Medical Surgical Nursing Practice Exam IV (Exam Mode) By Rnpedia.Com

13 Questions | Total Attempts: 489

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Medical Surgical Nursing Practice Exam IV (Exam Mode) By Rnpedia.Com

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Questions and Answers
  • 1. 
    Which of the following procedures most specifically describes splitting or separating fused cardiac valve leaflets?
    • A. 

      Chordoplasty

    • B. 

      Valvuloplasty

    • C. 

      Commisurotomy

    • D. 

      Annuloplasty

  • 2. 
    Which of the following mitral valve conditions generally produces no symptoms?
    • A. 

      Infection

    • B. 

      Prolapse

    • C. 

      Stenosis

    • D. 

      Regurgitation

  • 3. 
    In which type of cardiomyopathy does the heart muscle actually increase in size and mass weight, especially along the septum?
    • A. 

      Hypertrophic

    • B. 

      Dilated

    • C. 

      Restrictive

    • D. 

      Arrhythmogenic right ventricular cardiomyopathy

  • 4. 
    Which of the following patient behaviors, if observed by the nurse, would indicate that the cardiac patient’s level of anxiety has decreased?
    • A. 

      Verbalizes fears and concerns.

    • B. 

      Participates in support groups.

    • C. 

      Answers questions regarding status with no problem.

    • D. 

      Discusses prognosis freely.

  • 5. 
    The patient with which of the follow characteristics is considered high risk for the development of infective endocarditis?
    • A. 

      Acquired valvular dysfunction

    • B. 

      The patient who has complex cyanotic congenital malformations

    • C. 

      Mitral valve prolapse with valvular regurgitation

    • D. 

      Hypertrophic cardiomyopathy

  • 6. 
    Which of the following terms indicates the amount of blood pumped out of the ventricle with each contraction of the heart?
    • A. 

      Preload

    • B. 

      Cardiac output

    • C. 

      Afterload

    • D. 

      Stroke volume

  • 7. 
    When the balloon on the distal tip of a pulmonary artery catheter is inflated and a pressure is measured, the measurement obtained is referred to as the
    • A. 

      Pulmonary artery wedge pressure.

    • B. 

      Central venous pressure.

    • C. 

      Pulmonary artery pressure.

    • D. 

      Cardiac output.

  • 8. 
    Which of the following medications is categorized as a loop diuretic?
    • A. 

      Furosemide (Lasix)

    • B. 

      Chlorothiazide (Diuril)

    • C. 

      Chlorthalidone (Hygroton)

    • D. 

      Spironolactone (Aldactone)

  • 9. 
    When the nurse observes that the patient always has difficulty breathing when lying flat, the nurse records that the patient is demonstrating
    • A. 

      Hyperpnea.

    • B. 

      Paroxysmal nocturnal dyspnea.

    • C. 

      Orthopnea

    • D. 

      Dyspnea on exertion.

  • 10. 
    The patient with cardiac failure is taught to report which of the following symptoms to the physician or clinic immediately?
    • A. 

      Persistent cough

    • B. 

      Increased appetite

    • C. 

      Weight loss

    • D. 

      Ability to sleep through the night

  • 11. 
    A classic sign of cardiogenic shock is
    • A. 

      Increased urinary output

    • B. 

      Hyperactive bowel sounds

    • C. 

      High blood pressure

    • D. 

      Tissue hypoperfusion

  • 12. 
    Vasoactive drugs which cause the arteries and veins to dilate, thereby shunting much of the intravascular volume to the periphery and causing a reduction in preload and afterload include agents such as
    • A. 

      Furosemide (Lasix)

    • B. 

      Sodium nitroprusside (Nipride)

    • C. 

      Norepinephrine (Levophed)

    • D. 

      Dopamine (Inotropin)

  • 13. 
    Which of the following terms refers to a muscular, cramp-like pain in the extremities consistently reproduced with the same degree of exercise and relieved by rest?
    • A. 

      Aneurysm

    • B. 

      Bruit

    • C. 

      Intermittent claudication

    • D. 

      Ischemia