NUR 257 Exam 3 - Geriatrics: (Latest 2026/2027 Update)
Cardiac Disorders, Valvular Disease, Heart Failure,
Medications, Cardiac Assessment
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program
SUBJECT COURSE FORMAT
Geriatric Nursing - Cardiac NUR 257 Exam 3 Q&A Guide with Rationale
Disorders, Heart Failure,
Pharmacology
Question 1
A patient has a history of PE with sudden onset of chest pain and shortness of breath. What should
you do first?
A. Raise the head of the bed and assess
B. Administer morphine immediately
C. Call a code blue
D. Apply oxygen and start an IV
CORRECT ANSWER
A. Raise the head of the bed and assess
CLINICAL RATIONALE
• Raising the head of the bed improves breathing and reduces anxiety.
• Assessment of airway, breathing, and circulation is the priority before interventions.
,Question 2
During a stress test, if the patient develops chest pain, what should you do?
A. Stop the test and assess the patient
B. Continue the test to get complete data
C. Administer nitroglycerin and continue
D. Call the provider before stopping
CORRECT ANSWER
A. Stop the test and assess the patient
CLINICAL RATIONALE
• Chest pain during a stress test may indicate myocardial ischemia.
• The test should be stopped immediately, and the patient assessed for signs of MI.
Question 3
What valvular disorder is associated with pulmonary hypertension and hemoptysis?
A. Mitral valve stenosis
B. Aortic stenosis
C. Mitral regurgitation
D. Aortic regurgitation
CORRECT ANSWER
A. Mitral valve stenosis
CLINICAL RATIONALE
• Mitral stenosis causes increased left atrial pressure, leading to pulmonary hypertension.
• Hemoptysis results from rupture of bronchial veins due to pulmonary congestion.
, Question 4
What arrhythmia is commonly associated with mitral stenosis?
A. Atrial fibrillation (AFib)
B. Ventricular tachycardia
C. First-degree AV block
D. Sinus bradycardia
CORRECT ANSWER
A. Atrial fibrillation (AFib)
CLINICAL RATIONALE
• Enlarged left atrium in mitral stenosis predisposes to atrial fibrillation.
• AFib increases risk of thrombus formation and embolic stroke.
Question 5
What is the treatment for bacterial endocarditis?
A. Antibiotic therapy until complete eradication achieved
B. Surgical valve replacement
C. Anticoagulation therapy
D. Corticosteroids
CORRECT ANSWER
A. Antibiotic therapy until complete eradication achieved
CLINICAL RATIONALE
• IV antibiotics for 4-6 weeks are required to penetrate vegetations.
• Blood cultures guide antibiotic selection.
Cardiac Disorders, Valvular Disease, Heart Failure,
Medications, Cardiac Assessment
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program
SUBJECT COURSE FORMAT
Geriatric Nursing - Cardiac NUR 257 Exam 3 Q&A Guide with Rationale
Disorders, Heart Failure,
Pharmacology
Question 1
A patient has a history of PE with sudden onset of chest pain and shortness of breath. What should
you do first?
A. Raise the head of the bed and assess
B. Administer morphine immediately
C. Call a code blue
D. Apply oxygen and start an IV
CORRECT ANSWER
A. Raise the head of the bed and assess
CLINICAL RATIONALE
• Raising the head of the bed improves breathing and reduces anxiety.
• Assessment of airway, breathing, and circulation is the priority before interventions.
,Question 2
During a stress test, if the patient develops chest pain, what should you do?
A. Stop the test and assess the patient
B. Continue the test to get complete data
C. Administer nitroglycerin and continue
D. Call the provider before stopping
CORRECT ANSWER
A. Stop the test and assess the patient
CLINICAL RATIONALE
• Chest pain during a stress test may indicate myocardial ischemia.
• The test should be stopped immediately, and the patient assessed for signs of MI.
Question 3
What valvular disorder is associated with pulmonary hypertension and hemoptysis?
A. Mitral valve stenosis
B. Aortic stenosis
C. Mitral regurgitation
D. Aortic regurgitation
CORRECT ANSWER
A. Mitral valve stenosis
CLINICAL RATIONALE
• Mitral stenosis causes increased left atrial pressure, leading to pulmonary hypertension.
• Hemoptysis results from rupture of bronchial veins due to pulmonary congestion.
, Question 4
What arrhythmia is commonly associated with mitral stenosis?
A. Atrial fibrillation (AFib)
B. Ventricular tachycardia
C. First-degree AV block
D. Sinus bradycardia
CORRECT ANSWER
A. Atrial fibrillation (AFib)
CLINICAL RATIONALE
• Enlarged left atrium in mitral stenosis predisposes to atrial fibrillation.
• AFib increases risk of thrombus formation and embolic stroke.
Question 5
What is the treatment for bacterial endocarditis?
A. Antibiotic therapy until complete eradication achieved
B. Surgical valve replacement
C. Anticoagulation therapy
D. Corticosteroids
CORRECT ANSWER
A. Antibiotic therapy until complete eradication achieved
CLINICAL RATIONALE
• IV antibiotics for 4-6 weeks are required to penetrate vegetations.
• Blood cultures guide antibiotic selection.
