthopnea
-Exertional Dyspnea
-Cyanosis
-Blood tinged sputum
-wheezes
-Crackles
-Cough
-Elevated pulmonary capillary wedge pressure
-Nocturnal Dyspnea
◉ Right sided heart failure. Answer: -Fatigue
-Distended jugular veins
-Anorexia (GI distress)
-Hand and feet swelling
-Dependent edema
-Enlarged Liver and spleen
,-Ascites
-Increased peripheral venous pressure
◉ Discharge teaching for Heart Failure. Answer: Diet, activity,
medications, weight monitoring, Fluids, Exercise, Smoking cessation,
Prevent complications, signs of complications
◉ Diagnostic teaching for Heart failure. Answer: -Echocardiogram to
determine how well the heart is pumping,
-Lab test like electrolyte panel, H&H, BNP (elevated means heart
failure), Urinalysis, and ABG for signs of hypoxemia
-Chest X-Rays
◉ Lifestyle changed for Heart failure. Answer: -Exercise to improve
efficiency and strength of cardiac muscle
-helps lose weight,
-Decreases hypertension and atherosclerosis
◉ Nutrition therapy/assessment for Heart failure. Answer: -Reduce
sodium to help reduce BP
-Might need to restrict fluids so monitor I&O's
- Daily weight on the same scale at the same time (Can be delegated)
, ◉ Other treatment options for Heart failure. Answer: -CPAP for left-
side failure
-HEART transplant
-VAD
◉ Medications for Heart failure. Answer: -Ace & Arbs
-Diuretics (volume reduction
-Vasodilators
-Digoxin
-Beta Blockers
◉ Post op care for heart transplant. Answer: -Closely monitor for
dysrhythmias
-Monitor for complication
-Prevent infections
-Prevent rejection
◉ Hemochromatosis S/S. Answer: -Abdominal pain
-Liver enlargement first effected
-Hyperglycemia
-Gradual darkening of the skin
