NUR 172 FINAL EXAM LATEST 2023-
m m m m m
2024 ACTUAL EXAM TEST BANK 500 QUESTIONS ND C
m m m m m m m m
ORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m
dompeople mwithmhypertensionmhave msymptoms?mifmso,mwhatmsymptoms?m-manswer-
mostmpeople mdomnotmhave msymptoms,mmaymonlymhave mamheadache mormdizziness
howmdomyoumassessmampatientmaftermamcardiacmangiography?m-manswer-
assessmcolor,mtemp,mandmpulsesmofmlegsminmwhichmfemoralmarterymwasmused
whatmdoesmcardiacmcatheterizationmincrease mthe mriskmformandmwhatmdomyoumneedmtomlookmfor?m-
m answer-
m increases m themrisk mformcardiovascularm accidentm(CVA, mstroke);mneedmtomlookm formchanges minmneurologicm
statusm(i.e.mslurredmspeechmandmconfusion), malsombruisingmandmdiscomfortmatmsite
whatmare mimportantmquestionsmtomask/testsmtomrunmBEFOREmampatientmhasmamcardiacmcatheterization
?m-manswer-
askmifmtheymare mallergicmtomseafoodmormiodine,mcheckmBUNmformkidneymfunction;mpatientmmaymgetmIVmfl
uidm12-24mhoursmbefore mthe mtestmormduringmthe mtest
canmyoumhave mleftmsidedmandmrightmsidedmheartmfailure matmthe msame mtime?m-manswer-
yesm(canmhave mone mormboth)
preloadmincreasesmormdecreasesmwithmthe mdecrease mof mcontractility?m-manswer-
preloadmINCREASESmwithmthe mdecrease mofmcontractility
afterloadmincreasesmormdecreasesmasmamresultmofmincreasedmperipheralmresistance?m-manswer-
afterloadmINCREASESmasmamresultmof mincreasedmperipheralmresistance
Mostmheartmfailure mbeginsmwithmfailure mof mthe mandmprogressesmtomfailure mofmbothmventriclesm-manswer-
leftmventricle
whatmare mthe mtypicalmcausesmof mLmsidedmheartmfailure?m-manswer-
hypertension, mcoronarymarterymdisease,mandmvalvularmdisease
,whatmismamkeymindicatormof mLmsidedmheartmfailure?m-manswer-decreasedmtissue mperfusion
Lmsidedmheartmfailure mcanmbembrokenmdownmintomtwomsubtypes:mname mandmdescribe mthemm-manswer--
systolicmheartmfailure:mthemheartmcannotmcontractmforcefullymenoughmduringmsystole mtomejectmadequate m
amountsmofmblood;mejectionmfractionm(percentagemofmbloodmejectedmfrommheartmduringmsystole) mdropsmf
rommamnormalmofm50%mtom70%mtombelowm40%;mresultsminmdecreasedmtissue mperfusionmormpulmonaryman
dmsystemicmcongestion
-
diastolicmheartmfailure:mleftmventricle mcannotmrelax madequatelymduringmdiastole;mstiffeningmpreventsmven
tricle mfrommfillingmwithmsufficientmbloodmtomensure madequate mcardiacmoutput;mrepresentsmaboutm20%mto
m 40% m of m allm heartmfailure, mprimarily m inm oldermadultsmandm womenmwhomhavemchronicm hypertension mandm
undetectedmcoronarymarterymdisease;msignsmandmsymptomsmsimilarmtomsystolicmheartmfailure
whatmare mthe mcausesmofmR-sidedmheartmfailure?m-manswer-L-
sidedmheartmfailure,mrightmventricularmMI,mpulmonarymhypertension, mchronicmcigarette msmoking
whatmismR-sidedmheartmfailure?m-manswer-
rightmventricle mcannotmemptymcompletely;mincreasedmvolumemandmpressure mdevelopminmthemvenousmsyst
emmandmperipheralmedemamresults
assessmentmof mL-sidedmheartmfailure m-manswer--
weakness/fatiguemwhile mperformingmnormalmADLs;mdifficultymbreathingmorm"catchingmtheirmbreath"m(b/cm
fluidmismmovingmintomalveoli)
-
presence mofmS3mgallopm(betweenmS1mandmS2)maskmquestionsmlike:mare myoumablemtomwalkmupstairsmwithout
m fatigue?
assessmentmof mR-sidedmheartmfailure m-manswer-
fluidmismretained,mpressure mbuildsminmthemvenousmsystemm(patientmmaymsaym"mymshoesmfitmtight"=signmo
fmedema);mweightmismimportantmbecause mindicationmthatmclientmismgainingmormlosingmfluid
weakness/fatigue, mdizziness,macutemconfusion,mpulmonarymcongestion,mpulmonarymcrackles,mbreathlessn
ess,mrestlessness,moliguriam(lowmurinemoutput),mandmcoughmthatmworsensmatmnightmaremsymptomsmofmwha
tmsidedmheartmfailure?m-manswer-Lmsidedmheartmfailure
systemicmcongestion,mjugularmdistention,menlargedmliver/spleen,manorexia,mnausea,medemaminmlegsmandm
sacrum,mdistendedmabdomen,mswollenmhandmandmfingers,mpolyuriamatmnight,mandmweightmgainmaremsympt
omsmofmwhatmsidedmheartmfailure?m-manswer-Rmsidedmheartmfailure
,whatmlabmassessmentsmare mimportantmwhenmpatientmhasmHF?m-manswer--
electrolytesm(maymdecrease mdue mtomdrugmtherapy)
-BUNmandmcreatinine m(lookingmformdecreasedmkidneymfunction)
-H&Hm(HFmdue mtomanemia)
-BNPm(formdiagnosing,mbutmmaymuse mmicroalbuminuriaminsteadmbecause mitsmfaster)
-ABG m(decreasedmoxygenmlevelsmdue mtompoormperfusion)
whatmimagingmassessmentsmare mdone mformheartmfailure?m-manswer--chestmx-raym(formL-
sidedmheartmfailure,menlargedmheart)
-echocardiography m(bestmtoolmformdiagnosingmheartmfailure)
-ECG m(notmhelpfulminmdeterminingmthe mpresence mormextentmof mHF)
heartmfailure mself-managementmhealthmteachingm-manswer-M-
medicationsmA-activity
W-
weightmD-
diet
S-symptoms
Whatmismmitralmregurgitation?m- manswer-Reflux mofmbloodmfrommleftmventricle mintomleftmatriummduringmsystole
Whatmismaorticmstenosis?m-manswer-narrowingmofmthemaorticmvalve,mwhichmobstructsmleftmventricularmoutflow
The mnurse mismcaringmformamclientmwithmheartmfailure mwhomismonmoxygenmatm2mLmpermnasalmcannulamwith
m anm oxygenmsaturation mof m90%. mThemclientmstates,m"I mfeelm shortmofm breath."mWhichmactionmwillm themnu
rse mtake mfirst?
a. contactmrespiratorymtherapy
b. increase mthe moxygenmtom4mL
c. place mthe mclientminmamhigh-Fowlermposition
d. drawmarterialmbloodmformarterialmbloodmgasmanalysism-manswer-c.mplacemthemclientminmamhigh-Fowlermposition
, Whatmismthe mprioritymconceptmformamclientmwhomhasmheartmfailure?
a. gasmexchange
b. perfusion
c. comfort
d. infectionm-manswer-b.mperfusion
Whenmamclientmadmitsmthatmhemormshemsometimesmhasmtroublemcatchingmhismormhermbreath,mwhichmquest
ionmwouldmthe mnurse maskmtomobtainmmore minformationmaboutmthe mclient'smsymptoms?
A. "Domyoumhave mamhistorymofmanymmedicalmproblemsmlike mhighmbloodmpressure?"
B. "Whatmdidmyourmhealthmcare mprovidermtellmyoumaboutmyourmdiagnosis?"
C. "Whatmwasmyourmmostmstrenuousmactivitymduringmthe mpastmweek?"
D. "Howmdomyoumfeelmaboutmbeingmtoldmthatmyoumhave mheartmfailure?"m-manswer-
C.m"Whatmwasmyourmmostmstrenuousmactivitymduringmthe mpastmweek?"
Whatmassessmentmfindingsmwouldmthe mnurse mexpectmtomfindminmamclientmwithmrightmheartmfailure?m(SATA)
a. weightmloss
b. dependentmedema
c. neckmveinmdistention
d. angina
e. hepatomegalym(enlargedmliver)
f. weakmperipheralmpulsesm-manswer-b.mdependentmedema
c.mneckmveinmdistention
e.mhepatomegalym(enlargedmliver)
Whatmearlymsignmof mleftmventricularmfailure mismamclientmmostmlikelymtomreportmtomthe mnurse?
a. nocturnalmcoughing
b. swollenmlegs
c. weightmgain
m m m m m
2024 ACTUAL EXAM TEST BANK 500 QUESTIONS ND C
m m m m m m m m
ORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m
dompeople mwithmhypertensionmhave msymptoms?mifmso,mwhatmsymptoms?m-manswer-
mostmpeople mdomnotmhave msymptoms,mmaymonlymhave mamheadache mormdizziness
howmdomyoumassessmampatientmaftermamcardiacmangiography?m-manswer-
assessmcolor,mtemp,mandmpulsesmofmlegsminmwhichmfemoralmarterymwasmused
whatmdoesmcardiacmcatheterizationmincrease mthe mriskmformandmwhatmdomyoumneedmtomlookmfor?m-
m answer-
m increases m themrisk mformcardiovascularm accidentm(CVA, mstroke);mneedmtomlookm formchanges minmneurologicm
statusm(i.e.mslurredmspeechmandmconfusion), malsombruisingmandmdiscomfortmatmsite
whatmare mimportantmquestionsmtomask/testsmtomrunmBEFOREmampatientmhasmamcardiacmcatheterization
?m-manswer-
askmifmtheymare mallergicmtomseafoodmormiodine,mcheckmBUNmformkidneymfunction;mpatientmmaymgetmIVmfl
uidm12-24mhoursmbefore mthe mtestmormduringmthe mtest
canmyoumhave mleftmsidedmandmrightmsidedmheartmfailure matmthe msame mtime?m-manswer-
yesm(canmhave mone mormboth)
preloadmincreasesmormdecreasesmwithmthe mdecrease mof mcontractility?m-manswer-
preloadmINCREASESmwithmthe mdecrease mofmcontractility
afterloadmincreasesmormdecreasesmasmamresultmofmincreasedmperipheralmresistance?m-manswer-
afterloadmINCREASESmasmamresultmof mincreasedmperipheralmresistance
Mostmheartmfailure mbeginsmwithmfailure mof mthe mandmprogressesmtomfailure mofmbothmventriclesm-manswer-
leftmventricle
whatmare mthe mtypicalmcausesmof mLmsidedmheartmfailure?m-manswer-
hypertension, mcoronarymarterymdisease,mandmvalvularmdisease
,whatmismamkeymindicatormof mLmsidedmheartmfailure?m-manswer-decreasedmtissue mperfusion
Lmsidedmheartmfailure mcanmbembrokenmdownmintomtwomsubtypes:mname mandmdescribe mthemm-manswer--
systolicmheartmfailure:mthemheartmcannotmcontractmforcefullymenoughmduringmsystole mtomejectmadequate m
amountsmofmblood;mejectionmfractionm(percentagemofmbloodmejectedmfrommheartmduringmsystole) mdropsmf
rommamnormalmofm50%mtom70%mtombelowm40%;mresultsminmdecreasedmtissue mperfusionmormpulmonaryman
dmsystemicmcongestion
-
diastolicmheartmfailure:mleftmventricle mcannotmrelax madequatelymduringmdiastole;mstiffeningmpreventsmven
tricle mfrommfillingmwithmsufficientmbloodmtomensure madequate mcardiacmoutput;mrepresentsmaboutm20%mto
m 40% m of m allm heartmfailure, mprimarily m inm oldermadultsmandm womenmwhomhavemchronicm hypertension mandm
undetectedmcoronarymarterymdisease;msignsmandmsymptomsmsimilarmtomsystolicmheartmfailure
whatmare mthe mcausesmofmR-sidedmheartmfailure?m-manswer-L-
sidedmheartmfailure,mrightmventricularmMI,mpulmonarymhypertension, mchronicmcigarette msmoking
whatmismR-sidedmheartmfailure?m-manswer-
rightmventricle mcannotmemptymcompletely;mincreasedmvolumemandmpressure mdevelopminmthemvenousmsyst
emmandmperipheralmedemamresults
assessmentmof mL-sidedmheartmfailure m-manswer--
weakness/fatiguemwhile mperformingmnormalmADLs;mdifficultymbreathingmorm"catchingmtheirmbreath"m(b/cm
fluidmismmovingmintomalveoli)
-
presence mofmS3mgallopm(betweenmS1mandmS2)maskmquestionsmlike:mare myoumablemtomwalkmupstairsmwithout
m fatigue?
assessmentmof mR-sidedmheartmfailure m-manswer-
fluidmismretained,mpressure mbuildsminmthemvenousmsystemm(patientmmaymsaym"mymshoesmfitmtight"=signmo
fmedema);mweightmismimportantmbecause mindicationmthatmclientmismgainingmormlosingmfluid
weakness/fatigue, mdizziness,macutemconfusion,mpulmonarymcongestion,mpulmonarymcrackles,mbreathlessn
ess,mrestlessness,moliguriam(lowmurinemoutput),mandmcoughmthatmworsensmatmnightmaremsymptomsmofmwha
tmsidedmheartmfailure?m-manswer-Lmsidedmheartmfailure
systemicmcongestion,mjugularmdistention,menlargedmliver/spleen,manorexia,mnausea,medemaminmlegsmandm
sacrum,mdistendedmabdomen,mswollenmhandmandmfingers,mpolyuriamatmnight,mandmweightmgainmaremsympt
omsmofmwhatmsidedmheartmfailure?m-manswer-Rmsidedmheartmfailure
,whatmlabmassessmentsmare mimportantmwhenmpatientmhasmHF?m-manswer--
electrolytesm(maymdecrease mdue mtomdrugmtherapy)
-BUNmandmcreatinine m(lookingmformdecreasedmkidneymfunction)
-H&Hm(HFmdue mtomanemia)
-BNPm(formdiagnosing,mbutmmaymuse mmicroalbuminuriaminsteadmbecause mitsmfaster)
-ABG m(decreasedmoxygenmlevelsmdue mtompoormperfusion)
whatmimagingmassessmentsmare mdone mformheartmfailure?m-manswer--chestmx-raym(formL-
sidedmheartmfailure,menlargedmheart)
-echocardiography m(bestmtoolmformdiagnosingmheartmfailure)
-ECG m(notmhelpfulminmdeterminingmthe mpresence mormextentmof mHF)
heartmfailure mself-managementmhealthmteachingm-manswer-M-
medicationsmA-activity
W-
weightmD-
diet
S-symptoms
Whatmismmitralmregurgitation?m- manswer-Reflux mofmbloodmfrommleftmventricle mintomleftmatriummduringmsystole
Whatmismaorticmstenosis?m-manswer-narrowingmofmthemaorticmvalve,mwhichmobstructsmleftmventricularmoutflow
The mnurse mismcaringmformamclientmwithmheartmfailure mwhomismonmoxygenmatm2mLmpermnasalmcannulamwith
m anm oxygenmsaturation mof m90%. mThemclientmstates,m"I mfeelm shortmofm breath."mWhichmactionmwillm themnu
rse mtake mfirst?
a. contactmrespiratorymtherapy
b. increase mthe moxygenmtom4mL
c. place mthe mclientminmamhigh-Fowlermposition
d. drawmarterialmbloodmformarterialmbloodmgasmanalysism-manswer-c.mplacemthemclientminmamhigh-Fowlermposition
, Whatmismthe mprioritymconceptmformamclientmwhomhasmheartmfailure?
a. gasmexchange
b. perfusion
c. comfort
d. infectionm-manswer-b.mperfusion
Whenmamclientmadmitsmthatmhemormshemsometimesmhasmtroublemcatchingmhismormhermbreath,mwhichmquest
ionmwouldmthe mnurse maskmtomobtainmmore minformationmaboutmthe mclient'smsymptoms?
A. "Domyoumhave mamhistorymofmanymmedicalmproblemsmlike mhighmbloodmpressure?"
B. "Whatmdidmyourmhealthmcare mprovidermtellmyoumaboutmyourmdiagnosis?"
C. "Whatmwasmyourmmostmstrenuousmactivitymduringmthe mpastmweek?"
D. "Howmdomyoumfeelmaboutmbeingmtoldmthatmyoumhave mheartmfailure?"m-manswer-
C.m"Whatmwasmyourmmostmstrenuousmactivitymduringmthe mpastmweek?"
Whatmassessmentmfindingsmwouldmthe mnurse mexpectmtomfindminmamclientmwithmrightmheartmfailure?m(SATA)
a. weightmloss
b. dependentmedema
c. neckmveinmdistention
d. angina
e. hepatomegalym(enlargedmliver)
f. weakmperipheralmpulsesm-manswer-b.mdependentmedema
c.mneckmveinmdistention
e.mhepatomegalym(enlargedmliver)
Whatmearlymsignmof mleftmventricularmfailure mismamclientmmostmlikelymtomreportmtomthe mnurse?
a. nocturnalmcoughing
b. swollenmlegs
c. weightmgain
