NRSG T4 Part 1 Exam Questions With
Complete Answers
The nurse is providing care to a patient who is prescribed furosemide as
part of the treatment for congestive heart failure (CHF). The patient's serum
potassium level is 3.4 mEq/L. Which food should the nurse encourage the
patient to eat based on this data? - ANSWER Bananas
A patient is prescribed to have capillary blood glucose readings every four
hours. What should the nurse include when explaining capillaries to the
patient? - ANSWER The real work of the vascular system occurs at the
capillary level.
While auscultating a patient's heart rate the nurse hears scratching sounds.
What is most likely causing this sound? - ANSWER Low level of fluid in the
pericardial cavity
The nurse is reviewing the anatomy of the heart with a patient scheduled
for cardiac surgery. Which patient statement indicates additional teaching is
required? - ANSWER "Blood leaves the right ventricle and travels through
the pulmonary artery to the lungs."
The nurse is preparing teaching about the coronary arteries for a group of
patients scheduled for heart surgery. Which information should the nurse
include in this teaching? - ANSWER The coronary arteries originate in the
cusps of the aortic valve.
The nurse notes that a patient has a low serum potassium level. Which
phase of the cardiac action potential will be most affected by this blood
level? - ANSWER Phase 3
, A patient's QRS complex is becoming increasingly wider. What is occurring
within the heart muscle that is reflected on this tracing? - ANSWER
Ventricular depolarization is prolonged.
A patient with a blood pressure of 88/50 mm Hg has a heart rate of 112
beats per minute. Which mechanism should the nurse realize is occurring
in this patient? - ANSWER Positive chronotropic effect
The nurse suspects that a patient is experiencing a release of
norepinephrine from the adrenal medulla. Which assessment finding did
the nurse use to make this clinical decision? - ANSWER Heart rate 120
beats per minute
The nurse is preparing to determine a patient's cardiac output. Which
measurement should be used for preload? - ANSWER Central venous
pressure
A patient's blood pressure is 174/98 mm Hg. Which aspect of cardiac
output is most affected by this elevated reading? - ANSWER Afterload
The nurse notes that a patient has bilateral lower extremity edema. For
which health problem should the nurse assess further? - ANSWER Venous
insufficiency
After palpating a patient's radial pulses the nurse proceeds to palpate the
brachial, carotid, femoral, popliteal, and posterior tibial pulses. What
condition caused the nurse to make this more thorough physical
assessment?, - ANSWER Various skin temperatures
The nurse is preparing to auscultate the heart sounds of a patient with
mitral valve regurgitation. Which sound should the nurse expect to hear? -
ANSWER Murmur
A patient is being assessed for heart disease. For which laboratory test
should the nurse instruct to avoid eating and drinking fluids for 12 hours? -
ANSWER Lipid panel
Complete Answers
The nurse is providing care to a patient who is prescribed furosemide as
part of the treatment for congestive heart failure (CHF). The patient's serum
potassium level is 3.4 mEq/L. Which food should the nurse encourage the
patient to eat based on this data? - ANSWER Bananas
A patient is prescribed to have capillary blood glucose readings every four
hours. What should the nurse include when explaining capillaries to the
patient? - ANSWER The real work of the vascular system occurs at the
capillary level.
While auscultating a patient's heart rate the nurse hears scratching sounds.
What is most likely causing this sound? - ANSWER Low level of fluid in the
pericardial cavity
The nurse is reviewing the anatomy of the heart with a patient scheduled
for cardiac surgery. Which patient statement indicates additional teaching is
required? - ANSWER "Blood leaves the right ventricle and travels through
the pulmonary artery to the lungs."
The nurse is preparing teaching about the coronary arteries for a group of
patients scheduled for heart surgery. Which information should the nurse
include in this teaching? - ANSWER The coronary arteries originate in the
cusps of the aortic valve.
The nurse notes that a patient has a low serum potassium level. Which
phase of the cardiac action potential will be most affected by this blood
level? - ANSWER Phase 3
, A patient's QRS complex is becoming increasingly wider. What is occurring
within the heart muscle that is reflected on this tracing? - ANSWER
Ventricular depolarization is prolonged.
A patient with a blood pressure of 88/50 mm Hg has a heart rate of 112
beats per minute. Which mechanism should the nurse realize is occurring
in this patient? - ANSWER Positive chronotropic effect
The nurse suspects that a patient is experiencing a release of
norepinephrine from the adrenal medulla. Which assessment finding did
the nurse use to make this clinical decision? - ANSWER Heart rate 120
beats per minute
The nurse is preparing to determine a patient's cardiac output. Which
measurement should be used for preload? - ANSWER Central venous
pressure
A patient's blood pressure is 174/98 mm Hg. Which aspect of cardiac
output is most affected by this elevated reading? - ANSWER Afterload
The nurse notes that a patient has bilateral lower extremity edema. For
which health problem should the nurse assess further? - ANSWER Venous
insufficiency
After palpating a patient's radial pulses the nurse proceeds to palpate the
brachial, carotid, femoral, popliteal, and posterior tibial pulses. What
condition caused the nurse to make this more thorough physical
assessment?, - ANSWER Various skin temperatures
The nurse is preparing to auscultate the heart sounds of a patient with
mitral valve regurgitation. Which sound should the nurse expect to hear? -
ANSWER Murmur
A patient is being assessed for heart disease. For which laboratory test
should the nurse instruct to avoid eating and drinking fluids for 12 hours? -
ANSWER Lipid panel
