EDITED BY NURSEMIA
EAQ with NGN: Cardiac Exam Questions & Answers
| 100% Verified solutions |Questions with Correct
Answers 2026 latest update!!
1. Client was brought to the emergency department by his son with reports of difficulty
breathing and inability to walk short distances without becoming extremely short of breath.
Client is a 72-year-old African American man with a history of obesity, hypertension, coronary
artery disease, and diabetes mellitus. Client reports fatigue related to difficulty sleeping at
night as a result of a nonproductive cough that is unresolved with cough drops. Client reports
a weight gain of 10 pounds in the past week, despite his decreased appetite. The son reports
that his father has been unable to care for himself as a result of the fatigue and increasing
shortness of breath. He states "he has not showered in over a week." Assessment findings
reveal sinus tachycardia with occasional premature ventricular contractions (PVCs),
tachypnea, and inspiratory crackles auscultated throughout bilateral lungs. The nurse is
preparing a plan of care for the client. Based on the information provided, choose the
potential condition with anticipated medications and side effects to monitor.
A) Condition: Chronic Obstructive Pulmonary Disease (COPD) | Medications: albuterol,
fluticasone | Side effects: tachycardia, oral candidiasis
B) Condition: Renal Failure | Medications: lisinopril, sevelamer | Side effects: hyperkalemia,
constipation
C) Condition: Heart Failure | Medications: nitroglycerin, furosemide | Side effects: hypotension,
hypokalemia
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D) Condition: Pneumonia | Medications: ceftriaxone, azithromycin | Side effects: nausea,
diarrhea
Correct Answer: C) Condition: Heart Failure | Medications: nitroglycerin, furosemide | Side
effects: hypotension, hypokalemia
Rationale: The client's clinical presentation—including extreme shortness of breath, a 10-pound
weight gain in one week, fatigue, orthopnea (difficulty sleeping), tachycardia, and bilateral
inspiratory crackles—strongly indicates an acute exacerbation of heart failure with fluid
overload. Furosemide (a loop diuretic) is anticipated to remove excess fluid, and the nurse must
monitor for hypokalemia as a common side effect. Nitroglycerin may be used as a vasodilator to
decrease cardiac preload and afterload, requiring close monitoring for hypotension.
2. A 64-year-old male client has arrived for an appointment at the outpatient clinic because of
difficulty breathing and a rash. He has a history of hypertension, hypothyroidism, depression,
erectile dysfunction, chronic back pain, hyperlipidemia, and an anterior wall myocardial
infarction (MI) at age 44. He reports sleeping on two pillows and waking at night one to two
times per week, gasping with difficulty breathing, and having to get up during the night to
urinate. The nurse reviews the patient history and physical in the EHR to identify relevant
cues requiring follow-up. The nurse identifies symptoms related to a possible cardio-
respiratory concern including ________ and ________.
A) daytime urinary frequency and sleep apnea
B) nocturia and paroxysmal nocturnal dyspnea
C) joint pain and an extremity rash
D) chronic back pain and irritability
Correct Answer: B) nocturia and paroxysmal nocturnal dyspnea
PAGE 2
EAQ with NGN: Cardiac Exam Questions & Answers
| 100% Verified solutions |Questions with Correct
Answers 2026 latest update!!
1. Client was brought to the emergency department by his son with reports of difficulty
breathing and inability to walk short distances without becoming extremely short of breath.
Client is a 72-year-old African American man with a history of obesity, hypertension, coronary
artery disease, and diabetes mellitus. Client reports fatigue related to difficulty sleeping at
night as a result of a nonproductive cough that is unresolved with cough drops. Client reports
a weight gain of 10 pounds in the past week, despite his decreased appetite. The son reports
that his father has been unable to care for himself as a result of the fatigue and increasing
shortness of breath. He states "he has not showered in over a week." Assessment findings
reveal sinus tachycardia with occasional premature ventricular contractions (PVCs),
tachypnea, and inspiratory crackles auscultated throughout bilateral lungs. The nurse is
preparing a plan of care for the client. Based on the information provided, choose the
potential condition with anticipated medications and side effects to monitor.
A) Condition: Chronic Obstructive Pulmonary Disease (COPD) | Medications: albuterol,
fluticasone | Side effects: tachycardia, oral candidiasis
B) Condition: Renal Failure | Medications: lisinopril, sevelamer | Side effects: hyperkalemia,
constipation
C) Condition: Heart Failure | Medications: nitroglycerin, furosemide | Side effects: hypotension,
hypokalemia
PAGE 1
, EDITED BY NURSEMIA
D) Condition: Pneumonia | Medications: ceftriaxone, azithromycin | Side effects: nausea,
diarrhea
Correct Answer: C) Condition: Heart Failure | Medications: nitroglycerin, furosemide | Side
effects: hypotension, hypokalemia
Rationale: The client's clinical presentation—including extreme shortness of breath, a 10-pound
weight gain in one week, fatigue, orthopnea (difficulty sleeping), tachycardia, and bilateral
inspiratory crackles—strongly indicates an acute exacerbation of heart failure with fluid
overload. Furosemide (a loop diuretic) is anticipated to remove excess fluid, and the nurse must
monitor for hypokalemia as a common side effect. Nitroglycerin may be used as a vasodilator to
decrease cardiac preload and afterload, requiring close monitoring for hypotension.
2. A 64-year-old male client has arrived for an appointment at the outpatient clinic because of
difficulty breathing and a rash. He has a history of hypertension, hypothyroidism, depression,
erectile dysfunction, chronic back pain, hyperlipidemia, and an anterior wall myocardial
infarction (MI) at age 44. He reports sleeping on two pillows and waking at night one to two
times per week, gasping with difficulty breathing, and having to get up during the night to
urinate. The nurse reviews the patient history and physical in the EHR to identify relevant
cues requiring follow-up. The nurse identifies symptoms related to a possible cardio-
respiratory concern including ________ and ________.
A) daytime urinary frequency and sleep apnea
B) nocturia and paroxysmal nocturnal dyspnea
C) joint pain and an extremity rash
D) chronic back pain and irritability
Correct Answer: B) nocturia and paroxysmal nocturnal dyspnea
PAGE 2
