Minnesota School Of Business
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NURSING 302 CHF Simulation: Preparation Questions. 1. List the risk factors for chronic left-sided heart failure related to coronary artery 
disease. 
Non-modifiable risk factors include increasing age, gender (men more than women until 
age 65), ethnicity, genetic predisposition and family history of heart disease. Modifiable risk 
factors are hypertension, elevated serum lipids, tobacco use, physical inactivity, psychologic 
state, obesity, diabetes. 
2. Explain the cause of the compensations...
NURSING 302 CHF Simulation: Preparation Questions. 1. List the risk factors for chronic left-sided heart failure related to 
coronary artery disease. 
The risk factors are hypertension, diabetes, elevated lipids, tobacco use, and obesity. 
2. Explain the cause of the compensations for chronic heart failure. 
Question is confusing and the answer based on the words written is chronic heart 
failure. Chronic heart failure causes decreases in blood flow or ineffective blood flow 
mechanisms. These s...
NURSING 302 CHF Simulation: Preparation Questions 2022. 1. List the risk factors for chronic left-sided heart failure related to 
coronary artery disease. 
The risk factors are hypertension, diabetes, elevated lipids, tobacco use, and obesity. 
2. Explain the cause of the compensations for chronic heart failure. 
Question is confusing and the answer based on the words written is chronic heart 
failure. Chronic heart failure causes decreases in blood flow or ineffective blood flow 
mechanisms. Th...
1. A patient is having complications from abdominal surgery and remains NPO. Because enteral 
tube feedings are not possible, the decision is to initiate parenteral feedings. What are the 
major complications for this therapy? 
a. Aspiration pneumonia and sepsis 
b. Fluid and electrolyte imbalances and sepsis 
c. Fluid overload and pulmonary edema 
d. Hypoglycemia and renal insufficiency 
ANS: B 
Because of the high dextrose concentration, including the fluid and electrolyte content, the 
patien...
1. A patient who is undergoing withdrawal of mechanical ventilation appears anxious and 
agitated. The patient is on a continuous morphine infusion and has an additional order for 
lorazepam (Ativan) 1 to 2 mg IV as needed (prn). The patient has received no lorazepam 
(Ativan) during this course of illness. What is the most appropriate nursing intervention to 
control agitation? 
a. Administer fentanyl (Duragesic) 25 mg IV bolus. 
b. Administer lorazepam (Ativan) 1 mg IV now. 
c. Increase the ra...
1. The nurse admits a patient to the critical care unit following a motorcycle crash. Assessment 
findings by the nurse include blood pressure 100/50 mm Hg, heart rate 58 beats/min, 
respiratory rate 30 breaths/min, and temperature of 100.5°. The patient is lethargic, responds 
to voice but falls asleep readily when not stimulated. Which nursing action is most important 
to include in this patient’s plan of care? 
a. Frequent neurological assessments 
b. Side to side position changes 
c. Rang...
1. The patient is admitted with a suspected acute myocardial infarction (MI). In assessing the 12- 
lead electrocardiogram (ECG) changes, which findings would indicate to the nurse that the 
patient is in the process of an evolving Q wave myocardial infarction(MI)? 
a. ST-segment elevation on ECG and elevated CPK-MB or troponin levels 
b. Depressed ST-segment on ECG and elevated total CPK 
c. Depressed ST-segment on ECG and normal cardiac enzymes 
d. Q wave on ECG with normal enzymes and troponi...
1. The nurse is caring for a patient admitted with hypovolemic shock. The nurse palpates thready 
brachial pulses but is unable to auscultate a blood pressure. What is the best nursing action? 
a. Assess the blood pressure by Doppler. 
b. Estimate the systolic pressure as 60 mm Hg. 
c. Obtain an electronic blood pressure monitor. 
d. Record the blood pressure as “not assessable.” 
ANS: A 
Auscultated blood pressures in shock may be significantly inaccurate due to vasoconstriction. 
If blood ...
1. The nurse chooses which method and concentration of oxygen administration until intubation 
is established in a patient who has sustained a cardiopulmonary arrest? 
a. Bag-valve-mask at FiO2 of 100% 
b. Bag-valve-mask at FiO2 of 50% 
c. Mouth-to-mask ventilation with supplemental oxygen 
d. Non-rebreather mask at FiO2 of 100% 
ANS: A 
Oxygen can be delivered via mouth to mask or with a bag-valve device connected to a mask 
or endotracheal tube. During resuscitation efforts, 100% oxygen is adm...
1. A patient has coronary artery bypass graft surgery and is transported to the surgical intensive 
care unit at noon. He is placed on mechanical ventilation. Interpret his initial arterial blood gas 
levels: 
pH 7.31 
PaCO2 48 mm Hg 
Bicarbonate 22 mEq/L 
PaO2 115 mm Hg 
O2 saturation 99% 
a. Normal arterial blood gas levels with a high oxygen level 
b. Partly compensated respiratory acidosis, normal oxygen 
c. Uncompensated metabolic acidosis with high oxygen levels 
d. Uncompensated respirato...