CARDIOVASCULAR MEDICAL-SURGICAL
NURSING FINAL PAPER 2026 COMPLETE
QUESTIONS WITH SOLUTIONS GRADED A+
◉ The nurse caring for a client on the cardiac unit notices that the
client's cardiac monitor shows ventricular fibrillation. What is the
priority action by the nurse?
administration of digoxin
insertion of an I.V. line
immediate defibrillation
scheduling a pacemaker insertion . Answer: immediate defibrillation
◉ Metoprolol is added to the pharmacologic therapy of a diabetic female
diagnosed with stage 2 hypertension who has been initially treated with
furosemide and ramipril. The nurse should evaluate the client for which
expected therapeutic effect?
decrease in heart rate.
lessening of fatigue.
improvement in blood sugar levels.
increase in urine output. . Answer: decrease in heart rate.
,◉ A client prescribed propranolol calls the clinic to report a weight gain
of 3 lb (1.36 kg) within 2 days, shortness of breath, and swollen ankles.
What is the nurse's best action?
Assess the client's dietary intake for the past 24 hours.
Have the client come to the clinic in order to assess the lungs.
Review medication administration with the client.
Assess the client's knowledge of expected effects of the drug. . Answer:
Have the client come to the clinic in order to assess the lungs.
◉ The nurse is admitting an older adult to the hospital. The
echocardiogram report revealed left ventricular enlargement. The nurse
notes 2+ pitting edema in the ankles when getting the client into bed.
Based on this finding, what should the nurse do first?
Assess respiratory status.
Draw blood for laboratory studies.
Insert a Foley catheter.
Weigh the client. . Answer: Assess respiratory status.
◉ A client is admitted with shortness of breath, a brain natriuretic
peptide (BNP) level of 615 pg/mL, and pedal edema. Which actions
should the nurse take next? Select all that apply.
,Initiate I.V. diuretic therapy.
Give oxygen by mask.
Raise the feet on pillows.
Schedule an exercise stress test.
Increase dietary calcium. . Answer: Initiate I.V. diuretic therapy.
Give oxygen by mask.
◉ A client has been prescribed hydrochlorothiazide to treat heart failure.
What adverse effect should the nurse instruct the client to report to the
health care provider?
urinary retention
muscle weakness
confusion
diaphoresis . Answer: muscle weakness
◉ What is a priority nursing assessment in the first 24 hours after
admission of the client with a thrombotic stroke?
cholesterol level
pupil size and pupillary response
bowel sounds
, echocardiogram . Answer: pupil size and pupillary response
◉ A visitor to the hospital has a cardiac arrest. When determining to use
an automated external defibrillator (AED), the nurse should consider
that AEDs are used in cardiac arrest in which circumstances?
early defibrillation in cases of atrial fibrillation
cardioversion in cases of atrial fibrillation
pacemaker placement
early defibrillation in cases of ventricular fibrillation . Answer: early
defibrillation in cases of ventricular fibrillation
◉ The nurse is preparing to administer 0.1 mg of digoxin intravenously.
Digoxin comes in a concentration of 0.5 mg/2 ml. How many milliliters
should the nurse administer? Record your answer using one decimal
place. . Answer: 0.4 mL
◉ A nurse is evaluating a client who had a myocardial infarction (MI) 7
days earlier. Which outcome indicates that the client is responding
favorably to therapy?
The client exhibits a heart rate within normal limits.
The client requests information regarding smoking cessation.
The client is able to verbalize the action of all prescribed medications.
NURSING FINAL PAPER 2026 COMPLETE
QUESTIONS WITH SOLUTIONS GRADED A+
◉ The nurse caring for a client on the cardiac unit notices that the
client's cardiac monitor shows ventricular fibrillation. What is the
priority action by the nurse?
administration of digoxin
insertion of an I.V. line
immediate defibrillation
scheduling a pacemaker insertion . Answer: immediate defibrillation
◉ Metoprolol is added to the pharmacologic therapy of a diabetic female
diagnosed with stage 2 hypertension who has been initially treated with
furosemide and ramipril. The nurse should evaluate the client for which
expected therapeutic effect?
decrease in heart rate.
lessening of fatigue.
improvement in blood sugar levels.
increase in urine output. . Answer: decrease in heart rate.
,◉ A client prescribed propranolol calls the clinic to report a weight gain
of 3 lb (1.36 kg) within 2 days, shortness of breath, and swollen ankles.
What is the nurse's best action?
Assess the client's dietary intake for the past 24 hours.
Have the client come to the clinic in order to assess the lungs.
Review medication administration with the client.
Assess the client's knowledge of expected effects of the drug. . Answer:
Have the client come to the clinic in order to assess the lungs.
◉ The nurse is admitting an older adult to the hospital. The
echocardiogram report revealed left ventricular enlargement. The nurse
notes 2+ pitting edema in the ankles when getting the client into bed.
Based on this finding, what should the nurse do first?
Assess respiratory status.
Draw blood for laboratory studies.
Insert a Foley catheter.
Weigh the client. . Answer: Assess respiratory status.
◉ A client is admitted with shortness of breath, a brain natriuretic
peptide (BNP) level of 615 pg/mL, and pedal edema. Which actions
should the nurse take next? Select all that apply.
,Initiate I.V. diuretic therapy.
Give oxygen by mask.
Raise the feet on pillows.
Schedule an exercise stress test.
Increase dietary calcium. . Answer: Initiate I.V. diuretic therapy.
Give oxygen by mask.
◉ A client has been prescribed hydrochlorothiazide to treat heart failure.
What adverse effect should the nurse instruct the client to report to the
health care provider?
urinary retention
muscle weakness
confusion
diaphoresis . Answer: muscle weakness
◉ What is a priority nursing assessment in the first 24 hours after
admission of the client with a thrombotic stroke?
cholesterol level
pupil size and pupillary response
bowel sounds
, echocardiogram . Answer: pupil size and pupillary response
◉ A visitor to the hospital has a cardiac arrest. When determining to use
an automated external defibrillator (AED), the nurse should consider
that AEDs are used in cardiac arrest in which circumstances?
early defibrillation in cases of atrial fibrillation
cardioversion in cases of atrial fibrillation
pacemaker placement
early defibrillation in cases of ventricular fibrillation . Answer: early
defibrillation in cases of ventricular fibrillation
◉ The nurse is preparing to administer 0.1 mg of digoxin intravenously.
Digoxin comes in a concentration of 0.5 mg/2 ml. How many milliliters
should the nurse administer? Record your answer using one decimal
place. . Answer: 0.4 mL
◉ A nurse is evaluating a client who had a myocardial infarction (MI) 7
days earlier. Which outcome indicates that the client is responding
favorably to therapy?
The client exhibits a heart rate within normal limits.
The client requests information regarding smoking cessation.
The client is able to verbalize the action of all prescribed medications.
