Page 1 of 51
NR 324 Exam
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 51
EXAM NR 324
A client is brought to the emergency department with partial thickness burns
to his face, neck, arms, and chest after trying to put out a car fire. The nurse
should implement which nursing actions for this client? Select all that apply.
1. Restrict fluids.
2. Assess for airway patency.
3. Administer oxygen as prescribed.
4. Place a cooling blanket on the client.
5. Elevate extremities if no fractures are present.
6. Prepare to give oral pain medication as prescribed.
2. Assess for airway patency.
3. Administer oxygen as prescribed.
5. Elevate extremities if no fractures are present.
A client with no history of respiratory disease is admitted to the hospital with
respiratory failure. Which results on the arterial blood gas report should the
nurse expect to note, that are consistent with this disorder?
1. Pao2 58 mm Hg, Paco2 32 mm Hg
2. Pao2 60 mm Hg, Paco2 45 mm Hg
3. Pao2 49 mm Hg, Paco2 52 mm Hg
4. Pao2 73 mm Hg, Paco2 62 mm Hg
3. Pao2 49 mm Hg, Paco2 52 mm Hg
A client is admitted to an emergency department with chest pain that is
consistent with myocardial infarction based on elevated troponin levels. Heart
sounds are normal and vital signs are noted on the client's chart. The nurse
should alert the health care provider because these changes are most
consistent with which complication?
, Page 3 of 51
1. Cardiogenic shock
2. Cardiac tamponade
3. Pulmonary embolism
4. Dissecting thoracic aortic aneurysm
1. Cardiogenic shock
A client in sinus bradycardia, with a heart rate of 45 beats/minute, complains
of dizziness and has a blood pressure of 82/60 mm Hg. Which prescription
should the nurse anticipate will be prescribed?
1. Defibrillate the client.
2. Administer digoxin (Lanoxin).
3. Continue to monitor the client.
4. Prepare for transcutaneous pacing.
4. Prepare for transcutaneous pacing.
The nurse in a medical unit is caring for a client with heart failure. The client
suddenly develops extreme dyspnea, tachycardia, and lung crackles and the
nurse suspects pulmonary edema. The nurse immediately asks another nurse
to contact the health care provider and prepares to implement which priority
interventions? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low Fowler's side-lying position
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which
finding would the nurse anticipate when auscultating the client's breath
sounds?
1. Stridor
2. Crackles
, Page 4 of 51
3. Scattered rhonchi
4. Diminished breath sounds
2. Crackles
A client with myocardial infarction is developing cardiogenic shock. Because
of the risk of myocardial ischemia, what condition should the nurse carefully
assess the client for?
1. Bradycardia
2. Ventricular dysrhythmias
3. Rising diastolic blood pressure
4. Falling central venous pressure
2. Ventricular dysrhythmias
Which readings obtained from a client's pulmonary artery catheter suggest
that the client is in left-sided heart failure?
1. Cardiac output of 5 L/min
2. Right atrial pressure of 9 mm Hg
3. Pulmonary capillary wedge pressure (PCWP) 20 mm Hg
4. Pulmonary artery systolic/diastolic pressures of 24/10 mm Hg
3. Pulmonary capillary wedge pressure (PCWP) 20 mm Hg
The nurse is watching the cardiac monitor and notices that the rhythm
suddenly changes. There are no P waves, the QRS complexes are wide, and
the ventricular rate is regular but more than 140 beats/minute. The nurse
determines that the client is experiencing which dysrhythmia?
1. Sinus tachycardia
2. Ventricular fibrillation
3. Ventricular tachycardia
4. Premature ventricular contractions
3. Ventricular tachycardia
A client has frequent bursts of ventricular tachycardia on the cardiac monitor.
What should the nurse be most concerned about with this dysrhythmia?
1. It can develop into ventricular fibrillation at any time.
2. It is almost impossible to convert to a normal rhythm.
3. It is uncomfortable for the client, giving a sense of impending doom.
4. It produces a high cardiac output that quickly leads to cerebral and
myocardial ischemia.
NR 324 Exam
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 51
EXAM NR 324
A client is brought to the emergency department with partial thickness burns
to his face, neck, arms, and chest after trying to put out a car fire. The nurse
should implement which nursing actions for this client? Select all that apply.
1. Restrict fluids.
2. Assess for airway patency.
3. Administer oxygen as prescribed.
4. Place a cooling blanket on the client.
5. Elevate extremities if no fractures are present.
6. Prepare to give oral pain medication as prescribed.
2. Assess for airway patency.
3. Administer oxygen as prescribed.
5. Elevate extremities if no fractures are present.
A client with no history of respiratory disease is admitted to the hospital with
respiratory failure. Which results on the arterial blood gas report should the
nurse expect to note, that are consistent with this disorder?
1. Pao2 58 mm Hg, Paco2 32 mm Hg
2. Pao2 60 mm Hg, Paco2 45 mm Hg
3. Pao2 49 mm Hg, Paco2 52 mm Hg
4. Pao2 73 mm Hg, Paco2 62 mm Hg
3. Pao2 49 mm Hg, Paco2 52 mm Hg
A client is admitted to an emergency department with chest pain that is
consistent with myocardial infarction based on elevated troponin levels. Heart
sounds are normal and vital signs are noted on the client's chart. The nurse
should alert the health care provider because these changes are most
consistent with which complication?
, Page 3 of 51
1. Cardiogenic shock
2. Cardiac tamponade
3. Pulmonary embolism
4. Dissecting thoracic aortic aneurysm
1. Cardiogenic shock
A client in sinus bradycardia, with a heart rate of 45 beats/minute, complains
of dizziness and has a blood pressure of 82/60 mm Hg. Which prescription
should the nurse anticipate will be prescribed?
1. Defibrillate the client.
2. Administer digoxin (Lanoxin).
3. Continue to monitor the client.
4. Prepare for transcutaneous pacing.
4. Prepare for transcutaneous pacing.
The nurse in a medical unit is caring for a client with heart failure. The client
suddenly develops extreme dyspnea, tachycardia, and lung crackles and the
nurse suspects pulmonary edema. The nurse immediately asks another nurse
to contact the health care provider and prepares to implement which priority
interventions? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low Fowler's side-lying position
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which
finding would the nurse anticipate when auscultating the client's breath
sounds?
1. Stridor
2. Crackles
, Page 4 of 51
3. Scattered rhonchi
4. Diminished breath sounds
2. Crackles
A client with myocardial infarction is developing cardiogenic shock. Because
of the risk of myocardial ischemia, what condition should the nurse carefully
assess the client for?
1. Bradycardia
2. Ventricular dysrhythmias
3. Rising diastolic blood pressure
4. Falling central venous pressure
2. Ventricular dysrhythmias
Which readings obtained from a client's pulmonary artery catheter suggest
that the client is in left-sided heart failure?
1. Cardiac output of 5 L/min
2. Right atrial pressure of 9 mm Hg
3. Pulmonary capillary wedge pressure (PCWP) 20 mm Hg
4. Pulmonary artery systolic/diastolic pressures of 24/10 mm Hg
3. Pulmonary capillary wedge pressure (PCWP) 20 mm Hg
The nurse is watching the cardiac monitor and notices that the rhythm
suddenly changes. There are no P waves, the QRS complexes are wide, and
the ventricular rate is regular but more than 140 beats/minute. The nurse
determines that the client is experiencing which dysrhythmia?
1. Sinus tachycardia
2. Ventricular fibrillation
3. Ventricular tachycardia
4. Premature ventricular contractions
3. Ventricular tachycardia
A client has frequent bursts of ventricular tachycardia on the cardiac monitor.
What should the nurse be most concerned about with this dysrhythmia?
1. It can develop into ventricular fibrillation at any time.
2. It is almost impossible to convert to a normal rhythm.
3. It is uncomfortable for the client, giving a sense of impending doom.
4. It produces a high cardiac output that quickly leads to cerebral and
myocardial ischemia.
