Pulmonary Embolism, Hypertension, Hyperlipidemia,
Heart Failure, Electrolytes, Shock, AKI
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program
SUBJECT COURSE FORMAT
Medical-Surgical Nursing - NUR 256 Exam 2 Q&A Guide with Rationale
Cardiovascular, Pulmonary, Renal,
Acid-Base, Electrolytes
Question 1
What is a pulmonary embolism?
A. Clot or other material lodges in vessels of the lung
B. Infection of the lung tissue
C. Inflammation of the pleura
D. Collapsed lung
CORRECT ANSWER
A. Clot or other material lodges in vessels of the lung
CLINICAL RATIONALE
• PE is a life-threatening emergency causing ventilation-perfusion mismatch.
• Risk factors: DVT, immobility, surgery, cancer, oral contraceptives.
, Question 2
What are the signs and symptoms of pulmonary embolism?
A. Sudden chest pain, dyspnea, increased respiratory rate, cough, tachycardia, fever, diaphoresis, anxiety,
syncope, history of DVT
B. Gradual onset of fatigue only
C. Headache and nausea only
D. Abdominal pain and vomiting
CORRECT ANSWER
A. Sudden chest pain, dyspnea, increased respiratory rate, cough, tachycardia, fever, diaphoresis,
anxiety, syncope, history of DVT
CLINICAL RATIONALE
• Symptoms are often acute and dramatic.
• PE should be suspected in any patient with sudden onset of dyspnea and chest pain.
Question 3
Which diagnostic test is most definitive for pulmonary embolism?
A. Chest X-ray
B. D-dimer
C. Pulmonary angiography
D. ECG
CORRECT ANSWER
C. Pulmonary angiography
CLINICAL RATIONALE
• CT pulmonary angiography is now the gold standard.
• D-dimer is sensitive but not specific; used to rule out PE.