NSG 202 EXAM 4 REVIEW | COMPLETE NURSING STUDY GUIDE, PRACTICE
QUESTIONS, NCLEX REVIEW & EXAM PREP 2026/2027
A client with a history of a-fib is prescribed Digoxin (Lanoxin) 0.125 mg daily. The nurse needs to
determine the amount to be administered per peg tube.
On hand: Digoxin 0.5mg/mL.
How many mL will be administered? - correct answer ✔✔0.25
The nurse is assessing a client admitted to the cardiac unit. Which assessment findings are a
priority for the nurse to report to the healthcare provider?
a. Pulse oximetry 88% on room air, dry hacking cough, confusion
b. HR 98, BP 110/72, 1+ pedal edema in bilateral extremities
c. Abdominal girth 36 inches, peripheral pulse amplitude regular
d. Sodium level 135 mEq/L, scattered crackles in all lung fields - correct answer ✔✔a
When titrating IV nitroglycerin for a client with a myocardial infarction (MI), which action will
the nurse take to evaluate the effectiveness of the drug?
a. Monitor heart rate
b. Observe for dysrhythmias
c. Check blood pressure
d. Ask about chest pain - correct answer ✔✔d
,Which nursing action can the registered nurse (RN) delegate to experienced unlicensed assistive
personnel (UAP) working as telemetry technicians on the cardiac unit?
a. Select the best lead for monitoring a client admitted with acute coronary syndrome
b. Observe heart rhythms for multiple clients who have telemetry monitoring
c. Monitor a client's level of consciousness during synchronized cardioversion
d. Decide whether a client's heart rate of 116 requires urgent treatment - correct answer ✔✔b
The nurse is caring for four clients on a cardiac unit. Which of the following therapeutic nursing
interventions is a priority?
a. Initiation of teaching concerning reduction of risk factors for heart disease
b. Taking report on a new admission coming to the unit
c. Administration of morning medications
d. Administration of IV push morphine for a diagnosis of unstable angina - correct answer ✔✔d
A nurse on the cardiac care unit is monitoring telemetry. The following appears on the cardiac
monitor. Which of the following medications may be used to treat this dysrhythmia? (Select all
that apply).
a. amiodarone (Cordarone)
b. Warfarin (coumadin)
c. Morphine
d. Diltiazem (Cardizem)
e. Lanoxin (digoxin) - correct answer ✔✔a, b, d, e
, After reviewing information shown in the accompanying figure rom the medical records of a 43-
year-old, which risk factor modification for coronary artery disease should the nurse include in
client teaching?
a. Ongoing cardiac risk associated with the history of tobacco use
b. Importance of daily physical activity
c. Dietary changes to improve lipid levels
d. Effect of weight loss on blood pressure - correct answer ✔✔c
A client is ordered Simvastatin (Zocor) for the management of dyslipidemia. The client is
instructed by the nurse to have which serum level monitored by the health care provider while
on this drug?
a. Cardiac enzymes
b. Liver enzymes
c. Electrolyte level
d. Blood urea nitrogen - correct answer ✔✔b
A nurse is assessing clients on a medical-surgical unit. Which client should the nurse identify as
being at greatest risk for atrial fibrillation?
a. A 45-year-old who takes an aspirin daily
b. An 80-year-old with chronic obstructive pulmonary disease
c. A 78-year-old who had a carotid endarterectomy
d. A 50-year-old who is post coronary artery bypass graft surgery - correct answer ✔✔d
A nurse teaches a client with a new permanent pacemaker. Which instructions should the nurse
include in this client's teaching? (Select all that apply)
QUESTIONS, NCLEX REVIEW & EXAM PREP 2026/2027
A client with a history of a-fib is prescribed Digoxin (Lanoxin) 0.125 mg daily. The nurse needs to
determine the amount to be administered per peg tube.
On hand: Digoxin 0.5mg/mL.
How many mL will be administered? - correct answer ✔✔0.25
The nurse is assessing a client admitted to the cardiac unit. Which assessment findings are a
priority for the nurse to report to the healthcare provider?
a. Pulse oximetry 88% on room air, dry hacking cough, confusion
b. HR 98, BP 110/72, 1+ pedal edema in bilateral extremities
c. Abdominal girth 36 inches, peripheral pulse amplitude regular
d. Sodium level 135 mEq/L, scattered crackles in all lung fields - correct answer ✔✔a
When titrating IV nitroglycerin for a client with a myocardial infarction (MI), which action will
the nurse take to evaluate the effectiveness of the drug?
a. Monitor heart rate
b. Observe for dysrhythmias
c. Check blood pressure
d. Ask about chest pain - correct answer ✔✔d
,Which nursing action can the registered nurse (RN) delegate to experienced unlicensed assistive
personnel (UAP) working as telemetry technicians on the cardiac unit?
a. Select the best lead for monitoring a client admitted with acute coronary syndrome
b. Observe heart rhythms for multiple clients who have telemetry monitoring
c. Monitor a client's level of consciousness during synchronized cardioversion
d. Decide whether a client's heart rate of 116 requires urgent treatment - correct answer ✔✔b
The nurse is caring for four clients on a cardiac unit. Which of the following therapeutic nursing
interventions is a priority?
a. Initiation of teaching concerning reduction of risk factors for heart disease
b. Taking report on a new admission coming to the unit
c. Administration of morning medications
d. Administration of IV push morphine for a diagnosis of unstable angina - correct answer ✔✔d
A nurse on the cardiac care unit is monitoring telemetry. The following appears on the cardiac
monitor. Which of the following medications may be used to treat this dysrhythmia? (Select all
that apply).
a. amiodarone (Cordarone)
b. Warfarin (coumadin)
c. Morphine
d. Diltiazem (Cardizem)
e. Lanoxin (digoxin) - correct answer ✔✔a, b, d, e
, After reviewing information shown in the accompanying figure rom the medical records of a 43-
year-old, which risk factor modification for coronary artery disease should the nurse include in
client teaching?
a. Ongoing cardiac risk associated with the history of tobacco use
b. Importance of daily physical activity
c. Dietary changes to improve lipid levels
d. Effect of weight loss on blood pressure - correct answer ✔✔c
A client is ordered Simvastatin (Zocor) for the management of dyslipidemia. The client is
instructed by the nurse to have which serum level monitored by the health care provider while
on this drug?
a. Cardiac enzymes
b. Liver enzymes
c. Electrolyte level
d. Blood urea nitrogen - correct answer ✔✔b
A nurse is assessing clients on a medical-surgical unit. Which client should the nurse identify as
being at greatest risk for atrial fibrillation?
a. A 45-year-old who takes an aspirin daily
b. An 80-year-old with chronic obstructive pulmonary disease
c. A 78-year-old who had a carotid endarterectomy
d. A 50-year-old who is post coronary artery bypass graft surgery - correct answer ✔✔d
A nurse teaches a client with a new permanent pacemaker. Which instructions should the nurse
include in this client's teaching? (Select all that apply)
