Liberty University BIBL 104 Quiz 3

? Question 1
1 out of 1 points

Which characteristic changes should the nurse keep in
mind while caring for a patient with left heart failure? As left
heart failure progresses:
Selected Answer: a.
Left ventricular preload increases.
Correct Answer: a.
Left ventricular preload increases.

? Question 2
1 out of 1 points

A 59-year-old female is diagnosed with left ventricular
failure. If a decrease in kidney perfusion occurs, the nurse
knows this would ultimately cause:
Selected Answer: c.
Increased systemic vascular resistance
Correct Answer: c.
Increased systemic vascular resistance

? Question 3
1 out of 1 points

Which organ should the nurse monitor closely since it is
often the first to fail in patients with multiple organ
dysfunction syndrome (MODS)?
Selected Answer: c.
Lungs
Correct Answer: c.
Lungs

? Question 4
1 out of 1 points

A 52-year-old female is diagnosed with coronary artery
disease. The nurse assesses for myocardial:
Selected Answer: b.
Ischemia
Correct Answer: b.
Ischemia

? Question 5
1 out of 1 points

A 51-year-old male is at the health clinic for an annual
physical exam. After walking from the car to the clinic, he
developed substernal pain. He also reported discomfort in
his left shoulder and his jaw, lasting 2 to 3 minutes and then
subsiding with rest. He indicates that this has occurred
frequently over the past few months with similar exertion.
The nurse suspects he is most likely experiencing:
Selected Answer: a.
Stable angina
Correct Answer: a.
Stable angina

? Question 6
1 out of 1 points

A patient wants to know what causes atherosclerosis.
How should the nurse respond? In general, atherosclerosis is
caused by:
Selected Answer: b.
Endothelial injury and inflammation
Correct Answer: b.
Endothelial injury and inflammation

? Question 7
1 out of 1 points

When a patient has a massive pulmonary embolism
(PE), what complications will the nurse monitor for?
Selected Answer: a.
Damage to the lung microcapillaries
Correct Answer: a.
Damage to the lung microcapillaries

? Question 8
1 out of 1 points

A 50-year-old male is diagnosed with pulmonary
embolism (PE). Which of the following symptoms most likely
occurred before treatment?
Selected Answer: c.
Chest pain and shortness of breath
Correct Answer: c.
Chest pain and shortness of breath

? Question 9
1 out of 1 points

A 50-year-old female presents with a low heart rate and
low blood pressure. She is given an intravenous (IV) infusion
of fluids. The increase in atrial distension results in:
Selected Answer: d.
Increased heart rate
Correct Answer: d.
Increased heart rate

? Question 10
1 out of 1 points

A 65-year-old male is transported to the ER for chest
pain. An electrocardiogram reveals a prolonged QRS
interval. What is the nurse monitoring when the nurse
observes the QRS complex on the electrocardiogram? The
QRS complex reflects:
Selected Answer: a.
Ventricular activity
Correct Answer: a.
Ventricular activity

? Question 11
1 out of 1 points

A 62-year-old male presents to his primary care
provider reporting chest pain at rest and with exertion. He
does not have a history of coronary artery disease and
reports that the pain often occurs at night. He is most likely
experiencing which type of angina?
Selected Answer: c.
Prinzmetal
Correct Answer: c.
Prinzmetal

? Question 12
1 out of 1 points

A 70-year-old female is in the hospital for pelvic
fracture. She develops pulmonary thromboembolism. The
nurse realizes this embolus is composed of:
Selected Answer: d.
Blood clot
Correct Answer: d.
Blood clot

? Question 13
1 out of 1 points

Which of the following findings in the patient with
Raynaud disease would indicate a need for further teaching?
Selected Answer: b.
The patient smokes cigarettes.
Correct Answer: b.
The patient smokes cigarettes.

? Question 14
1 out of 1 points

A 54-year-old male is diagnosed with left bundle branch
block. Which of the following structures would not receive an
electrical impulse?
Selected Answer: d.
The left ventricle
Correct Answer: d.
The left ventricle

? Question 15
1 out of 1 points

When a nurse checks the patient for orthostatic
hypotension, what did the nurse have the patient do?
Selected Answer: c.
Stand up
Correct Answer: c.
Stand up

? Question 16
1 out of 1 points

What term should the nurse document for a detached
blood clot?
Selected Answer: c.
Thromboembolus
Correct Answer: c.
Thromboembolus

? Question 17
1 out of 1 points

A 32-year-old female presents with lower leg pain, with
swelling and redness. While obtaining the patient’s history,
which finding could have caused her condition?
Selected Answer: a.
Venous thrombus
Correct Answer: a.
Venous thrombus

? Question 18
1 out of 1 points

An 82-year-old female was admitted to the hospital
with confusion and severe hypotension. Her body’s
compensatory mechanisms are increased heart rate,
vasoconstriction, and movement of large volumes of
interstitial fluid to the vascular compartment. What kind of
shock does the nurse suspect the patient is experiencing?
Selected Answer: b.
Hypovolemic
Correct Answer: b.
Hypovolemic

? Question 19
1 out of 1 points

A 50-year-old male visits the cardiologist for an EKG.
Results indicate that he has no PR interval and a variable
QRS rate with rhythm irregularity. Which of the following is
the most likely diagnosis to be recorded on the chart?
Selected Answer: b.
Atrial fibrillation
Correct Answer: b.
Atrial fibrillation

? Question 20
1 out of 1 points

A 75-year-old female has been critically ill with multiple
organ dysfunction syndrome (MODS) for longer than a week
and has developed a severe oxygen supply and demand
imbalance. The statement that best describes this imbalance
is which of the following?
Selected Answer: d.
The reserve has been exhausted, and the amount of oxygen
consumed depends on the amount the circulation is able to
deliver.
Correct Answer: d.
The reserve has been exhausted, and the amount of oxygen
consumed depends on the amount the circulation is able to
deliver.

? Question 21
1 out of 1 points

A nurse monitors the patient for _____ when rapid
onset of malignant hypertension results.
Selected Answer: b.
Encephalopathy
Correct Answer: b.
Encephalopathy

? Question 22
1 out of 1 points

Most cases of combined systolic and diastolic
hypertension have no known cause and are documented on
the chart as _____ hypertension.
Selected Answer: a.
Primary
Correct Answer: a.
Primary

? Question 23
1 out of 1 points

A 65-year-old male presents for a routine checkup. A
blood pressure check reveals a systolic pressure of 160 mm
Hg and a diastolic pressure of 70 mm Hg. Which of the
following is the most likely cause of this type of pressure
elevation?
Selected Answer: b.
Rigidity of the aorta
Correct Answer: b.
Rigidity of the aorta

? Question 24
1 out of 1 points

A 5-year-old female is found to have hypertension
during three separate visits to her primary care provider. The
nurse would expect tests to suggest that the hypertension is
secondary to:
Selected Answer: a.
Renal disease
Correct Answer: a.
Renal disease

? Question 25
1 out of 1 points

A 52-year-old male presents with pooling of blood in
the veins of the lower extremities and edema. The diagnosis
is chronic venous insufficiency, and an expected assessment
finding of this disorder is:
Selected Answer: b.
Skin hyperpigmentation
Correct Answer: b.
Skin hyperpigmentation

? Question 26
1 out of 1 points

A 50-year-old male with a 30-year history of smoking
was diagnosed with bronchogenic cancer. He developed
edema and venous distention in the upper extremities and
face. Which of the following diagnosis will the nurse observe
on the chart?
Selected Answer: c.
Superior vena cava syndrome (SVCS)
Correct Answer: c.
Superior vena cava syndrome (SVCS)

? Question 27
1 out of 1 points

A 50-year-old male is diagnosed with orthostatic
hypotension. Which of the following symptoms would he
most likely experience?
Selected Answer: d.
Syncope and fainting
Correct Answer: d.
Syncope and fainting

? Question 28
1 out of 1 points

A 65-year-old male is diagnosed with chronic
pulmonary disease and elevated pulmonary vascular
resistance. Which of the following heart failures should the
nurse assess for in this patient?
Selected Answer: a.
Right heart failure
Correct Answer: a.
Right heart failure

? Question 29
1 out of 1 points

A 68-year-old female is experiencing left heart failure.
Physical exam reveals elevated blood pressure. The nurse
understands this is most likely caused by:
Selected Answer: a.
Sympathetic nervous system compensation for decreased
cardiac output
Correct Answer: a.
Sympathetic nervous system compensation for decreased
cardiac output

? Question 30
1 out of 1 points

A 30-year-old Caucasian female was recently
diagnosed with primary hypertension. She reports that she
eats fairly well, usually having red meat and potatoes daily.
She also reports that her father has hypertension as well. A
nurse determines which of the following risk factors is most
likely associated with this diagnosis?
Selected Answer: d.
Genes
Correct Answer: d.
Genes


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Solution Available


Walden University NURS 6501 Patho Quiz 4.docx

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