MARYVILLE UNIVERSITY NURS 620 EXAM II (CARDIOVASCULAR AND
RESPIRATORY) 2025 ||165 QUESTIONS WITH ACCURATE RATIONALES
,1. A 30-year-old previously healthy woman with no significant past medical
history presents to your office with gradually worsening shortness of
breath of one year's duration. The patient reports worsening dyspnea on
exertion, fatigue, shortness of breath, and occasional exertional chest
pain. On exam, the patient is noted to have an increased intensity of the
P2 heart sound. Chest radiograph is seen in Figure A. What is the next
best step in management?
D-dimer
12-lead EKG
IV furosemide
Echocardiogram
Pulmonary function test
2. Upon assessment a patient is found with edema, abdominal distention,
and JVD. Which is most likely the diagnosis for this patient?
DVT
,atherosclerosis
, Lt sided heart failure
Rt sided heart failure
3. There are four classifications of heart failure that often are interwoven;
they include systolic, diastolic, acute, and/or chronic. Clients who present
with JVD, dyspnea with exertion, peripheral edema, and abdominal
fullness would most likely be experiencing chronic right-sided heart
failure. A routine diagnostic workup would include all of the following
except
BNP.
BMP.
echocardiogram
CTA
4. Which scenario does not require reporting the diagnosis of tuberculosis?
The mantoux test shows a raised injected or red area without
induration.
A case of tuberculosis is only suspected.
The client's mantoux test shows an induration.
An asymptomatic client with a positive chest x-ray for pulmonary
tuberculosis.
5. What is the minimum size of induration considered positive for a patient
at high risk for tuberculosis exposure?
3 mm
5 mm
RESPIRATORY) 2025 ||165 QUESTIONS WITH ACCURATE RATIONALES
,1. A 30-year-old previously healthy woman with no significant past medical
history presents to your office with gradually worsening shortness of
breath of one year's duration. The patient reports worsening dyspnea on
exertion, fatigue, shortness of breath, and occasional exertional chest
pain. On exam, the patient is noted to have an increased intensity of the
P2 heart sound. Chest radiograph is seen in Figure A. What is the next
best step in management?
D-dimer
12-lead EKG
IV furosemide
Echocardiogram
Pulmonary function test
2. Upon assessment a patient is found with edema, abdominal distention,
and JVD. Which is most likely the diagnosis for this patient?
DVT
,atherosclerosis
, Lt sided heart failure
Rt sided heart failure
3. There are four classifications of heart failure that often are interwoven;
they include systolic, diastolic, acute, and/or chronic. Clients who present
with JVD, dyspnea with exertion, peripheral edema, and abdominal
fullness would most likely be experiencing chronic right-sided heart
failure. A routine diagnostic workup would include all of the following
except
BNP.
BMP.
echocardiogram
CTA
4. Which scenario does not require reporting the diagnosis of tuberculosis?
The mantoux test shows a raised injected or red area without
induration.
A case of tuberculosis is only suspected.
The client's mantoux test shows an induration.
An asymptomatic client with a positive chest x-ray for pulmonary
tuberculosis.
5. What is the minimum size of induration considered positive for a patient
at high risk for tuberculosis exposure?
3 mm
5 mm
