NUR 352 Exam 2
NUR 352 EXAM 2 NEWEST 2025/2026 COMPLETE ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A client has been admitted to the medical unit with signs and symptoms
suggestive of endocarditis.
The health care provider's choice of antibiotics would be primarily based on what
diagnostic test?
A. Echocardiography
B. Blood cultures
C. Cardiac aspiration
D. Full blood count - ANSWER-ANS: B
Rationale: To help determine the causative organisms and the most effective
antibiotic treatment for
the client, blood cultures are taken. A CBC can help establish the degree and stage
of infection, but not
the causative microorganism. Echocardiography cannot indicate the
microorganisms causing the
infection. "Cardiac aspiration" is not a diagnostic test.
Which intervention is the most effective way to prevent rheumatic heart disease?
A. Recognizing and promptly treating streptococcal infections
B. Prophylactic use of calcium channel blockers in high-risk populations
C. Adhering closely to the recommended child immunization schedule
D. Promoting smoking cessation in all clients who smoke - ANSWER-ANS: A
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, NUR 352 Exam 2
Rationale: Group A streptococcus can cause rheumatic heart fever, resulting in
rheumatic endocarditis.
Being aware of signs and symptoms of streptococcal infections, identifying them
quickly, and treating
them promptly are the best preventative techniques for rheumatic endocarditis.
Smoking cessation,
immunizations, and calcium channel blockers will not prevent rheumatic heart
disease.
The nurse is caring for a client with a history of endocarditis. Which topic would
the nurse prioritize
during health promotion education?
A. Oral hygiene
B. Physical activity
C. Dietary guidelines
D. Fluid intake - ANSWER-ANS: A
Rationale: For clients with endocarditis, regular professional oral care combined
with personal oral
care may reduce the risk of bacteremia. In most cases, diet and fluid intake do not
need to be altered.
Physical activity has broad benefits, but it does not directly prevent complications
of endocarditis.
The nurse is admitting a client with a diagnosis of left ventricular hypertrophy. The
client reports
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, NUR 352 Exam 2
dyspnea on exertion, as well as fatigue. Which diagnostic tool would be most
helpful in diagnosing
this type of myopathy?
A. Cardiac catheterization
B. Arterial blood gases
C. Echocardiogram
D. Exercise stress test - ANSWER-ANS: C
Rationale: The echocardiogram (ECG) is one of the most helpful diagnostic tools
because the structure
and function of the ventricles can be observed easily. The ECG is also important,
and can demonstrate
arrhythmias and changes consistent with left ventricular hypertrophy. Cardiac
catheterization
specifically addresses coronary artery function and arterial blood gases evaluate
gas exchange and acid
balance. Stress testing is not normally used to differentiate cardiomyopathy from
other cardiac
pathologies.
The nurse is preparing a client for cardiac surgery. During the procedure, the
client's heart will be
removed and a donor heart implanted at the vena cava and pulmonary veins.
What procedure will this
client undergo?
A. Orthotopic transplant
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, NUR 352 Exam 2
B. Xenograft
C. Heterotopic transplant
D. Homograft - ANSWER-ANS: A
Rationale: Orthotopic transplantation is the most common surgical procedure for
cardiac
transplantation. The recipient's heart is removed, and the donor heart is
implanted at the vena cava and
pulmonary veins. Some surgeons still prefer to remove the recipient's heart,
leaving a portion of the
recipient's atria (with the vena cava and pulmonary veins) in place. Homografts, or
allografts (i.e.,
human valves), are obtained from cadaver tissue donations and are used for aortic
and pulmonic valve
replacement. Xenografts and heterotopic transplantation are not terms used to
describe heart
transplantation.
A client is undergoing diagnostic testing for mitral stenosis. What statement by the
client during the
nurse's interview is most suggestive of this valvular disorder?
A. "I get chest pain from time to time, but it usually resolves when I rest."
B. "Sometimes when I'm resting, I can feel my heart skip a beat."
C. "Whenever I do any form of exercise I get terribly short of breath."
D. "My feet and ankles have gotten terribly puffy the last few weeks." - ANSWER-
ANS: C
4|Page
NUR 352 EXAM 2 NEWEST 2025/2026 COMPLETE ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A client has been admitted to the medical unit with signs and symptoms
suggestive of endocarditis.
The health care provider's choice of antibiotics would be primarily based on what
diagnostic test?
A. Echocardiography
B. Blood cultures
C. Cardiac aspiration
D. Full blood count - ANSWER-ANS: B
Rationale: To help determine the causative organisms and the most effective
antibiotic treatment for
the client, blood cultures are taken. A CBC can help establish the degree and stage
of infection, but not
the causative microorganism. Echocardiography cannot indicate the
microorganisms causing the
infection. "Cardiac aspiration" is not a diagnostic test.
Which intervention is the most effective way to prevent rheumatic heart disease?
A. Recognizing and promptly treating streptococcal infections
B. Prophylactic use of calcium channel blockers in high-risk populations
C. Adhering closely to the recommended child immunization schedule
D. Promoting smoking cessation in all clients who smoke - ANSWER-ANS: A
1|Page
, NUR 352 Exam 2
Rationale: Group A streptococcus can cause rheumatic heart fever, resulting in
rheumatic endocarditis.
Being aware of signs and symptoms of streptococcal infections, identifying them
quickly, and treating
them promptly are the best preventative techniques for rheumatic endocarditis.
Smoking cessation,
immunizations, and calcium channel blockers will not prevent rheumatic heart
disease.
The nurse is caring for a client with a history of endocarditis. Which topic would
the nurse prioritize
during health promotion education?
A. Oral hygiene
B. Physical activity
C. Dietary guidelines
D. Fluid intake - ANSWER-ANS: A
Rationale: For clients with endocarditis, regular professional oral care combined
with personal oral
care may reduce the risk of bacteremia. In most cases, diet and fluid intake do not
need to be altered.
Physical activity has broad benefits, but it does not directly prevent complications
of endocarditis.
The nurse is admitting a client with a diagnosis of left ventricular hypertrophy. The
client reports
2|Page
, NUR 352 Exam 2
dyspnea on exertion, as well as fatigue. Which diagnostic tool would be most
helpful in diagnosing
this type of myopathy?
A. Cardiac catheterization
B. Arterial blood gases
C. Echocardiogram
D. Exercise stress test - ANSWER-ANS: C
Rationale: The echocardiogram (ECG) is one of the most helpful diagnostic tools
because the structure
and function of the ventricles can be observed easily. The ECG is also important,
and can demonstrate
arrhythmias and changes consistent with left ventricular hypertrophy. Cardiac
catheterization
specifically addresses coronary artery function and arterial blood gases evaluate
gas exchange and acid
balance. Stress testing is not normally used to differentiate cardiomyopathy from
other cardiac
pathologies.
The nurse is preparing a client for cardiac surgery. During the procedure, the
client's heart will be
removed and a donor heart implanted at the vena cava and pulmonary veins.
What procedure will this
client undergo?
A. Orthotopic transplant
3|Page
, NUR 352 Exam 2
B. Xenograft
C. Heterotopic transplant
D. Homograft - ANSWER-ANS: A
Rationale: Orthotopic transplantation is the most common surgical procedure for
cardiac
transplantation. The recipient's heart is removed, and the donor heart is
implanted at the vena cava and
pulmonary veins. Some surgeons still prefer to remove the recipient's heart,
leaving a portion of the
recipient's atria (with the vena cava and pulmonary veins) in place. Homografts, or
allografts (i.e.,
human valves), are obtained from cadaver tissue donations and are used for aortic
and pulmonic valve
replacement. Xenografts and heterotopic transplantation are not terms used to
describe heart
transplantation.
A client is undergoing diagnostic testing for mitral stenosis. What statement by the
client during the
nurse's interview is most suggestive of this valvular disorder?
A. "I get chest pain from time to time, but it usually resolves when I rest."
B. "Sometimes when I'm resting, I can feel my heart skip a beat."
C. "Whenever I do any form of exercise I get terribly short of breath."
D. "My feet and ankles have gotten terribly puffy the last few weeks." - ANSWER-
ANS: C
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