A 63-year-old female went to his family physician with complaints of increasing difficulty with breathing. He says the symptoms started a few years ago but have progressed to the point where he has difficulty breathing with even mild physical exertion. Pulmonary function tests reveal a normal FEV1/FVC ratio. Of the following, what is his most likely diagnosis?

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NCLEX Cardiovascular Questions Questions

Question 1 of 5

A 63-year-old female went to his family physician with complaints of increasing difficulty with breathing. He says the symptoms started a few years ago but have progressed to the point where he has difficulty breathing with even mild physical exertion. Pulmonary function tests reveal a normal FEV1/FVC ratio. Of the following, what is his most likely diagnosis?

Correct Answer: C

Rationale: Interstitial lung disease causes progressive dyspnea with a normal FEV1/FVC ratio due to restrictive physiology, unlike obstructive diseases like emphysema or asthma.

Question 2 of 5

Once blood has been oxygenated, it is pumped out of the heart by the left ventricle into the , where it travels to the rest of the body.

Correct Answer: B

Rationale: The left ventricle pumps oxygenated blood into the aorta, the main artery distributing blood to the body.

Question 3 of 5

Which statement indicates a need for further teaching in a patient with heart failure taking digoxin?

Correct Answer: C

Rationale: Doubling a dose increases the risk of toxicity. Missed doses should not be made up.

Question 4 of 5

What should the nurse do if a patient receiving furosemide develops dizziness and lightheadedness when standing?

Correct Answer: D

Rationale: These symptoms suggest orthostatic hypotension, a common side effect of diuretics like furosemide. The nurse should monitor blood pressure and potassium levels to prevent complications.

Question 5 of 5

The lub dub sound of the heart beating is the sound of:

Correct Answer: B

Rationale: The distinct 'lub dub' sounds arise from the closing of the heart valves during the cardiac cycle.

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