BSNC 6000 Mod. 1 Test Questions and Answers
The dominant function in cardiac failure is:
A. Ascites
B. Hepatomegaly
C. Inadequate tissue perfusion
D. Nocturia - Answer-C. Inadequate tissue perfusion
The diagnosis of heart failure is usually confirmed by:
A. Chest x-ray
B. Echocardiogram
...
BSNC 6000 Mod. 1 Test Questions
and Answers
The dominant function in cardiac failure is:
A. Ascites
B. Hepatomegaly
C. Inadequate tissue perfusion
D. Nocturia - Answer-C. Inadequate tissue perfusion
The diagnosis of heart failure is usually confirmed by:
A. Chest x-ray
B. Echocardiogram
C. Electrocardiogram
D. Ventriculogram - Answer-B: Echocardiogram
Which of the following patients are MOST at risk for developing heart failure? Select-all-
that-apply:
A. A 69 year old male with a history of alcohol abuse and is recovering from a
myocardial infarction.
B. A 55 year old female with a health history of asthma and hypoparathyroidism.
C. A 30 year old male with a history of endocarditis and has severe mitral stenosis.
D. A 45 year old female with lung cancer stage 2.
E. A 58 year old female with uncontrolled hypertension and is being treated for
influenza. - Answer-A, C, E
A patient is being discharged home after hospitalization of left ventricular systolic
dysfunction. As the nurse providing discharge teaching to the patient, which statement
is NOT a correct statement about this condition?
A. "Signs and symptoms of this type of heart failure can include: dyspnea, persistent
cough, difficulty breathing while lying down, and weight gain."
B. "It is important to monitor your daily weights, fluid and salt intake."
C. "Left-sided heart failure can lead to right-sided heart failure, if left untreated."
D. "This type of heart failure can build up pressure in the hepatic veins and cause them
to become congested with fluid which leads to peripheral edema." - Answer-D
True or False: Patients with left-sided diastolic dysfunction heart failure usually have a
normal ejection fraction. - Answer-TRUE
A patient has a history of heart failure. Which of the following statements by the patient
indicates the patient may be experiencing heart failure exacerbation?
A. "I've noticed that I've gain 6 lbs in one week."
B. "While I sleep I have to prop myself up with a pillow so I can breathe."
, C. "I haven't noticed any swelling in my feet or hands lately."
D. Options B and C are correct.
E. Options A and B are correct.
F. Options A, B, and C are all correct. - Answer-E
Which of the following tests/procedures are NOT used to diagnose heart failure?
A. Echocardiogram
B. Brain natriuretic peptide blood test
C. Nuclear stress test
D. Holter monitoring - Answer-D. Holter monitoring
A patient with left-sided heart failure is having difficulty breathing. Which of the following
is the most appropriate nursing intervention?
A. Encourage the patient to cough and deep breathe.
B. Place the patient in Semi-Fowler's position.
C. Assist the patient into High Fowler's position.
D. Perform chest percussion therapy. - Answer-C. Assist the patient into High Fowler's
position.
A patient taking Digoxin is experiencing severe bradycardia, nausea, and vomiting. A
lab draw shows that their Digoxin level is 4 ng/mL. What medication do you anticipate
the physician to order for this patient?
A. Narcan
B. Aminophylline
C. Digibind
No medication because this is a normal Digoxin level. - Answer-C. Digibind
Which of the following is a late sign of heart failure?
A. Shortness of breath
B. Orthopnea
C. Edema
D. Frothy-blood tinged sputum - Answer-D. Frothy-blood tinged sputum
A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a
day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail
beds. Based on this information, he most likely has which of the following conditions?
A. Adult respiratory distress syndrome (ARDS)
B. Asthma
C. Chronic obstructive bronchitis
D. Emphysema - Answer-C. Chronic obstructive bronchitis
Because of his extensive smoking history and symptoms, the client most likely has
chronic obstructive bronchitis. Chronic bronchitis is a type of chronic obstructive
pulmonary disease (COPD) that is defined as a productive cough of more than 3
months occurring within a span of 2 years. Patients typically present with chronic
productive cough, malaise, and symptoms of excessive coughing such as chest or
abdominal pain.
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