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NURS 6051N Week 4 Quiz / NURS6051N Week 4 Quiz (2019): Walden University (Already graded A)

NURS 6051N Week 4 Quiz / NURS6051N Week 4 Quiz: Walden University QUESTION 1 1. When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Yes No 1 points QUESTION 2 1. A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial: a. Hypertrophy b. Ischemia c. Necrosis d. Inflammation 1 points QUESTION 3 1. 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. a. Inflammation b. Occlusion c. Distention d. Sclerosis 1 points QUESTION 4 1. Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)? a. Liver b. Heart c. Lungs d. Pancreas 1 points QUESTION 5 1. 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: a. Sympathetic nervous system compensation for decreased cardiac output b. Stress hormones promoting increased cardiac contractility c. Cardiotoxic effects of catecholamines and angiotensin d. Diastolic dysfunction 1 points QUESTION 6 1. A nurse monitors the patient for _____ when rapid onset of malignant hypertension results. a. Atherosclerosis b. Encephalopathy c. Pulmonary edema d. Acute renal failure 1 points QUESTION 7 1. Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching? a. The patient eats bananas twice a day. b. The patient smokes cigarettes. c. The patient wears mittens outside. d. The patient takes calcium channel blockers. 1 points QUESTION 8 1. 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? a. Venous thrombus b. Heart valve damage c. Bacterial infection d. Atherosclerosis 1 points QUESTION 9 1. 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: a. Left ventricle b. Systemic arteries c. Deep veins of the leg d. Superficial veins of the arm 1 points QUESTION 10 1. When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for? a. Damage to the lung microcapillaries b. Chronic obstructive pulmonary disease (COPD) c. Disseminated intravascular coagulation (DIC) d. Shock and death 1 points QUESTION 11 1. 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 pressure elevation? a. Vasospasm b. Rigidity of the aorta c. Decreased sodium intake d. Lung disease 1 points QUESTION 12 1. 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? a. Aortic stenosis b. Tricuspid regurgitation c. Aortic regurgitation d. Mitral regurgitation 1 points QUESTION 13 1. 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? a. Eating meat b. Living arrangements c. Drinking tomato juice d. Smoking cigarettes 1 points QUESTION 14 1. Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension. a. Primary b. Secondary c. Congenital d. Acquired 1 points QUESTION 15 1. 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? a. Monounsaturated fats b. Polyunsaturated fats c. Saturated fats d. Trans fats 1 points QUESTION 16 1. A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of: a. Fat b. Air c. Tissue fragment d. Blood clot 1 points QUESTION 17 1. 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: a. Cerebral vessels b. Renal arteries c. Inferior vena cava d. Thoracic aorta 1 points QUESTION 18 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? a. Anaphylactic b. Hypovolemic c. Neurogenic d. Septic 1 points QUESTION 19 1. When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do? a. Physical exertion b. Eat c. Stand up d. Lie down 1 points QUESTION 20 1. 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? a. A beta-adrenergic agonist b. An alpha-adrenergic agonist c. A diuretic d. A calcium channel agonist 1 points QUESTION 21 1. A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by: a. High serum cholesterol levels b. Endothelial injury and inflammation c. An increase in antithrombotic substances d. Congenital heart disease 1 points QUESTION 22 1. A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following symptoms most likely occurred before treatment? a. Dry cough and inspiratory crackles b. Shallow respirations and wheezing c. Chest pain and shortness of breath d. Kussmaul respirations and back pain 1 points QUESTION 23 1. Which of the following patients is at highest risk for developing pulmonary embolism (PE)? a. 21-year-old male with a hemophilia bleeding disorder b. 28-year-old woman who had a baby 6 months earlier c. 36-year-old woman with a history of alcohol abuse who is recovering from a gastric ulcer d. 72-year-old male who is recovering from hip replacement surgery in the hospital 1 points QUESTION 24 1. 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? a. Atrioventricular (AV) node b. Sinoatrial (SA) node c. Bundle of His d. Ventricles 1 points QUESTION 25 1. 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: a. Renal retention of fluids b. Depressed myocardial contractility c. Release of acetylcholine d. Increased heart rate 1 points QUESTION 26 1. A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by: a. Arterial wall thinning and weakening b. Abnormally dilated arteries and veins c. Abnormal thickening and hardening of vessel walls d. Autonomic nervous system imbalances 1 points QUESTION 27 1. 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? a. Unstable b. Stable c. Prinzmetal d. Silent 1 points QUESTION 28 1. What term should the nurse document for a detached blood clot? a. Thrombus b. Atherosclerosis c. Thromboembolus d. Infarction 1 points QUESTION 29 1. A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse? a. Atrioventricular (AV) node b. Sinoatrial (SA) node c. Bundle of His d. The left ventricle 1 points QUESTION 30 1. 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: a. Decreased left ventricular preload b. Increased pulmonary capillary permeability c. Increased systemic vascular resistance d. Decreased cardiac oxygen demand 1 points QUESTION 31 1. Which condition should cause the nurse to assess for high-output failure in a patient? a. Increase in thiamine b. Hypothyroidism c. Hypovolemia d. Severe anemia

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