MDC III NUR2502 FINAL EXAM 2022 UPDATE
1. Which is not an early sign of left sided heart failure?
a. Nocturnal cough
b. Edema
c. Fatigue
d. Feeling of heaviness in arms/ legs
2. Which is not a valid treatment option for sickle cell crisis?
a. Blood transfusion
b. Provide a warm environment
c. Prepare the patient for surgery
d. IV fluids and pain management
3. Which is NOT a treatment for heart failure?
a. diuretics
b. antibiotics
c. heart transplant
d. beta-blocker
4. Essential care & education following mechanical valve replacement includes all BUT:
a. anticoagulation therapy for life
b. get prophylactic antibiotics for dental work
c. monitor for bleeding
d. use straight razor
5. Which organ is affected the most in hemochromatosis?
a. heart
b. lungs
c. liver
d. kidneys
6. Which is NOT a sign/symptom of leukemia?
a. weight gain
b. easy bruising
c. elevated WBC
d. hematuria
7. Which patient is NOT at high risk for infective endocarditis?
a. recent valve replacement AND dental work
b. IV drug abuser
c. recent heart surgery
d. immunocompromised individual
8. Which is NOT a diagnostic sign for pericarditis?
a. ST elevation in all leads
b. pericardial friction rub
c. pericardial chest pain
d. fever and signs of left sided heart failure
9. A deficiency in the number of red blood cells is
called: a. anemia
b. polycythemia
c. hemophilia
d. thrombosis
10. Echocardiogram is used as a diagnostic tool for all BUT which disease?
a. hypertension
b. heart failure
c. pericarditis
d. valvular heart disease
11. Which lab test is most likely elevated in hemophilia?
a. Prothrombin time
, b. Creatinine
c. Leukocytes
d. Activated partial thromboplastin time
12. Why would a patient have a
pericardiocentesis? a. for pericardial
effusions
b. for cardiac tamponade
c. for pleural effusions
d. for ascites
13. Which is NOT a sign/symptom of dilated cardiomyopathy?
a. Echo shows ventricular hypertrophy
b. weakness
c. Echo shows dilated ventricles
d. Palpitations
14. The medical term for platelet is:
a. erythrocyte
b. leukocyte
c. phagocyte
d. thrombocyte
15. Which is NOT a recommendation for hypertension?
a. increase sodium intake
b. exercise 3-4 times per week
c. lose weight
d. adhere to medication regime prescribed
16. Which is NOT a treatment in PAD?
a. antiplatelet medication
b. wear insulated shoes
c. cross legs when sitting
d. dependent positioning
17. Which is included in education for polycythemia
vera? a. wear support hose during the day
b. drink 3L of fluid daily
c. elevate feet when seated
d. exercise as much as you want
18. What should be avoided in patients with thrombocytopenia?
a. rectal trauma, including enemas
b. oral trauma, flossing
c. contact sports
d. electric shaver
19. Which is an early sign of multiple myeloma?
a. easy bruising
b. hypertension
c. bone fractures
d. infection
20. Signs and symptoms of lymphoma include all BUT:
a. fevers
b. night sweats
c. enlarged lymph nodes
d. syncope
21. What is the priority action when a reaction to an infusion is suspected?
a. check the vitals
b. reposition the patient
c. stop the infusion
, d. assess the lung sounds
22. Which is NOT a treatment for
SVT? a. glucose
administration
b. adenosine
c. vagal maneuvers
d. synchronized cardioversion
23. Which lab value is out of range?
a. Hemoglobin - 15.0 mg/dL
b. platelets 200,000 mm3
c. white cell count 8,000 mm3
d. prothrombin time of 26 seconds
24. What is NOT a sign or symptom associate with
hemophilia? a. hypertension
b. abnormal or excessive bleeding
c. joint and muscle hemorrhages
d. joint and muscle pain
25. Which sounds is indicative of mitral regurgitation?
a. high-pitched holosystolic murmur
b. rumbling, apical diastolic murmur
c. blowing, decrescendo diastolic murmur
d. systolic click
26. Which sounds is indicative of mitral valve prolapse?
a. high-pitched holosystolic murmur
b. rumbling, apical diastolic murmur
c. blowing, decrescendo diastolic
murmur d. systolic click
27. Which sounds is indicative of aortic regurgitation?
a. high-pitched holosystolic murmur
b. rumbling, apical diastolic murmur
c. blowing, decrescendo diastolic murmur
d. systolic click
28. Which post-anesthetic care patient should be seen / assessed first?
a. A patient with respiratory depression
b. A patient with decreased blood pressure
c. A patient complaining of pain
d. An alert patient ready for transfer to the floor
29. The nurse is preparing for initial rounds. Which patient should the nurse assess first?
a. A client with diabetes with a glucose of 180
b. A teenager scheduled for PT this morning
c. A 78 year old with a pressure dressing needing changing
d. a 35 year old with copious secretions from his tracheostomy
1. Signs and Symptoms of Left sided Heart Failure
(SATA) a. Pulmonary Edema
b. Coughing
c. Crackles
d. Dependent Edema
2. How often should a patient with heart failure weigh themselves?
a. Weekly
b. Monthly
c. Daily
d. Hourly
3. What blood test is used to detect heart failure?
1. Which is not an early sign of left sided heart failure?
a. Nocturnal cough
b. Edema
c. Fatigue
d. Feeling of heaviness in arms/ legs
2. Which is not a valid treatment option for sickle cell crisis?
a. Blood transfusion
b. Provide a warm environment
c. Prepare the patient for surgery
d. IV fluids and pain management
3. Which is NOT a treatment for heart failure?
a. diuretics
b. antibiotics
c. heart transplant
d. beta-blocker
4. Essential care & education following mechanical valve replacement includes all BUT:
a. anticoagulation therapy for life
b. get prophylactic antibiotics for dental work
c. monitor for bleeding
d. use straight razor
5. Which organ is affected the most in hemochromatosis?
a. heart
b. lungs
c. liver
d. kidneys
6. Which is NOT a sign/symptom of leukemia?
a. weight gain
b. easy bruising
c. elevated WBC
d. hematuria
7. Which patient is NOT at high risk for infective endocarditis?
a. recent valve replacement AND dental work
b. IV drug abuser
c. recent heart surgery
d. immunocompromised individual
8. Which is NOT a diagnostic sign for pericarditis?
a. ST elevation in all leads
b. pericardial friction rub
c. pericardial chest pain
d. fever and signs of left sided heart failure
9. A deficiency in the number of red blood cells is
called: a. anemia
b. polycythemia
c. hemophilia
d. thrombosis
10. Echocardiogram is used as a diagnostic tool for all BUT which disease?
a. hypertension
b. heart failure
c. pericarditis
d. valvular heart disease
11. Which lab test is most likely elevated in hemophilia?
a. Prothrombin time
, b. Creatinine
c. Leukocytes
d. Activated partial thromboplastin time
12. Why would a patient have a
pericardiocentesis? a. for pericardial
effusions
b. for cardiac tamponade
c. for pleural effusions
d. for ascites
13. Which is NOT a sign/symptom of dilated cardiomyopathy?
a. Echo shows ventricular hypertrophy
b. weakness
c. Echo shows dilated ventricles
d. Palpitations
14. The medical term for platelet is:
a. erythrocyte
b. leukocyte
c. phagocyte
d. thrombocyte
15. Which is NOT a recommendation for hypertension?
a. increase sodium intake
b. exercise 3-4 times per week
c. lose weight
d. adhere to medication regime prescribed
16. Which is NOT a treatment in PAD?
a. antiplatelet medication
b. wear insulated shoes
c. cross legs when sitting
d. dependent positioning
17. Which is included in education for polycythemia
vera? a. wear support hose during the day
b. drink 3L of fluid daily
c. elevate feet when seated
d. exercise as much as you want
18. What should be avoided in patients with thrombocytopenia?
a. rectal trauma, including enemas
b. oral trauma, flossing
c. contact sports
d. electric shaver
19. Which is an early sign of multiple myeloma?
a. easy bruising
b. hypertension
c. bone fractures
d. infection
20. Signs and symptoms of lymphoma include all BUT:
a. fevers
b. night sweats
c. enlarged lymph nodes
d. syncope
21. What is the priority action when a reaction to an infusion is suspected?
a. check the vitals
b. reposition the patient
c. stop the infusion
, d. assess the lung sounds
22. Which is NOT a treatment for
SVT? a. glucose
administration
b. adenosine
c. vagal maneuvers
d. synchronized cardioversion
23. Which lab value is out of range?
a. Hemoglobin - 15.0 mg/dL
b. platelets 200,000 mm3
c. white cell count 8,000 mm3
d. prothrombin time of 26 seconds
24. What is NOT a sign or symptom associate with
hemophilia? a. hypertension
b. abnormal or excessive bleeding
c. joint and muscle hemorrhages
d. joint and muscle pain
25. Which sounds is indicative of mitral regurgitation?
a. high-pitched holosystolic murmur
b. rumbling, apical diastolic murmur
c. blowing, decrescendo diastolic murmur
d. systolic click
26. Which sounds is indicative of mitral valve prolapse?
a. high-pitched holosystolic murmur
b. rumbling, apical diastolic murmur
c. blowing, decrescendo diastolic
murmur d. systolic click
27. Which sounds is indicative of aortic regurgitation?
a. high-pitched holosystolic murmur
b. rumbling, apical diastolic murmur
c. blowing, decrescendo diastolic murmur
d. systolic click
28. Which post-anesthetic care patient should be seen / assessed first?
a. A patient with respiratory depression
b. A patient with decreased blood pressure
c. A patient complaining of pain
d. An alert patient ready for transfer to the floor
29. The nurse is preparing for initial rounds. Which patient should the nurse assess first?
a. A client with diabetes with a glucose of 180
b. A teenager scheduled for PT this morning
c. A 78 year old with a pressure dressing needing changing
d. a 35 year old with copious secretions from his tracheostomy
1. Signs and Symptoms of Left sided Heart Failure
(SATA) a. Pulmonary Edema
b. Coughing
c. Crackles
d. Dependent Edema
2. How often should a patient with heart failure weigh themselves?
a. Weekly
b. Monthly
c. Daily
d. Hourly
3. What blood test is used to detect heart failure?
