NUR 172 FINAL EXAM LATEST 2023-
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2024ACTUAL EXAM TEST BANK 500 QUESTIONS ND CO
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RRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED A
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NSWERS) |ALREADY GRADED A+
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dofpeoplefwithfhypertensionfhavefsymptoms?fiffso,fwhatfsymptoms?f-fanswer-
mostfpeoplefdofnotfhavefsymptoms,fmayfonlyfhavefafheadacheforfdizziness
howfdofyoufassessfafpatientfafterfafcardiacfangiography?f-fanswer-
assessfcolor,ftemp,fandfpulsesfofflegsfinfwhichffemoralfarteryfwasfused
whatfdoesfcardiacfcatheterizationfincreasefthefriskfforfandfwhatfdofyoufneedftoflookffor?f-fanswer-
fincreasesfthefriskfforfcardiovascularfaccidentf(CVA,fstroke);fneedftoflookfforfchangesfinfneurologicfstatusf(i.e
.fslurredfspeechfandfconfusion),falsofbruisingfandfdiscomfortfatfsite
whatfarefimportantfquestionsftofask/testsftofrunfBEFOREfafpatientfhasfafcardiacfcatheterization?f-
fanswer-
askfifftheyfarefallergicftofseafoodforfiodine,fcheckfBUNfforfkidneyffunction;fpatientfmayfgetfIVffluidf12-
24fhoursfbeforeftheftestforfduringftheftest
canfyoufhavefleftfsidedfandfrightfsidedfheartffailurefatfthefsameftime?f-fanswer-yesf(canfhavefoneforfboth)
preloadfincreasesforfdecreasesfwithfthefdecreasefoffcontractility?f-fanswer-
preloadfINCREASESfwithfthefdecreasefoffcontractility
afterloadfincreasesforfdecreasesfasfafresultfoffincreasedfperipheralfresistance?f-fanswer-
afterloadfINCREASESfasfafresultfoffincreasedfperipheralfresistance
Mostfheartffailurefbeginsfwithffailurefoffthef andfprogressesftoffailurefoffbothfventriclesf-fanswer-
leftfventricle
whatfareftheftypicalfcausesfoffLfsidedfheartffailure?f-fanswer-
hypertension,fcoronaryfarteryfdisease,fandfvalvularfdisease
,whatfisfafkeyfindicatorfoffLfsidedfheartffailure?f-fanswer-decreasedftissuefperfusion
Lfsidedfheartffailurefcanfbefbrokenfdownfintoftwofsubtypes:fnamefandfdescribefthemf-fanswer--
systolicfheartffailure:fthefheartfcannotfcontractfforcefullyfenoughfduringfsystoleftofejectfadequatefamount
sfoffblood;fejectionffractionf(percentagefoffbloodfejectedffromfheartfduringfsystole)fdropsffromfafnormalfoff
50%ftof70%ftofbelowf40%;fresultsfinfdecreasedftissuefperfusionforfpulmonaryfandfsystemicfcongestion
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diastolicfheartffailure:fleftfventriclefcannotfrelaxfadequatelyfduringfdiastole;fstiffeningfpreventsfventricleff
romffillingfwithfsufficientfbloodftofensurefadequatefcardiacfoutput;frepresentsfaboutf20%ftof40%foffallfhea
rtffailure,fprimarilyfinfolderfadultsfandfwomenfwhofhavefchronicfhypertensionfandfundetectedfcoronaryfar
teryfdisease;fsignsfandfsymptomsfsimilarftofsystolicfheartffailure
whatfarefthefcausesfoffR-sidedfheartffailure?f-fanswer-L-
sidedfheartffailure,frightfventricularfMI,fpulmonaryfhypertension,fchronicfcigarettefsmoking
whatfisfR-sidedfheartffailure?f-fanswer-
rightfventriclefcannotfemptyfcompletely;fincreasedfvolumefandfpressurefdevelopfinfthefvenousfsystemfandf
peripheralfedemafresults
assessmentfoffL-sidedfheartffailuref-fanswer--
weakness/fatiguefwhilefperformingfnormalfADLs;fdifficultyfbreathingforf"catchingftheirfbreath"f(b/cffluidfisf
movingfintofalveoli)
-presencefoffS3fgallopf(betweenfS1fandfS2)faskfquestionsflike:farefyoufableftofwalkfupstairsfwithoutffatigue?
assessmentfoffR-sidedfheartffailuref-fanswer-
fluidfisfretained,fpressurefbuildsfinfthefvenousfsystemf(patientfmayfsayf"myfshoesffitftight"=signfoffedema);
fweightfisfimportantfbecausefindicationfthatfclientfisfgainingforflosingffluid
weakness/fatigue,fdizziness,facutefconfusion,fpulmonaryfcongestion,fpulmonaryfcrackles,fbreathlessness,f
restlessness,foliguriaf(lowfurinefoutput),fandfcoughfthatfworsensfatfnightfarefsymptomsfoffwhatfsidedfheartf
failure?f-fanswer-Lfsidedfheartffailure
systemicfcongestion,fjugularfdistention,fenlargedfliver/spleen,fanorexia,fnausea,fedemafinflegsfandfsacrum
,fdistendedfabdomen,fswollenfhandfandffingers,fpolyuriafatfnight,fandfweightfgainfarefsymptomsfoffwhatfsi
dedfheartffailure?f-fanswer-Rfsidedfheartffailure
,whatflabfassessmentsfarefimportantfwhenfpatientfhasfHF?f-fanswer--
electrolytesf(mayfdecreasefdueftofdrugftherapy)
-BUNfandfcreatininef(lookingfforfdecreasedfkidneyffunction)
-H&Hf(HFfdueftofanemia)
-BNPf(forfdiagnosing,fbutfmayfusefmicroalbuminuriafinsteadfbecausefitsffaster)
-ABGf(decreasedfoxygenflevelsfdueftofpoorfperfusion)
whatfimagingfassessmentsfarefdonefforfheartffailure?f-fanswer--chestfx-rayf(forfL-
sidedfheartffailure,fenlargedfheart)
-echocardiographyf(bestftoolfforfdiagnosingfheartffailure)
-ECGf(notfhelpfulfinfdeterminingfthefpresenceforfextentfoffHF)
heartffailurefself-managementfhealthfteachingf-fanswer-M-
medicationsfA-activity
W-
weightfD-
diet
S-symptoms
Whatfisfmitralfregurgitation?f-fanswer-Refluxfoffbloodffromfleftfventriclefintofleftfatriumfduringfsystole
Whatfisfaorticfstenosis?f-fanswer-narrowingfoffthefaorticfvalve,fwhichfobstructsfleftfventricularfoutflow
Thefnursefisfcaringfforfafclientfwithfheartffailurefwhofisfonfoxygenfatf2fLfperfnasalfcannulafwithfanfoxygenf
saturationfoff90%.fThefclientfstates,f"Iffeelfshortfoffbreath."fWhichfactionfwillfthefnurseftakeffirst?
a. contactfrespiratoryftherapy
b. increasefthefoxygenftof4fL
c. placefthefclientfinfafhigh-Fowlerfposition
d. drawfarterialfbloodfforfarterialfbloodfgasfanalysisf-fanswer-c.fplacefthefclientfinfafhigh-Fowlerfposition
, Whatfisfthefpriorityfconceptfforfafclientfwhofhasfheartffailure?
a. gasfexchange
b. perfusion
c. comfort
d. infectionf-fanswer-b.fperfusion
Whenfafclientfadmitsfthatfheforfshefsometimesfhasftroublefcatchingfhisforfherfbreath,fwhichfquestionfwould
fthefnursefaskftofobtainfmorefinformationfaboutfthefclient'sfsymptoms?
A. "Dofyoufhavefafhistoryfoffanyfmedicalfproblemsflikefhighfbloodfpressure?"
B. "Whatfdidfyourfhealthfcarefproviderftellfyoufaboutfyourfdiagnosis?"
C. "Whatfwasfyourfmostfstrenuousfactivityfduringfthefpastfweek?"
D. "Howfdofyouffeelfaboutfbeingftoldfthatfyoufhavefheartffailure?"f-fanswer-
C.f"Whatfwasfyourfmostfstrenuousfactivityfduringfthefpastfweek?"
Whatfassessmentffindingsfwouldfthefnursefexpectftoffindfinfafclientfwithfrightfheartffailure?f(SATA)
a. weightfloss
b. dependentfedema
c. neckfveinfdistention
d. angina
e. hepatomegalyf(enlargedfliver)
f. weakfperipheralfpulsesf-fanswer-b.fdependentfedema
c.fneckfveinfdistention
e.fhepatomegalyf(enlargedfliver)
Whatfearlyfsignfoffleftfventricularffailurefisfafclientfmostflikelyftofreportftofthefnurse?
a. nocturnalfcoughing
b. swollenflegs
c. weightfgain
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2024ACTUAL EXAM TEST BANK 500 QUESTIONS ND CO
f f f f f f f f
RRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED A
f f f f f
NSWERS) |ALREADY GRADED A+
f f f
dofpeoplefwithfhypertensionfhavefsymptoms?fiffso,fwhatfsymptoms?f-fanswer-
mostfpeoplefdofnotfhavefsymptoms,fmayfonlyfhavefafheadacheforfdizziness
howfdofyoufassessfafpatientfafterfafcardiacfangiography?f-fanswer-
assessfcolor,ftemp,fandfpulsesfofflegsfinfwhichffemoralfarteryfwasfused
whatfdoesfcardiacfcatheterizationfincreasefthefriskfforfandfwhatfdofyoufneedftoflookffor?f-fanswer-
fincreasesfthefriskfforfcardiovascularfaccidentf(CVA,fstroke);fneedftoflookfforfchangesfinfneurologicfstatusf(i.e
.fslurredfspeechfandfconfusion),falsofbruisingfandfdiscomfortfatfsite
whatfarefimportantfquestionsftofask/testsftofrunfBEFOREfafpatientfhasfafcardiacfcatheterization?f-
fanswer-
askfifftheyfarefallergicftofseafoodforfiodine,fcheckfBUNfforfkidneyffunction;fpatientfmayfgetfIVffluidf12-
24fhoursfbeforeftheftestforfduringftheftest
canfyoufhavefleftfsidedfandfrightfsidedfheartffailurefatfthefsameftime?f-fanswer-yesf(canfhavefoneforfboth)
preloadfincreasesforfdecreasesfwithfthefdecreasefoffcontractility?f-fanswer-
preloadfINCREASESfwithfthefdecreasefoffcontractility
afterloadfincreasesforfdecreasesfasfafresultfoffincreasedfperipheralfresistance?f-fanswer-
afterloadfINCREASESfasfafresultfoffincreasedfperipheralfresistance
Mostfheartffailurefbeginsfwithffailurefoffthef andfprogressesftoffailurefoffbothfventriclesf-fanswer-
leftfventricle
whatfareftheftypicalfcausesfoffLfsidedfheartffailure?f-fanswer-
hypertension,fcoronaryfarteryfdisease,fandfvalvularfdisease
,whatfisfafkeyfindicatorfoffLfsidedfheartffailure?f-fanswer-decreasedftissuefperfusion
Lfsidedfheartffailurefcanfbefbrokenfdownfintoftwofsubtypes:fnamefandfdescribefthemf-fanswer--
systolicfheartffailure:fthefheartfcannotfcontractfforcefullyfenoughfduringfsystoleftofejectfadequatefamount
sfoffblood;fejectionffractionf(percentagefoffbloodfejectedffromfheartfduringfsystole)fdropsffromfafnormalfoff
50%ftof70%ftofbelowf40%;fresultsfinfdecreasedftissuefperfusionforfpulmonaryfandfsystemicfcongestion
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diastolicfheartffailure:fleftfventriclefcannotfrelaxfadequatelyfduringfdiastole;fstiffeningfpreventsfventricleff
romffillingfwithfsufficientfbloodftofensurefadequatefcardiacfoutput;frepresentsfaboutf20%ftof40%foffallfhea
rtffailure,fprimarilyfinfolderfadultsfandfwomenfwhofhavefchronicfhypertensionfandfundetectedfcoronaryfar
teryfdisease;fsignsfandfsymptomsfsimilarftofsystolicfheartffailure
whatfarefthefcausesfoffR-sidedfheartffailure?f-fanswer-L-
sidedfheartffailure,frightfventricularfMI,fpulmonaryfhypertension,fchronicfcigarettefsmoking
whatfisfR-sidedfheartffailure?f-fanswer-
rightfventriclefcannotfemptyfcompletely;fincreasedfvolumefandfpressurefdevelopfinfthefvenousfsystemfandf
peripheralfedemafresults
assessmentfoffL-sidedfheartffailuref-fanswer--
weakness/fatiguefwhilefperformingfnormalfADLs;fdifficultyfbreathingforf"catchingftheirfbreath"f(b/cffluidfisf
movingfintofalveoli)
-presencefoffS3fgallopf(betweenfS1fandfS2)faskfquestionsflike:farefyoufableftofwalkfupstairsfwithoutffatigue?
assessmentfoffR-sidedfheartffailuref-fanswer-
fluidfisfretained,fpressurefbuildsfinfthefvenousfsystemf(patientfmayfsayf"myfshoesffitftight"=signfoffedema);
fweightfisfimportantfbecausefindicationfthatfclientfisfgainingforflosingffluid
weakness/fatigue,fdizziness,facutefconfusion,fpulmonaryfcongestion,fpulmonaryfcrackles,fbreathlessness,f
restlessness,foliguriaf(lowfurinefoutput),fandfcoughfthatfworsensfatfnightfarefsymptomsfoffwhatfsidedfheartf
failure?f-fanswer-Lfsidedfheartffailure
systemicfcongestion,fjugularfdistention,fenlargedfliver/spleen,fanorexia,fnausea,fedemafinflegsfandfsacrum
,fdistendedfabdomen,fswollenfhandfandffingers,fpolyuriafatfnight,fandfweightfgainfarefsymptomsfoffwhatfsi
dedfheartffailure?f-fanswer-Rfsidedfheartffailure
,whatflabfassessmentsfarefimportantfwhenfpatientfhasfHF?f-fanswer--
electrolytesf(mayfdecreasefdueftofdrugftherapy)
-BUNfandfcreatininef(lookingfforfdecreasedfkidneyffunction)
-H&Hf(HFfdueftofanemia)
-BNPf(forfdiagnosing,fbutfmayfusefmicroalbuminuriafinsteadfbecausefitsffaster)
-ABGf(decreasedfoxygenflevelsfdueftofpoorfperfusion)
whatfimagingfassessmentsfarefdonefforfheartffailure?f-fanswer--chestfx-rayf(forfL-
sidedfheartffailure,fenlargedfheart)
-echocardiographyf(bestftoolfforfdiagnosingfheartffailure)
-ECGf(notfhelpfulfinfdeterminingfthefpresenceforfextentfoffHF)
heartffailurefself-managementfhealthfteachingf-fanswer-M-
medicationsfA-activity
W-
weightfD-
diet
S-symptoms
Whatfisfmitralfregurgitation?f-fanswer-Refluxfoffbloodffromfleftfventriclefintofleftfatriumfduringfsystole
Whatfisfaorticfstenosis?f-fanswer-narrowingfoffthefaorticfvalve,fwhichfobstructsfleftfventricularfoutflow
Thefnursefisfcaringfforfafclientfwithfheartffailurefwhofisfonfoxygenfatf2fLfperfnasalfcannulafwithfanfoxygenf
saturationfoff90%.fThefclientfstates,f"Iffeelfshortfoffbreath."fWhichfactionfwillfthefnurseftakeffirst?
a. contactfrespiratoryftherapy
b. increasefthefoxygenftof4fL
c. placefthefclientfinfafhigh-Fowlerfposition
d. drawfarterialfbloodfforfarterialfbloodfgasfanalysisf-fanswer-c.fplacefthefclientfinfafhigh-Fowlerfposition
, Whatfisfthefpriorityfconceptfforfafclientfwhofhasfheartffailure?
a. gasfexchange
b. perfusion
c. comfort
d. infectionf-fanswer-b.fperfusion
Whenfafclientfadmitsfthatfheforfshefsometimesfhasftroublefcatchingfhisforfherfbreath,fwhichfquestionfwould
fthefnursefaskftofobtainfmorefinformationfaboutfthefclient'sfsymptoms?
A. "Dofyoufhavefafhistoryfoffanyfmedicalfproblemsflikefhighfbloodfpressure?"
B. "Whatfdidfyourfhealthfcarefproviderftellfyoufaboutfyourfdiagnosis?"
C. "Whatfwasfyourfmostfstrenuousfactivityfduringfthefpastfweek?"
D. "Howfdofyouffeelfaboutfbeingftoldfthatfyoufhavefheartffailure?"f-fanswer-
C.f"Whatfwasfyourfmostfstrenuousfactivityfduringfthefpastfweek?"
Whatfassessmentffindingsfwouldfthefnursefexpectftoffindfinfafclientfwithfrightfheartffailure?f(SATA)
a. weightfloss
b. dependentfedema
c. neckfveinfdistention
d. angina
e. hepatomegalyf(enlargedfliver)
f. weakfperipheralfpulsesf-fanswer-b.fdependentfedema
c.fneckfveinfdistention
e.fhepatomegalyf(enlargedfliver)
Whatfearlyfsignfoffleftfventricularffailurefisfafclientfmostflikelyftofreportftofthefnurse?
a. nocturnalfcoughing
b. swollenflegs
c. weightfgain
