WEEK 4 QUIZ
•Question 1
An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing?
Correct Answer: b.
Hypovolemic
•Question 2
A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage?
•Question 3
Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)?
•Question 4
An 80-year-old female is in the hospital for a bone fracture. While there she develops a large, nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow?
•Question 5
A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse?
•Question 6
A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial:
•Question 7
When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for?
•Question 8
What term should the nurse document for a detached blood clot?
•Question 9
A 65-year-old male is transported to the ER for chest pain. An electrocardiogram reveals a prolonged QRS interval. What is the nurse monitoring when the nurse observes the QRS complex on the electrocardiogram? The QRS complex reflects:
•Question 10
A 50-year-old female presents with a low heart rate and low blood pressure. She is given an intravenous (IV) infusion of fluids. The increase in atrial distension results in:
•Question 11
Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunction?
•Question 12
A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the:
•Question 13
When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do?
•Question 14
Which of the following patients is at highest risk for developing pulmonary embolism (PE)?
•Question 15
A 5-year-old female is found to have hypertension during three separate visits to her primary care provider. The nurse would expect tests to suggest that the hypertension is secondary to:
•Question 16
A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following?
•Question 17
A 56-year-old male is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change?
•Question 18
A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing:
•Question 19
A 35-year-old male presents with pulmonary hypertension. Testing reveals he is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart?
•Question 20
Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _ hypertension.
•Question 21
A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart?
•Question 22
A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the:
•Question 23
A 50-year-old obese male with hypertension and coronary artery disease visits a nutritionist for food counseling. He has an elevated level of low-density lipoprotein (LDL) and a low level of high-density lipoprotein (HDL). Which of the following should the nurse advise him to avoid?
•Question 24
A 32-year-old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition?
•Question 25
A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause:
•Question 26
A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by:
•Question 27
A 50-year-old male visits the cardiologist for an EKG. Results indicate that he has no PR interval and a variable QRS rate with rhythm irregularity. Which of the following is the most likely diagnosis to be recorded on the chart?
•Question 28
A 52-year-old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient?
•Question 29
Which condition should cause the nurse to assess for high-output failure in a patient?
•Question 30
A 52-year-old male presents with pooling of blood in the veins of the lower extremities and edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of this disorder is:
1.A 60 year old male undergoes surgery for a bone fracture. Which of the following nursing measures would be most effective for preventing pulmonary embolism (PE) in this patient?
2.A 52 year old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient?
3.What term should the nurse document for a detatched blood clot?
4.A 65 year old male is diagnosed with chornic pulmonary diseas and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse asses for in this patient?
5.A 30 year old Caucausian female was recently diagnosed with primary hyptertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports her father has HTN as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis?
6.A 60 year old male presents to his PCP reporting cheset pain. He is diagnosed with atherosclerosis. This disease is caused by
7.Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndroms (MODS)?
8.Which characteristic changes should the nurse keep in minde while caring for a patient with left heart failure? As left heart failure progresses _
9.A 50 year old obese male with HTN and CAD visits a nutritionist for food counseling. He has an elevated LDL and low HDL. Which of the following should the nurse advise him to avoid?
10.A 62 year old male presents to his primary care provdider reporting chest pain at rest and with exertion. He does not have a history of CAD and reports that the pain often occurs at night. He most likely experiencing which type of angina?
11.A 80 year old female is in the hospital for a bone fracture. While there she develops a large nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow?
12.While planning care for a patient with superior vena cava syndrome (SVCS), which principle should the nurse remember? SVCS is a progressive __ of the superior vena cava that leads to venous distention of the upper extremities and head.
13.A 52 year old male presents with pooling of lood in the veins of the lower extremities and edema. The diagnosis is CVI and an expected assessment finding of this disorder is:
14.A 70 year old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of
15.A 50 year old male with 30 year hx of smoking was dx with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart?
16.A 50 year old female presents with a low heart rate and low blood pressure. She is given IV infusion of fluids. The increase in arterial distension results in __
17.A 32 year old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition?
18.Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunction?
19.A 82 year old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing?
20.A 50 year old male is diagnosed with orthatatic hypertension. Which of the following symptoms would he most likely experience?
21.A 68 year old female is experiencing left heart failure. Physical exam reveals elevated BP. The nurse understands this is most likely caused by:
22.A 28 year old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the:
23.A 65 year old male is transported to the ER for chest pain. An ECG reveals a prolonged QRS interval. What is the nurse monitoring when the nurse observes the QRS complex on the ECG?
24.A 51 year old male si at the health clinic for an annual physical exam. After walking from the car to the clinic he developed substernal pain. He also reported discomfort in his left shoulder and his jaw lasting 2-3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past 5 months with similar exertion. The nurse suspects he is most likely experiencing
25.A 35 year old male presents with pulmonary hypertension. Testing reveals is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart?
26.A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by
27.A 75 year old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has develop a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following?
28.The reserve has been exhausted, and the amount of oxygen consumed depends on the amount the circulation is able to deliver.
29.A 54 year old male is diagnosed with LBBB. Which of the following structures would not receive an electrical impulse?
30.A 50 year old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage?
31.When a patient has a massive PE what complications will the nurse monitor for?
32.A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary resistance. Which of the following heart failures should the nurse assess for in this patient? Right heart failure
33.What term should the nurse document for a detached blood clot?
34.A 60-year-old male is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located?
35.Which condition should cause the nurse to assess for high-output failure in a patient?
36.A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2-3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing:
37.A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of:
38.A nurse monitors the patient for ____ when rapid onset of malignant hypertension results:
39.Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as __ hypertension.
40.A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath.
41.A 52-year-old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient?
42.A 35-year-old male presents with pulmonary hypertension. Testing reveals he is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart?
43.An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing?
44.A 50-year-old obese male with hypertension and coronary artery disease visits a nutritionist for food counseling. He has an elevated level of low-density lipoprotein (LDL) and a low level of high-density lipoprotein (HDL). Which of the following should the nurse advise him to avoid?
45.A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the:
46.A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood pressure. The nurse understands this is most likely caused by:
47.When a patient has a massive pulmonary embolism (PE), what complications should the nurse monitor for?
48.A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina?
49.A 56-year-old male is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change?
50.A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following?
51.A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by
52.A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following symptoms most likely occurred before treatment?
53.A 5-year-old female is found to have hypertension during three separate visits to her primary care provider. The nurse would expect tests to suggest that the hypertension is secondary to:
54.A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause:
55.Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)?
56.A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing measures would be most effective for preventing pulmonary embolism in this patient?
57.A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart?
58.A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage?
59.A 65-year-old male presents for a routine checkup. A blood pressure check reveals a systolic pressure of 160 mm HG and a diastolic pressure of 70 mm Hg. Which of the following is the most likely cause of this type of blood pressure elevation?
60.Which characteristic changes should the nurse keep in mind while caring for a patient with left heart failure? As left heart failure progresses:
61.A 32-year-old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition?
•Question 1
An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing?
•Question 2
A 5-year-old female is found to have hypertension during three separate visits to her primary care provider. The nurse would expect tests to suggest that the hypertension is secondary to:
•Question 3
A 50-year-old obese male with hypertension and coronary artery disease visits a nutritionist for food counseling. He has an elevated level of low-density lipoprotein (LDL) and a low level of high-density lipoprotein (HDL). Which of the following should the nurse advise him to avoid?
•Question 4
A 32-year-old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition?
•Question 5
A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing measures would be most effective for preventing pulmonary embolism (PE) in this patient?
•Question 6
A 60-year-old male is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located?
•Question 7
When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for?
•Question 8
A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse?
•Question 9
Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)?
•Question 10
A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage?
•Question 11
A 52-year-old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient?
•Question 12
A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by:
•Question 13
A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by:
•Question 14
A 56-year-old male is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change?
•Question 15
An 80-year-old female is in the hospital for a bone fracture. While there she develops a large, nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow?
•Question 16
Which of the following patients is at highest risk for developing pulmonary embolism (PE)?
•Question 17
A 50-year-old male is diagnosed with orthostatic hypotension. Which of the following symptoms would he most likely experience?
•Question 18
A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of:
•Question 19
A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause:
•Question 20
A 35-year-old male presents with pulmonary hypertension. Testing reveals he is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart?
•Question 21
A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse assess for in this patient?
•Question 22
A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart?
•Question 23
A nurse monitors the patient for _ when rapid onset of malignant hypertension results.
•Question 24
A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following?
•Question 25
When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do?
•Question 26
While planning care for a patient with superior vena cava syndrome (SVCS), which principle should the nurse remember? SVCS is a progressive _ of the superior vena cava (SVC) that leads to venous distention of the upper extremities and head.
•Question 27
What term should the nurse document for a detached blood clot?
•Question 28
Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching?
•Question 29
A 52-year-old male presents with pooling of blood in the veins of the lower extremities and edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of this disorder is:
•Question 30
A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the:
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