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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
1. When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
1. A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial:
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.
1. Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)?
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. A nurse monitors the patient for _____ when rapid onset of malignant hypertension results.
c. Pulmonary edema
d. Acute renal failure
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. 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
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. 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. 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?
b. Rigidity of the aorta
c. Decreased sodium intake
d. Lung disease
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. 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. Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension.
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. A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of:
c. Tissue fragment
d. Blood clot
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. 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?
1. When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do?
a. Physical exertion
c. Stand up
d. Lie down
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. 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. 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. 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. 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
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. 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. 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?
1. What term should the nurse document for a detached blood clot?
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. 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. Which condition should cause the nurse to assess for high-output failure in a patient?
a. Increase in thiamine
d. Severe anemia
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