NURS 620 EXAM II (Cardiovascular and Respiratory)latest update
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Course
NURS 620 E
Institution
NURS 620 E
NURS 620 EXAM II (Cardiovascular and Respiratory)latest update/NURS 620 EXAM II (Cardiovascular and Respiratory)latest update/NURS 620 EXAM II (Cardiovascular and Respiratory)latest update
NURS 620 EXAM II (Cardiovascular and
Respiratory)
Sarah, who is postmenopausal, has controlled asthma and hypertension being effectively
treated with medication, and she smokes cigarettes. She has a low-density lipoprotein (LDL)
cholesterol level of 170 mg/dL and a high-density lipoprotein (HDL) level of 40 mg/dL. To
reduce Sarah's risk of a coronary event, the treatment plan would focus on:
A. Lowering her LDL cholesterol level.
B. Lowering her HDL cholesterol level.
C. aggressively treating and controlling her hypertension and asthma.
D. getting Sarah to stop smoking. - correct answer A. Lowering her LDL cholesterol level.
The most common cause of elevated total and low-density lipoprotein cholesterol levels in the
United States
A. heredity
B. Hypothyroidism
C. Diabetes
D. A diet high in saturated fat. - correct answer D. A diet high in saturated fat.
Which of the following statements about hypertension is true?
A. It is frequently caused by pheochromocytoma.
B. It is usually the result of an underlying correctable problem.
C. The cause is unknown in approximately 95% of cases.
D. It has a higher incidence among adult white men than any other group. - correct answer C.
The cause is unknown in approximately 95% of cases.
What value on the ABI diagnoses PAD?
A. Less than 0.25
B. Less than 0.5
C. Less than 0.9
D. 1 or greater - correct answer D. 1 or greater.
,NURS 620 EXAM II (Cardiovascular and
Respiratory)
Harry, age 54, comes to your office with waxing and waning ischemic symptoms over a period
of days and weeks, an increase in angina while at rest, and transient ST changes on his
echocardiogram. This presentation leads you to believe that he is experiencing.
A. A brain attack (stroke/CVA).
B. A myocardial infarction.
C. Stable angina.
D. Unstable angina. - correct answer D. Unstable angina
Pharmacological therapy for mitral valve disease in adults include:
A. Treatment of dyspnea with diuretics to relieve congestion.
B. Reduction of fast ventricular rates with beta blockers or calcium channel blockers
C. Preload reduction with antihypertensive agents to decrease regurgitant flow.
D. Daily antibiotic use to ward off bacterial infections. - correct answer A. Treatment of
dypsnea with diuretics to relieve congestion.
Some older adults develop postural hypotension with hypertensive drug therapy. What is
included in your teaching with these individuals?
A. Drug therapy will be discontinued as soon as their blood pressure stabilizes to prevent this
problem from recurring.
B. Slight dehydration will prevent postural hypotension from occurring.
C. Clients should sleep in a high Fowler's position to prevent this from happening.
D. Clients should be taught to sit on the edge of the bed before standing. - correct answer D.
Clients should be taught to sit on the edge of the bed before standing.
When a client is getting ready for a cardiac catheterization, which question is essential to ask?
A. Are you allergic to shellfish?
B. Have you ever had a catheterization before?
,NURS 620 EXAM II (Cardiovascular and
Respiratory)
C. Have you completed an advance directive?
D. What current medications are you on? - correct answer A. Are you allergic to shellfish?
Which would be the last step you would consider in a client with long-term chronic ischemic
heart disease?
A. Use of ASA.
B. Use of beta-blockers, calcium channel blockers.
C. Risk factor and lifestyle modification.
D. A coronary angiogram. - correct answer D. A coronary angiogram.
When teaching a client with hypertension about restricting dietary sodium, you would include
which of the following instructions?
A. Sodium restriction can cause serious adverse effects.
B. Diets with markedly reduced intake of sodium may be associated with other beneficial
aspects beyond blood pressure control.
C. Seventy-five percent of sodium intake is derived from processed food.
D. A goal of 3 g of sodium chloride or 1.2 g of sodium per day is easily achievable. - correct
answer C. Seventy-five percent of sodium intake is derived from processed food.
Margie, age 45, comes into your office as a new patient and says that she has been on nicotinic
acid to treat her serum hyperlipidemia for years. What do you tell her?
A. There has been no evidence to show that this works. Let's change you to a statin.
B. Boy, your old provider is antiquated.
C. If you've been on it for years, and it's working, let's just keep monitoring your levels.
D. Let's eliminate the nicotinic acid for a few months to determine your baseline cholesterol
levels. - correct answer C. If you've been on it for years, and it's working, let's just keep
monitoring your levels.
, NURS 620 EXAM II (Cardiovascular and
Respiratory)
You are managing a client with CHF. The client is presently on Carvedilol 12. 5 mg PO BID,
Lisinopril 2.5 mg PO daily, Lasix 80 mg PO daily, and spironolactone (Aldactone) 25 mg po daily.
He is in to see you for a 2-week follow-up and shares he has gained 7 lb. in the past week. He
shares he has been faithful to his fluid and dietary restrictions and that his urinary output is
somewhat less than it has been. What medication could you add to optimize the response to
the loop diuretic?
A. Bumex
B. Metoloazone
C. Demadex
D. Diamox - correct answer B. Metoloazone
Sandra says she wants to know more about the Pooled Cohort Equation to determine her 10-
year risk of ASCVD. You tell her that the variables include which of the following?
A. Total and HDL cholesterol levels.
B. Systolic BP
C. Diabetes.
D. Current smoking status.
E. All of the above. - correct answer E. All of the above.
Martha, age 36, presents with a complaint of increasing shortness of breath and fatigue over
the past 6 months. She has been trying to lose weight, has been on a walking exercise program
for over a year, and had taken the fenfluramine-phentermine (Fen-Phen) combination many
years ago but stopped when its adverse effects were reported. You examination reveals a grade
II/VII systolic murmur along the apex. What do you do?
A. Obtain pulmonary function tests.
B. Instruct the client about other exercise activities that may not produce her symptoms.
C. Refer the client to a cardiologist for an echocardiogram and cardiovascular work-up.
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