Walden University NURS 6501 Quiz 5

·         Question 1

1 out of 1 points

A 52-year-old female is admitted to the cardiac unit with a diagnosis of pericarditis. She asks the nurse to explain where the infection is. In providing an accurate description, the nurse states that the pericardium is:

·         Question 2

1 out of 1 points

An infant undergoes an echocardiogram for a suspected heart defect. Tests reveal an opening in the middle of the atrial septum. What term would the nurse use to describe this defect?

·         Question 3

1 out of 1 points

Which of the following lab tests will the nurse check to help diagnose heart failure and provide insight into its severity?

·         Question 4

1 out of 1 points

A nurse is teaching staff about endocarditis. Which information should the nurse include? Inflammatory cells have difficulty limiting the colonization of microorganisms in infective endocarditis because the:

·         Question 5

1 out of 1 points

A 75-year-old male has severe chest pain and dials 911. Lab tests at the hospital reveal elevated levels of cardiac troponins I and T. Based upon the lab findings, the nurse suspects which of the following has occurred?

·         Question 6

1 out of 1 points

A 20-year-old female is being admitted to the hospital with fever and septic shock. Which set of assessment findings would the nurse expect the patient to exhibit?

·         Question 7

1 out of 1 points

A newborn is diagnosed with congenital heart disease. Which of the following intrauterine factors should the nurse focus on during the history that could have caused this disorder?

·         Question 8

1 out of 1 points

A newborn child is diagnosed with tetralogy of Fallot. What symptoms would the nurse expect to observe in the child?

·         Question 9

1 out of 1 points

A nurse recalls the most common cardiac valve disease in the United States, which tends to be most prevalent in young women, is:

·         Question 10

1 out of 1 points

A newborn baby is severely cyanotic. An echocardiogram reveals transposition of the great arteries. A nurse assesses for which of the following, as it usually occurs with this defect?

·         Question 11

1 out of 1 points

An 8-week-old infant presents to her primary care provider for a well-baby check. Physical exam reveals a murmur, and an echocardiogram shows a large ventricular septal defect. If left untreated, what condition should the nurse discuss with the parents?

·         Question 12

1 out of 1 points

One consequence of switching from aerobic to anaerobic cellular metabolism during shock states is:

·         Question 13

1 out of 1 points

A 27-year-old male is admitted to a neurologic unit with a complete C-5 spinal cord transection. On initial assessment, he is bradycardic, hypotensive, and hyperventilating. He appears to be going into shock. The most likely mechanism of his shock is:

·         Question 14

1 out of 1 points

A nurse is teaching a patient about anaphylactic shock. Which information should the nurse include? The onset of anaphylactic shock is usually:

·         Question 15

1 out of 1 points

A nurse is explaining the function of the heart. Which is a correct response by the nurse? A function of the pericardium is to:

·         Question 16

1 out of 1 points

A 60-year-old female was diagnosed with mitral stenosis. As a result, the nurse realizes the patient has incomplete emptying of the:

·         Question 17

1 out of 1 points

A newborn experiences frequent periods of cyanosis, usually occurring during crying or after feeding. Which of the following is the most likely diagnosis the nurse will observe on the chart?

·         Question 18

1 out of 1 points

A 30-year-old female presents to her primary care provider with fever, cardiac murmur, and petechial skin lesions. She is diagnosed with infective endocarditis. When the patient wants to know what caused the disease, what is the nurse’s best response? The most likely cause of the disease is:

·         Question 19

1 out of 1 points

A 42-year-old female is diagnosed with constrictive pericarditis. The nurse assesses the blood pressure for decreased cardiac output because of:

·         Question 20

1 out of 1 points

When a patient with left heart failure starts to have a cough and dyspnea, which principle should the nurse remember? Pulmonary symptoms, common to left heart failure, are a result of:

·         Question 21

1 out of 1 points

A 20-year-old male underwent an echocardiogram to assess chest pain. Results revealed a congenital defect in papillary muscles. Which of the following would the nurse expect to occur?

·         Question 22

1 out of 1 points

A 3-year-old male is diagnosed with Kawasaki disease. Which of the following does the nurse suspect is the most likely cause?

·         Question 23

1 out of 1 points

While planning care, the nurse remembers which principle? In valvular _____, the valve opening is constricted and narrowed because the valve leaflets, or cusps, fail to open completely.

·         Question 24

1 out of 1 points

Which is the most common type of congenital heart defect the nurse should assess for in infants?

·         Question 25

1 out of 1 points

A 1-month-old infant visits his primary care provider for a well-baby check. Physical exam reveals decreased cardiac output, hypotension, tachycardia, and a loud murmur suggestive of aortic stenosis. Which of the following would be expected with this diagnosis?

·         Question 26

1 out of 1 points

A 72-year-old female has a history of hypertension and atherosclerosis. An echocardiogram reveals backflow of blood into the left ventricle. Which of the following is the most likely diagnosis documented on the chart?

·         Question 27

0 out of 1 points

A 51-year-old male presents with recurrent chest pain on exertion. He is diagnosed with angina pectoris. When he asks what causes the pain, how should the nurse respond? The pain occurs when:

·         Question 28

1 out of 1 points

A 56-year-old male presents to his primary care provider for a checkup. Physical exam reveals edema, hepatomegaly, and muffled heart sounds. Which of the following is of greatest concern to the nurse?

·         Question 29

1 out of 1 points

What factors make a patient prone to neurogenic shock? Neurogenic shock can be caused by any factor that inhibits the:

·         Question 30

1 out of 1 points

When a person is in shock, a nurse remembers impairment in cellular metabolism is cause by: