NUR 220 EXAM 2 STUDY SHEET TEST BANK
FULL QUESTIONS & ANSWERS 2026
GUARANTEED TO PASS.
⫸ When developing a plan of care for a client who had a cardiac
catheterization via a femoral insertion site, what should the nurse
include?
1. ambulating the client 2 hours after the procedure
2. checking the vital signs every 15 minutes for 8 hours
3. keeping the client nothing by mouth for 4 hours after the procedure
4. maintaining the supine position for a minimum of 4 hours. Answer:
4
⫸ What is the minimum heart rate of a 14 year old? Record your
answer using a whole number. _____________ beats per minute.
Answer: 60 bpm
⫸ A client with heart failure has anxiety. Which effect of anxiety
makes it particularly important for the nurse to reduce the anxiety of
this client?
1. increases the cardiac workload
2. interferes with usual respirations
3. produces an elevation in temperature
4. decreases the amount of oxygen. Answer: 1
,⫸ A client with impaired peripheral pulses and signs of chronic
hypoxia in a lower extremity is scheduled for a femoral angiogram.
What would be appropriate for the nurse to include in the
postprocedure plan of care?
1. elevate the foot of the bed
2. perform urinary catheter care every 12 hours
3. place in the high-fowler position
4. perform a neurovascular assessment every 2 hours. Answer: 4
⫸ The nurse is caring for a client who is experiencing signs and
symptoms of a cardiac dysrhythmia and is scheduled to wear a Holter
monitor for 24 hours. What should the client should be instructed to
do during the test?
1. keep a diary of activities
2. stay away from microwave ovens
3. avoid taking any nitroglycerin that day
4. take both blood pressure and pulse every 2 hours. Answer: 1
⫸ A 2-month-old infant is being treated with sequential casts for
bilateral clubfoot (talipes equinovarus). New casts have just been
applied. What should the nurse evaluate to determine that circulation
to the feet remains sufficient?
1. alignment of legs on x-ray
2. warmth of the toes of both feet
3. mobility of the knees when flexed
4. presence of posterior tibial pulses. Answer: 2
, ⫸ The nurse applies fetal and uterine monitors to the abdomen of a
client in active labor. When the client has contractions, the nurse notes
a 15 beats/min deceleration of the fetal heart rate below the baseline
lasting 15 seconds. What is the next nursing action?
1. calling the primary healthcare provider
2. changing the maternal position
3. obtaining the maternal blood pressure
4. preparing the environment for an immediate birth. Answer: 2
⫸ The nurse instructs the client admitted for an acute exacerbation of
chronic obstructive pulmonary disease (COPD) about the importance
of assessing for right-sided heart failure after discharge. What does
the nurse instruct the client to assess for?
1. increased appetite
2. clubbing of the nail beds
3. hypertension
4. weight gain. Answer: 4
⫸ A nurse administers a parenteral preparation of potassium slowly
and cautiously to avoid which complication?
1. acidosis
2. cardiac arrest
3. psychotic like reactions
4. edema of the extremities. Answer: 2
FULL QUESTIONS & ANSWERS 2026
GUARANTEED TO PASS.
⫸ When developing a plan of care for a client who had a cardiac
catheterization via a femoral insertion site, what should the nurse
include?
1. ambulating the client 2 hours after the procedure
2. checking the vital signs every 15 minutes for 8 hours
3. keeping the client nothing by mouth for 4 hours after the procedure
4. maintaining the supine position for a minimum of 4 hours. Answer:
4
⫸ What is the minimum heart rate of a 14 year old? Record your
answer using a whole number. _____________ beats per minute.
Answer: 60 bpm
⫸ A client with heart failure has anxiety. Which effect of anxiety
makes it particularly important for the nurse to reduce the anxiety of
this client?
1. increases the cardiac workload
2. interferes with usual respirations
3. produces an elevation in temperature
4. decreases the amount of oxygen. Answer: 1
,⫸ A client with impaired peripheral pulses and signs of chronic
hypoxia in a lower extremity is scheduled for a femoral angiogram.
What would be appropriate for the nurse to include in the
postprocedure plan of care?
1. elevate the foot of the bed
2. perform urinary catheter care every 12 hours
3. place in the high-fowler position
4. perform a neurovascular assessment every 2 hours. Answer: 4
⫸ The nurse is caring for a client who is experiencing signs and
symptoms of a cardiac dysrhythmia and is scheduled to wear a Holter
monitor for 24 hours. What should the client should be instructed to
do during the test?
1. keep a diary of activities
2. stay away from microwave ovens
3. avoid taking any nitroglycerin that day
4. take both blood pressure and pulse every 2 hours. Answer: 1
⫸ A 2-month-old infant is being treated with sequential casts for
bilateral clubfoot (talipes equinovarus). New casts have just been
applied. What should the nurse evaluate to determine that circulation
to the feet remains sufficient?
1. alignment of legs on x-ray
2. warmth of the toes of both feet
3. mobility of the knees when flexed
4. presence of posterior tibial pulses. Answer: 2
, ⫸ The nurse applies fetal and uterine monitors to the abdomen of a
client in active labor. When the client has contractions, the nurse notes
a 15 beats/min deceleration of the fetal heart rate below the baseline
lasting 15 seconds. What is the next nursing action?
1. calling the primary healthcare provider
2. changing the maternal position
3. obtaining the maternal blood pressure
4. preparing the environment for an immediate birth. Answer: 2
⫸ The nurse instructs the client admitted for an acute exacerbation of
chronic obstructive pulmonary disease (COPD) about the importance
of assessing for right-sided heart failure after discharge. What does
the nurse instruct the client to assess for?
1. increased appetite
2. clubbing of the nail beds
3. hypertension
4. weight gain. Answer: 4
⫸ A nurse administers a parenteral preparation of potassium slowly
and cautiously to avoid which complication?
1. acidosis
2. cardiac arrest
3. psychotic like reactions
4. edema of the extremities. Answer: 2
