HONDROS NUR 176 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ ARF S/S. Answer: mimics dehydration s/s, anorexia, h/a, edema,
vomiting, nausea, lethargy,
◉ Malignan hypertension. Answer: Is the most severe
◉ S/S of Malignant hypertension. Answer: - Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
◉ Beta blockers. Answer: medication used to treat several different
types of conditions, including hypertension (high blood pressure),
angina, some abnormal heart rhythms, heart attack (myocardial
infarction)
◉ Beta blockers actions. Answer: Decreases BP and HR blocking
epinephrine and nonepinephrine
,◉ Side effects of Beta blockers. Answer: SOB (asthma like symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
◉ Common Beta blockers. Answer: Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
◉ Atenolol (Tenormin). Answer: Medication for MI
◉ Digoxin (Lanoxin, Digox). Answer: medication used for heart failure
(hf)
◉ Nursing consideration for Digoxin. Answer: assess hr, if it's <60 hold
the medicine and call doctor
◉ Nitroglycerin. Answer: opens blood vessels, is used for chest pain
(antiangina)
,◉ Administration of glycerin. Answer: Sublingual, 1 pill q5min,
maximum of three pills, if pain continues call doctor, possible HA
◉ PTCA. Answer: Percutaneous
Transluminal
Coronary
Angioplastic
◉ Pt teaching before PTCA. Answer: - Explain procedure: a balloon is
inflated to reduce the constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG
(Coronary Artery Bypass Grafting)
◉ S/S of left heart failure. Answer: Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of
pulmonary vascular congestion with pleura effusion
◉ S/S of right heart failure. Answer: Body (everything not related to
lungs)
, Distended jugular veins, anorexia, nausea, abdominal distention, liver
enlargement, ascites (peritoneal edema), edema in feet, ankles, sacrum
◉ Test for heart failure. Answer: - CXR
- BNP (Brain Natriuretic Peptide)
◉ Cardiac rehabilitation orders. Answer: - Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
◉ Non-pharmacological treatment for hypertension. Answer: - Diet (low
Na+, low fat, high K+, CA+, and Mg+) fruits and vegetables
- Moderate aerobic exercises (walk 20 min/day/3 times/wk
◉ High Blood Pressure. Answer: >140/90, is called the silent killer
because it doesn't show symptoms until is tissue damage
◉ S/S of high blood pressure. Answer: - Blurred vision
- Unexplained nose bleeding
◉ S/S of MI for males. Answer: - Heavy severe chest pain, usually
radiates to left arm, neck, jaw
QUESTIONS WITH ANSWERS GRADED A+
◉ ARF S/S. Answer: mimics dehydration s/s, anorexia, h/a, edema,
vomiting, nausea, lethargy,
◉ Malignan hypertension. Answer: Is the most severe
◉ S/S of Malignant hypertension. Answer: - Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
◉ Beta blockers. Answer: medication used to treat several different
types of conditions, including hypertension (high blood pressure),
angina, some abnormal heart rhythms, heart attack (myocardial
infarction)
◉ Beta blockers actions. Answer: Decreases BP and HR blocking
epinephrine and nonepinephrine
,◉ Side effects of Beta blockers. Answer: SOB (asthma like symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
◉ Common Beta blockers. Answer: Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
◉ Atenolol (Tenormin). Answer: Medication for MI
◉ Digoxin (Lanoxin, Digox). Answer: medication used for heart failure
(hf)
◉ Nursing consideration for Digoxin. Answer: assess hr, if it's <60 hold
the medicine and call doctor
◉ Nitroglycerin. Answer: opens blood vessels, is used for chest pain
(antiangina)
,◉ Administration of glycerin. Answer: Sublingual, 1 pill q5min,
maximum of three pills, if pain continues call doctor, possible HA
◉ PTCA. Answer: Percutaneous
Transluminal
Coronary
Angioplastic
◉ Pt teaching before PTCA. Answer: - Explain procedure: a balloon is
inflated to reduce the constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG
(Coronary Artery Bypass Grafting)
◉ S/S of left heart failure. Answer: Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of
pulmonary vascular congestion with pleura effusion
◉ S/S of right heart failure. Answer: Body (everything not related to
lungs)
, Distended jugular veins, anorexia, nausea, abdominal distention, liver
enlargement, ascites (peritoneal edema), edema in feet, ankles, sacrum
◉ Test for heart failure. Answer: - CXR
- BNP (Brain Natriuretic Peptide)
◉ Cardiac rehabilitation orders. Answer: - Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
◉ Non-pharmacological treatment for hypertension. Answer: - Diet (low
Na+, low fat, high K+, CA+, and Mg+) fruits and vegetables
- Moderate aerobic exercises (walk 20 min/day/3 times/wk
◉ High Blood Pressure. Answer: >140/90, is called the silent killer
because it doesn't show symptoms until is tissue damage
◉ S/S of high blood pressure. Answer: - Blurred vision
- Unexplained nose bleeding
◉ S/S of MI for males. Answer: - Heavy severe chest pain, usually
radiates to left arm, neck, jaw
