NCLEX CRUSADE ACADEMY TEST - 12 HEART FAILURE

1. Heart failure is defined as: Inability of the lungs to oxygenate blood. Inability of the heart to pump enough blood to meet metabolic needs. Blockage of coronary arteries. Irregular electrical activity of the heart.

2. A key consequence of heart failure is: Increased cardiac output. Improved tissue perfusion. Decreased cardiac output. Reduced blood pressure only.

3. Left-sided heart failure primarily affects: Kidneys. Lungs. Liver. Brain.

4. A common symptom of left-sided heart failure is: Peripheral edema. Jugular vein distention. Dyspnea and orthopnea. Ascites.

5. Frothy pink sputum indicates: Pneumonia. Pulmonary edema. Bronchitis. Asthma.

6. Right-sided heart failure typically causes: Pulmonary crackles. Peripheral edema. Frothy sputum. Orthopnea.

7. Jugular vein distention is most associated with: Left-sided heart failure. Right-sided heart failure. Pulmonary embolism. Asthma.

8. The most appropriate patient position during acute pulmonary edema is: Supine. Trendelenburg. High Fowlers. Side-lying.

9. The immediate priority intervention for pulmonary edema is: Antibiotics. Oxygen therapy. Insulin. Blood transfusion.

10. ACE inhibitors help heart failure patients primarily by: Increasing preload. Reducing afterload through vasodilation. Increasing heart rate. Increasing potassium.

11. Loop diuretics such as furosemide (Lasix) work by: Increasing blood pressure. Removing excess fluid. Slowing heart rate. Increasing oxygen delivery.

12. A critical electrolyte to monitor when giving loop diuretics is: Sodium. Calcium. Potassium. Magnesium.

13. Hypokalemia increases the risk of: Digoxin toxicity. Hypertension. Hyperglycemia. Stroke.

14. Before administering digoxin, the nurse should check: Respiratory rate. Apical pulse. Blood glucose. Oxygen saturation.

15. Digoxin primarily works by: Reducing blood pressure. Increasing cardiac contractility. Decreasing oxygen levels. Removing fluid.

16. Cheyne-Stokes respiration is characterized by: Rapid shallow breathing. Waxing and waning breathing with apnea. Deep rapid breathing. Irregular breathing.

18. The MONA protocol for angina includes: Morphine, Oxygen, Nitroglycerin, Aspirin. Morphine, Oxygen, Naloxone, Aspirin. Metformin, Oxygen, Nitroglycerin, Aspirin. Morphine, Oxygen, Nitroprusside, Atropine.

18. The MONA protocol for angina includes: Morphine, Oxygen, Nitroglycerin, Aspirin. Morphine, Oxygen, Naloxone, Aspirin. Metformin, Oxygen, Nitroglycerin, Aspirin. Morphine, Oxygen, Nitroprusside, Atropine.

19. Peripheral arterial disease (PAD) primarily causes: Venous pooling. Oxygen supply problems to tissues. Fluid overload. Kidney failure.

20. Patients with PAD often experience: Pain relief when walking. Intermittent claudication. Warm ski. Strong pulses.

21. Patients with venous disease typically experience: Pain relieved by leg elevation. Severe arterial pain. Pale cool skin. Absent pulses.

22. A hallmark sign of venous insufficiency is: Dry necrotic ulcers. Wet irregular ulcers near ankles. Black toes. Absent pulses.

23. Buergers disease is strongly associated with: Alcohol use. Heavy smoking. Obesity. Diabetes.

24. Raynauds phenomenon is triggered by: Heat. Cold or stress. Exercise. Infection.

25. A key discharge teaching point for heart failure patients is: Avoid weighing daily. Daily weight monitoring. Increase sodium intake. Drink unlimited fluids.