NSG430 Exam 2 | Latest 2024/2025 Questions & Answers | Verified &
Graded A – Grand Canyon University
1. The nurse obtains a health history from a 65-year-old patient with a
prosthetic mitral valve who has symptoms of infective endocarditis
(IE). Which question by the nurse is most appropriate?
Answer: "Have you recently had any dental work or invasive
procedures?"
2. The nurse identifies the nursing diagnosis of decreased cardiac
output related to valvular insufficiency for the patient with infective
endocarditis (IE) based on which assessment finding(s)?
Answer: Crackles in the lungs and a new murmur.
3. When planning care for a patient hospitalized with streptococcal
infective endocarditis (IE), which intervention is a priority for the
nurse to include?
Answer: Administering IV antibiotics as prescribed.
4. After receiving the following information about four patients during
a change-of-shift report, which patient should the nurse assess first?
Answer: The patient with aortic stenosis who reports severe chest
pressure radiating to the jaw.
5. The nurse is obtaining a health history from a 24-year-old patient
with hypertrophic cardiomyopathy (HC). Which information obtained
by the nurse is most important?
Answer: A family history of sudden cardiac death.
, 6. During the assessment of a 25-year-old patient with infective
endocarditis (IE), the nurse would expect to find?
Answer: Splinter hemorrhages, Osler's nodes, and Janeway lesions.
7. Which assessment finding obtained by the nurse when assessing a
patient with acute pericarditis should be reported immediately to the
health care provider?
Answer: Jugular venous distention and muffled heart sounds.
8. A patient is recovering from a myocardial infarction (MI) and
develops chest pain on day 3 that increases when taking a deep
breath and is relieved by leaning forward. Which action should the
nurse take next?
Answer: Assess for a pericardial friction rub.
9. When caring for a patient with mitral valve stenosis, it is most
important that the nurse assess for?
Answer: Signs of left atrial enlargement such as dyspnea and fatigue.
10. A 72-year-old man with a history of aortic stenosis is admitted to
the emergency department. He reports severe left-sided chest
pressure radiating to the jaw. Which medication, if ordered by the
health care provider, should the nurse question?
Answer: Nitroglycerin.
11. Which topic will the nurse plan to include in discharge teaching for
a patient with systolic heart failure and an ejection fraction of 33%?
Answer: The importance of daily weight monitoring to detect fluid
retention.
Graded A – Grand Canyon University
1. The nurse obtains a health history from a 65-year-old patient with a
prosthetic mitral valve who has symptoms of infective endocarditis
(IE). Which question by the nurse is most appropriate?
Answer: "Have you recently had any dental work or invasive
procedures?"
2. The nurse identifies the nursing diagnosis of decreased cardiac
output related to valvular insufficiency for the patient with infective
endocarditis (IE) based on which assessment finding(s)?
Answer: Crackles in the lungs and a new murmur.
3. When planning care for a patient hospitalized with streptococcal
infective endocarditis (IE), which intervention is a priority for the
nurse to include?
Answer: Administering IV antibiotics as prescribed.
4. After receiving the following information about four patients during
a change-of-shift report, which patient should the nurse assess first?
Answer: The patient with aortic stenosis who reports severe chest
pressure radiating to the jaw.
5. The nurse is obtaining a health history from a 24-year-old patient
with hypertrophic cardiomyopathy (HC). Which information obtained
by the nurse is most important?
Answer: A family history of sudden cardiac death.
, 6. During the assessment of a 25-year-old patient with infective
endocarditis (IE), the nurse would expect to find?
Answer: Splinter hemorrhages, Osler's nodes, and Janeway lesions.
7. Which assessment finding obtained by the nurse when assessing a
patient with acute pericarditis should be reported immediately to the
health care provider?
Answer: Jugular venous distention and muffled heart sounds.
8. A patient is recovering from a myocardial infarction (MI) and
develops chest pain on day 3 that increases when taking a deep
breath and is relieved by leaning forward. Which action should the
nurse take next?
Answer: Assess for a pericardial friction rub.
9. When caring for a patient with mitral valve stenosis, it is most
important that the nurse assess for?
Answer: Signs of left atrial enlargement such as dyspnea and fatigue.
10. A 72-year-old man with a history of aortic stenosis is admitted to
the emergency department. He reports severe left-sided chest
pressure radiating to the jaw. Which medication, if ordered by the
health care provider, should the nurse question?
Answer: Nitroglycerin.
11. Which topic will the nurse plan to include in discharge teaching for
a patient with systolic heart failure and an ejection fraction of 33%?
Answer: The importance of daily weight monitoring to detect fluid
retention.
