NURS 401 Quiz 2 Questions And
Answers Latest Update
Which definition best describes left-sided heart failure?
A. Increased volume and pressure develop and result in peripheral edema
B. It can occur when cardiac output remains normal or above normal
C. There is decreased tissue perfusion from poor cardiac output and
pulmonary congestion from increased pressure in the pulmonary vessels
D. It is the percentage of blood ejected from the heart during systole Answer:
C. There is decreased tissue perfusion from poor cardiac output and
pulmonary congestion from increased pressure in the pulmonary vessels
When heart failure develops, what is the initial compensatory mechanism of
the heart that maintains cardiac output?
A. Sympathetic stimulation
B. Parasympathetic stimulation
C. Renin-angiotensin-activation system (RAAS)
D. Myocardial hypertrophy Answer: A. Sympathetic stimulation
The nurse is taking a history on a patient with recently diagnosed heart failure.
The patient admits to "sometimes have trouble catching my breath" but is
unable to provide more specific details. What question does the nurse ask to
gather more data about the patient's symptoms?
A. "Do you have any medical problems, such as high blood pressure?"
,B. "What did your doctor tell you about your diagnosis?"
C. "What was your most strenuous activity in the past week?"
D. "How do you feel about being told that you have heart failure?" Answer:
C. "What was your most strenuous activity in the past week?"
The nurse is assessing a patient with left-sided heart failure. Which assessment
findings does the nurse expect to see in this patient? SATA
A. Dependent edema
B. weight loss
C. jugular venous distention
D. hypotension
E. hepatomegaly
F. angina Answer: a. dependent edema
C. jugular venous distention
E. hepatomegaly
Based on the etiology and the main cause of heart failure, which patient has
the greatest need for health promotion measures to prevent heart failure?
A. Patient with Alzheimer's
B. Patient with cystitis
C. Patient with asthma
D. Patient with hypertension Answer: D. Patient with hypertension
The nurse is reviewing diagnostic test results for a patient who is hypertensive.
Which laboratory results is an early warning sign of decreased heart
,compliance and prompts the nurse to immediately notify the health care
provider?
A. Normal B-type natriuretic peptide
B. Decreased hemoglobin
C. Elevated thyroxine (T4)
D. Presence of microalbuminuria Answer: D. Presence of
microalbuminuria
A patient who was admitted for newly diagnosed heart failure is now being
discharged. The nurse instructs the patient and family on how to manage heart
failure at home. What major self-management categories should the nurse
include? SATA
A. Medications
B. Weight
C. Heart transplants
D. Activity
E. Diet
F. What to do when symptoms get worse Answer: A. Medications
B. Weight
D. Activity
E. Diet
F. What to do when symptoms get worse
A patient is at risk for heart failure but currently has no official medical
diagnosis. While assessing the patient's lungs, the nurse hears profuse fine
crackles. What does the nurse do next?
, A. Report the finding to the health care provider
B. Document the finding as a baseline for later comparison
C. Give the patient low-flow supplemental oxygen
D. Ask the patient to cough and auscultate the lungs Answer: D. Ask the
patient to cough and auscultate the lungs
The home health nurse is evaluating a patient being treated for heart failure.
Which statement by the patient is the best indicator of hope and well-being as
a desired psychological outcome?
A. "I'm taking the medication and following the doctor's orders"
B. "I'm looking forward to dancing with my wife on our wedding anniversary"
C. "I'm planning to go on a long trip; I'll never go back to the hospital again"
D. "I want to thank you for all that you have done. I know you did your best"
Answer: B. "I'm looking forward to dancing with my wife on our wedding
anniversary"
The nursing student is assisting in the care of a patient with advanced right-
sided heart failure. In addition to bringing a stethoscope, what additional piece
of equipment does the student bring in order to assess this patient?
A. Tape measure
B. Glasgow Coma Scale
C. Portable Doppler
D. Bladder ultrasound scanner Answer: A. Tape measure
A patient with heart failure has inadequate tissue perfusion. Which nursing
interventions are included in the plan of care for this patient? SATA
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