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NURS 8022 EXAM 3 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Why do we give patient's ACE inhibitors if they have had an MI? -
ANSWER-To stop the conversion of angiotensin I to angiotensin II
to further protect the heart
What is Dressler syndrome? When does it occur? - ANSWER-
Delayed form of pericarditis; thought to be antigen-antibody
response to necrotic myocardium
Occurs 1 week to several months later
A person with an MI is releasing angiotensin II. How should the
nurse interpret this finding?
Releasing angiotensin II is beneficial or counterproductive and
why? - ANSWER-Counterproductive; it causes the heart to work
harder.
How does angiotensin II affect the heart during an MI? -
ANSWER-It contributes to the pathogenesis of the MI. Results in
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systemic effects which causes peripheral vasoconstriction and
fluid retention. It's returning more blood flow to the heart and
increasing peripheral vascular resistance making the heart work
harder
6 P's of PVD - ANSWER-Pallor, pulselessness, pain, paresthesia,
paralysis and poikilothermia
What can vascular regurgitation lead to? - ANSWER-Dilation and
hypertrophy
(Increased volume leads to dilation; increased workload leads to
hypertrophy)
What can valvular stenosis lead to? - ANSWER-Myocardial
hypertrophy
A person has a diagnosis of valvular regurgitation. What
pathophysiologic process is the person experiencing?
The valves:
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1. Are constricted and narrowed, impeding the forward flow of
blood
2. Fail to shut completely, permitting the back flow of blood to
continue
3. Have an inherited defect, such as thickening of the septal wall
4. Cause acute pericarditis and filling of the pericardial sac -
ANSWER-2. Fail to shut completely, permitting the back flow of
blood to continue
Most common cause of mitral stenosis - ANSWER-Rheumatic
fever
Constrictive pericarditis causes blood to back up into the venous
system causing what? - ANSWER-Kussmaul's sign
Some causes of diastolic heart failure - ANSWER-Hypertrophy
Ischemia
Diabetes
Valve problems
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Systolic heart failure - ANSWER-Ejection problem
Decreased EF of the L ventricle
Diastolic heart failure - ANSWER-Filling problem
Pulm congestion despite normal EF
Understand orthopnea with heart failure - ANSWER-Person lays
down making it easier for blood to flow back to the heart, thus
increasing preload and workload. A failing heart cannot handle
this. Blood flows back into the lungs causing the shortness of
breath.
Where is left heart failure edema? - ANSWER-Pulmonary
Where is right heart failure edema? - ANSWER-Peripheral
Clinical manifestations of L heart failure - ANSWER-Dyspnea,
orthopnea, cough of frothy sputum
NURS 8022 EXAM 3 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Why do we give patient's ACE inhibitors if they have had an MI? -
ANSWER-To stop the conversion of angiotensin I to angiotensin II
to further protect the heart
What is Dressler syndrome? When does it occur? - ANSWER-
Delayed form of pericarditis; thought to be antigen-antibody
response to necrotic myocardium
Occurs 1 week to several months later
A person with an MI is releasing angiotensin II. How should the
nurse interpret this finding?
Releasing angiotensin II is beneficial or counterproductive and
why? - ANSWER-Counterproductive; it causes the heart to work
harder.
How does angiotensin II affect the heart during an MI? -
ANSWER-It contributes to the pathogenesis of the MI. Results in
,2|Page
systemic effects which causes peripheral vasoconstriction and
fluid retention. It's returning more blood flow to the heart and
increasing peripheral vascular resistance making the heart work
harder
6 P's of PVD - ANSWER-Pallor, pulselessness, pain, paresthesia,
paralysis and poikilothermia
What can vascular regurgitation lead to? - ANSWER-Dilation and
hypertrophy
(Increased volume leads to dilation; increased workload leads to
hypertrophy)
What can valvular stenosis lead to? - ANSWER-Myocardial
hypertrophy
A person has a diagnosis of valvular regurgitation. What
pathophysiologic process is the person experiencing?
The valves:
,3|Page
1. Are constricted and narrowed, impeding the forward flow of
blood
2. Fail to shut completely, permitting the back flow of blood to
continue
3. Have an inherited defect, such as thickening of the septal wall
4. Cause acute pericarditis and filling of the pericardial sac -
ANSWER-2. Fail to shut completely, permitting the back flow of
blood to continue
Most common cause of mitral stenosis - ANSWER-Rheumatic
fever
Constrictive pericarditis causes blood to back up into the venous
system causing what? - ANSWER-Kussmaul's sign
Some causes of diastolic heart failure - ANSWER-Hypertrophy
Ischemia
Diabetes
Valve problems
, 4|Page
Systolic heart failure - ANSWER-Ejection problem
Decreased EF of the L ventricle
Diastolic heart failure - ANSWER-Filling problem
Pulm congestion despite normal EF
Understand orthopnea with heart failure - ANSWER-Person lays
down making it easier for blood to flow back to the heart, thus
increasing preload and workload. A failing heart cannot handle
this. Blood flows back into the lungs causing the shortness of
breath.
Where is left heart failure edema? - ANSWER-Pulmonary
Where is right heart failure edema? - ANSWER-Peripheral
Clinical manifestations of L heart failure - ANSWER-Dyspnea,
orthopnea, cough of frothy sputum
