MDC III NUR2502 FINAL EXAM 2022 UPDATE

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? a. Triponins b. CBC c. BNP d. ABGs 4. What diagnostic test is the gold standard to determine if a patient has heart failure? a. ECHO b. MRI c. Chest Xray d. Ultrasound 5. What are some risk factors that can lead to heart failure? (SATA) a. Lifestyle b. Hypertension c. Smoking d. Diabetes 6. What can predispose a patient to mitral stenosis? a. Rheumatic Fever b. Age c. Connective tissue disorder d. Infective endocarditis 7. What is NOT as symptom of mitral valve stenosis? a. Fatigue b. Hypertension c. Dyspnea on exertion d. Pink frothy Sputum 8. How is mitral valve stenosis treated? (select 2) a. Valve replacement b. transcatheter valve therapy c. Heart transplant d. Percutaneous balloon valvuloplasty 9. What is the best treatment for a patient with end stage heart failure? a. Heart Transplant b. Beta Blockers c. Coronary Artery Bypass Graft d. Percutaneous balloon valvuloplasty 10. What is the cardinal sign for pulmonary edema? a. Frothy Sputum b. Dyspnea c. Wheezes d. Syncope on exertion 11. What kind of medication will a client who has had a valve replacement be on for life? a. Antiarrythmias b. clotting factors c. Antihypertensives d. Blood thinners 12. If a patient has an order for oxygen but is not receiving any, what should the nurse do? a. Give them o2 b. Check order and come back c. Ignore them d. See other patients 13. What are signs that a patient with pulmonary edema is doing better? Select 2 a. Decreased SOB b. Decreased swelling c. Increased fatigue d. increased crackles 14. What are signs and symptoms of mitral valve regurgitation? (SATA) a. Jugular Vein Distention b. Murmur c. Tachycardia d. Peripheral Edema 15. What disorder commonly has mitral valve prolapse? a. Marfan Syndrome b. Cushing’s c. Hashimoto’s d. Dwarfism 16. What kind of murmur do you hear with mitral valve prolapse? a. Midsystolic Click b. early diastolic c. Continuous murmur d. Presystolic 17. What should you tell the patient to do if you're auscultating lung sounds and hear crackles? a. Ask them to take a deep breath b. Ask them to stand up and relisten c. Ask them to cough d. Ask them to start talking 18. What are some signs and symptoms of aortic stenosis? (SATA) a. Chest Pain b. Systolic Crescendo-decrescendo murmur c. Shortness of breath d. Midsystolic click murmur 19. What test is going to help determine how the valves of the heart are working? a. Ultrasound b. Transesophageal echo c. Angiogram d. Chest xray 20. If a patient is prescribed anticoagulants, what should we teach them? a. Watch for bleeding b. Play contact sports c. Use a straight razor d. Excessive bruising is normal 21. Who is most at risk for endocarditis? a. Patients who have had dental work b. Patients who have received IV antibiotics c. Patients who have been hospitalized for extended periods of time d. Patients who are on blood thinners 22. What is a key sign of infective endocarditis? a. Janeway lesions b. Tachycardia c. Bradycardia d. Hypotension 23. What is NOT a symptom of infective endocarditis? a. Weight gain b. Fever c. Chest pain d. Nodes on hands and feet