NUR215 EXAM QUESTIONS AND ANSWERS A+ GRADED
The nurse is caring for a patient with aortic stenosis. For what should the nurse
assess the patient?
a.Systolic murmur
b.Pericardial friction rub
c.Diminished or absent S4
d.Low-pitched diastolic murmur
a.Systolic murmur
Rationale:
Clinical manifestations of aortic stenosis include angina, syncope, dyspnea on exertion,
heart failure, normal or soft S1, diminished or absent S2, systolic murmur, and
prominent S4.
A 19-year-old patient with rheumatic heart disease is admitted to the hospital with
a recurrence of rheumatic fever. In planning care for the patient, which nursing
diagnosis should the nurse include?
a.Ineffective coping related to refusal to carry out health promotion activities
b.Risk for infection related to recent exposure to group A β-hemolytic
streptococci
c.Impaired adjustment related to unsuccessful lifestyle modifications, goal
setting, and problem solving
d.Ineffective health management related to lack of knowledge about long-term
prophylactic antibiotic therapy
d.Ineffective health management related to lack of knowledge about long-term
prophylactic antibiotic therapy
Rationale:
A patient with a history of rheumatic fever and rheumatic heart disease will need long-
term or life-long continuous prophylactic antibiotics to prevent recurrence of the disease.
True or False
Aortic Valve Regurgitation is a leakage of the aortic valve each time the left
ventricle relaxes.
True
Does aortic valve stenosis have the following osculatory findings? SATA
A. Normal S1
B. Absent S2
C. Prominent S4
D. Systolic Murmur
E. S3 sounds
A. Normal S1
B. Absent S2
C. Prominent S4
D. Systolic Murmur
What are three signs of Aortic Valve Stenosis?
, Angina
Syncope
Exertional Dyspnea
What is the inflammation of the inner layer of the heart called caused by a
bacterial infection?
Infective Endocarditis
The nurse is assessing a patient with painful, tender, red/purple, pea sized
lesions on the patients fingertips and toes what is the nurse noticing?
A. Petechiae
B. Janeway's lesions
C. Osler's Nodes
D. Roth's spots
C. Osler's Nodes
What is the main thing to teach a patient about care of Inefective endocarditis?
A. Stress to avoid infectious people
B. Rest
C. Hygiene
D. Prophylactic antibiotics
E. Drug Rehab
D. Prophylactic antibiotics
Why do we as nurses use compression stockings for pt's after surgeries, or heart
related problems?
To prevent DVT
What is the disease Pericarditis?
Inflammation of the Pericardium.
What are the four causes of pericarditis and which is the most common?
Viral
Bacterial
Fungal
Parasitic
Bacterial is the most common cause of pericarditis
A pt presents with Tachycardia, JVD, and low BP the pt has been recently
diagnosed with pericarditis complaining of chest pain and restlessness?
Pt is in Becks Triad for cardiac tamponade.
Acute inflammatory disease of heart involving all layers. Caused by a group A
streptococcal infection.
Rheumatic Fever
True or False: Endocarditis only affects the atrioventricular and semi-lunar valves
in the heart.
False
Which of the following patients are MOST at risk for developing endocarditis?
Select-all-that-apply:
A. A 25 year old male who reports using intravenous drugs on a daily basis.
B. A 55 year old male who is post-opt from aortic valve replacement.
C. A 63 year old female who is newly diagnosed with hyperparathyroidism and is
The nurse is caring for a patient with aortic stenosis. For what should the nurse
assess the patient?
a.Systolic murmur
b.Pericardial friction rub
c.Diminished or absent S4
d.Low-pitched diastolic murmur
a.Systolic murmur
Rationale:
Clinical manifestations of aortic stenosis include angina, syncope, dyspnea on exertion,
heart failure, normal or soft S1, diminished or absent S2, systolic murmur, and
prominent S4.
A 19-year-old patient with rheumatic heart disease is admitted to the hospital with
a recurrence of rheumatic fever. In planning care for the patient, which nursing
diagnosis should the nurse include?
a.Ineffective coping related to refusal to carry out health promotion activities
b.Risk for infection related to recent exposure to group A β-hemolytic
streptococci
c.Impaired adjustment related to unsuccessful lifestyle modifications, goal
setting, and problem solving
d.Ineffective health management related to lack of knowledge about long-term
prophylactic antibiotic therapy
d.Ineffective health management related to lack of knowledge about long-term
prophylactic antibiotic therapy
Rationale:
A patient with a history of rheumatic fever and rheumatic heart disease will need long-
term or life-long continuous prophylactic antibiotics to prevent recurrence of the disease.
True or False
Aortic Valve Regurgitation is a leakage of the aortic valve each time the left
ventricle relaxes.
True
Does aortic valve stenosis have the following osculatory findings? SATA
A. Normal S1
B. Absent S2
C. Prominent S4
D. Systolic Murmur
E. S3 sounds
A. Normal S1
B. Absent S2
C. Prominent S4
D. Systolic Murmur
What are three signs of Aortic Valve Stenosis?
, Angina
Syncope
Exertional Dyspnea
What is the inflammation of the inner layer of the heart called caused by a
bacterial infection?
Infective Endocarditis
The nurse is assessing a patient with painful, tender, red/purple, pea sized
lesions on the patients fingertips and toes what is the nurse noticing?
A. Petechiae
B. Janeway's lesions
C. Osler's Nodes
D. Roth's spots
C. Osler's Nodes
What is the main thing to teach a patient about care of Inefective endocarditis?
A. Stress to avoid infectious people
B. Rest
C. Hygiene
D. Prophylactic antibiotics
E. Drug Rehab
D. Prophylactic antibiotics
Why do we as nurses use compression stockings for pt's after surgeries, or heart
related problems?
To prevent DVT
What is the disease Pericarditis?
Inflammation of the Pericardium.
What are the four causes of pericarditis and which is the most common?
Viral
Bacterial
Fungal
Parasitic
Bacterial is the most common cause of pericarditis
A pt presents with Tachycardia, JVD, and low BP the pt has been recently
diagnosed with pericarditis complaining of chest pain and restlessness?
Pt is in Becks Triad for cardiac tamponade.
Acute inflammatory disease of heart involving all layers. Caused by a group A
streptococcal infection.
Rheumatic Fever
True or False: Endocarditis only affects the atrioventricular and semi-lunar valves
in the heart.
False
Which of the following patients are MOST at risk for developing endocarditis?
Select-all-that-apply:
A. A 25 year old male who reports using intravenous drugs on a daily basis.
B. A 55 year old male who is post-opt from aortic valve replacement.
C. A 63 year old female who is newly diagnosed with hyperparathyroidism and is
