NUR361 CARDIO EXAM QUESTIONS WITH
ACCURATE ANSWERS RATED A+
A nurse is reviewing BP classifications with a group of nurses at an in-service
meeting. Which of the following should the nurse include as a risk factor for the
development of HTN?
a) HDL level of 70mg/dL
b) A diet high in potassium
c) Obstructive sleep apnea (OSA)
d) Taking benazepril - ANSWER c) Obstructive sleep apnea (OSA)
A nurse is assessing a client who has fluid overload. Which of the following
findings should the nurse expect? (Select all that apply)
a) Increased heart rate
b) Increased BP
c) Increased respiratory rate
d) Increase hematocrit
e) Increased temperature - ANSWER a) Increased HR
b) Increased BP
c) Increased respiratory rate
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The
client is unresponsive, pulseless, and apneic. Which of the following actions is
the nurse's priority?
a) Defibrillation
b) Airway management
c) Epinephrine administration
d) Amiodarone administration - ANSWER a) Defibrillation
The nurse is evaluating a client who had a cardiac catheterization with a left
antecubital insertion site. Which of the following pulses should the nurse
palpate?
a) Brachial pulse on the left arm
b) Brachial pulse on the right arm
c) Radial pulse on the left arm
d) Radial pulse on the right arm - ANSWER c) Radial pulse on the left arm
A nurse on a med-surge unit is caring for a client who reports pain in the jaw,
back, and shoulder, and shortness of breath and nausea. Which of the following
actions should the nurse take?
a) Obtain an EKG
b) Administer enteric-coated acetaminophen'
,c) Administer ibuprofen
d) Maintain O2 saturations greater than or equal to 92% - ANSWER a) Obtain an
EKG
A nurse is caring for a client who recently had surgery for insertion of a
permanent pacemaker. Which of the following prescriptions should the nurse
clarify?
a) Serum cardiac enzyme levels
b) MRI of the chest
c) Physical therapy
d) Low-sodium diet - ANSWER b) MRI of the chest
A nurse is preparing to administer dabigatran to a client who had a-fib. The
nurse should explain that the purpose of this medication is which of the
following?
a) To convert a-fib to sinus rhythm
b) To dissolve clots in the bloodstream
c) To slow the response of the ventricles to the fast atrial impulses
d) To reduce the risk of stroke in clients who have a-fib - ANSWER d) To reduce
the risk of stroke in clients who have a-fib
A nurse is auscultating a client's heart sounds and hears an extra heart sound
before what should be considered the first heart sound S1. The nurse should
document this finding as which of the following heart sounds?
a) The fourth heart sound (S4)
b) A friction rub
c) The third heart sound (S3)
d) A split second heart sound S2 - ANSWER a) The fourth heart sound (S4)
A nurse is admitting a client who has acute HF following MI. The nurse
recognizes that which of the following prescriptions by the provider requires
clarification?
a) Morphine sulfate 2mg IV bolus every 2 hr PRN pain
b) Lab testing of serum potassium upon admission
c) 0.9% normal saline IV at 50 mL/hr continuous
d) Bumetanide 1mg IV bolus every 12 hr - ANSWER c) 0.9% normal saline IV at
50 mL/hr continuous
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of
the following cardiac components should the nurse identify as the role of the P
wave?
a) Ventricular depolarization
b) Slow depolarization of ventricular Purkinje fibers
c) Atrial depolarization
d) Early ventricular depolarization - ANSWER c) Atrial depolarization
, The nurse is reviewing the EKG strip of a client who has prolonged vomiting.
Which of the following abnormalities on the client's EKG should the nurse
interpret as a sign of hypokalemia?
a) Abnormally prominent U wave
b) Elevated ST segment
c) Wide QRS
d) Inverted P wave - ANSWER a) Abnormally prominent U wave
A nurse is teaching the partner of a client who had an acute MI about the reason
blood was drawn from the client. Which of the following statements should the
nurse make regarding cardiac enzymes studies?
a) "These tests help determine the degree of damage to the heart tissues."
b) "Cardiac enzymes will identify the location of the MI."
c) "These tests will enable the provider to determine the heart structure and
mobility of the heart valves."
d) "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion." - ANSWER a) "These tests help determine the degree of damage to
the hart tissues."
A nurse in a clinic is caring for a client who has a prescription for digoxin. Which
of the following statements indicates the client is experiencing digoxin toxicity?
a) "I am gaining weight."
b) "I am constipated."
c) "My vision seems yellow."
d) "My tongue is red and beefy." - ANSWER c) "My vision seems yellow."
A nurse is caring for a client who is receiving a unit of packed red blood cells.
Fifteen minutes following the start of the transfusion, the nurse notes that the
client is febrile, with chills and red-tinged urine. Which of the following
transfusion reactions should the nurse suspect?
a) Febrile
b) Allergic
c) Acute pain
d) Hemolytic - ANSWER d) Hemolytic
A nurse is reinforcing teaching with a client regarding reduction of risk factors
for coronary artery disease. Which of the following statements by the client
indicates an understanding of the teaching? (Select all that apply)
a) "I must stop smoking."
b) "I should limit my exercise."
c) "I will stop consuming alcohol."
d) "I need to monitor my weight."
e) "I am limiting my intake of fast foods." - ANSWER a) "I must stop smoking."
d) "I need to monitor my weight."
e) "I am limiting my intake of fast foods."
ACCURATE ANSWERS RATED A+
A nurse is reviewing BP classifications with a group of nurses at an in-service
meeting. Which of the following should the nurse include as a risk factor for the
development of HTN?
a) HDL level of 70mg/dL
b) A diet high in potassium
c) Obstructive sleep apnea (OSA)
d) Taking benazepril - ANSWER c) Obstructive sleep apnea (OSA)
A nurse is assessing a client who has fluid overload. Which of the following
findings should the nurse expect? (Select all that apply)
a) Increased heart rate
b) Increased BP
c) Increased respiratory rate
d) Increase hematocrit
e) Increased temperature - ANSWER a) Increased HR
b) Increased BP
c) Increased respiratory rate
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The
client is unresponsive, pulseless, and apneic. Which of the following actions is
the nurse's priority?
a) Defibrillation
b) Airway management
c) Epinephrine administration
d) Amiodarone administration - ANSWER a) Defibrillation
The nurse is evaluating a client who had a cardiac catheterization with a left
antecubital insertion site. Which of the following pulses should the nurse
palpate?
a) Brachial pulse on the left arm
b) Brachial pulse on the right arm
c) Radial pulse on the left arm
d) Radial pulse on the right arm - ANSWER c) Radial pulse on the left arm
A nurse on a med-surge unit is caring for a client who reports pain in the jaw,
back, and shoulder, and shortness of breath and nausea. Which of the following
actions should the nurse take?
a) Obtain an EKG
b) Administer enteric-coated acetaminophen'
,c) Administer ibuprofen
d) Maintain O2 saturations greater than or equal to 92% - ANSWER a) Obtain an
EKG
A nurse is caring for a client who recently had surgery for insertion of a
permanent pacemaker. Which of the following prescriptions should the nurse
clarify?
a) Serum cardiac enzyme levels
b) MRI of the chest
c) Physical therapy
d) Low-sodium diet - ANSWER b) MRI of the chest
A nurse is preparing to administer dabigatran to a client who had a-fib. The
nurse should explain that the purpose of this medication is which of the
following?
a) To convert a-fib to sinus rhythm
b) To dissolve clots in the bloodstream
c) To slow the response of the ventricles to the fast atrial impulses
d) To reduce the risk of stroke in clients who have a-fib - ANSWER d) To reduce
the risk of stroke in clients who have a-fib
A nurse is auscultating a client's heart sounds and hears an extra heart sound
before what should be considered the first heart sound S1. The nurse should
document this finding as which of the following heart sounds?
a) The fourth heart sound (S4)
b) A friction rub
c) The third heart sound (S3)
d) A split second heart sound S2 - ANSWER a) The fourth heart sound (S4)
A nurse is admitting a client who has acute HF following MI. The nurse
recognizes that which of the following prescriptions by the provider requires
clarification?
a) Morphine sulfate 2mg IV bolus every 2 hr PRN pain
b) Lab testing of serum potassium upon admission
c) 0.9% normal saline IV at 50 mL/hr continuous
d) Bumetanide 1mg IV bolus every 12 hr - ANSWER c) 0.9% normal saline IV at
50 mL/hr continuous
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of
the following cardiac components should the nurse identify as the role of the P
wave?
a) Ventricular depolarization
b) Slow depolarization of ventricular Purkinje fibers
c) Atrial depolarization
d) Early ventricular depolarization - ANSWER c) Atrial depolarization
, The nurse is reviewing the EKG strip of a client who has prolonged vomiting.
Which of the following abnormalities on the client's EKG should the nurse
interpret as a sign of hypokalemia?
a) Abnormally prominent U wave
b) Elevated ST segment
c) Wide QRS
d) Inverted P wave - ANSWER a) Abnormally prominent U wave
A nurse is teaching the partner of a client who had an acute MI about the reason
blood was drawn from the client. Which of the following statements should the
nurse make regarding cardiac enzymes studies?
a) "These tests help determine the degree of damage to the heart tissues."
b) "Cardiac enzymes will identify the location of the MI."
c) "These tests will enable the provider to determine the heart structure and
mobility of the heart valves."
d) "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion." - ANSWER a) "These tests help determine the degree of damage to
the hart tissues."
A nurse in a clinic is caring for a client who has a prescription for digoxin. Which
of the following statements indicates the client is experiencing digoxin toxicity?
a) "I am gaining weight."
b) "I am constipated."
c) "My vision seems yellow."
d) "My tongue is red and beefy." - ANSWER c) "My vision seems yellow."
A nurse is caring for a client who is receiving a unit of packed red blood cells.
Fifteen minutes following the start of the transfusion, the nurse notes that the
client is febrile, with chills and red-tinged urine. Which of the following
transfusion reactions should the nurse suspect?
a) Febrile
b) Allergic
c) Acute pain
d) Hemolytic - ANSWER d) Hemolytic
A nurse is reinforcing teaching with a client regarding reduction of risk factors
for coronary artery disease. Which of the following statements by the client
indicates an understanding of the teaching? (Select all that apply)
a) "I must stop smoking."
b) "I should limit my exercise."
c) "I will stop consuming alcohol."
d) "I need to monitor my weight."
e) "I am limiting my intake of fast foods." - ANSWER a) "I must stop smoking."
d) "I need to monitor my weight."
e) "I am limiting my intake of fast foods."
