NURS 332 EXAM 2 STUDY GUIDE | PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE
NCLEX NURSING REVIEW 2026/2027
Which instruction by the nurse is given to a patient who is about to undergo Holter monitoring
is most appropriate? - ANS ✔✔"You will need to keep a diary of all your activities and
symptoms. “The patient should not take a bath or shower while wearing this monitor
The nurse is admitting a patient who is scheduled to undergo a cardiac catheterization. What
allergy information is most important for the nurse to assess and document before this
procedure? - ANS ✔✔Iodine
the blood pressure of an older adult patient admitted with pneumonia is 160/70 mm Hg. What
is an age-related change that contributes to this finding? - ANS ✔✔Loss of elasticity in arterial
vessels
CO= ? - ANS ✔✔SV*HR
The nurse is performing an assessment for a patient with fatigue and shortness of breath.
Auscultation of the heart reveals the presence of a murmur. What is this assessment finding
indicative of? - ANS ✔✔Turbulent blood flow across a heart valve
While assessing the cardiovascular status of a patient, the nurse performs auscultation. Which
intervention should the nurse implement in the assessment during auscultation? - ANS
✔✔Palpate the radial pulse while auscultating the apical pulse
A patient presents to the emergency department with reports of chest pain for 3 hours. What
component of his blood work is most clearly indicative of a myocardial infarction (MI)? - ANS
✔✔troponin
The patient informs the nurse that he does not understand how there can be a blockage in the
left anterior descending artery (LAD), but there is damage to the right ventricle. What is the
, best response by the nurse? - ANS ✔✔"The LAD supplies blood to the left side of the heart and
part of the right ventricle."
ventricular contractions are directly stimulated by which part of the heart? - ANS ✔✔purkinje
fibers
When looking at the electrocardiogram (ECG) of the patient, the nurse knows that the QRS
complex recorded on the ECG represents which part of the heart's beat? - ANS
✔✔Depolarization from atrioventricular (AV) node throughout ventricles
In palpating the patient's pedal pulses, the nurse determines the pulses are absent. What factor
could contribute to this result? - ANS ✔✔Atherosclerosis
The nurse informs the patient that she must wear intermittent sequential compression
stockings after a surgical procedure. What is an appropriate rationale for nurse to give to the
patient for the use of the device - ANS ✔✔The socks provide compression of the veins to keep
the blood moving back to the heart.
A patient with aortic valve stenosis is being admitted for valve replacement surgery. Which
assessment finding documented by the nurse is indicative of this condition? - ANS ✔✔Systolic
murmur
A patient is admitted with severe dyspnea, a history of heart failure, and chronic obstructive
lung disease. Which diagnostic study would the nurse expect to be elevated if the cause of
dyspnea was cardiac related? - ANS ✔✔b-type natriuretic peptide (BNP)
The nurse is performing an assessment for a patient undergoing radiation treatment for breast
cancer. What position should the nurse place the patient to best auscultate for signs of acute
pericarditis? - ANS ✔✔Sitting and leaning forward
NCLEX NURSING REVIEW 2026/2027
Which instruction by the nurse is given to a patient who is about to undergo Holter monitoring
is most appropriate? - ANS ✔✔"You will need to keep a diary of all your activities and
symptoms. “The patient should not take a bath or shower while wearing this monitor
The nurse is admitting a patient who is scheduled to undergo a cardiac catheterization. What
allergy information is most important for the nurse to assess and document before this
procedure? - ANS ✔✔Iodine
the blood pressure of an older adult patient admitted with pneumonia is 160/70 mm Hg. What
is an age-related change that contributes to this finding? - ANS ✔✔Loss of elasticity in arterial
vessels
CO= ? - ANS ✔✔SV*HR
The nurse is performing an assessment for a patient with fatigue and shortness of breath.
Auscultation of the heart reveals the presence of a murmur. What is this assessment finding
indicative of? - ANS ✔✔Turbulent blood flow across a heart valve
While assessing the cardiovascular status of a patient, the nurse performs auscultation. Which
intervention should the nurse implement in the assessment during auscultation? - ANS
✔✔Palpate the radial pulse while auscultating the apical pulse
A patient presents to the emergency department with reports of chest pain for 3 hours. What
component of his blood work is most clearly indicative of a myocardial infarction (MI)? - ANS
✔✔troponin
The patient informs the nurse that he does not understand how there can be a blockage in the
left anterior descending artery (LAD), but there is damage to the right ventricle. What is the
, best response by the nurse? - ANS ✔✔"The LAD supplies blood to the left side of the heart and
part of the right ventricle."
ventricular contractions are directly stimulated by which part of the heart? - ANS ✔✔purkinje
fibers
When looking at the electrocardiogram (ECG) of the patient, the nurse knows that the QRS
complex recorded on the ECG represents which part of the heart's beat? - ANS
✔✔Depolarization from atrioventricular (AV) node throughout ventricles
In palpating the patient's pedal pulses, the nurse determines the pulses are absent. What factor
could contribute to this result? - ANS ✔✔Atherosclerosis
The nurse informs the patient that she must wear intermittent sequential compression
stockings after a surgical procedure. What is an appropriate rationale for nurse to give to the
patient for the use of the device - ANS ✔✔The socks provide compression of the veins to keep
the blood moving back to the heart.
A patient with aortic valve stenosis is being admitted for valve replacement surgery. Which
assessment finding documented by the nurse is indicative of this condition? - ANS ✔✔Systolic
murmur
A patient is admitted with severe dyspnea, a history of heart failure, and chronic obstructive
lung disease. Which diagnostic study would the nurse expect to be elevated if the cause of
dyspnea was cardiac related? - ANS ✔✔b-type natriuretic peptide (BNP)
The nurse is performing an assessment for a patient undergoing radiation treatment for breast
cancer. What position should the nurse place the patient to best auscultate for signs of acute
pericarditis? - ANS ✔✔Sitting and leaning forward
