CARDIAC DISORDERS NCLEX EXAM | Q
p p p p p
UESTIONS & ANSWERS (VERIFIED) |LA
p p p p p
TEST UPDATE | GRADED A+
p p p p
Thepnursepispassessingpapptpw/pchronicpheartpfailure.pWhichpabnormalpchestpsoundpwould
thepnursepmostplikelypauscultate?
1. expiratorypwheezes
2. frictionprub
3. harshpvesicular
4. crackles
CorrectpAnswer: Answer:p4
Rationalep1,p2,p3:pExpiratorypwheezes,pfrictionprub,p&pharshpvesicularpsoundsparepnot
associatedpw/pchronicpheartpfailure.
Rationalep4:pFluidpaccumulatespinpthepalveolarpspacespw/pleft-sidedpheartpfailure.pThis
fluidpcausespthepsoundpofpcracklespatpthependpofpinspiration.
Whenpcaringpforpapchronicpheartpfailurepptpw/pleft-sidedpfailure,pthepnursepwouldpmost
likelypnotepthepfollowingpstatementpinpthepphysician'spwrittenpreportpfollowingpcardiac
catheterization?
1. "Pressurespinpthepleftpventriclep&patriumparepincreased."
2. "Pressurespinpthepleftpventriclep&patriumparepdecreased."
3. "Pressurespinptheprightpventriclep&patriumpmatchpthepventricleppressures."
1
,4. "Pressurespinptheprightpventriclepreflectpfunctioningpofpallpheartpchambers."
CorrectpAnswer: Answer:p1
Rationalep1:pAspthepheartplosespitspabilityptopejectpbloodpeffectivelypfrompthepleftpventricle
uponpcontraction,pbloodpispretainedpinpthepleftpventriclepafterpsystolep&pthepchamber
pressureprisespdueptopthepaddedpbloodpvolume.
Rationalep2:pAspthepheartplosespitspabilityptopejectpbloodpeffectivelypfrompthepleftpventricle
uponpcontraction,pbloodpispretainedpinpthepleftpventriclepafterpsystolep&pthepchamber
pressureprisespdueptopthepaddedpbloodpvolume.
Rationalep3:pThispptpispinpleft-sidedpheartpfailure,psoppressurepisphigherpinpthepleftpsidepof
thepheart,pnotptheprightpside.
Rationalep4:pThispptpispinpleft-sidedpheartpfailure,psoppressurepisphigherpinpthepleftpsidepof
thepheart,pnotptheprightpside.
Apnursepcaringpforpapptpw/pheartpfailurepwouldpexpectptopfindpwhichpofpthepfollowingpduring
assessmentpofptheppt?
1. S1,pS2p&pflatpneckpveins
2. S3p&pdistendedpneckpveins
3. S2pispheardptheploudestp&pfollowedpbypS1
4. S4p&pflatpneckpveins
CorrectpAnswer: Answer:p2
Rationalep1:pS1p&pS2parepnormalpheartpsounds;pflatpneckpveinsparepconsideredpapnormal
finding.
2
,Rationalep2:pThepabnormalpS3psoundpispreflectivepofpthepheart'spattemptsptopfillpanpalready
distendedpventriclep&pthepneckpveinspdistendpbecausepofpthepincreasedpvenousppressure.
Rationalep3:pS1p&pS2psoundspmaypbepdiminishedpinpthepheartpfailurepptp&pnotpvarypin
intensity.
Rationalep4:pS4p(gallop)pmaypbeppresentpbutpneckpveinspwouldpbepdistended.
Whenpobtainingpthephealthphistorypofpapptpwhopispbeingpassessedpforppossiblepcongestive
heartpfailure,pitpispsignificantpwhenpthepptpsayspwhichpofpthepfollowing?
1. "IpbreakpoutpinpapcoldpsweatpwhenpIpeatpaplargepmeal."
2. "IpampsleepypafterpIpeatplunchpeachpday."
3. "Iphaveptopproppmyselfpupponpthreeppillowsptopsleeppatpnight,potherwisepIpcan'tpbreathe."
4. "Ipfeelpbetterpw/pmyplegspdownpwhenpIpsitpinpmypfavoritepchair."
CorrectpAnswer: Answer:p3
Rationalep1:pDiaphoresisp&psleepinesspafterpmealsp&pcomfortpwhenplegsparepdependent
arepallpnotablepfindingspbutpnotprelatedptopapdiagnosispofpCHF.
Rationalep2:pDiaphoresisp&psleepinesspafterpmealsp&pcomfortpwhenplegsparepdependent
arepallpnotablepfindingspbutpnotprelatedptopapdiagnosispofpCHF.
Rationalep3:pNeedingptoppropponeselfpuppw/ppillowspatpnightpinporderptopbreathepdescribes
orthopnea,pwhichpispconsistentpw/pcongestivepheartpfailurep(CHF).pCongestivepheart
failurepproducespapvolumepexcess,pcongestionpinptheplungs,p&pdyspneapwhenpattempting
topliepdown.
Rationalep4:pDiaphoresisp&psleepinesspafterpmealsp&pcomfortpwhenplegsparepdependent
arepallpnotablepfindingspbutpnotprelatedptopapdiagnosispofpCHF.
3
, Apptpispadmittedpw/pacutepheartpfailure.pThepnurseprealizespthatpacutepheartpfailurepis
associatedpw/panpabruptponsetpofpwhichpofpthepfollowing?pSelectpallpthatpapply.
1. cardiomyopathy
2. heartpvalvepdisease
3. coronarypheartpdiseasep(CHD)
4. massivepinfarctionp(MI))
5. myocardialpinjury
CorrectpAnswer: CorrectpAnswer:p4,5
Rationalep1,2,3:pCardiomyopathy,pvalvepdisease,p&pcoronarypheartpdiseasep(CHD)parepall
associatedpw/pchronicpheartpfailure.
Rationalep4,5:pPtspoftenppresentpforpcarepw/psignspofpacutepheartpfailurepwhenptheyphave
hadpanpabruptponsetpofpmyocardialpinjurypsuchpaspapmassivepmyocardialpinfarctionp(MI).
Bloodptestspareporderedpforpapptpwhopispdiagnosedpw/ppossiblepcongestivepheartpfailure
(CHF).pThepnursepunderst&spwhichpofpthepfollowingplabptestspindicatespheartpfailure?pThe
mostpspecificptest(s)ptopaccuratelypindicatepCHFpwouldpbepwhichpofpthepfollowing?
1. liverpfunction
2. urinalysisp&pbloodpureapnitrogenp(BUN)
3. brainpnatriureticppeptidep(BNF).
4. serumpelectrolytes
CorrectpAnswer: CorrectpAnswer:p3
4
p p p p p
UESTIONS & ANSWERS (VERIFIED) |LA
p p p p p
TEST UPDATE | GRADED A+
p p p p
Thepnursepispassessingpapptpw/pchronicpheartpfailure.pWhichpabnormalpchestpsoundpwould
thepnursepmostplikelypauscultate?
1. expiratorypwheezes
2. frictionprub
3. harshpvesicular
4. crackles
CorrectpAnswer: Answer:p4
Rationalep1,p2,p3:pExpiratorypwheezes,pfrictionprub,p&pharshpvesicularpsoundsparepnot
associatedpw/pchronicpheartpfailure.
Rationalep4:pFluidpaccumulatespinpthepalveolarpspacespw/pleft-sidedpheartpfailure.pThis
fluidpcausespthepsoundpofpcracklespatpthependpofpinspiration.
Whenpcaringpforpapchronicpheartpfailurepptpw/pleft-sidedpfailure,pthepnursepwouldpmost
likelypnotepthepfollowingpstatementpinpthepphysician'spwrittenpreportpfollowingpcardiac
catheterization?
1. "Pressurespinpthepleftpventriclep&patriumparepincreased."
2. "Pressurespinpthepleftpventriclep&patriumparepdecreased."
3. "Pressurespinptheprightpventriclep&patriumpmatchpthepventricleppressures."
1
,4. "Pressurespinptheprightpventriclepreflectpfunctioningpofpallpheartpchambers."
CorrectpAnswer: Answer:p1
Rationalep1:pAspthepheartplosespitspabilityptopejectpbloodpeffectivelypfrompthepleftpventricle
uponpcontraction,pbloodpispretainedpinpthepleftpventriclepafterpsystolep&pthepchamber
pressureprisespdueptopthepaddedpbloodpvolume.
Rationalep2:pAspthepheartplosespitspabilityptopejectpbloodpeffectivelypfrompthepleftpventricle
uponpcontraction,pbloodpispretainedpinpthepleftpventriclepafterpsystolep&pthepchamber
pressureprisespdueptopthepaddedpbloodpvolume.
Rationalep3:pThispptpispinpleft-sidedpheartpfailure,psoppressurepisphigherpinpthepleftpsidepof
thepheart,pnotptheprightpside.
Rationalep4:pThispptpispinpleft-sidedpheartpfailure,psoppressurepisphigherpinpthepleftpsidepof
thepheart,pnotptheprightpside.
Apnursepcaringpforpapptpw/pheartpfailurepwouldpexpectptopfindpwhichpofpthepfollowingpduring
assessmentpofptheppt?
1. S1,pS2p&pflatpneckpveins
2. S3p&pdistendedpneckpveins
3. S2pispheardptheploudestp&pfollowedpbypS1
4. S4p&pflatpneckpveins
CorrectpAnswer: Answer:p2
Rationalep1:pS1p&pS2parepnormalpheartpsounds;pflatpneckpveinsparepconsideredpapnormal
finding.
2
,Rationalep2:pThepabnormalpS3psoundpispreflectivepofpthepheart'spattemptsptopfillpanpalready
distendedpventriclep&pthepneckpveinspdistendpbecausepofpthepincreasedpvenousppressure.
Rationalep3:pS1p&pS2psoundspmaypbepdiminishedpinpthepheartpfailurepptp&pnotpvarypin
intensity.
Rationalep4:pS4p(gallop)pmaypbeppresentpbutpneckpveinspwouldpbepdistended.
Whenpobtainingpthephealthphistorypofpapptpwhopispbeingpassessedpforppossiblepcongestive
heartpfailure,pitpispsignificantpwhenpthepptpsayspwhichpofpthepfollowing?
1. "IpbreakpoutpinpapcoldpsweatpwhenpIpeatpaplargepmeal."
2. "IpampsleepypafterpIpeatplunchpeachpday."
3. "Iphaveptopproppmyselfpupponpthreeppillowsptopsleeppatpnight,potherwisepIpcan'tpbreathe."
4. "Ipfeelpbetterpw/pmyplegspdownpwhenpIpsitpinpmypfavoritepchair."
CorrectpAnswer: Answer:p3
Rationalep1:pDiaphoresisp&psleepinesspafterpmealsp&pcomfortpwhenplegsparepdependent
arepallpnotablepfindingspbutpnotprelatedptopapdiagnosispofpCHF.
Rationalep2:pDiaphoresisp&psleepinesspafterpmealsp&pcomfortpwhenplegsparepdependent
arepallpnotablepfindingspbutpnotprelatedptopapdiagnosispofpCHF.
Rationalep3:pNeedingptoppropponeselfpuppw/ppillowspatpnightpinporderptopbreathepdescribes
orthopnea,pwhichpispconsistentpw/pcongestivepheartpfailurep(CHF).pCongestivepheart
failurepproducespapvolumepexcess,pcongestionpinptheplungs,p&pdyspneapwhenpattempting
topliepdown.
Rationalep4:pDiaphoresisp&psleepinesspafterpmealsp&pcomfortpwhenplegsparepdependent
arepallpnotablepfindingspbutpnotprelatedptopapdiagnosispofpCHF.
3
, Apptpispadmittedpw/pacutepheartpfailure.pThepnurseprealizespthatpacutepheartpfailurepis
associatedpw/panpabruptponsetpofpwhichpofpthepfollowing?pSelectpallpthatpapply.
1. cardiomyopathy
2. heartpvalvepdisease
3. coronarypheartpdiseasep(CHD)
4. massivepinfarctionp(MI))
5. myocardialpinjury
CorrectpAnswer: CorrectpAnswer:p4,5
Rationalep1,2,3:pCardiomyopathy,pvalvepdisease,p&pcoronarypheartpdiseasep(CHD)parepall
associatedpw/pchronicpheartpfailure.
Rationalep4,5:pPtspoftenppresentpforpcarepw/psignspofpacutepheartpfailurepwhenptheyphave
hadpanpabruptponsetpofpmyocardialpinjurypsuchpaspapmassivepmyocardialpinfarctionp(MI).
Bloodptestspareporderedpforpapptpwhopispdiagnosedpw/ppossiblepcongestivepheartpfailure
(CHF).pThepnursepunderst&spwhichpofpthepfollowingplabptestspindicatespheartpfailure?pThe
mostpspecificptest(s)ptopaccuratelypindicatepCHFpwouldpbepwhichpofpthepfollowing?
1. liverpfunction
2. urinalysisp&pbloodpureapnitrogenp(BUN)
3. brainpnatriureticppeptidep(BNF).
4. serumpelectrolytes
CorrectpAnswer: CorrectpAnswer:p3
4
