NUR257 Exam 2 Questions With Complete Solutions
A client comes into the emergency department reporting about
chest pain that gets worse when taking deep breaths and lying
down. After ruling out a myocardial infarction, a nurse would
assess for which diagnosis?
Cardiomyopathy
Mitral valve stenosis
Pericarditis
Rheumatic fever Correct Answers Pericarditis
A client comes into the emergency department reporting about
chest pain that gets worse when taking deep breaths and lying
down. After ruling out a myocardial infarction, a nurse would
assess for which diagnosis?
Rheumatic fever
Mitral valve stenosis
Pericarditis
Cardiomyopathy Correct Answers Pericarditis
A client comes to the clinic reporting fever, chills, and sore
throat and is diagnosed with streptococcal pharyngitis. A nurse
knows that early diagnosis and effective treatment is essential to
avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis Correct Answers Rheumatic fever
A client diagnosed with heart failure presents with a temperature
of 99.1° F, pulse 100 beats/minute, respirations 42
,breaths/minute, BP 110/50 mm Hg; crackles in both lung bases;
nausea; and pulse oximeter reading of 89%. Which finding
indicates a need for immediate attention?
lung congestion
blood pressure
nausea
temperature Correct Answers lung congestion
A client has a myocardial infarction in the left ventricle and
develops crackles bilaterally; 3-pillow orthopnea; an S3 heart
sound; and a cough with pink, frothy sputum. The nurse obtains
a pulse oximetry reading of 88%. What do these signs and
symptoms indicate for this client?
The development of left-sided heart failure
The development of right-sided heart failure
The development of cor pulmonale
The development of chronic obstructive pulmonary disease
(COPD) Correct Answers The development of left-sided heart
failure
A client has been admitted to the cardiac step-down unit with
acute pulmonary edema. Which symptoms would the nurse
expect to find during assessment?
hypertension
drowsiness, numbness
increased cardiac output
moist, gurgling respirations Correct Answers moist, gurgling
respirations
A client has been diagnosed with congestive heart failure.
Which is a cause of crackles heard in the bases of the lungs?
,Aortic valve stenosis
Pulmonary hypertension
Mitral valve stenosis
Pulmonary congestion Correct Answers Pulmonary congestion
A client has been diagnosed with heart failure. What is the major
nursing outcome for the client?
Sleep 8 hours per night.
Reduce the workload on the heart.
Maintain a healthy diet.
Walk 30 minutes three times a week. Correct Answers Reduce
the workload on the heart.
A client has been experiencing increasing shortness of breath
and fatigue. The health care provider has ordered a diagnostic
test in order to determine what type of heart failure the client is
having. What diagnostic test does the nurse anticipate being
ordered?
A chest x-ray
An echocardiogram
An electrocardiogram
A ventriculogram Correct Answers An echocardiogram
A client has been having cardiac symptoms for several months
and is seeing a cardiologist for diagnostics to determine the
cause. How will the client's ejection fraction be measured?
echocardiogram
cardiac ultrasound
electrocardiogram
cardiac catheterization Correct Answers echocardiogram
, A client has been prescribed furosemide 80 mg twice daily. The
asymptomatic client begins to have rare premature ventricular
contractions followed by runs of bigeminy with stable signs.
What action will the nurse perform next?
Notify the health care provider.
Administer potassium.
Check the client's potassium level.
Calculate the client's intake and output. Correct Answers Check
the client's potassium level.
A client in the emergency room is in cardiac arrest and
exhibiting pulseless electrical activity (PEA) on the cardiac
monitor. What will be the nurse's next action?
Administer epinephrine.
Stop all emergency measures.
Analyze the arterial blood gas.
Change oxygen delivery to a mask. Correct Answers
Administer epinephrine.
A client is admitted to the hospital with aortic stenosis. What
assessment findings would indicate the development of left
ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea Correct Answers
Dyspnea, orthopnea, pulmonary edema
A client is admitted to the hospital with possible acute
pericarditis and pericardial effusion. The nurse knows to prepare
A client comes into the emergency department reporting about
chest pain that gets worse when taking deep breaths and lying
down. After ruling out a myocardial infarction, a nurse would
assess for which diagnosis?
Cardiomyopathy
Mitral valve stenosis
Pericarditis
Rheumatic fever Correct Answers Pericarditis
A client comes into the emergency department reporting about
chest pain that gets worse when taking deep breaths and lying
down. After ruling out a myocardial infarction, a nurse would
assess for which diagnosis?
Rheumatic fever
Mitral valve stenosis
Pericarditis
Cardiomyopathy Correct Answers Pericarditis
A client comes to the clinic reporting fever, chills, and sore
throat and is diagnosed with streptococcal pharyngitis. A nurse
knows that early diagnosis and effective treatment is essential to
avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis Correct Answers Rheumatic fever
A client diagnosed with heart failure presents with a temperature
of 99.1° F, pulse 100 beats/minute, respirations 42
,breaths/minute, BP 110/50 mm Hg; crackles in both lung bases;
nausea; and pulse oximeter reading of 89%. Which finding
indicates a need for immediate attention?
lung congestion
blood pressure
nausea
temperature Correct Answers lung congestion
A client has a myocardial infarction in the left ventricle and
develops crackles bilaterally; 3-pillow orthopnea; an S3 heart
sound; and a cough with pink, frothy sputum. The nurse obtains
a pulse oximetry reading of 88%. What do these signs and
symptoms indicate for this client?
The development of left-sided heart failure
The development of right-sided heart failure
The development of cor pulmonale
The development of chronic obstructive pulmonary disease
(COPD) Correct Answers The development of left-sided heart
failure
A client has been admitted to the cardiac step-down unit with
acute pulmonary edema. Which symptoms would the nurse
expect to find during assessment?
hypertension
drowsiness, numbness
increased cardiac output
moist, gurgling respirations Correct Answers moist, gurgling
respirations
A client has been diagnosed with congestive heart failure.
Which is a cause of crackles heard in the bases of the lungs?
,Aortic valve stenosis
Pulmonary hypertension
Mitral valve stenosis
Pulmonary congestion Correct Answers Pulmonary congestion
A client has been diagnosed with heart failure. What is the major
nursing outcome for the client?
Sleep 8 hours per night.
Reduce the workload on the heart.
Maintain a healthy diet.
Walk 30 minutes three times a week. Correct Answers Reduce
the workload on the heart.
A client has been experiencing increasing shortness of breath
and fatigue. The health care provider has ordered a diagnostic
test in order to determine what type of heart failure the client is
having. What diagnostic test does the nurse anticipate being
ordered?
A chest x-ray
An echocardiogram
An electrocardiogram
A ventriculogram Correct Answers An echocardiogram
A client has been having cardiac symptoms for several months
and is seeing a cardiologist for diagnostics to determine the
cause. How will the client's ejection fraction be measured?
echocardiogram
cardiac ultrasound
electrocardiogram
cardiac catheterization Correct Answers echocardiogram
, A client has been prescribed furosemide 80 mg twice daily. The
asymptomatic client begins to have rare premature ventricular
contractions followed by runs of bigeminy with stable signs.
What action will the nurse perform next?
Notify the health care provider.
Administer potassium.
Check the client's potassium level.
Calculate the client's intake and output. Correct Answers Check
the client's potassium level.
A client in the emergency room is in cardiac arrest and
exhibiting pulseless electrical activity (PEA) on the cardiac
monitor. What will be the nurse's next action?
Administer epinephrine.
Stop all emergency measures.
Analyze the arterial blood gas.
Change oxygen delivery to a mask. Correct Answers
Administer epinephrine.
A client is admitted to the hospital with aortic stenosis. What
assessment findings would indicate the development of left
ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea Correct Answers
Dyspnea, orthopnea, pulmonary edema
A client is admitted to the hospital with possible acute
pericarditis and pericardial effusion. The nurse knows to prepare
