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Cardiac & Respiratory Exam 2 Patho Test Bank 2023 QUESTIONS WITH COMPLETE SOLUTIONS (provides full explanations and criteria)
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In which of the following patient situations would a physician be most justified in preliminarily ruling out pericarditis as a contributing pathology to the patient's health problems? - ANSWER A 77-year-old with diminished S3 and S4 heart tones, irregular heart rate and history of a-fib Foll...

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  • August 25, 2023
  • 42
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • cardiac respiratory exam
  • cardiac respiratory exam 2 patho test bank 2023
  • cardiac respiratory exam 2 patho
  • cardiac respiratory exam 2 patho test bank 2023
  • in which of the following patient situat

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Cardiac & Respiratory Exam 2 Patho Test
Bank 2023 QUESTIONS WITH COMPLETE
SOLUTIONS (provides full explanations and
criteria)
In which of the following patient situations would a physician be most justified in

preliminarily ruling out pericarditis as a contributing pathology to the patient's health

problems? - ANSWER A 77-year-old with diminished S3 and S4 heart tones,

irregular heart rate and history of a-fib

Following cardiac surgery, the nurse suspects the patient may be developing a

cardiac tamponade. Which of the following clinical manifestations would support

this diagnosis? - ANSWER Muffled heart tones, narrowed pulse pressure and

low BP 84/60

Cardiac tamponade results in increased intracardiac pressure, progressive

limitation of ventricular diastolic filling and decrease SV and CO

Which of the following phenomena would be most likely to accompany increased

myocardial oxygen demand? - ANSWER Increased aortic pressure



Results in rise in afterload, wall tension, ultimately MVO2

Which of the following teaching points would be most appropriate for a group of

older adults who are concerned about their cardiac health? - ANSWER The

plaque that builds up in your heart vessels obstructs the normal flow of blood and

can even break loose and lodge itself in a vessel



Stable plaque is associated with obstruction of blood flow, while unstable plaque

may dislodge and result in thrombus formation

,Cardiac & Respiratory Exam 2 Patho Test
Bank 2023 QUESTIONS WITH COMPLETE
SOLUTIONS (provides full explanations and
criteria)
Four patients were admitted to the emergency department with severe chest pain.

All were given preliminary treatment with aspirin, morphine, oxygen, and nitrates

and were monitored by ECG. Which patient most likely experienced myocardial

infarction? - ANSWER An 80-year-old woman whose pain started at 6am shortly

after awakening and was not relieved by nitrates or rest; the ECG showed St-

segment elevation with inverted T waves and abnormal Q waves; levels of cardiac

markers subsequently rose



The chest pain of MI does not respond to rest or nitrates

Which of the following statements provides blood work results and rationale that

would be most closely associated with acute coronary syndrome? - ANSWER

Elevated creatinine kinase and troponin, both of which normally exist intracellularly

rather than in circulation



Myocardial necrosis releases creatinine kinase and troponin that normally exist

intracellularly

A number of clients have presented to the emergency department in the last 32

hours with complaints that preliminarily indicative of MI, which of the following

clients is least likely to have a STEMI? - ANSWER A 71-year-old man who has

most skin, fever and chest pain that is excruciating when he moves but relieved

when at rest

,Cardiac & Respiratory Exam 2 Patho Test
Bank 2023 QUESTIONS WITH COMPLETE
SOLUTIONS (provides full explanations and
criteria)
STEMI pain not normally relieved by rest, nor would fever be a common symptom

Following a STEMI, the nurse should be assessing the pt for which of the following

complications? - ANSWER Large amount of pink, frothy sputum and new onset

of murmur

A 78-year-old man has been experiencing nocturnal chest pain over the last

several months, and his family physician diagnosed him with variant angina. Which

of the following teaching points should the physician include in his explanation of

the man's new diagnosis? - ANSWER I'm going to start you on a low-dose

aspirin, and it will help greatly if you can lose weight and keep exercising.

An IV drug abuser walks into the ED telling the nurse that, "he is sick". He looks

feverish with flushed, moist skin; dehydrated with dry lips/mucous membranes; and

fatigued. The assessment reveals a loud murmur. An echo was ordered that shows

large vegetation growing on his mitral valve. The patient is admitted to the ICU. The

nurse will be assessing this patient for which possible life-threatening

complications? - ANSWER Systemic emboli, especially to the brain



Systemic emboli develop and break off the mitral valve and travel into the vascular

system

A 34-year-old man who is an IV drug user has presented to the ED with malaise,

abdominal pain & lethargy. The health care team wants to rule out endocarditis as

a diagnosis. Staff of the department would most realistically anticipate which of the

following sets of diagnostics? - ANSWER Echo, blood cx and temperature.

, Cardiac & Respiratory Exam 2 Patho Test
Bank 2023 QUESTIONS WITH COMPLETE
SOLUTIONS (provides full explanations and
criteria)
Echo helps visualize the heart, while blood cx would confirm presence or absence

of microorganisms in the circulation, and temperature would gauge presence of

infection.

A 66-year-old obese man with diagnoses of ischemic heart disease has been

diagnosed with heart failure that his care team has characterized as attributable to

systolic dysfunction. Which of the following assessment findings is inconsistent with

his diagnosis? - ANSWER Ventricular dilation and wall tension are significantly

lower than normal.

A nurse will be providing care for a female patient who has diagnosis of heart

failure that has been characterized as being primarily right sided. Which of the

following statements best describes the presentation that the nurse should

anticipate? The client - ANSWER has pitting edema to the ankles and feet

bilaterally, decreased activity tolerance, and occasional right upper quadrant pain.

The nurse working in the ICU knows that chronic elevation of left ventricular end-

diastolic pressure will result in the patient displaying which of the following clinical

manifestations? - ANSWER Dyspnea and crackles in BL lung bases



Although it may preserve the resting cardiac output, the resulting chronic elevation

of left ventricular end-diastolic pressure is transmitted to the atria and the

pulmonary circulation, causing pulmonary congestion.

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