NUR 631 FINAL EXAM WITH COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS - GCU | 100%
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MULTIPLE CHOICES
Which of the following statements best describes Raynaud disease?
a. An inflammatory disorder of small and medium-size arteries in the feet and sometimes in the hands
b. A neoplastic disorder of the lining of the arteries and veins of the upper extremities
c. A vasospastic disorder of the small arteries and arterioles of the fingers, and less commonly, the toes
d. An autoimmune disorder of the large arteries and veins of the upper and lower extremities - ANS c. A
vasospastic disorder of the small arteries and arterioles of the fingers, and less commonly, the toes
A patient is diagnosed with pulmonary disease and elevated pulmonary vascular resistance. Which of the following
heart failures may result from this condition?
Page | 1
,a. Right heart failure
b. Left heart failure
c. Low-output failure
d. High-output failure - ANS a. Right heart failure
Exp: Right heart failure is defined as the inability of the right ventricle to provide adequate blood flow into the
pulmonary circulation at a normal central venous pressure. It most often results from the left heart failure when the
increase in left ventricular filling pressure that is reflected back into the pulmonary circulation is severe enough. As
pressure in the pulmonary circulation rises, the resistance to right ventricular emptying increases.
What physical sign is the result of turbulent blood flow through a vessel?
a. Increased blood pressure during periods of stress
b. Bounding pulse felt on palpation
c. Cyanosis observed on excretion
d. Murmur heard on auscultation - ANS d. Murmur heard on auscultation
Exp: Where flow is obstructed the vessel turns or blood flows over rough surfaces. The flow becomes turbulent with
whorls or eddy currents that produce noise causing a murmur to be heard on auscultation such as occurs during
blood pressure measurement with a sphygomanometer. This selection is the only option that accurately identifies the
physical sign of turbulent vascular blood flow. pg 1113
Removal of part of the liver leads to the remaining liver cells undergoing compensatory - ANS Compensatory
hyperplasia is an adaptive mechanism that enables certain organs to regenerate. For example, the removal of part of
the liver leads to hyperplasia of the remaining liver cells (hepatocytes) to compensate for the loss.
Which congenital heart defects occur in trisomy 13, trisomy 18 and down syndrome?
a. Coarctation of the aorta and pulmonary stenosis
b. Tetralogy of Fallot and persistent truncus arteriosus
c. Atrial septal defect and dextrocardia
d. Ventricular septal defect and patent ductus arteriosus - ANS d. Ventricular septal defect and patent ductus
arteriosus
Page | 2
,Exp: Congenital heart defects that are related to dysfunction of trisomy 13, trisomy 18 and down syndrome include
VSD and PDA see Table 33-2 The other defects are not associated with dysfunction of trisomy 13 or 17 and down
syndrome. pg 1200
An infant has a continuous machine/type murmur best heard at the left upper sternal border throughout systole and
diastole as well as a bounding pulse and a thrill on palpation. These clinical findings are consistent with which
congenital heart defect?
a. Atrial septal defect
b. Ventricular septal defect
c. Patent ductus arteriosus
d. Atrioventricular canal defect - ANS c. Patent ductus arteriosus
Exp: If pulmonary vascular resistance has fallen then infants with will characteristically have a continuous
machine/type murmur best heard at the left upper sternal border throughout systole and diastole. If the PDA is
significant then the infant also will have bounding pulses an active precordium, a thrill on palpation and signs and
symptoms of pulmonary over circulation. The presentations of the other congenital heart defects are not consistent
with the described the symptoms pages 1203-1204
Which compensatory mechanism is spontaneously used by children diagnosed with tetralogy of Fallot to relieve
hypoxic spells?
a. Lying on their left side
b. Performing the valsalva maneuver
c. Squatting
d. hyperventilating - ANS c. Squatting
Exp: squatting is a spontaneous compensatory mechanism used by older children to alleviate hypoxic spells.
Squatting and its variants increase systemic resistance while decreasing venous return to the heart from the inferior
vena cava. The other options would not result in these changes. pg 1209
An infant diagnosed with a small patent ductus arteriosus would likely exhibit which symptom?
a. Intermittent murmur
b. Lack of symptoms
c. Need for surgical repair
d. Triad of congenital defects - ANS b. Lack of symptoms
Page | 3
, Exp: Infants with a small PDA usually remain asymptomatic. page 1203-1204
Fluid in the pleural space characterizes which condition?
a. Pleural effusion
b. Atelectasis
c. Bronchiectasis
d. Ischemia - ANS a. Pleural Effusion
Exp: Pleural effusion is the presence of fluid in the pleural space. page1254
Which medication classification is generally included in the treatment of silicosis?
a. Corticosteroids
b. Antiboitics
c. Bronchodilators
d. Expectorants - ANS a. Corticosteroids
Exp: No specific treatment exists for silicosis, although corticosteroids may produce some improvement in the early,
more acute stages. page 1259
The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born between how
many weeks of gestation?
a. 16 and 24
b. 20 and 24
c. 24 and 30
d. 30 and 36 - ANS d. 30 and 36
Exp: Surfactant is secreted into fetal airways between 30 and 36 weeks. The other options are not true regarding the
timeframe when the risk for RDS decreases. page 1292
What is the chief predisposing factor for respiratory distress syndrome (RDS) of the newborn?
Page | 4
QUESTIONS AND CORRECT ANSWERS - GCU | 100%
VERIFIED | COMPLETE STUDY GUIDE AND EXAM
PREP
LATEST | UPGRADED & 100% GUARANTEED SUCCESS!!!
Updated Questions Already Graded A+
MULTIPLE CHOICES
Which of the following statements best describes Raynaud disease?
a. An inflammatory disorder of small and medium-size arteries in the feet and sometimes in the hands
b. A neoplastic disorder of the lining of the arteries and veins of the upper extremities
c. A vasospastic disorder of the small arteries and arterioles of the fingers, and less commonly, the toes
d. An autoimmune disorder of the large arteries and veins of the upper and lower extremities - ANS c. A
vasospastic disorder of the small arteries and arterioles of the fingers, and less commonly, the toes
A patient is diagnosed with pulmonary disease and elevated pulmonary vascular resistance. Which of the following
heart failures may result from this condition?
Page | 1
,a. Right heart failure
b. Left heart failure
c. Low-output failure
d. High-output failure - ANS a. Right heart failure
Exp: Right heart failure is defined as the inability of the right ventricle to provide adequate blood flow into the
pulmonary circulation at a normal central venous pressure. It most often results from the left heart failure when the
increase in left ventricular filling pressure that is reflected back into the pulmonary circulation is severe enough. As
pressure in the pulmonary circulation rises, the resistance to right ventricular emptying increases.
What physical sign is the result of turbulent blood flow through a vessel?
a. Increased blood pressure during periods of stress
b. Bounding pulse felt on palpation
c. Cyanosis observed on excretion
d. Murmur heard on auscultation - ANS d. Murmur heard on auscultation
Exp: Where flow is obstructed the vessel turns or blood flows over rough surfaces. The flow becomes turbulent with
whorls or eddy currents that produce noise causing a murmur to be heard on auscultation such as occurs during
blood pressure measurement with a sphygomanometer. This selection is the only option that accurately identifies the
physical sign of turbulent vascular blood flow. pg 1113
Removal of part of the liver leads to the remaining liver cells undergoing compensatory - ANS Compensatory
hyperplasia is an adaptive mechanism that enables certain organs to regenerate. For example, the removal of part of
the liver leads to hyperplasia of the remaining liver cells (hepatocytes) to compensate for the loss.
Which congenital heart defects occur in trisomy 13, trisomy 18 and down syndrome?
a. Coarctation of the aorta and pulmonary stenosis
b. Tetralogy of Fallot and persistent truncus arteriosus
c. Atrial septal defect and dextrocardia
d. Ventricular septal defect and patent ductus arteriosus - ANS d. Ventricular septal defect and patent ductus
arteriosus
Page | 2
,Exp: Congenital heart defects that are related to dysfunction of trisomy 13, trisomy 18 and down syndrome include
VSD and PDA see Table 33-2 The other defects are not associated with dysfunction of trisomy 13 or 17 and down
syndrome. pg 1200
An infant has a continuous machine/type murmur best heard at the left upper sternal border throughout systole and
diastole as well as a bounding pulse and a thrill on palpation. These clinical findings are consistent with which
congenital heart defect?
a. Atrial septal defect
b. Ventricular septal defect
c. Patent ductus arteriosus
d. Atrioventricular canal defect - ANS c. Patent ductus arteriosus
Exp: If pulmonary vascular resistance has fallen then infants with will characteristically have a continuous
machine/type murmur best heard at the left upper sternal border throughout systole and diastole. If the PDA is
significant then the infant also will have bounding pulses an active precordium, a thrill on palpation and signs and
symptoms of pulmonary over circulation. The presentations of the other congenital heart defects are not consistent
with the described the symptoms pages 1203-1204
Which compensatory mechanism is spontaneously used by children diagnosed with tetralogy of Fallot to relieve
hypoxic spells?
a. Lying on their left side
b. Performing the valsalva maneuver
c. Squatting
d. hyperventilating - ANS c. Squatting
Exp: squatting is a spontaneous compensatory mechanism used by older children to alleviate hypoxic spells.
Squatting and its variants increase systemic resistance while decreasing venous return to the heart from the inferior
vena cava. The other options would not result in these changes. pg 1209
An infant diagnosed with a small patent ductus arteriosus would likely exhibit which symptom?
a. Intermittent murmur
b. Lack of symptoms
c. Need for surgical repair
d. Triad of congenital defects - ANS b. Lack of symptoms
Page | 3
, Exp: Infants with a small PDA usually remain asymptomatic. page 1203-1204
Fluid in the pleural space characterizes which condition?
a. Pleural effusion
b. Atelectasis
c. Bronchiectasis
d. Ischemia - ANS a. Pleural Effusion
Exp: Pleural effusion is the presence of fluid in the pleural space. page1254
Which medication classification is generally included in the treatment of silicosis?
a. Corticosteroids
b. Antiboitics
c. Bronchodilators
d. Expectorants - ANS a. Corticosteroids
Exp: No specific treatment exists for silicosis, although corticosteroids may produce some improvement in the early,
more acute stages. page 1259
The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born between how
many weeks of gestation?
a. 16 and 24
b. 20 and 24
c. 24 and 30
d. 30 and 36 - ANS d. 30 and 36
Exp: Surfactant is secreted into fetal airways between 30 and 36 weeks. The other options are not true regarding the
timeframe when the risk for RDS decreases. page 1292
What is the chief predisposing factor for respiratory distress syndrome (RDS) of the newborn?
Page | 4
