Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NSG 430 Exam 2 Practice Test – Community Nursing Focus B., Exams of Nursing

NSG 430 Exam 2 Practice Test – Community Nursing Focus B.

Typology: Exams

2024/2025

Available from 07/02/2025

Martin-Ray-1
Martin-Ray-1 🇺🇸

5

(8)

6K documents

1 / 6

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 | P a g e
NSG 430 Exam 2 Practice Test –
Community Nursing Focus B.
1. What is the assessment finding of nursing diagnosis of decreased cardiac output
related to valvular insufficiency for a patient with IE? - <<Answers ✅✅Urine
output less than 30 ml/hr
2. When do you give prophylactic antibiotics for patients with IE - <<Answers
✅✅Dental procedures, respiratory tract incisions, tonsillectomy, and
adeniodectomy
3. If the IE is from strep, what do you need to tell the patient? - <<Answers ✅✅They
need to be arranged for placement of long-term IV catheter
4. What are the 3 types of cardiomyopathy? - <<Answers ✅✅
hypertrophic
dilated
restrictive
5. What is hypertrophic cardiomyopathy? - <<Answers ✅✅Obstructed LV outflow
and most common in young/atheletes
6. What will you want to know with hypertrophic cardiomyopathy? - <<Answers
✅✅You will want to know if there is a history in the family of cardiac arrest
7. S/S of cardiomyopathy - <<Answers ✅✅Dry cough, palpitations, abdominal
bloating, N/V, anorexia, S3, S4 murmurs, pulmonary crackles, edema, pallor
8. What are interventions for cardiomyopathy? - <<Answers ✅✅Beta blockers,
prepare for cardiac Cath, instruct client to avoid strenous exercise
9. What is the main sign of acute coronary syndrome? - <<Answers ✅✅Angina-
chest pain
pf3
pf4
pf5

Partial preview of the text

Download NSG 430 Exam 2 Practice Test – Community Nursing Focus B. and more Exams Nursing in PDF only on Docsity!

NSG 430 Exam 2 Practice Test –

Community Nursing Focus B.

  1. What is the assessment finding of nursing diagnosis of decreased cardiac output

related to valvular insufficiency for a patient with IE? - <<Answers ✅✅Urine output less than 30 ml/hr

  1. When do you give prophylactic antibiotics for patients with IE - <<Answers ✅✅Dental procedures, respiratory tract incisions, tonsillectomy, and adeniodectomy
  2. If the IE is from strep, what do you need to tell the patient? - <<Answers ✅✅They need to be arranged for placement of long-term IV catheter
  3. What are the 3 types of cardiomyopathy? - <<Answers ✅✅

 hypertrophic  dilated  restrictive

  1. What is hypertrophic cardiomyopathy? - <<Answers ✅✅Obstructed LV outflow and most common in young/atheletes
  2. What will you want to know with hypertrophic cardiomyopathy? - <<Answers

✅✅You will want to know if there is a history in the family of cardiac arrest

  1. S/S of cardiomyopathy - <<Answers ✅✅Dry cough, palpitations, abdominal bloating, N/V, anorexia, S3, S4 murmurs, pulmonary crackles, edema, pallor
  2. What are interventions for cardiomyopathy? - <<Answers ✅✅Beta blockers, prepare for cardiac Cath, instruct client to avoid strenous exercise
  3. What is the main sign of acute coronary syndrome? - <<Answers ✅✅Angina- chest pain
  1. What is stable angina? - <<Answers ✅✅Resolves with rest and lasting less than 20 minutes
  2. What is unstable angina? - <<Answers ✅✅Does not resolve with rest
  3. Management for angina - <<Answers ✅✅Morphine, oxygen, nitro, and aspirin
  4. What is a STEMI? - <<Answers ✅✅Heart attack where there is a total occlusion of coronary artery
  5. What can a stemi result in? - <<Answers ✅✅Vtach, Vfib, and pericarditis
  6. Main s/s of STEMI - <<Answers ✅✅Angina
  7. What do you always ask with a patient with chest pain? - <<Answers ✅✅What time did your chest pain begin?
  8. What is the main intervention for a STMI? - <<Answers ✅✅Emergent PCI
  9. What is the goal for PCI? - <<Answers ✅✅90 minutes from door to Cath laboratory (open the blocked artery)
  10. What if your hospital does not have a Cath lab, what do you do next for a STEMI? - <<Answers ✅✅Thrombolytic therapy; given IV within 30 minutes of arrival to the ED
  11. What is a patient at risk for with PCI and what should the nurse assess? - <<Answers ✅✅Risk for hemmorage; assess BP, pulses, and access site immediately after
  12. Risk factors for bradycardia - <<Answers ✅✅Calcium channel blockers, beta blockers, athletes, hypothermia
  13. Medication treatment for bradycardia - <<Answers ✅✅Atropine (anticholinergic drug)
  1. What does a patient look like in v fin - <<Answers ✅✅Unresponsive, pulses, and apenic
  2. When do we use defibrillation? - <<Answers ✅✅Fib and pulseless tach
  3. What is the difference of procedure in defibrillation and cardio version? -

<<Answers ✅✅In cardio version, the sync button is turned ON

  1. What is post procedure education of pace makers? - <<Answers ✅✅Patient can be out of bed once stable; keep arm down until they see the doctor; monitor insertion site for bleeding and infection and keep it clean and dry; report any pulse rate lower than what its set at; no MRI
  2. What is AKI? - <<Answers ✅✅Rapid loss of kidney function accompanied by a rise in creatinine and BUN, reduction in urine output, low GFR, and high potassium
  3. What is pre-renal failure? - <<Answers ✅✅Causing reduction in blood flow to kidneys
  4. Factors of pre renal failure - <<Answers ✅✅Severe dehydration, trauma, hemorrhage, hypotension, heart failure, decrease in CO
  5. What does pre renal azotemia result in? - <<Answers ✅✅Oliguira, reduction in excretion of sodium, increased salt and water retention
  6. What is acute tubular necrosis? - <<Answers ✅✅Blood flow to kidneys is poor/poor oxygenation and most common cause of infrarenal kidney injury
  7. Causes of acute tubular necrosis - <<Answers ✅✅Trauma, massive blood transfusion, nephrotoxins
  8. What is post-renal injury? - <<Answers ✅✅Involves mechanical obstruction in the outflow of urine
  1. Causes of post-renal? - <<Answers ✅✅Benign prostatic hyperplasia, prostate cancer, calculi, trauma, obstruction
  2. What is RIFLE classification? - <<Answers ✅✅Risk, Injury, Failure, Loss, & end- stage renal disease
  3. If a patient is admitted to the hospital with severe renal colic, what is the first

priority? - <<Answers ✅✅Administer opioids

  1. What type of diet are AKI patients on? - <<Answers ✅✅Increase dietary fat & carbs, restrict sodium, restrict fluids, enteral nutrition
  2. S/S of ADHF - <<Answers ✅✅Fluid overload, SOB, fatigue
  3. What can rheumatic heart disease result in? - <<Answers ✅✅Mitral valve stenosis
  4. What happens in mitral valve stenosis? - <<Answers ✅✅Stiff valave is unable to open sufficiently during left atrial systole (ejection)
  5. What is main symptom of mitral valve stenosis? - <<Answers ✅✅Exertional dyspnea (shortness of breath on exertion)
  6. Why do you do prophylactic antibiotic therapy for mitral valve stenosis? - <<Answers ✅✅Prevent recurrent rheumatic fever and infective endocarditis
  7. What drug do you teach benefits and side effects for in mitral valve stenosis? -

<<Answers ✅✅ACE inhibitors

  1. Surgical therapy for mitral valve stenosis - <<Answers ✅✅Valve replacement or valvuloplasty
  2. What do you need to tell patients about after getting a valve replacement? - <<Answers ✅✅Patient will need to be on lifelong anticoagulant therapy because clots form more easily in artificial replacement valves