SCHOOL OF HEALTH AND ALLIED HEALTH SCIENCES
NUR 155 P1 EXAMINATION
SET A
GENERAL INSTRUCTIONS:
1. This test questionnaire contains 200 test questions
2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded
will invalidate your answer.
3. AVOID ERASURES.
4. Any student caught cheating (asking seatmate a question; rolling of eyeballs; glancing; turning
of head; “codigo”, markings on the chair; ,marking/writing on any part of the body; dictating;
texting) or students who will allow their seatmates to copy or glance at their paper will be given a
grade of 5.0 for this examination.
5. Read the questions carefully, you have 3 hours to complete the examination.
6. Raise your hand if you have questions or clarifications, a proctor will approach you.
7. Make sure you switch off or set all your mobile phones in silent mode.
8. Good Luck and God Bless!
MULTIPLE CHOICE. SELECT THE LETTER OF THE CORRECT ANSWER.
1. A nurse is evaluating the blood pressure (BP) results for multiple clients with
cardiac problems on a telemetry unit. Which BP reading suggests to the nurse that
the client’s mean arterial pressure (MAP) is abnormal and warrants notifying the
physician?
a. 94/60 mm Hg
b. 98/36 mm Hg
c. 110/50 mm Hg
d. 140/78 mm Hg
2. A nurse assesses a client who has just returned to a telemetry unit after having
a coronary angiogram using the left femoral artery approach. The client’s baseline
blood pressure (BP) during the procedure was 130/72 mm Hg and the cardiac
rhythm was a normal sinus throughout. Which assessment finding should indicate
to the nurse that the client may be experiencing a complication?
a. BP 144/78 mm Hg
b. Pedal pulses palpable at +1
c. Left groin soft with 1 cm ecchymotic area
d. Apical pulse 132 beats per minute (bpm) with an irregular-irregular
rhythm
3. A nurse is caring for a client immediately following insertion of a permanent
pacemaker via the right subclavian vein approach. The nurse best prevents
pacemaker lead dislodgement by:
a. inspecting the incision site dressing for bleeding and the incision for
approximation.
b. limiting the client’s right arm activity and preventing the client reaching
above shoulder level.
c. assisting the client with getting out of bed and ambulating with a walker.
d. ordering a stat chest x-ray following return from the implant procedure.
4. A nurse is assessing a client diagnosed with an anterior-lateral myocardial
infarction (MI). The nurse adds a nursing diagnosis to the client’s plan of care of
decreased cardiac output when which finding is noted on assessment?
a. One-sided weakness
b. Presence of an S4 heart sound
c. Crackles auscultated in bilateral lung bases
NUR 155 P1 EXAMINATION SET A 1
,d. Vesicular breath sounds over lung lobe
5. After an inferior-septal wall myocardial infarction, which complication should a
nurse suspect when noting jugular venous distention (JVD) and ascites?
a. Left-sided heart failure
b. Pulmonic valve malfunction
c. Right-sided heart failure
d. Ruptured septum
6. A nurse notes that a client, who experienced a myocardial infarction (MI) 3 days
ago, seems unusually fatigued. Upon assessment, the nurse finds that the client is
dyspneic with activity, has a heart rate (HR) of 110 beats per minute (bpm), and
has generalized edema. Which action by the nurse is most appropriate?
a. Administer high-flow oxygen
b. Encourage the client to rest more
c. Continue to monitor the client’s heart rhythm
d. Compare the client’s admission weight with the client’s current weight
7. A client is hospitalized for heart failure secondary to alcohol-induced
cardiomyopathy. The client is started on milrinone (Primacor®) and placed on a
transplant waiting list. The client has been curt and verbally aggressive in
expressing dissatisfaction with the medication orders, overall care, and the need for
energy conservation. A nurse should interpret that the client’s behavior is likely
related to the client’s:
a. denial of the illness.
b. reaction to milrinone (Primacor®).
c. fear of the diagnosis.
d. response to cerebral anoxia
8. A client diagnosed with class II heart failure according to the New York Heart
Association Functional Classification has been taught about the initial treatment
plan for this disease. A nurse determines that the client needs additional teaching if
the client states that the treatment plan includes:
a. diuretics.
b. a low-sodium diet.
c. home oxygen therapy.
d. angiotensin-converting enzyme (ACE) inhibitor
9. A client admitted with unstable angina is started on intravenous heparin and
nitroglycerin. The client’s chest pain resolves, and the client is weaned from the
nitroglycerin. Noting that the client had a synthetic valve replacement for aortic
stenosis 2 years ago, a physician writes an order to restart the oral warfarin
(Coumadin®) 5 mg at 1900 hours. Which is the nurse’s best action?
a. Administer the warfarin as prescribed.
b. Call the physician to question the warfarin order.
c. Discontinue the heparin drip and then administer the warfarin.
d. Hold the dose of warfarin until the heparin has been discontinued.
10. A nurse is caring for a client following a coro nary artery bypass graft. Which
assessment finding in the immediate postoperative period should be most
concerning to the nurse?
a. No chest tube output for 1 hour when previously it was copious
b. Client temperature of 99.1°F (37.2°C)
c. Arterial blood gas (ABG) results show pH 7.32; Pco2 48; HCO3 28; Po2 80
d. Urine output of 160 mL in the last 4 hours
NUR 155 P1 EXAMINATION SET A 2
, 11. A nurse, assessing a client hospitalized following a myocardial infarction (MI),
obtains the following vital signs: blood pressure (BP) 78/38 mm Hg, heart rate (HR)
128, respiratory rate (RR) 32. For which life-threatening complication should the
nurse carefully monitor the client?
a. Pulmonary embolism
b. Cardiac tamponade
c. Cardiomyopathy
d. Cardiogenic shock
12. A client admitted to a telemetry unit with a diagnosis of Prinzmetal’s angina,
has the following medications ordered. Upon interpretation of the client’s electro
cardiogram (ECG) rhythm, the nurse notes a prolonged PR interval of 0.32 second.
Based on this information, which medication order should the nurse question
administering to the client
a. Isosorbide mononitrate (Imdur®) 20 mg oral daily upon awakening
b. Amlodipine (Norvasc®) 10 mg oral daily
c. Nitroglycerin (Nitrostat®) 0.4 mg sublingual prn for chest pain
d. Atenolol (Tenormin®) 50 mg oral daily.
13. Elevated homocysteine levels are associated with the development of
arteriosclerosis and venous thrombosis. A clinic nurse should teach a client that the
dietary therapy to decrease homocysteine levels includes eating foods rich in:
a. monosaturated fats.
b. B-complex vitamins.
c. Vitamin C.
d. Calcium
14. A client taking medication for treatment of essential hypertension has a serum
potassium level of 3.2 mEq/L. A nurse is reviewing the list of medications being
taken by the client. Which medication on the list should the nurse conclude to be
the causative factor for this serum potassium level?
a. Spironolactone (Aldactone®)
b. Potassium chloride (K-Dur®)
c. Enalapril (Vasotec®)
d. Hydrochlorothiazide (Esidrix®, HydroDIURIL®)
15. A client has an appointment at a vascular clinic after being treated with
pentoxifylline (Trental®) for 6 weeks. A nurse determines the pentoxifylline has
been effective by noting that the client:
a. has a decrease in lower extremity edema.
b. is experiencing less symptoms of withdrawal after quitting smoking.
c. has a venous ulcer on the ankle that has decreased in size and depth.
d. is able to walk a greater distance without claudication
16. A 31-year-old male client seeks care at a vascular clinic because of painful
fingers and toes. He is diagnosed with Buerger’s disease (thromboangiitis
obliterans). A nurse is teaching the client ways to prevent progression of the
disease. Which prevention measure should be the nurse’s initial focus when
teaching the client?
a. Avoiding exposure to cold
b. Maintaining meticulous hygiene practices
c. Abstaining from all tobacco products in all forms
d. Following a low-fat diet
NUR 155 P1 EXAMINATION SET A 3
NUR 155 P1 EXAMINATION
SET A
GENERAL INSTRUCTIONS:
1. This test questionnaire contains 200 test questions
2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded
will invalidate your answer.
3. AVOID ERASURES.
4. Any student caught cheating (asking seatmate a question; rolling of eyeballs; glancing; turning
of head; “codigo”, markings on the chair; ,marking/writing on any part of the body; dictating;
texting) or students who will allow their seatmates to copy or glance at their paper will be given a
grade of 5.0 for this examination.
5. Read the questions carefully, you have 3 hours to complete the examination.
6. Raise your hand if you have questions or clarifications, a proctor will approach you.
7. Make sure you switch off or set all your mobile phones in silent mode.
8. Good Luck and God Bless!
MULTIPLE CHOICE. SELECT THE LETTER OF THE CORRECT ANSWER.
1. A nurse is evaluating the blood pressure (BP) results for multiple clients with
cardiac problems on a telemetry unit. Which BP reading suggests to the nurse that
the client’s mean arterial pressure (MAP) is abnormal and warrants notifying the
physician?
a. 94/60 mm Hg
b. 98/36 mm Hg
c. 110/50 mm Hg
d. 140/78 mm Hg
2. A nurse assesses a client who has just returned to a telemetry unit after having
a coronary angiogram using the left femoral artery approach. The client’s baseline
blood pressure (BP) during the procedure was 130/72 mm Hg and the cardiac
rhythm was a normal sinus throughout. Which assessment finding should indicate
to the nurse that the client may be experiencing a complication?
a. BP 144/78 mm Hg
b. Pedal pulses palpable at +1
c. Left groin soft with 1 cm ecchymotic area
d. Apical pulse 132 beats per minute (bpm) with an irregular-irregular
rhythm
3. A nurse is caring for a client immediately following insertion of a permanent
pacemaker via the right subclavian vein approach. The nurse best prevents
pacemaker lead dislodgement by:
a. inspecting the incision site dressing for bleeding and the incision for
approximation.
b. limiting the client’s right arm activity and preventing the client reaching
above shoulder level.
c. assisting the client with getting out of bed and ambulating with a walker.
d. ordering a stat chest x-ray following return from the implant procedure.
4. A nurse is assessing a client diagnosed with an anterior-lateral myocardial
infarction (MI). The nurse adds a nursing diagnosis to the client’s plan of care of
decreased cardiac output when which finding is noted on assessment?
a. One-sided weakness
b. Presence of an S4 heart sound
c. Crackles auscultated in bilateral lung bases
NUR 155 P1 EXAMINATION SET A 1
,d. Vesicular breath sounds over lung lobe
5. After an inferior-septal wall myocardial infarction, which complication should a
nurse suspect when noting jugular venous distention (JVD) and ascites?
a. Left-sided heart failure
b. Pulmonic valve malfunction
c. Right-sided heart failure
d. Ruptured septum
6. A nurse notes that a client, who experienced a myocardial infarction (MI) 3 days
ago, seems unusually fatigued. Upon assessment, the nurse finds that the client is
dyspneic with activity, has a heart rate (HR) of 110 beats per minute (bpm), and
has generalized edema. Which action by the nurse is most appropriate?
a. Administer high-flow oxygen
b. Encourage the client to rest more
c. Continue to monitor the client’s heart rhythm
d. Compare the client’s admission weight with the client’s current weight
7. A client is hospitalized for heart failure secondary to alcohol-induced
cardiomyopathy. The client is started on milrinone (Primacor®) and placed on a
transplant waiting list. The client has been curt and verbally aggressive in
expressing dissatisfaction with the medication orders, overall care, and the need for
energy conservation. A nurse should interpret that the client’s behavior is likely
related to the client’s:
a. denial of the illness.
b. reaction to milrinone (Primacor®).
c. fear of the diagnosis.
d. response to cerebral anoxia
8. A client diagnosed with class II heart failure according to the New York Heart
Association Functional Classification has been taught about the initial treatment
plan for this disease. A nurse determines that the client needs additional teaching if
the client states that the treatment plan includes:
a. diuretics.
b. a low-sodium diet.
c. home oxygen therapy.
d. angiotensin-converting enzyme (ACE) inhibitor
9. A client admitted with unstable angina is started on intravenous heparin and
nitroglycerin. The client’s chest pain resolves, and the client is weaned from the
nitroglycerin. Noting that the client had a synthetic valve replacement for aortic
stenosis 2 years ago, a physician writes an order to restart the oral warfarin
(Coumadin®) 5 mg at 1900 hours. Which is the nurse’s best action?
a. Administer the warfarin as prescribed.
b. Call the physician to question the warfarin order.
c. Discontinue the heparin drip and then administer the warfarin.
d. Hold the dose of warfarin until the heparin has been discontinued.
10. A nurse is caring for a client following a coro nary artery bypass graft. Which
assessment finding in the immediate postoperative period should be most
concerning to the nurse?
a. No chest tube output for 1 hour when previously it was copious
b. Client temperature of 99.1°F (37.2°C)
c. Arterial blood gas (ABG) results show pH 7.32; Pco2 48; HCO3 28; Po2 80
d. Urine output of 160 mL in the last 4 hours
NUR 155 P1 EXAMINATION SET A 2
, 11. A nurse, assessing a client hospitalized following a myocardial infarction (MI),
obtains the following vital signs: blood pressure (BP) 78/38 mm Hg, heart rate (HR)
128, respiratory rate (RR) 32. For which life-threatening complication should the
nurse carefully monitor the client?
a. Pulmonary embolism
b. Cardiac tamponade
c. Cardiomyopathy
d. Cardiogenic shock
12. A client admitted to a telemetry unit with a diagnosis of Prinzmetal’s angina,
has the following medications ordered. Upon interpretation of the client’s electro
cardiogram (ECG) rhythm, the nurse notes a prolonged PR interval of 0.32 second.
Based on this information, which medication order should the nurse question
administering to the client
a. Isosorbide mononitrate (Imdur®) 20 mg oral daily upon awakening
b. Amlodipine (Norvasc®) 10 mg oral daily
c. Nitroglycerin (Nitrostat®) 0.4 mg sublingual prn for chest pain
d. Atenolol (Tenormin®) 50 mg oral daily.
13. Elevated homocysteine levels are associated with the development of
arteriosclerosis and venous thrombosis. A clinic nurse should teach a client that the
dietary therapy to decrease homocysteine levels includes eating foods rich in:
a. monosaturated fats.
b. B-complex vitamins.
c. Vitamin C.
d. Calcium
14. A client taking medication for treatment of essential hypertension has a serum
potassium level of 3.2 mEq/L. A nurse is reviewing the list of medications being
taken by the client. Which medication on the list should the nurse conclude to be
the causative factor for this serum potassium level?
a. Spironolactone (Aldactone®)
b. Potassium chloride (K-Dur®)
c. Enalapril (Vasotec®)
d. Hydrochlorothiazide (Esidrix®, HydroDIURIL®)
15. A client has an appointment at a vascular clinic after being treated with
pentoxifylline (Trental®) for 6 weeks. A nurse determines the pentoxifylline has
been effective by noting that the client:
a. has a decrease in lower extremity edema.
b. is experiencing less symptoms of withdrawal after quitting smoking.
c. has a venous ulcer on the ankle that has decreased in size and depth.
d. is able to walk a greater distance without claudication
16. A 31-year-old male client seeks care at a vascular clinic because of painful
fingers and toes. He is diagnosed with Buerger’s disease (thromboangiitis
obliterans). A nurse is teaching the client ways to prevent progression of the
disease. Which prevention measure should be the nurse’s initial focus when
teaching the client?
a. Avoiding exposure to cold
b. Maintaining meticulous hygiene practices
c. Abstaining from all tobacco products in all forms
d. Following a low-fat diet
NUR 155 P1 EXAMINATION SET A 3
