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NURS 6301 WEEK 4 QUIZ / NURS6301 WEEK 4 QUIZ(LATEST)| -WALDEN UNIVERSITY

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NURS 6301 WEEK 4 QUIZ / NURS6301 WEEK 4 QUIZ(LATEST)| -WALDEN • Question 1 A 52-year-old male presents with pooling of blood in the veins of the lower extremities and edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of this disorder is: • Question 2 A nurse monitors the patient for _____ when rapid onset of malignant hypertension results. • Question 3 A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the: • Question 4 Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension. • Question 5 A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause: • Question 6 A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the: • Question 7 A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse assess for in this patient? • Question 8 A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by: • Question 9 A 52-year-old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient? • Question 10 A 50-year-old male is diagnosed with orthostatic hypotension. Which of the following symptoms would he most likely experience? • Question 11 A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial: • Question 12 A 50-year-old female presents with a low heart rate and low blood pressure. She is given an intravenous (IV) infusion of fluids. The increase in atrial distension results in: • Question 13 An 80-year-old female is in the hospital for a bone fracture. While there she develops a large, nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow? • Question 14 A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina? • Question 15 Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)? • Question 16 While planning care for a patient with superior vena cava syndrome (SVCS), which principle should the nurse remember? SVCS is a progressive _____ of the superior vena cava (SVC) that leads to venous distention of the upper extremities and head. • Question 17 A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of: • Question 18 A 65-year-old male presents for a routine checkup. A blood pressure check reveals a systolic pressure of 160 mm Hg and a diastolic pressure of 70 mm Hg. Which of the following is the most likely cause of this type of pressure elevation? • Question 19 A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse? • Question 20 A 65-year-old male is transported to the ER for chest pain. An electrocardiogram reveals a prolonged QRS interval. What is the nurse monitoring when the nurse observes the QRS complex on the electrocardiogram? The QRS complex reflects: • Question 21 A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing measures would be most effective for preventing pulmonary embolism (PE) in this patient? • Question 22 Which characteristic changes should the nurse keep in mind while caring for a patient with left heart failure? As left heart failure progresses: • Question 23 A 30-year-old Caucasian female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis? • Question 24 A 50-year-old obese male with hypertension and coronary artery disease visits a nutritionist for food counseling. He has an elevated level of low-density lipoprotein (LDL) and a low level of high-density lipoprotein (HDL). Which of the following should the nurse advise him to avoid? • Question 25 When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do? • Question 26 A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by: • Question 27 A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing: • Question 28 A 35-year-old male presents with pulmonary hypertension. Testing reveals he is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart? • Question 29 A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following? • Question 30 A 50-year-old male visits the cardiologist for an EKG. Results indicate that he has no PR interval and a variable QRS rate with rhythm irregularity. Which of the following is the most likely diagnosis to be recorded on the chart? UNIVERSITY

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NURS 6301 WEEK 4 QUIZ
 Question 1

A 52-year-old male presents with pooling of blood in the veins of the lower
extremities and edema. The diagnosis is chronic venous insufficiency, and an
expected assessment finding of this disorder is:


Correct b.
Answer: Skin hyperpigmentation
 Question 2

A nurse monitors the patient for _____ when rapid onset of malignant
hypertension results.
Selected b.
Answer: Encephalopathy
Correct Answer: b.
Encephalopathy
 Question 3

A 65-year-old female presents to the emergency department reporting difficulty
swallowing and shortness of breath. A CT scan would most likely reveal an
aneurysm in the:
Selected Answer: d.
Thoracic aorta
Correct Answer: d.
Thoracic aorta
 Question 4

Most cases of combined systolic and diastolic hypertension have no known
cause and are documented on the chart as _____ hypertension.
Selected a.
Answer: Primary

, Correct Answer: a.
Primary
 Question 5

A 59-year-old female is diagnosed with left ventricular failure. If a decrease in
kidney perfusion occurs, the nurse knows this would ultimately cause:
Selected Answer: c.
Increased systemic vascular resistance
Correct Answer: c.
Increased systemic vascular resistance
 Question 6

A 28-year-old female presents with severe chest pain and shortness of breath.
She is diagnosed with pulmonary embolism, which most likely originated from
the:
Selected Answer: c.
Deep veins of the leg
Correct Answer: c.
Deep veins of the leg
 Question 7

A 65-year-old male is diagnosed with chronic pulmonary disease and elevated
pulmonary vascular resistance. Which of the following heart failures should the
nurse assess for in this patient?
Selected Answer: a.
Right heart failure
Correct Answer: a.
Right heart failure
 Question 8

A 60-year-old male presents to his primary care provider reporting chest pain.
He is diagnosed with atherosclerosis. This disease is caused by:
Selected Answer: c.
Abnormal thickening and hardening of vessel
walls

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