week 5 quiz.docx - Review Test Submission Quiz Week 5 User Course Sai Kota NURS-6501N-31,Advanced Pathophysiology.2018 Summer Qtr 05\/29-08\/19-PT27 Quiz

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Unformatted text preview: Review Test Submission: Quiz - Week 5 User Course Sai Kota NURS-6501N-31,Advanced Pathophysiology.2018 Summer Qtr 05/29-08/19-PT27 Quiz - Week 5 7/1/18 1:38 PM 7/1/18 1:56 PM 7/2/18 1:59 AM Completed 27 out of 30 points Test Started Submitted Due Date Status Attempt Score Time Elapsed 18 minutes out of 45 minutes Results Submitted Answers, Correct Answers, Feedback Displayed Question 1 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? Selected Answer: b. The aorta leaving the right ventricle Correct Answer: b. The aorta leaving the right ventricle Question 2 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: Selected Answer: a. Bacteria Correct Answer: a. Bacteria Question 3 0 out of 1 points A 67-year-old female was previously diagnosed with rheumatic heart disease. Tests reveal lipoprotein deposition with chronic inflammation that impairs blood flow from the left ventricle into the aorta. Which of the following is the most likely diagnosis recorded on the chart? Selected Answer: b. Aortic stenosis Correct Answer: a. Aortic regurgitation Question 4 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. Selected Answer: c. Stenosis Correct Answer: c. Stenosis Question 5 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: Selected Answer: b. Sympathetic nervous system Correct Answer: b. Sympathetic nervous system Question 6 1 out of 1 points A 15-year-old male who is allergic to peanuts eats a peanut butter cup. He then goes into anaphylactic shock. Which assessment findings will the nurse assess for? Selected Answer: b. Bronchoconstriction, hives or edema, and hypotension Correct Answer: b. Bronchoconstriction, hives or edema, and hypotension Question 7 1 out of 1 points For an infection to progress to septic shock, which of the following factors should the nurse determine occurred? Selected Answer: d. Bacteria must enter the bloodstream. Correct Answer: d. Bacteria must enter the bloodstream. Question 8 1 out of 1 points A 55-year-old male died of a myocardial infarction. Autopsy would most likely reveal: Selected Answer: c. Platelet aggregation within the atherosclerotic coronary artery Correct Answer: c. Platelet aggregation within the atherosclerotic coronary artery Question 9 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? Selected Answer: d. Inflammation of the small capillaries, arteries, and veins Correct Answer: d. Inflammation of the small capillaries, arteries, and veins Question 10 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? Selected Answer: a. Pulmonary hypertension Correct Answer: a. Pulmonary hypertension Question 11 1 out of 1 points One consequence of switching from aerobic to anaerobic cellular metabolism during shock states is: Selected Answer: a. Decreased adenosine triphosphate (ATP) production Correct Answer: a. Decreased adenosine triphosphate (ATP) production Question 12 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? Selected Answer: c. Aortic regurgitation Correct Answer: c. Aortic regurgitation Question 13 0 out of 1 points Upon assessment of the patient, the nurse finds a widened pulse pressure and throbbing peripheral pulses. Which valve disorder does the nurse suspect? Selected Answer: c. Aortic regurgitation Correct Answer: d. Aortic stenosis Question 14 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? Selected Answer: b. Ostium secundum ASD Correct Answer: b. Ostium secundum ASD Question 15 1 out of 1 points A 72-year-old female has a history of right heart failure caused by a right ventricular myocardial infarction. Which of the following symptoms are specifically related to her right heart failure? Selected Answer: a. Significant edema to both lower legs and feet Correct Answer: a. Significant edema to both lower legs and feet Question 16 1 out of 1 points A 28-year-old female presents to the ER reporting severe chest pain that worsens with respirations or lying down. She has a fever, tachycardia, and a friction rub. Based upon the assessment findings, the nurse determines the patient is experiencing: Selected Answer: a. Acute pericarditis Correct Answer: a. Acute pericarditis Question 17 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: Selected Answer: b. Fibrosis and calcification of the pericardial layers Correct Answer: b. Fibrosis and calcification of the pericardial layers Question 18 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: Selected Answer: c. A membranous sac that encloses the heart Correct Answer: c. A membranous sac that encloses the heart Question 19 1 out of 1 points A newborn child has a murmur and cyanosis. An echocardiogram reveals that the tricuspid valve failed to develop and no blood flows between the right atrium and ventricle. What term will the nurse use to describe this condition? Tricuspid: Selected Answer: c. Atresia Correct Answer: c. Atresia Question 20 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? Selected Answer: b. Ventricular hypertrophy Correct Answer: b. Ventricular hypertrophy Question 21 1 out of 1 points A 2-week-old infant presents with poor feeding, fatigue, dyspnea, and a murmur. She is diagnosed with a patent ductus arteriosus (PDA). A nurse recalls this condition results in a(n): Selected Answer: c. Left-to-right shunt Correct Answer: c. Left-to-right shunt Question 22 1 out of 1 points A 1-month-old infant was diagnosed with truncus arteriosus (TA) with a ventricular septal defect. Which of the following would the nurse also expect? Selected Answer: d. Blood from both ventricles mixing in a common vessel Correct Answer: d. Blood from both ventricles mixing in a common vessel Question 23 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? Selected Answer: c. Low blood pressure, tachycardia, generalized edema Correct Answer: c. Low blood pressure, tachycardia, generalized edema Question 24 1 out of 1 points Which is the most common type of congenital heart defect the nurse should assess for in infants? Selected Answer: b. Ventricular septal defect (VSD) Correct Answer: b. Ventricular septal defect (VSD) Question 25 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: Selected Answer: c. Microorganisms are sequestered in a fibrin clot. Correct Answer: c. Microorganisms are sequestered in a fibrin clot. Question 26 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: Selected Answer: b. Immediate and life threatening Correct Answer: b. Immediate and life threatening Question 27 0 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? Selected Answer: d. Backward expulsion of the semilunar valves Correct Answer: b. Backward expulsion of the atrioventricular valves Question 28 1 out of 1 points A 10-year-old male presents with fever, lymphadenopathy, arthralgia, and nose bleeds. He is diagnosed with rheumatic heart disease. While planning care, which characteristic changes should the nurse remember? Selected Answer: b. Antigens that bind to the valvular lining, triggering an autoimmune response Correct Answer: b. Antigens that bind to the valvular lining, triggering an autoimmune response Question 29 1 out of 1 points A 75-year-old obese female presents to her primary care provider reporting edema in the lower extremities. Physical exam reveals that she has varicose veins. Upon performing the history, which of the following is a possible cause for the varicose veins? Selected Answer: Correct b. Long periods of standing b. Answer: Long periods of standing Question 30 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: Selected Answer: c. Pulmonary vascular congestion Correct Answer: c. Pulmonary vascular congestion Question 31 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Correct Answer: Ye s Ye s Sunday, July 1, 2018 1:56:26 PM EDT ...
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  • Fall '17
  • keisha lovence
  • Tachycardia, stenosis, right heart failure, Aortic regurgitation

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