NURSING 5333 PRACTICE EXAMINATION
QUESTIONS AND SOLUTIONS 2026 FULL
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▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
19. As congestion worsens, a patient develops hypertension from
congestion and fluid overload. Instruction for the patient includes?
a. Sleep flat in bed
b. Take her pulse at least three times a day
c. Have rest periods during the day
d. Follow a low potassium diet . Answer: c. Have rest periods during the
day
▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
20. A patient with CHF has been controlling his hypertension arrives for
another appointment and tells the nurse, my feet are killing me. These
shoes got so tight. The nurse's best initial action is to
a. Loosen the patient's shoe lace
b. Notify the physician
c. Listen to the client's breath sounds
d. Assess the client's weight . Answer: d. Assess the client's weight
,▶ SITUATION: Nurse Net Ty, is about to leave for abroad as a
Cardiovascular Nurse. Her husband, who's always catching up a call to
monitor her errands strongly opposes the idea of her working abroad and
this has led up to a large-scale fight. On the day of departure, Nurse Net Ty
told her son named Anton that she's leaving for abroad, but her husband
suddenly threw a hand from her back which caused her to run and
immediately suffered a crushing, chest pain. Net Ty, was rushed in the
hospital.
21. Based on the situation above, what is the most likely diagnosis of Net
Ty initially?
a. Stable Angina
b. Unstable Angina
c. Non-ST Segment Elevation-Acute Coronary Syndrome
d. Prinzmetal Angina . Answer: a. Stable Angina
▶ SITUATION: Nurse Net Ty, is about to leave for abroad as a
Cardiovascular Nurse. Her husband, who's always catching up a call to
monitor her errands strongly opposes the idea of her working abroad and
this has led up to a large-scale fight. On the day of departure, Nurse Net Ty
told her son named Anton that she's leaving for abroad, but her husband
suddenly threw a hand from her back which caused her to run and
immediately suffered a crushing, chest pain. Net Ty, was rushed in the
hospital.
22. Net Ty diagnosed with rule-out myocardial infarction is experiencing
chest pain while walking to the bathroom. Which action should the nurse
implement first?
a. Administer sublingual nitroglycerin.
b. Obtain a STAT electrocardiogram (ECG)
c. Have the client sit down immediately
d. Assess the client's vital signs . Answer: c. Have the client sit down
immediately
▶ 23. The nurse is caring for a client diagnosed with a myocardial infarction
who is experiencing chest pain. Which interventions should the nurse
implement? Select all that apply.
, 1. Administer morphine intramuscularly
2. Administer an aspirin orally
3. Apply oxygen via a nasal cannula
4. Place the client in a supine position
5. Administer nitroglycerin subcutaneously
a. 1, 2, 3, 4
b. 1, 2, 3
c. 2, 3
d. 2, 3, 5 . Answer: c. 2, 3
▶ 24. Net Ty diagnosed with a myocardial infarction is six (6) hours post-
right femoral percutaneous transluminal coronary angioplasty (PTCA), also
known as balloon surgery. Which assessment data would require
immediate intervention by the nurse?
a. The client is keeping the affected extremity straight
b. The pressure dressing to the right femoral area is intact
c. The client is complaining of numbness in the right foot
d. The client's right pedal pulse is 3+ and bounding . Answer: c. The client
is complaining of numbness in the right foot
▶ 25. The nurse is administering a calcium channel blocker to Net Ty
diagnosed with a myocardial infarction. Which assessment data would
cause the nurse to question administering this medication?
a. The client's apical pulse is 64
b. The client's calcium level is elevated
c. The client's telemetry shows occasional PVCs
d. The client's blood pressure is 90/58 . Answer: d. The client's blood
pressure is 90/58
▶ 26. The client diagnosed with a myocardial infarction is on bedrest. The
unlicensed assistive personnel (UAP) is encouraging the client to move the
legs. Which action should the nurse implement?
a. Instruct the UAP to stop encouraging the leg movements
b. Report this behavior to the charge nurse as soon as possible
c. Praise the UAP for encouraging the client to move the legs
QUESTIONS AND SOLUTIONS 2026 FULL
REVIEW PACKAGE
▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
19. As congestion worsens, a patient develops hypertension from
congestion and fluid overload. Instruction for the patient includes?
a. Sleep flat in bed
b. Take her pulse at least three times a day
c. Have rest periods during the day
d. Follow a low potassium diet . Answer: c. Have rest periods during the
day
▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
20. A patient with CHF has been controlling his hypertension arrives for
another appointment and tells the nurse, my feet are killing me. These
shoes got so tight. The nurse's best initial action is to
a. Loosen the patient's shoe lace
b. Notify the physician
c. Listen to the client's breath sounds
d. Assess the client's weight . Answer: d. Assess the client's weight
,▶ SITUATION: Nurse Net Ty, is about to leave for abroad as a
Cardiovascular Nurse. Her husband, who's always catching up a call to
monitor her errands strongly opposes the idea of her working abroad and
this has led up to a large-scale fight. On the day of departure, Nurse Net Ty
told her son named Anton that she's leaving for abroad, but her husband
suddenly threw a hand from her back which caused her to run and
immediately suffered a crushing, chest pain. Net Ty, was rushed in the
hospital.
21. Based on the situation above, what is the most likely diagnosis of Net
Ty initially?
a. Stable Angina
b. Unstable Angina
c. Non-ST Segment Elevation-Acute Coronary Syndrome
d. Prinzmetal Angina . Answer: a. Stable Angina
▶ SITUATION: Nurse Net Ty, is about to leave for abroad as a
Cardiovascular Nurse. Her husband, who's always catching up a call to
monitor her errands strongly opposes the idea of her working abroad and
this has led up to a large-scale fight. On the day of departure, Nurse Net Ty
told her son named Anton that she's leaving for abroad, but her husband
suddenly threw a hand from her back which caused her to run and
immediately suffered a crushing, chest pain. Net Ty, was rushed in the
hospital.
22. Net Ty diagnosed with rule-out myocardial infarction is experiencing
chest pain while walking to the bathroom. Which action should the nurse
implement first?
a. Administer sublingual nitroglycerin.
b. Obtain a STAT electrocardiogram (ECG)
c. Have the client sit down immediately
d. Assess the client's vital signs . Answer: c. Have the client sit down
immediately
▶ 23. The nurse is caring for a client diagnosed with a myocardial infarction
who is experiencing chest pain. Which interventions should the nurse
implement? Select all that apply.
, 1. Administer morphine intramuscularly
2. Administer an aspirin orally
3. Apply oxygen via a nasal cannula
4. Place the client in a supine position
5. Administer nitroglycerin subcutaneously
a. 1, 2, 3, 4
b. 1, 2, 3
c. 2, 3
d. 2, 3, 5 . Answer: c. 2, 3
▶ 24. Net Ty diagnosed with a myocardial infarction is six (6) hours post-
right femoral percutaneous transluminal coronary angioplasty (PTCA), also
known as balloon surgery. Which assessment data would require
immediate intervention by the nurse?
a. The client is keeping the affected extremity straight
b. The pressure dressing to the right femoral area is intact
c. The client is complaining of numbness in the right foot
d. The client's right pedal pulse is 3+ and bounding . Answer: c. The client
is complaining of numbness in the right foot
▶ 25. The nurse is administering a calcium channel blocker to Net Ty
diagnosed with a myocardial infarction. Which assessment data would
cause the nurse to question administering this medication?
a. The client's apical pulse is 64
b. The client's calcium level is elevated
c. The client's telemetry shows occasional PVCs
d. The client's blood pressure is 90/58 . Answer: d. The client's blood
pressure is 90/58
▶ 26. The client diagnosed with a myocardial infarction is on bedrest. The
unlicensed assistive personnel (UAP) is encouraging the client to move the
legs. Which action should the nurse implement?
a. Instruct the UAP to stop encouraging the leg movements
b. Report this behavior to the charge nurse as soon as possible
c. Praise the UAP for encouraging the client to move the legs
