NUR 211 Lifespan Review Detailed Final Exam 2025

NUR 211 Lifespan Review Detailed Final Exam 2025 The nurse is documenting assessment findings on a client with angina. Which term should the nurse use to describe chest pain that occurs during activity, with increasing frequency, longer duration, and is not relieved with rest? a. Prinzmetal angina b. Unstable angina c. Stable angina d. Nonanginal pain - Correct Ans-Unstable angina What is the most common clinical manifestation of coronary artery disease related to decreased coronary perfusion? a. chest pain b. Irritability c. dyspnea d. shortness of breath - Correct Ans-chest pain What should the nurse advise a patient to do to reduce the effects of the sympathetic nervous system on the heart. a. Reduce sodium intake b. Physical activity c. Fluid restriction d. Psychological rest - Correct Ans-Psychological rest Select the non-modifiable risk factors for developing CAD. (Select all that Apply) a. Genetics b. Diet c. Hyperlipidemia d. Hypertension e. Age f. Smoking g. Race h. Gender - Correct Ans-Genetics Age Race Gender NUR 211 NUR 211 The nurse is providing care to a female client who is diagnosed with coronary artery disease. The client states to the nurse, "I don't know how this happened." Which response by the nurse is the most accurate? a. "Women who have children later in life often develop this disease" b. "Women with a history of sexually transmitted infections are more likely to develop this disease." c. "Women who conceive through the use of in-vitro fertilization are more likely to develop this disease." d. "Women who take oral contraceptives are more likely to develop this disease." - Correct Ans-d. "Women who take oral contraceptives are more likely to develop this disease." All of the following health history information indicate the client has a risk for CAD except a. Father died of a heart attach at age 50 b. African American female age 68 c. Attend yoga classes Monday to Saturday d. Takes medication for diabetes and cholesterol - Correct Ans-c. Attend yoga classes Monday to Saturday The nurse is providing discharge teaching to a client recovering from deep venous thrombosis (DVT). Which instructions are appropriate for the nurse to include in the teaching session? (Select all that apply) a. Take 325 mg of aspirin PO BID b. Take frequent walks c. Avoid prolonged standing or sitting d. Avoid crossing the legs e Avoid foods containing vitamin K - Correct Ans-take frequent walks Avoid prolonged standing or sitting Avoid crossing the legs The nurse is caring for a client who is scheduled for placement of a filter in the vena cava. The nurse should intervene if the client makes which statement? a "Local anesthesia will be used for the placement of the filter." b. "The procedure has a low risk of mortality." c. "The filter will trap clots to prevent them from reaching my lungs." d. "The filter will increase my risk of bleeding." - Correct Ans-d. "The filter will increase my risk of bleeding." What characteristic increases the risk for the development of a thrombus? NUR 211 NUR 211 a. decreased vascular resistance b. venous stasis or retrograde flow c. low viscosity or coagulability d. increased compliance or integrity of the wall - Correct Ans-b. venous stasis or retrograde flow The nurse is completing an assessment on a newly admitted client. What finding would alert the nurse that the client may be experiencing a deep venous thrombosis (DVT)? a. Two-plus palpable pedal pulses b. Swelling in one leg with edema c. Sharp pain in both legs d. Pale cool skin bilaterally - Correct Ans-b. Swelling in one leg with edema A client reports morning headaches that extend into the neck and go away as the day wears on. Based on this initial data, which assessment finding does the nurse anticipate? a. Elevated blood pressure b. Swollen lymph nodes c. Chronic migraine syndrome d. Tachycardia - Correct Ans-a. Elevated blood pressure The nurse teaches a client about lifestyle modifications to help manage hypertension. Which client statement indicates teaching has been effective? a. "I know I need to give up my cigarettes and alcohol." b. "I need to take my medications right away when I get a headache." c. "My father had hypertension, did nothing, and lived to be 90 years old." d. "I won't be able to run in marathons anymore." - Correct Ans-a. "I know I need to give up my cigarettes and alcohol." An older adult client receiving medication for hypertension had a recent fall at home. Which intervention should the nurse include in this client's plan of care? a. Monitor serum sodium levels b. Monitor blood pressure every 2 hours c. Monitor serum creatinine levels d. Assess postural blood pressures - Correct Ans-d. Assess postural blood pressures Which best describes the effects of the renal system on blood pressure? a. "The release of renin causes an increase in blood pressure." b. "The release of the catecholamines epinephrine and norepinephrine cause an increase in blood pressure." NUR 211 NUR 211 c. "The release of atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) cause an increase in blood pressure." d. "The synthesis and release of adrenomedullin causes an increase in blood pressure." - Correct Ans-a. "The release of renin causes an increase in blood pressure." Which physiological changes associated with aging increase the risk of hypertension in older adults? a. Increase in the pulse pressure b. Increase in diastolic blood pressure c. Increase in systolic blood pressure d. Decrease in the diastolic blood pressure - Correct Ans-c. Increase in systolic blood pressure Which strategy to prevent hypertension is correct? a. Reduce physical activity b. Decrease stress c. Increase salt intake d. Take hot baths - Correct Ans-b. Decrease stress The nurse is planning care for an older adult client with chronic venous insufficiency. Which will the nurse include in the client's teaching plan? a. Cross legs only at the knees. b. Keep the legs dependent as much as possible and elevate only when asleep. c. Standing will prevent the progression of the disease. d. Wear elastic hose as prescribed. - Correct Ans-d. Wear elastic hose as prescribed. Which form of peripheral vascular disease is characterized by thickening, loss of elasticity, and calcification of arterial walls? a. Arteriosclerosis b. Deep venous thrombosis c. Atherosclerosis d. Chronic venous insufficiency - Correct Ans-a. Arteriosclerosis A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention is most appropriate to address the cause of the client's pain? a. place the extremities in a dependent position b. place pillows behind the knees c. warm the extremities d. keep the patient in bed - Correct Ans-c. warm the extremities NUR 211 NUR 211 A 14-year-old child was recently diagnosed with hypertrophic cardiomyopathy. During a follow-up appointment, the mother asks the nurse, "How will this affect my child's ability to play football in the fall?" How should the nurse respond? a. "He could participate in flag football but not tackle football." b. "This may actually make him a better, stronger football player." c. "Children with cardiomyopathy should not play football." d. "This shouldn't affect his ability to play football if he gets an implanted defibrillator." - Correct Ans-c. "Children with cardiomyopathy should not play football." A client admitted with the diagnosis of cardiomyopathy becomes short of breath with ambulation and eating and fatigued with routine care activities. Which nursing diagnosis does the nurse include in the client's plan of care? a. Self-Care Deficit b. Deficient Knowledge c. Imbalanced Nutrition: Less than Body Requirements d. Activity Intolerance - Correct Ans-d. Activity Intolerance The nurse is caring for a client diagnosed with dilated cardiomyopathy. Which clinical manifestations does the nurse anticipate during the physical assessment? Select all that apply. a. Syncope b. Lower extremity edema c. Dyspnea d. Angina e. Fatigue - Correct Ans-Lower extremity edema Dyspnea Fatigue A client with cardiomyopathy receiving diuretic therapy has a urine output of 300 mL in 10 hours. Which action by the nurse is correct? a. Assist the client to ambulate. b. Document a normal urine output. c. Notify the healthcare provider. d. Measure abdominal girth. - Correct Ans-c. Notify the healthcare provider. A 56 year old male patient has noticed gradually increasing dyspnea particularly with exertion. He is also experiencing fatigue, swollen feet, and has to use extra pillows at night to sleep comfortably. Upon auscultation, S3 and S4 heart sounds are heart with a mitral murmur. A chest x-ray shows an enlarged cardiac silhouette. What common type of cardiomyopathy is mostly like the cause of his signs and symptoms? a. Unclassified Cardiomyopathy NUR 211 NUR 211 b. Dilated Cardiomyopathy c. Hypertrophic Cardiomyopathy d. Restrictive Cardiomyopathy - Correct Ans-b. Dilated Cardiomyopathy A toddler with a heart defect is playing and suddenly stops and squats down with the knees next to the chest. How does this position correct the dyspnea resulting from the defect? a. this closes the opening in the heart b. this increases blood flow to the brain c. this helps expand the chest wall for deeper ventilation d. this reduces venous return from the legs and increases the vascular resistance. - Correct Ans-d. this reduces venous return from the legs and increases the vascular resistance. The nurse is planning care for a pediatric client recovering from surgery to repair a congenital heart defect. Which intervention should the nurse include to support the client's fluid status? a. Limit oral and intravenous intake of fluids. b. Continue normal saline administration after oral intake is normal. c. Convert the intravenous line to a saline lock immediately after surgery. d. Encourage oral intake of fluids when permitted. - Correct Ans-d. Encourage oral intake of fluids when permitted. The nurse is assessing an older toddler diagnosed with tetralogy of Fallot (TOF). Which clinical manifestations does the nurse anticipate during the physical assessment? (Select all that (Apply) a. Knee-chest position b. Cough c. Apneic periods d. Nail clubbing - Correct Ans-knee-chest position nail clubbing Which of the following is incorrect regarding Ventricular Septal Defects (VSD) in children? a. echo-cardiograms will be ordered to assist the diagnosis b. corrective surgery is most often required during infancy c. infants often present with complaints of sweating during feeding, poor growth, and murmurs d. VSD may be a lone defect, or part of additional concurrent defects - Correct Ans-b. corrective surgery is most often required during infancy NUR 211 NUR 211 A client presents with sudden onset of uni-focal pain on the right side of the head, aphasia, and disorientation. The client experienced syncope, fell, and seizure like activity witnessed by the spouse. What action is least appropriate for this client? a. HCP requests a consultation with a neurologist b. HCP gives stat order for a tissue plasminogen activator (tPA). c. HCP gives stat order for brain CT d. HCP gives order for large bore IV - Correct Ans-b. HCP gives stat order for a tissue plasminogen activator (tPA). The nurse is administering oxygen to a patient experiencing a stroke in order to prevent hypoxia and hypercapnia. This will also lessen the risk for which finding? a. Fluid accumulation in the lungs b. Cerebral spinal fluid collecting in the ventricles c. Pulmonary emboli d. Increased intracranial pressure - Correct Ans-d. Increased intracranial pressure The nursing student is teaching a group of seniors about the National Stroke