NUR417 LATEST EXAM
NUR417 LATEST EXAM 3
2025- 2026 SOLVED Test
Bank with 200+ Practice Questions and
Correct Verified Answers
Which hemodynamic parameter most directly reflects the effectiveness of drugs
given to reduce a patient's left ventricular afterload?
a. Cardiac output (CO)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) –
Correct Answer :ANS: B
SVR reflects the resistance to left ventricular ejection, or afterload. Other
parameters may be monitored but do not reflect left-sided afterload as directly.
A+ TEST BANK 1
, NUR417 LATEST EXAM
After surgery, a patient's central venous pressure (CVP) monitor indicates low
pressures. Which action would the nurse take?
a. Administer IV diuretic medications.
b. Increase the IV fluid infusion per protocol.
c. Increase the infusion rate of IV vasodilators.
d. Elevate the head of the patient's bed to 45 degrees. –
Correct Answer :ANS: B
A low CVP indicates decreased preload from hypovolemia and a need for an
increase in the infusion rate. Diuretic administration will contribute to
hypovolemia and elevation of the head or increasing vasodilators may decrease
cerebral perfusion.
Which parameter will the nurse use to evaluate changes in a patient's right
ventricular afterload?
a. Central venous pressure (CVP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) –
Correct Answer :ANS: C
PVR is a measure of right ventricular afterload, which is elevated in conditions
such as pulmonary hypertension The other parameters do not directly assess for
right ventricular afterload
A+ TEST BANK 2
, NUR417 LATEST EXAM
A patient requires arterial pressure monitoring. Which action would the nurse
plan to take?
a. Balance and calibrate the monitoring equipment every 2 hours.
b. Position the zero-reference stopcock line level with the phlebostatic axis.
c. Disconnect the low pressure alarm to avoid disturbing the patient's sleep.
d. Ensure that the patient is supine with the head of the bed flat for all readings.
–
Correct Answer :ANS: B
For accurate measurement of pressures, the zero-reference level would be at
the phlebostatic axis. There is no need to rebalance and recalibrate monitoring
equipment every 2 hours. Accurate hemodynamic readings are possible with the
patient's head raised to 45 degrees or in the prone position. Alarms should be
activated; if the pressure in the line falls (e.g., when the line is disconnected),
the low-pressure alarm sounds immediately and notifies staff to promptly
correct the problem.
Which measurement would be the most sensitive indicator of cardiac function?
a. Central venous pressure (CVP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) –
Correct Answer :ANS:D
A+ TEST BANK 3
, NUR417 LATEST EXAM
PAWP reflects left ventricular end diastolic pressure (or left ventricular preload)
and is a sensitive indicator of cardiac function. The other values would also
provide useful information, but the most definitive measurement of changes in
cardiac function is the PAWP.
An intraaortic balloon pump (IABP) is being used for a patient who is in
cardiogenic shock. Which data would indicate to the nurse that the goals of
IABP treatment are being met?
a. Urine output of 25 mL/hr
b. Heart rate of 110 beats/min
c. Cardiac output (CO) of 5 L/min
d. Stroke volume (SV) of 40 mL/beat –
Correct Answer :ANS: C A CO of 5 L/min is normal and indicates that the IABP
has been successful in treating the shock. The low SV signifies continued
cardiogenic shock. The tachycardia and low urine output also suggest continued
cardiogenic shock.
. The nurse is caring for a patient who has an intraaortic balloon pump in place.
Which action would the nurse include in the plan of care?
a. Avoid the use of anticoagulant medications.
b. Monitor the patient's urinary output every hour.
c. Provide passive range of motion for all extremities.
d. Position the patient supine with head flat at all times. –
Correct Answer :ANS: B
A+ TEST BANK 4
NUR417 LATEST EXAM 3
2025- 2026 SOLVED Test
Bank with 200+ Practice Questions and
Correct Verified Answers
Which hemodynamic parameter most directly reflects the effectiveness of drugs
given to reduce a patient's left ventricular afterload?
a. Cardiac output (CO)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) –
Correct Answer :ANS: B
SVR reflects the resistance to left ventricular ejection, or afterload. Other
parameters may be monitored but do not reflect left-sided afterload as directly.
A+ TEST BANK 1
, NUR417 LATEST EXAM
After surgery, a patient's central venous pressure (CVP) monitor indicates low
pressures. Which action would the nurse take?
a. Administer IV diuretic medications.
b. Increase the IV fluid infusion per protocol.
c. Increase the infusion rate of IV vasodilators.
d. Elevate the head of the patient's bed to 45 degrees. –
Correct Answer :ANS: B
A low CVP indicates decreased preload from hypovolemia and a need for an
increase in the infusion rate. Diuretic administration will contribute to
hypovolemia and elevation of the head or increasing vasodilators may decrease
cerebral perfusion.
Which parameter will the nurse use to evaluate changes in a patient's right
ventricular afterload?
a. Central venous pressure (CVP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) –
Correct Answer :ANS: C
PVR is a measure of right ventricular afterload, which is elevated in conditions
such as pulmonary hypertension The other parameters do not directly assess for
right ventricular afterload
A+ TEST BANK 2
, NUR417 LATEST EXAM
A patient requires arterial pressure monitoring. Which action would the nurse
plan to take?
a. Balance and calibrate the monitoring equipment every 2 hours.
b. Position the zero-reference stopcock line level with the phlebostatic axis.
c. Disconnect the low pressure alarm to avoid disturbing the patient's sleep.
d. Ensure that the patient is supine with the head of the bed flat for all readings.
–
Correct Answer :ANS: B
For accurate measurement of pressures, the zero-reference level would be at
the phlebostatic axis. There is no need to rebalance and recalibrate monitoring
equipment every 2 hours. Accurate hemodynamic readings are possible with the
patient's head raised to 45 degrees or in the prone position. Alarms should be
activated; if the pressure in the line falls (e.g., when the line is disconnected),
the low-pressure alarm sounds immediately and notifies staff to promptly
correct the problem.
Which measurement would be the most sensitive indicator of cardiac function?
a. Central venous pressure (CVP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) –
Correct Answer :ANS:D
A+ TEST BANK 3
, NUR417 LATEST EXAM
PAWP reflects left ventricular end diastolic pressure (or left ventricular preload)
and is a sensitive indicator of cardiac function. The other values would also
provide useful information, but the most definitive measurement of changes in
cardiac function is the PAWP.
An intraaortic balloon pump (IABP) is being used for a patient who is in
cardiogenic shock. Which data would indicate to the nurse that the goals of
IABP treatment are being met?
a. Urine output of 25 mL/hr
b. Heart rate of 110 beats/min
c. Cardiac output (CO) of 5 L/min
d. Stroke volume (SV) of 40 mL/beat –
Correct Answer :ANS: C A CO of 5 L/min is normal and indicates that the IABP
has been successful in treating the shock. The low SV signifies continued
cardiogenic shock. The tachycardia and low urine output also suggest continued
cardiogenic shock.
. The nurse is caring for a patient who has an intraaortic balloon pump in place.
Which action would the nurse include in the plan of care?
a. Avoid the use of anticoagulant medications.
b. Monitor the patient's urinary output every hour.
c. Provide passive range of motion for all extremities.
d. Position the patient supine with head flat at all times. –
Correct Answer :ANS: B
A+ TEST BANK 4
