NUR257 EXAMINATION 2026 VERIFIED
ANSWER COMPENDIUM
◉The nurse is providing discharge teaching for a client with
rheumatic endocarditis but no valvular dysfunction. On which
nursing diagnosis should the nurse focus her teaching?
Chronic pain
Impaired gas exchange
Risk for infection
Impaired memory. Answer: Risk for infection
◉A client who had a prosthetic valve replacement was taking
warfarin to reduce the risk of postoperative thrombosis. The client
visited the nurse at a clinic once a week. What INR level would alert
the nurse to notify the health care provider?
2.6
3.4
3.0
3.8. Answer: 3.8
◉A client with aortic stenosis is reluctant to have valve replacement
surgery. A nurse is present when the health care provider talks to
,the client about a treatment that is less invasive than surgery which
will likely relieve some of the client's symptoms. What treatment
option has been discussed?
Balloon percutaneous valvuloplasty
Placement of an autograft valve
Antibiotic therapy
Placement of a xenograft valve. Answer: Balloon percutaneous
valvuloplasty
◉A client with a recent history of atrial fibrillation has been
prescribed warfarin. What action will the nurse take to confirm safe
dosing?
Review the client's most recent warfarin blood levels.
Assess the client's apical pulse.
Review the client's international normalized ratio (INR).
Assess the client's radial pulse.. Answer: Review the client's
international normalized ratio (INR).
◉The nurse is teaching a client diagnosed with aortic stenosis
appropriate strategies for attempting to relieve the symptom of
angina without resorting to taking medications. What should the
nurse teach the client?
To eat a small meal before taking nitroglycerin
To drink a glass of milk before taking nitroglycerin
,To rest and relax before taking nitroglycerin
To engage in 15 minutes of light exercise before taking nitroglycerin.
Answer: To rest and relax before taking nitroglycerin
◉A nurse plans to have an education session with a client with
cardiomyopathy and the client's spouse about ways to increase
activity tolerance. What instructions would the nurse provide?
Gradually work up to strenuous activity.
Avoid all physical and emotional stress.
Alternate active periods with rest periods.
Include isometric exercises in the daily routine.. Answer: Alternate
active periods with rest periods.
◉A nurse is obtaining a history from a new client in the
cardiovascular clinic. When investigating for childhood diseases and
disorders associated with structural heart disease, which finding
should the nurse consider significant?
Severe staphylococcal infection
Rheumatic fever
Medullary sponge kidney
Croup. Answer: Rheumatic fever
, ◉The nurse is auscultating the heart of a client diagnosed with
mitral valve prolapse. Which is often the first and only manifestation
of mitral valve prolapse?
Syncope
Dizziness
Extra heart sound
Fatigue. Answer: Extra heart sound
◉A nurse is caring for a young female adult client diagnosed with
atrial fibrillation who has just had a mitral valve replacement. The
client is being discharged with prescribed warfarin. The client
mentions to the nurse that she relies on the rhythm method for birth
control. What education will be a priority for the nurse to provide to
this client?
symptoms to report of worsening tachycardia related to atrial
fibrillation
foods to limit (green leafy vegetables) while taking warfarin
the high risk for complications if she becomes pregnant while taking
warfarin
instructions for using the rhythm method. Answer: the high risk for
complications if she becomes pregnant while taking warfarin
◉A nurse reviewing a client's echocardiogram report reads the
following statements: "The heart muscle is asymmetrically
thickened and the overall size and mass are increased, especially
ANSWER COMPENDIUM
◉The nurse is providing discharge teaching for a client with
rheumatic endocarditis but no valvular dysfunction. On which
nursing diagnosis should the nurse focus her teaching?
Chronic pain
Impaired gas exchange
Risk for infection
Impaired memory. Answer: Risk for infection
◉A client who had a prosthetic valve replacement was taking
warfarin to reduce the risk of postoperative thrombosis. The client
visited the nurse at a clinic once a week. What INR level would alert
the nurse to notify the health care provider?
2.6
3.4
3.0
3.8. Answer: 3.8
◉A client with aortic stenosis is reluctant to have valve replacement
surgery. A nurse is present when the health care provider talks to
,the client about a treatment that is less invasive than surgery which
will likely relieve some of the client's symptoms. What treatment
option has been discussed?
Balloon percutaneous valvuloplasty
Placement of an autograft valve
Antibiotic therapy
Placement of a xenograft valve. Answer: Balloon percutaneous
valvuloplasty
◉A client with a recent history of atrial fibrillation has been
prescribed warfarin. What action will the nurse take to confirm safe
dosing?
Review the client's most recent warfarin blood levels.
Assess the client's apical pulse.
Review the client's international normalized ratio (INR).
Assess the client's radial pulse.. Answer: Review the client's
international normalized ratio (INR).
◉The nurse is teaching a client diagnosed with aortic stenosis
appropriate strategies for attempting to relieve the symptom of
angina without resorting to taking medications. What should the
nurse teach the client?
To eat a small meal before taking nitroglycerin
To drink a glass of milk before taking nitroglycerin
,To rest and relax before taking nitroglycerin
To engage in 15 minutes of light exercise before taking nitroglycerin.
Answer: To rest and relax before taking nitroglycerin
◉A nurse plans to have an education session with a client with
cardiomyopathy and the client's spouse about ways to increase
activity tolerance. What instructions would the nurse provide?
Gradually work up to strenuous activity.
Avoid all physical and emotional stress.
Alternate active periods with rest periods.
Include isometric exercises in the daily routine.. Answer: Alternate
active periods with rest periods.
◉A nurse is obtaining a history from a new client in the
cardiovascular clinic. When investigating for childhood diseases and
disorders associated with structural heart disease, which finding
should the nurse consider significant?
Severe staphylococcal infection
Rheumatic fever
Medullary sponge kidney
Croup. Answer: Rheumatic fever
, ◉The nurse is auscultating the heart of a client diagnosed with
mitral valve prolapse. Which is often the first and only manifestation
of mitral valve prolapse?
Syncope
Dizziness
Extra heart sound
Fatigue. Answer: Extra heart sound
◉A nurse is caring for a young female adult client diagnosed with
atrial fibrillation who has just had a mitral valve replacement. The
client is being discharged with prescribed warfarin. The client
mentions to the nurse that she relies on the rhythm method for birth
control. What education will be a priority for the nurse to provide to
this client?
symptoms to report of worsening tachycardia related to atrial
fibrillation
foods to limit (green leafy vegetables) while taking warfarin
the high risk for complications if she becomes pregnant while taking
warfarin
instructions for using the rhythm method. Answer: the high risk for
complications if she becomes pregnant while taking warfarin
◉A nurse reviewing a client's echocardiogram report reads the
following statements: "The heart muscle is asymmetrically
thickened and the overall size and mass are increased, especially
