Answer Guide NSG 121 UNIT 4 Cardiac
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
1. A client is newly diagnosed with a heart murmur and B. "It is a rushing sound
asks the nurse to explain what this means. What is that blood makes moving
the nurse's best response? A. "It is a term health care across narrowed places or
providers use to describe the efficiency of blood circu- defects."
lation."
B. "It is a rushing sound that blood makes moving
across narrowed places or defects."
C. "It is the sound of the heart muscle stretching in an
area of weakness."
D. "It is the sound the heart makes when it has an
increased workload."
2. A client is scheduled for an echocardiography today D. "This procedure is a
and asks why this test is being performed. What is the noninvasive way to assess
nurse's best response? the structure of the heart."
A. "This procedure assesses for blockages within the
coronary arteries."
B. "This procedure will evaluate the oxygen saturation
in your blood."
C. "This procedure assesses for abnormal electrical
impulses within the heart."
D. "This procedure is a noninvasive way to assess the
structure of the heart."
3. When obtaining a client's vital signs, the nurse as- D. Teach the client lifestyle
sesses a blood pressure of 124/78 mmHg. What is the modifications to decrease
nurse's most anticipated intervention? blood pressure and re-
A. Teach lifestyle modification to decrease blood pres- assess in 3 - 6 months.
sure and add two blood pressure-lowering medica-
tions from two different classes.
B. Teach the client lifestyle modifications to decrease
blood pressure and evaluate yearly.
1 4/16/2026
, Answer Guide NSG 121 UNIT 4 Cardiac
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
C. Teach lifestyle modification to decrease blood pres-
sure and add one blood pressure-lowering medica-
tion.
D. Teach the client lifestyle modifications to decrease
blood pressure and reassess in 3 - 6 months
4. A client consistently reports feeling dizzy and light- C. Blood pressure
headed when moving from a supine position to a sit-
ting position. What nursing assessment takes priority
at this time?
A. Respiratory rate
B. Neurovascular evaluation
C. Blood pressure
D. Pulse oximetry
5. The client is scheduled for electrocardiography A. "I must lie as still as
(EKG/ECG). After teaching by the nurse, which state- possible during the pro-
ment by the client indicates a good understanding of cedure."
the pre-procedure teaching?
A. "I must lie as still as possible during the proce-
dure."
B. I can not eat or drink before the electrocardiogra-
phy."
C. "I am likely to feel the warmth as the dye enters my
heart."
D. "I will increase my fluid intake on the day of the
procedure."
6. The nurse is assessing a client's understanding of his C. "When my blood pres-
hypertension therapy. What client statement indicates sure is normal, I will no
a need for further teaching? longer need to take med-
A. "If my blood pressure stays under control, I will ication."
2 4/16/2026
, Answer Guide NSG 121 UNIT 4 Cardiac
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
reduce my risk for a heart attack."
B. "If I lose weight, I might be able to reduce my blood
pressure medication."
C. "When my blood pressure is normal, I will no longer
need to take medication."
D. "When getting out of bed in the morning, I will sit
for a few moments then stand."
7. The nurse is providing teaching to a group of clients B. HTN
at a local community center. The nurse teaches that C. Overweight/Obesity
modifiable risk factors for cardiovascular disease in- D. Sedentary Lifestyle
clude which of the following? SELECT ALL THAT APPLY (AGE AND GENDER ARE
A. Male Gender NOT MODIFIABLE)
B. HTN
C. Overweight/Obesity
D. Sedentary Lifestyle
E. Older age
8. A nurse is providing instructions to a new nurse about A. Spironolactone
caring for clients who are receiving diuretic therapy
to treat heart failure. The nurse should explain that
which of the following medications puts clients at risk
for both hyperkalemia and hyponatremia?
A. Spironolactone
B. Lasix
C. Furosemide
D. HCTZ
9. A nurse is reviewing cardiac biomarker lab values on A. BNP (brain natriuretic
a client experiencing angina. Which lab test is not peptide)
considered a cardiac biomarker?
A. BNP
3 4/16/2026
, Answer Guide NSG 121 UNIT 4 Cardiac
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
B. Myoglobin
C. Troponin T and I
D. Creatine Kinase (CK)/Ck-MB
10. What are cardiac biomarkers? Myoglobin
Troponin T and I
Creatine kinase
(CK)/Ck-MB
11. A client who has a new diagnosis of hypertension has C. Persistant Cough
a prescription for an ACE inhibitor. The nurse instructs
the client about the adverse effects of the medica-
tion. The client demonstrates an understanding of the
teaching by stating that he will notify his provider if he
experiences which of the following?
A. Tendon Pain
B. Constipation
C. Persistent cough
D. Frequent urination
12. According to the updated 2017 Hypertension Clinical C. African American; calci-
Guidelines, which population is more likely to have um channel blockers and
hypertension than other groups and which medica- thiazide diuretics
tion(s) are more effective for the population?
A. Asian Americans; calcium channel blockers and ace
inhibitors
B. Hispanic American; thiazide diuretics and calcium
channel blockers
C. African American; calcium channel blockers and
thiazide diuretics
D. African American; ace inhibitors and angiotensin II
receptor blockers
4 4/16/2026
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
1. A client is newly diagnosed with a heart murmur and B. "It is a rushing sound
asks the nurse to explain what this means. What is that blood makes moving
the nurse's best response? A. "It is a term health care across narrowed places or
providers use to describe the efficiency of blood circu- defects."
lation."
B. "It is a rushing sound that blood makes moving
across narrowed places or defects."
C. "It is the sound of the heart muscle stretching in an
area of weakness."
D. "It is the sound the heart makes when it has an
increased workload."
2. A client is scheduled for an echocardiography today D. "This procedure is a
and asks why this test is being performed. What is the noninvasive way to assess
nurse's best response? the structure of the heart."
A. "This procedure assesses for blockages within the
coronary arteries."
B. "This procedure will evaluate the oxygen saturation
in your blood."
C. "This procedure assesses for abnormal electrical
impulses within the heart."
D. "This procedure is a noninvasive way to assess the
structure of the heart."
3. When obtaining a client's vital signs, the nurse as- D. Teach the client lifestyle
sesses a blood pressure of 124/78 mmHg. What is the modifications to decrease
nurse's most anticipated intervention? blood pressure and re-
A. Teach lifestyle modification to decrease blood pres- assess in 3 - 6 months.
sure and add two blood pressure-lowering medica-
tions from two different classes.
B. Teach the client lifestyle modifications to decrease
blood pressure and evaluate yearly.
1 4/16/2026
, Answer Guide NSG 121 UNIT 4 Cardiac
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
C. Teach lifestyle modification to decrease blood pres-
sure and add one blood pressure-lowering medica-
tion.
D. Teach the client lifestyle modifications to decrease
blood pressure and reassess in 3 - 6 months
4. A client consistently reports feeling dizzy and light- C. Blood pressure
headed when moving from a supine position to a sit-
ting position. What nursing assessment takes priority
at this time?
A. Respiratory rate
B. Neurovascular evaluation
C. Blood pressure
D. Pulse oximetry
5. The client is scheduled for electrocardiography A. "I must lie as still as
(EKG/ECG). After teaching by the nurse, which state- possible during the pro-
ment by the client indicates a good understanding of cedure."
the pre-procedure teaching?
A. "I must lie as still as possible during the proce-
dure."
B. I can not eat or drink before the electrocardiogra-
phy."
C. "I am likely to feel the warmth as the dye enters my
heart."
D. "I will increase my fluid intake on the day of the
procedure."
6. The nurse is assessing a client's understanding of his C. "When my blood pres-
hypertension therapy. What client statement indicates sure is normal, I will no
a need for further teaching? longer need to take med-
A. "If my blood pressure stays under control, I will ication."
2 4/16/2026
, Answer Guide NSG 121 UNIT 4 Cardiac
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
reduce my risk for a heart attack."
B. "If I lose weight, I might be able to reduce my blood
pressure medication."
C. "When my blood pressure is normal, I will no longer
need to take medication."
D. "When getting out of bed in the morning, I will sit
for a few moments then stand."
7. The nurse is providing teaching to a group of clients B. HTN
at a local community center. The nurse teaches that C. Overweight/Obesity
modifiable risk factors for cardiovascular disease in- D. Sedentary Lifestyle
clude which of the following? SELECT ALL THAT APPLY (AGE AND GENDER ARE
A. Male Gender NOT MODIFIABLE)
B. HTN
C. Overweight/Obesity
D. Sedentary Lifestyle
E. Older age
8. A nurse is providing instructions to a new nurse about A. Spironolactone
caring for clients who are receiving diuretic therapy
to treat heart failure. The nurse should explain that
which of the following medications puts clients at risk
for both hyperkalemia and hyponatremia?
A. Spironolactone
B. Lasix
C. Furosemide
D. HCTZ
9. A nurse is reviewing cardiac biomarker lab values on A. BNP (brain natriuretic
a client experiencing angina. Which lab test is not peptide)
considered a cardiac biomarker?
A. BNP
3 4/16/2026
, Answer Guide NSG 121 UNIT 4 Cardiac
NSG 121 UNIT 4 Cardiac
Study online at https://quizlet.com/_88y7ii
B. Myoglobin
C. Troponin T and I
D. Creatine Kinase (CK)/Ck-MB
10. What are cardiac biomarkers? Myoglobin
Troponin T and I
Creatine kinase
(CK)/Ck-MB
11. A client who has a new diagnosis of hypertension has C. Persistant Cough
a prescription for an ACE inhibitor. The nurse instructs
the client about the adverse effects of the medica-
tion. The client demonstrates an understanding of the
teaching by stating that he will notify his provider if he
experiences which of the following?
A. Tendon Pain
B. Constipation
C. Persistent cough
D. Frequent urination
12. According to the updated 2017 Hypertension Clinical C. African American; calci-
Guidelines, which population is more likely to have um channel blockers and
hypertension than other groups and which medica- thiazide diuretics
tion(s) are more effective for the population?
A. Asian Americans; calcium channel blockers and ace
inhibitors
B. Hispanic American; thiazide diuretics and calcium
channel blockers
C. African American; calcium channel blockers and
thiazide diuretics
D. African American; ace inhibitors and angiotensin II
receptor blockers
4 4/16/2026
