Quiz 3 MS LEC Key.docx

NUR 155 -- MS LEC 1 QUIZ \# 3 Shade the letter of the best answer 1\. Obstruction of the pulmonary artery or any of its branches by a thrombus. a\. Cor Pulmonale b\. Pulmonary arterial Hypertension c\. Acute Respiratory Failure **d. Pulmonary Embolism** 2\. Risk factor of Pulmonary Embolism...

NUR 155 -- MS LEC 1 QUIZ \# 3 Shade the letter of the best answer 1\. Obstruction of the pulmonary artery or any of its branches by a thrombus. a\. Cor Pulmonale b\. Pulmonary arterial Hypertension c\. Acute Respiratory Failure **d. Pulmonary Embolism** 2\. Risk factor of Pulmonary Embolism EXCEPT **a. Mobility** b\. hypercoagulable state c\. pregnancy d\. surgery 3\. Immediate objective during pulmonary embolism **a. stabilize the cardiopulmonary system** b\. prevent new thrombus formation c\. Dissolve the existing thrombus d\. Do 12L ECG 4\. Which of the following nursing management may minimize the risk of pulmonary embolism? **a. Use of anti-embolism stockings** b\. surgical embolectomy c\. thrombolytic therapy d\. do perfusion scan 5\. Arterial hypoxemia that does not respond to supplemental oxygen. a\. Pulmonary Arterial Hypertension b\. Cor Pulmonale **c. Acute Respiratory Distress Syndrome** d\. Acute Respiratory Failure 6\. An acute lung injury characterized by increasing bilateral chest x-ray and sudden and progressive pulmonary edema. a\. Pulmonary Arterial Hypertension b\. Cor Pulmonale **c. Acute Respiratory Distress Syndrome** d\. Acute Respiratory Failure 7\. Early signs of Acute Respiratory Failure EXCEPT **a. Central cyanosis** c. fatigue b\. Restlessness d. headache 8\. Characteristic of Acute Respiratory Failure a\. Hypoxemia **c. both** b\. Hypercapnia d. neither 9\. Pulmonary arterial constriction may lead to Increased a\. vascular resistance **c. both** b\. pressure d. neither 10\. Signs and Symptoms of Cor Pulmonale a\. collapsed neck vein **b. increasing edema of the feet and legs** c\. both d\. neither 11\. Management of Cor Pulmonale a\. Fluid resuscitation c. both b\. Increase sodium intake **d. neither** 12\. Disease/s that may lead to Acute Respiratory Failure a\. COPD **c. both** B. Atelectasis d. neither 13\. Blood pressure is primarily function of a\. Cardiac Output b\. Systemic Vascular Resistance **c. both** d\. neither 14\. TRUE about the Renin-Angiotensin-Aldosterone System a\. Angiotensinogen is converted to angiotensin 1 by ACE b\. Angiotensin II stimulates the kidney to release aldosterone resulting in NaCl reabsorption c\. Angiotensin 1 is converted to Angiotensin II in the liver with ACE. **d. Angiotensin II stimulates the blood vessels to vasoconstriction.** 15\. An increased in blood pressure will result in baroreceptor firing that stimulates the brainstem to a\. Increase Sympathetic response b\. Increase Heart Rate **c. Decrease cardiac accelerator center** d\. Increase Cardiac Output 16\. A decreased in blood pressure will result in the baroreceptor firing that will lead to (BONUS) **a. Vasoconstriction by the vasomotor center** b\. Decrease heart rate c\. Increase parasympathetic response **d. Decrease cardiac inhibitor center** 17\. TRUE about Hypertension a\. Most people will manifest chest pain b\. It has no direct relationship with cardiovascular disease. **c. called the "silent killer"** d\. Majority of hypertension are secondary. 18\. Which of the following clients is considered at risk for hypertension due to a modifiable risk factor? a\. 75-year-old retired teacher b\. 40-year-old bank teller whose father died from hypertension. **c. 35-year-old vlogger with BMI 30** d\. 45-year-old African American tourist. 19\. Blood pressure of 150/80 mmHg is under what classification of Hypertension? a\. Normal b\. Prehypertension **c. Stage 1** d\. Stage 2 20\. Blood pressure of 160/100 mmHg is under what classification of Hypertension? a\. Normal b\. Prehypertension c\. Stage 1 **d. Stage 2** 21\. Blood pressure of 120/80 mmHg is under what classification of Hypertension? a\. Normal **b. Prehypertension** c\. Stage 1 d\. Stage 2 22\. Sign of a target organ damage a\. elevated LDL b\. decrease HDL **c. intracranial hemorrhage in CT-SCAN** d\. Hyperglycemia 23\. Blood pressure of 180/120 mmHg without evidence of target organ damage is under what classification of Hypertension? a\. Hypertensive Emergency **b. Hypertensive Urgency** c\. Stage 1 d\. Stage 2 24\. Lifestyle modification in client with hypertension include/s a\. Sodium reduction **c. both** b\. Avoidance of tobacco d. neither 25\. A condition in which plaque builds up inside the coronary arteries. **a. Coronary Artery Disease** b\. Angina c\. Myocardial Infarction d\. Hypertension 26\. Plaque is made up of a\. Cholesterol **c. both** b\. Fat d. neither 27\. TRUE about the Pathophysiology of Coronary Artery Disease EXCEPT **a. A thick fibrous capsule is considered a vulnerable plaque** b\. A rupture plaque may cause thrombus formation c\. An injured endothelium can cause a local inflammatory response d\. A plaque may impede blood supply to the heart muscle. 28\. Modifiable risk factor/s of CAD a\. High HDL level **c. both** b\. Age d. neither 29\. A clinical syndrome characterized by episodes of paroxysms of pain or pressure in the anterior chest. **a. Angina Pectoris** c. Cor Pulmonale b\. Hypertension d. Heart Failure 30\. Classification of angina thought to be a caused by coronary artery vasospasm a\. Stable angina b\. Unstable angina c\. Refractory angina **d. Variant Angina** 31\. Type of angina that occurs on exertion or physical activity and is relieved by nitroglycerin **a. Stable angina** b\. Unstable angina c\. Refractory angina d\. Variant Angina 32\. Type of angina that occurs on exertion or physical activity with the symptoms increase in frequency and severity and may not be relieved with rest or nitroglycerin. a\. Stable angina **b. Unstable angina** c\. Refractory angina d\. Variant Angina 33\. Medical management of angina include/s a\. oxygen therapy **c. both** b\. nitrates d. neither 34\. Obstruction of this coronary artery is considered most fatal in MI **a. Left Anterior Descending** b\. Circumflex artery c\. Right coronary artery d\. Right marginal artery 35\. Modifiable Risk factor of MI **a. Hypertension** c. Men b\. Old Age d. Physically Active 36\. Cardinal symptom of MI a\. Fever c. Severe Headache **b. Chest Pain** d. Dizziness 37\. A STEMI can be differentiated from NSTEMI using this laboratory or diagnostic test a\. Chest X-ray c. CT-Scan **b. 12L ECG** d. MRI 38\. Most specific cardiac biomarker in MI **a. Troponin** c. LDH b\. CKMB D. Myoglobin 39\. Side effect to watch for when using a thrombolytic therapy **a. Bleeding** c. Hypertension b\. Infection d. Edema 40\. A client with MI was given Morphine sulfate to control pain and anxiety. What should be the primary concern of the nurse when administering this medication? a\. Hypertension **b. Respiratory depression** c\. Tachycardia d\. Internal Bleeding 41\. The nurse should prepare this medication in case of morphine sulfate toxicity a\. Protamine Sulfate c. Dobutamine b\. Acetylcysteine **d. Naloxone** 42\. A surgical procedure when a catheter with a balloon tip is inserted usually via the femoral artery and advanced into the heart, once the blocked coronary artery is entered the balloon is inflated and the atherosclerotic plaque is compressed. **a. Percutaneous Transluminal Coronary Angioplasty** b\. Coronary Artery Bypass Graft 43\. Which of the following laboratory findings is the LEAST expected in MI a\. Increased WBC **c. Both** b\. Elevated ESR d. Neither 44\. Which of this/these causes' factor/s is/are associated with angina a\. Rest c. both **b. Heavy meal** d. neither 45\. Which of these medications is considered a beta-adrenergic blocker that may be used to reduce workload of heart a\. Nicardipine c. Telmisartan **b. Metoprolol** d. Amlodipine 46\. Recommended diet for client with Angina EXCEPT a\. low sodium b\. low cholesterol **c. low dietary fiber** d\. decreased calorie intake 47\. HMG Coa reductase inhibitors, anti-lipidemic drugs, are known to cause myalgias or muscle pain. Which of the following medications is under this drug classification? **a. Simvastatin** c. Clopidogrel b\. Niacin d. Gemfibrozil 48\. Nitrates are given during chest pain caused by ischemia. What is the maximum dose that can be given during an acute attack? a\. 1 **c. 3** b\. 2 d. 4 Situation: A 40-year-old client was brought to the EMERGENCY room with a chief complaint of chest pain described as crushing, radiating to the jaw and neck, with a pain scale of 8/10. The client is conscious and in cardiorespiratory distress. Upon further assessment, the client is tachycardic, tachypneic and diaphoretic. Questions 49 and 51 Refer to the situation above 49\. On interview, which question is the most important for the nurse to ask? a\. "How often do you drink alcohol" b\. \"Do you have any cardiovascular disease?\" c\. "Do you have any family member who experience this symptom?" **d. \"When did the pain start?\"** 50\. Priority laboratory or diagnostic test a\. Chest X-Ray c. CT-Scan **b. 12L -ECG** d. ESR BONUS Question 51\. Priority management a\. Encourage bed rest b\. Encourage changing of positions **c. Administer oxygen along with nitrates** d\. Provide range-of-motion exercises