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NUR 108 ( LATEST 2024 / 2025 ) HEART DISEASES | PASSED | A+ RATED GUIDE | NEW FULL EXAM
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NUR 108 ( LATEST 2024 / 2025 ) HEART DISEASES | PASSED | A+ RATED GUIDE | NEW FULL EXAM
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NUR 108 Heart Diseases1. Which defect results in increased pulmonary blood flow?
A. Pulmonic Stenosis
B. Tricuspid Atresia
C. Atrial Septal Defect
D. Transposition of the Great Arteries
Answer
C. Atrial Septal Defect - blood flows from the left atrium to the right atrium (high pressure to
low pressure) and then into the lungs
A - narrowing, hardening, thickening - obstruction
B - decreased pulmonary flow
D - mixed blood flow
2. Which structural defects constitute tetralogy of Fallot?
Answer
Pulmonic stenosis
Ventricular Septal Defect
Overriding Aorta
Right Ventricular Hypertrophy
3. What is best described as the inability of the heart to pump and adequate amount of blood to
the systemic circulation at normal filling pressures?
A. Pulmonary Congestion
B. Congenital Heart Defect
C. Congestive Heart Failure
D. Systemic Venous Congestion
Answer
C. CHF
A. - fluid in the lungs
B. - broad spectrum, malformation of the heart present at birth
D. excessive accumulation in the systemic vascular
4. A clinical manifestation of the systemic venous congestion that can occur with CHF is
,Answer
A. Tachypnea
B. Tachycardia
C. Peripheral Edema
D. Pale, cool extremities
Answer
C. Peripheral edema
A - pulmonary congestion
B & D - impaired myocardial function
5. A beneficial effect of administering digoxin is that it
Answer
A. Decreases edema
B. Decreases cardiac output
C. Increases heart size
D. Increases venous pressure
Answer
A. Decreases edema - by increasing cardiac
output, it decreases venous pressure and results in decreased edema, rapid onset
B - opposite
C - decreases
6. The nurse is evaluating a child who is taking digoxin for her cardiac condition. The nurse is
cognizant that a common sign of digoxin toxicity is
Answer
A. Seizures
B. Vomiting
C. Bradypnea
D. Tachycardia
Answer
B. Vomiting
, C - tachypnea
D - bradycardia
Arrhythmias in adults
7. An 8 month old infant has a hypercyanotic spell while blood is being drawn. The nurse's first
action should be to
Answer
A. Assess for neurologic defects
B. Place the child in the knee-chest position
C. Begin cardiopulmonary resuscitation
D. Prepare the family for imminent death
Answer
B. Place the child in the knee-chest position - constricts the veins in the legs and forces the
blood upward, pushes on the diaphragm and helps the breathing and heart
8. The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The
nurse recognizes that a risk of cerebrovascular accidents (strokes) exists. An important objective
to decrease this risk is to
Answer
A. Minimize seizures
B. Prevent dehydration
C. Promote cardiac output
D. Reduce energy expenditure
Answer
B. Prevent dehydration - have thicker blood when dehydrated, at greater risk of developing a
clot
9. Parents of a 3 year old child with congenital heart disease are afraid to let their child play
with other children because of possible overexertion. The nurse's reply should be based on
knowing that
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