NSG 430 EXAM 2 QUESTIONS AND
ANSWERS 100% PASS 2026/2027
S/S of ADHF - ANS Fluid overload, SOB, fatigue
What can rheumatic heart disease result in ? - ANS Mitral valve stenosis
What happens in mitral valve stenosis? - ANS Stiff valave is unable to open sufficiently during
left atrial systole (ejection)
What is main symptom of mitral valve stenosis? - ANS Exertional dyspnea (shortness of
breath on exertion)
Why do you do prophylactic antibiotic therapy for mitral valve stenosis? - ANS Prevent
recurrent rheumatic fever and infective endocarditis
What drug do you teach benefits and side effects for in mitral valve stenosis ? - ANS ACE
inhibitors
Surgical therapy for mitral valve stenosis - ANS Valve replacement or valvuloplasty
2026/2027 ALLRIGHTS RESERVED 1
, What do you need to tell patients about after getting a valve replacement? - ANS Patient will
need to be on lifelong anticoagulant therapy because clots form more easily in artificial
replacement valves
What is pericarditis? - ANS inflammation of the pericardium
What does the pericardium do? - ANS Holds serious fluid and anchors and provides
lubrication to decrease friction between heart contractures
What is the most common cause of pericarditis? - ANS Infectious (viral & bacterial)
Main s/s of pericarditis - ANS Pericardial friction rub and fever
How do you assess pericardial friction rub? - ANS Auscultate on lower left sternal border
What s/s needs to be reported immediately with pericarditis? - ANS Jugular venous
distention to jaw level
What are other s/s of pericarditis? - ANS Progressive frequent severe, sharp chest pain
(worse when lying flat)
Drug treatment for pericarditis - ANS NSAIDs (usually indocin), antibiotics to treat bacterial,
and corticosteroids
What are two types of infective endocarditis? - ANS Acute and subacute
2026/2027 ALLRIGHTS RESERVED 2
ANSWERS 100% PASS 2026/2027
S/S of ADHF - ANS Fluid overload, SOB, fatigue
What can rheumatic heart disease result in ? - ANS Mitral valve stenosis
What happens in mitral valve stenosis? - ANS Stiff valave is unable to open sufficiently during
left atrial systole (ejection)
What is main symptom of mitral valve stenosis? - ANS Exertional dyspnea (shortness of
breath on exertion)
Why do you do prophylactic antibiotic therapy for mitral valve stenosis? - ANS Prevent
recurrent rheumatic fever and infective endocarditis
What drug do you teach benefits and side effects for in mitral valve stenosis ? - ANS ACE
inhibitors
Surgical therapy for mitral valve stenosis - ANS Valve replacement or valvuloplasty
2026/2027 ALLRIGHTS RESERVED 1
, What do you need to tell patients about after getting a valve replacement? - ANS Patient will
need to be on lifelong anticoagulant therapy because clots form more easily in artificial
replacement valves
What is pericarditis? - ANS inflammation of the pericardium
What does the pericardium do? - ANS Holds serious fluid and anchors and provides
lubrication to decrease friction between heart contractures
What is the most common cause of pericarditis? - ANS Infectious (viral & bacterial)
Main s/s of pericarditis - ANS Pericardial friction rub and fever
How do you assess pericardial friction rub? - ANS Auscultate on lower left sternal border
What s/s needs to be reported immediately with pericarditis? - ANS Jugular venous
distention to jaw level
What are other s/s of pericarditis? - ANS Progressive frequent severe, sharp chest pain
(worse when lying flat)
Drug treatment for pericarditis - ANS NSAIDs (usually indocin), antibiotics to treat bacterial,
and corticosteroids
What are two types of infective endocarditis? - ANS Acute and subacute
2026/2027 ALLRIGHTS RESERVED 2
