End-of-Lesson Assessment

Name: MILES L. SAN BUENAVENURA Score:________________

Year and Section: BSN – 4C Date:_________________

Instruction: Read each question carefully.

Write your answers briefly on the lines provided. Please use the given rubric as

your guide. (5 points)

1. Explain briefly the expected assessment data for patients with Heart Failure

and Hypertensive crisis.

• For patient with heart failure there will be unexplained fatigue, decreased exercise tolerance,
nausea, and assessment data would show unexplained altered mental status, dyspnea noted,
jugular venous distention is visible, Chest x-ray show vascular congestion, CVP elevated in right
sided heart failure.
• For patient with hypertensive crisis they would feel severe headache, chest pain.

2. Multiple choice. Please choose the best answer to the following questions by encircling

the letter that correspond to your answer. (10 points)

1. The left side of the heart pumps blood to all other parts of the body. This is what we

called:

a. Pulmonary circulation

b. Systemic circulation

c. Arterial circulation

d. Venous circulation

2. The most common and dangerous location for an MI is the:

a. Left ventricle

b. Right ventricle

c. Left atrium

d. Right atrium

3. The common clinical manifestation that is felt by the patient with MI is:
a. nausea

b. Palpitation

c. Chest pain

d. Cool clammy skin

4. An autosomal dominant cardiomyopathy occurring in men, women and children is

called:

a. Dilated cardiomyopathy

b. Hypertrophic cardiomyopathy

c. Restrictive cardiomyopathy

d. Unclassified cardiomyopathy

5. Multiple causes of Heart Failure are the following:

1. Post MI

2. Incompetent valves

3. Cardiomyopathy

4. Pulmonary hypertension

a. 1, 2, 4

b. 1, 2, 3, 4

c. 2, 3, 4

d. 1, 3, 4

6. Evaluation of the outcomes of care for patients with Hypertensive crisis is:

a. A decrease in blood pressure for less than 140/90

b. No signs of crackles or wheezes on lung fields

c. No pitting edema of lower extremities

d. No recurrent chest pain

7. The Nursing diagnosis that is appropriate for patient with MI is:

a. Fluid volume excess R/T sodium and water retention

b. Pain R/T an imbalance in oxygen supply and demand

c. Noncompliance R/T side effects of prescribed therapy

d. Knowledge deficit R/T treatment regimen

8. One of the causes of Left sided Heart Failure is:

a. Ventricular septal defects

b. Coronary artery disease

c. Mitral valve stenosis

d. Ischemic Heart Disease

9. An irregular heartbeat is called:

a. Arrhythmia

b. Mitral valve insufficiency

c. Ischemia

d. Coronary Artery Disease

10. Factors that causes the heart to work incorrectly are the following:

1. Alcohol abuse

2. Drinking too much coffee

3. Stress

4. High blood pressure

a. 1, 2, 3

b. 1, 2, 3, 4

c. 2, 3, 4

d. 1, 3, 4