CNUR 204 Practice Questions 2026 | Adult & Pediatric Nursing Study Guide

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CNUR 204 (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS
A+ UPDATED 2026




what are the layers of the heart wall - CORRECT ANSWER
pericardium, pericardial cavity, myocardium, endocardium


QUESTION : what are the infectious processes involving the heart wall -
CORRECT ANSWER endocarditis and pericarditis


QUESTION : if a heart valve has vegetation, what does that mean -
CORRECT ANSWER fibrin, WBC, platelets, or microbes stuck or
growing on the surface


QUESTION : what is IE stand for - CORRECT ANSWER infective
endocarditis


QUESTION : what are the common causes of endocarditis - CORRECT
ANSWER cocaine, artificial valve replacement, IVDU, intracardiac devices


QUESTION : what are important subjective questions to ask if you suspect
some has IE - CORRECT ANSWER have you had an infection recently,
strep throat? symptoms, SOB, symptoms associated with poor heart function,
did you have an symptoms prior to this current problem



2026 2027 GRADED A+

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QUESTION : what are the risk factors for endocarditis - CORRECT
ANSWER heart disease, prior IE, valve replacement, procedures when at
risk, intravascular devices


QUESTION : what are the signs of IE - CORRECT ANSWER cyanosis,
petechiae, and pain, symptoms of heart failure


QUESTION : why would someone have abdominal pain if they have IE -
CORRECT ANSWER the body protects the box resulting in the
intestines not having proper perfusion


QUESTION : why might a patient have symptoms of HF if they have IE -
CORRECT ANSWER the heart isn't being efficient, not allowing proper
filling time, so the heart is backing up


QUESTION : what would the nurse or the doctor order if they suspect IE -
CORRECT ANSWER echo, ecg, ESR, CRP, WBC differential, blood
culture


QUESTION : treatment for IE causes a risk for what - CORRECT ANSWER
CDiff and thrush because the intense antibiotics take out normal flora


QUESTION : what are the teaching points of IE - CORRECT ANSWER
recovery (let your body heal before you go back to work), relapse (if the risk
factors continue the problem will happen again), prevention (med compliance,
monitor and manage side effects, offer support groups where needed)




2026 2027 GRADED A+

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QUESTION : what does the pericardium do - CORRECT ANSWER
anchoring, lubrication, prevents over dilation during systole, reduces friction
and stops heart from getting too big


QUESTION : what is the most common cause of pericarditis - CORRECT
ANSWER TB


QUESTION : what will you see on assessment of a patient with pericarditis -
CORRECT ANSWER pain (patient won't want to take a deep breath,
may show signs of respiratory distress because of this)


QUESTION : what will you hear on assessment of a patient pericarditis -
CORRECT ANSWER friction rub


QUESTION : what diagnostics do you do if you suspect pericarditis -
CORRECT ANSWER chest xray, echo, labs (WBC differential, blood C&S,
ESR, CRP)


QUESTION : what is cardiac effusion - CORRECT ANSWER a build-up
of fluid (serous, purulent, blood) in the pericardium


QUESTION : when pericardial effusion increases and compresses the heart
what is this known as - CORRECT ANSWER cardiac tamponade


QUESTION : what will happen to the heart during cardiac tamponade -
CORRECT ANSWER stops beating because it has nowhere to go



2026 2027 GRADED A+

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QUESTION : what are assessment changes with cardiac tamponade -
CORRECT ANSWER chest pain, restlessness, tachycardia, tachypnea,
JVD, dyspnea, pulsus paridoxus


QUESTION : what is significant about the chest in cardiac tamponade -
CORRECT ANSWER it is not resolved with nitro


QUESTION : what is pulsus paridoxus - CORRECT ANSWER every time
you take a breath SBP drops (heart doesn't have the ability to expand and
contract


QUESTION : what is pericardiocentesis - CORRECT ANSWER
aspiration of fluid with a fine needle


QUESTION : what are the three steps to treat cardiac tamponade -
CORRECT ANSWER treat the cause (bacterial-antibiotics,
inflammatory-steroids), NSAID/ASA, pericardiocentesis


QUESTION : what happens in coronary artery disease that compromises blood
flow - CORRECT ANSWER atherosclerosis


QUESTION : what is homocysteine - CORRECT ANSWER protein from
red meat, increase cholesterol and our body needs to work harder to break it
down




2026 2027 GRADED A+