NUR 6111 Liam Fitzgerald Shadow Health
Telehealth Follow Up Sick Visit:
Management of Cardiovascular Conditions
Results Turned In | 2026 Update with
complete solutions .
1. A 64-year-old man’s ECG shows a finding. Heart failure (HF) pathophysiology is
characterized by:
D. Inadequate cardiac output to meet oxygen and metabolic demands of the
body. HF is a clinical syndrome where the heart cannot pump enough blood to meet
systemic needs .
2. A leading cause of heart failure is:
A. Hypertensive heart disease. Chronic hypertension increases cardiac workload,
leading to ventricular hypertrophy and eventual failure .
3. Mr. Fitzgerald’s primary diagnosis is:
, Fluid volume overload with a secondary diagnosis of acute on chronic congestive heart
failure (CHF) with diastolic dysfunction. Evidence includes weight gain, pitting edema,
fatigue, and increased sodium intake .
4. The condition involving sudden shortness of breath after 2-3 hours of sleep,
causing awakening and severe anxiety, is:
D. Paroxysmal nocturnal dyspnea. This occurs when fluid redistributes to the lungs
while lying flat .
🔍 Physical Assessment & Diagnostics
5. In a patient with HF and tachycardia, an extra heart sound early in diastole is
most likely:
B. S3. This "gallop" indicates rapid ventricular filling and is a hallmark of volume
overload .
6. In a patient with dilated cardiomyopathy and HF, you expect all EXCEPT:
C. Point of maximal impulse at the fifth intercostal space, mid-clavicular line. In
dilated cardiomyopathy, the PMI shifts laterally due to heart enlargement .
7. In patients with heart failure, the point of maximum impulse (PMI) usually:
D. Shifts laterally by one or more intercostal spaces. This indicates cardiomegaly .
8. Match the mechanism to the condition:
Pneumonia: B. Increased right-sided heart workload
Anemia: C. Decreased oxygen-carrying blood capacity
, High sodium intake: A. Increase in circulating volume of blood
These factors can all exacerbate or contribute to HF .
9. Match the term to its cardiac impact:
Inotropic: C. Force of the cardiac contraction
Chronotropic: A. Cardiac rate
Dromotropic: B. Cardiac conduction
Understanding these terms is key to managing HF therapies .
💊 Pharmacological Management
10. The rationale for using beta-blocker therapy in HF is to:
B. Reduce the effects of circulating catecholamines. This decreases myocardial
oxygen demand and prevents remodeling .
11. An ECG finding in a patient taking a therapeutic dose of digoxin typically
includes:
B. Slightly depressed, cupped ST segments. This is the characteristic "scooping" effect
of digoxin, not a sign of toxicity .
12. A potential adverse effect of ACE inhibitors when used with spironolactone
therapy is:
B. Hyperkalemia. Both drugs increase potassium levels; combined use requires close
monitoring .
Telehealth Follow Up Sick Visit:
Management of Cardiovascular Conditions
Results Turned In | 2026 Update with
complete solutions .
1. A 64-year-old man’s ECG shows a finding. Heart failure (HF) pathophysiology is
characterized by:
D. Inadequate cardiac output to meet oxygen and metabolic demands of the
body. HF is a clinical syndrome where the heart cannot pump enough blood to meet
systemic needs .
2. A leading cause of heart failure is:
A. Hypertensive heart disease. Chronic hypertension increases cardiac workload,
leading to ventricular hypertrophy and eventual failure .
3. Mr. Fitzgerald’s primary diagnosis is:
, Fluid volume overload with a secondary diagnosis of acute on chronic congestive heart
failure (CHF) with diastolic dysfunction. Evidence includes weight gain, pitting edema,
fatigue, and increased sodium intake .
4. The condition involving sudden shortness of breath after 2-3 hours of sleep,
causing awakening and severe anxiety, is:
D. Paroxysmal nocturnal dyspnea. This occurs when fluid redistributes to the lungs
while lying flat .
🔍 Physical Assessment & Diagnostics
5. In a patient with HF and tachycardia, an extra heart sound early in diastole is
most likely:
B. S3. This "gallop" indicates rapid ventricular filling and is a hallmark of volume
overload .
6. In a patient with dilated cardiomyopathy and HF, you expect all EXCEPT:
C. Point of maximal impulse at the fifth intercostal space, mid-clavicular line. In
dilated cardiomyopathy, the PMI shifts laterally due to heart enlargement .
7. In patients with heart failure, the point of maximum impulse (PMI) usually:
D. Shifts laterally by one or more intercostal spaces. This indicates cardiomegaly .
8. Match the mechanism to the condition:
Pneumonia: B. Increased right-sided heart workload
Anemia: C. Decreased oxygen-carrying blood capacity
, High sodium intake: A. Increase in circulating volume of blood
These factors can all exacerbate or contribute to HF .
9. Match the term to its cardiac impact:
Inotropic: C. Force of the cardiac contraction
Chronotropic: A. Cardiac rate
Dromotropic: B. Cardiac conduction
Understanding these terms is key to managing HF therapies .
💊 Pharmacological Management
10. The rationale for using beta-blocker therapy in HF is to:
B. Reduce the effects of circulating catecholamines. This decreases myocardial
oxygen demand and prevents remodeling .
11. An ECG finding in a patient taking a therapeutic dose of digoxin typically
includes:
B. Slightly depressed, cupped ST segments. This is the characteristic "scooping" effect
of digoxin, not a sign of toxicity .
12. A potential adverse effect of ACE inhibitors when used with spironolactone
therapy is:
B. Hyperkalemia. Both drugs increase potassium levels; combined use requires close
monitoring .
