1|Page
NUR 213 Exam 4 (Averett University) NEWEST 2026/2027 EXAM
REVIEW | NUR 213 EXAM 4 PREP WITH 150 PRACTICE
QUESTIONS AND CORRECT ANSWERS
Which statement best differentiates cardiac afterload from cardiac
preload?
1. Cardiac afterload is the volume of blood in the heart at the end of
diastole.
2. Cardiac afterload is the amount of resistance that the ventricle must
overcome.
3. Cardiac afterload is the factor that affects cardiac output.
4. Cardiac afterload is the amount of blood that enters the right atrium.
2. Cardiac afterload is the amount of resistance that the ventricle must
overcome.
How is stage C heart failure different from other stages of heart failure,
according to the American College of Cardiology/American Heart
Association classification?
1. Clients will have unidentifiable structural or functional heart
abnormalities.
2. Clients may develop structural heart disease associated with heart
failure.
,2|Page
3. Clients may have current or prior symptoms of heart failure.
4. Clients may have advanced structural heart disease
3. Clients may have current or prior symptoms of heart failure.
Heart failure is classified into four different stages by the American
College of Cardiology/American Heart Association. In which way is the
condition of a client in stage B different from the condition of clients in
other stages?
1. The client in stage B is supported by a mechanical circulatory assist
device.
2. The client in stage B is undergoing treatment for prior symptoms of
heart failure.
3. The client in stage B has a history of previous myocardial infarction.
4. The client in stage B has diabetes mellitus and a family history of
cardiomyopathy.
3. The client in stage B has a history of previous myocardial infarction.
A middle-aged adult is diagnosed with Class III (moderate) heart failure.
In which way is Class III heart failure different from other classes of
heart failure in the client, according to the New York Association of
Classification of Heart Failure?
,3|Page
1. The client with Class III (moderate) heart failure will feel comfortable
with
ordinary physical activity.
2. The client with Class III (moderate) heart failure will feel fatigue and
palpitations but only with ordinary activity.
3. The client with Class III (moderate) heart failure will have fatigue,
palpitations, or dyspnea while doing less-than-normal physical
activities.
4. The client with Class III (moderate) heart failure will be unable to
carry out
physical activities comfortably.
3. The client with Class III (moderate) heart failure will have fatigue,
palpitations, or dyspnea while doing less-than-normal physical
activities.
In which manner does the heart function when a client is diagnosed
with heart failure?
1. The decrease in preload causes high blood volume, filling the
ventricle.
2. The ventricular muscle pumps out the excess blood.
3. The stroke volume decreases when the ventricle ejects its blood.
4. The contractility and stroke volume decrease.
4. The contractility and stroke volume decrease.
, 4|Page
The registered nurse is teaching nursing staff about ischemic
cardiomyopathy. Which statement made by one of the attending nurses
indicates effective learning?
1. "There is scarring of the heart muscle caused by coronary artery
insufficiency."
2. "There is enlargement and hypertrophy of the left or right ventricles."
3. "It is a disorder that restricts the ventricle's ability to fully expand."
4. "It is a genetic predisposition for the muscular enlargement of the
interventricular septal wall."
1. "There is scarring of the heart muscle caused by coronary artery
insufficiency."
In which way does the nurse define oncotic pressure?
1. A pressure reading within the inferior vena cava
2. A force that attempts to pull fluid from the interstitial and
intracellular spaces
3. A force that attempts to push fluid out of the capillary pores into
interstitial and intracellular spaces
NUR 213 Exam 4 (Averett University) NEWEST 2026/2027 EXAM
REVIEW | NUR 213 EXAM 4 PREP WITH 150 PRACTICE
QUESTIONS AND CORRECT ANSWERS
Which statement best differentiates cardiac afterload from cardiac
preload?
1. Cardiac afterload is the volume of blood in the heart at the end of
diastole.
2. Cardiac afterload is the amount of resistance that the ventricle must
overcome.
3. Cardiac afterload is the factor that affects cardiac output.
4. Cardiac afterload is the amount of blood that enters the right atrium.
2. Cardiac afterload is the amount of resistance that the ventricle must
overcome.
How is stage C heart failure different from other stages of heart failure,
according to the American College of Cardiology/American Heart
Association classification?
1. Clients will have unidentifiable structural or functional heart
abnormalities.
2. Clients may develop structural heart disease associated with heart
failure.
,2|Page
3. Clients may have current or prior symptoms of heart failure.
4. Clients may have advanced structural heart disease
3. Clients may have current or prior symptoms of heart failure.
Heart failure is classified into four different stages by the American
College of Cardiology/American Heart Association. In which way is the
condition of a client in stage B different from the condition of clients in
other stages?
1. The client in stage B is supported by a mechanical circulatory assist
device.
2. The client in stage B is undergoing treatment for prior symptoms of
heart failure.
3. The client in stage B has a history of previous myocardial infarction.
4. The client in stage B has diabetes mellitus and a family history of
cardiomyopathy.
3. The client in stage B has a history of previous myocardial infarction.
A middle-aged adult is diagnosed with Class III (moderate) heart failure.
In which way is Class III heart failure different from other classes of
heart failure in the client, according to the New York Association of
Classification of Heart Failure?
,3|Page
1. The client with Class III (moderate) heart failure will feel comfortable
with
ordinary physical activity.
2. The client with Class III (moderate) heart failure will feel fatigue and
palpitations but only with ordinary activity.
3. The client with Class III (moderate) heart failure will have fatigue,
palpitations, or dyspnea while doing less-than-normal physical
activities.
4. The client with Class III (moderate) heart failure will be unable to
carry out
physical activities comfortably.
3. The client with Class III (moderate) heart failure will have fatigue,
palpitations, or dyspnea while doing less-than-normal physical
activities.
In which manner does the heart function when a client is diagnosed
with heart failure?
1. The decrease in preload causes high blood volume, filling the
ventricle.
2. The ventricular muscle pumps out the excess blood.
3. The stroke volume decreases when the ventricle ejects its blood.
4. The contractility and stroke volume decrease.
4. The contractility and stroke volume decrease.
, 4|Page
The registered nurse is teaching nursing staff about ischemic
cardiomyopathy. Which statement made by one of the attending nurses
indicates effective learning?
1. "There is scarring of the heart muscle caused by coronary artery
insufficiency."
2. "There is enlargement and hypertrophy of the left or right ventricles."
3. "It is a disorder that restricts the ventricle's ability to fully expand."
4. "It is a genetic predisposition for the muscular enlargement of the
interventricular septal wall."
1. "There is scarring of the heart muscle caused by coronary artery
insufficiency."
In which way does the nurse define oncotic pressure?
1. A pressure reading within the inferior vena cava
2. A force that attempts to pull fluid from the interstitial and
intracellular spaces
3. A force that attempts to push fluid out of the capillary pores into
interstitial and intracellular spaces
