PNR 408 TEST 2 QUESTIONS AND ANSWERS | PNR 408 STUDY
GUIDE & PRACTICE TEST 2026/2027
The nurse is caring for a client admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol
misuse who has a serum amylase level of 280 units/L and a serum lipase level of 310 units/L. To which of
the following diagnoses does the nurse attribute these findings? - correct answer ✔✔Alcohol Misuse
The health care provider prescribes lactulose for a client with hepatic encephalopathy. Which of the
following assessment parameters should the nurse monitor for effectiveness of this medication? -
correct answer ✔✔Decreased ammonia levels
The family of a client newly diagnosed with hepatitis A asks the nurse what they can do to prevent
becoming ill themselves. Which of the following responses by the nurse is most appropriate? - correct
answer ✔✔"An injection of immune globulin will need to be given to prevent or minimize the effects
from this exposure."
The nurse is planning care for a client with cirrhosis. Which of the following nursing diagnoses is priority?
- correct answer ✔✔Ineffective breathing pattern related to pressure on diaphragm and reduced lung
volume
Normal serum bilirubin levels lie between: - correct answer ✔✔5.1 and 17 mcmol/L
Which if the following is a possible cause of loss of capture in a pacemaker? - correct answer ✔✔Battery
depletion
A patient in the coronary care unit develops ventricular fibrillation. The first action of the nurse should
take is to: - correct answer ✔✔Initiate cardiopulmonary resuscitation
A patient has a diagnosis of acute myocardial infraction, and his cardiac rhythm is sinus bradycardia with
six to eight premature ventricular contractions (PVCs) per minute. The pattern that the nurse recognize
as the most characteristic of PVC is: - correct answer ✔✔A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the bradycardia is
symptomatic, the nurse would expect the patient to exhibit: - correct answer ✔✔Shortness of breath
When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks between the
R waves of a client whose rhythm is regular. From these data, which of the following rates should the
nurse calculate as the client's heart rate? - correct answer ✔✔100 beats/minute
Which of the following statements best describes the electrical activity of the heart represented by
measuring the PR interval on the ECG? - correct answer ✔✔The length of time for the electrical impulse
to travel from the SA node to the Purkinje fibres
The nurse obtains a 6-second rhythm strip and charts the following analysis: atrial rate 70, regular;
ventricular rate 40, regular; QRS 0.04 second; no relationship between P waves and QRS complexes; atria
, and ventricles beating independently of each other. Which of the following descriptions is a correct
interpretation of this rhythm strip? - correct answer ✔✔Third-degree heart block
The nurse is caring for a client who is 24 hours postpacemaker insertion. Which of the following nursing
interventions is most appropriate at this time? - correct answer ✔✔Assessing the incision for any
redness, swelling, or discharge
The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P
waves. Instead there are fine, wavy lines between the QRS complexes. The QRS complexes measure 0.08
second (narrow), but they occur irregularly with a rate of 120 beats/minute. Which of the following
rhythms should the nurse identify from this data? - correct answer ✔✔Atrial fibrillation
A client has sought care following a syncopal episode of unknown etiology. Which of the following
nursing actions should the nurse prioritize in the client's subsequent diagnostic workup? - correct answer
✔✔Preparing to assist with a head-upright tilt-table test
For which of the following dysrhythmias is defibrillation primarily indicated? - correct answer
✔✔Ventricular fibrillation
The nurse is caring for a client in asystole. Which of the following drug treatments is the client most likely
to receive? - correct answer ✔✔Atropine and epinephrine
The nurse is caring for a client with ventricular tachycardia. Which of the following ECG characteristics is
consistent with a diagnosis of ventricular tachycardia (VT)? - correct answer ✔✔Rate 200 beats/minute;
P wave not visible
The community health nurse is planning health-promotion teaching targeted at preventing coronary
artery disease (CAD). Which of the following individuals would the nurse select as the highest priority for
this intervention? - correct answer ✔✔White male
For which of the following antilipemic medications would the nurse question an order in a client with
cirrhosis of the liver? - correct answer ✔✔Atorvastatin
The nurse is planning emergent care for a client with a suspected myocardial infarction (MI). Which of
the following actions should the nurse include in the emergency care for this client? - correct answer
✔✔Oxygen, nitroglycerin, acetylsalisylic acid, and morphine sulphate
The nurse is caring for a postoperative client who underwent coronary artery bypass graft (CABG)
surgery. Which of the following common complication should the nurse monitor in the client? - correct
answer ✔✔Atrial dysrhythmias
A client was admitted to the emergency department 24 hours earlier with symptoms of chest pain that
were subsequently attributed to ST-segment-elevation myocardial infarction (STEMI). Which of the
following complications of MI should the nurse anticipate? - correct answer ✔✔Cardiac dysrhythmias
The nurse is examining the ECG of a client who has just been admitted with a suspected MI. Which of the
following ECG changes is most indicative of prolonged or complete coronary occlusion? - correct answer
✔✔Pathological Q wave
GUIDE & PRACTICE TEST 2026/2027
The nurse is caring for a client admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol
misuse who has a serum amylase level of 280 units/L and a serum lipase level of 310 units/L. To which of
the following diagnoses does the nurse attribute these findings? - correct answer ✔✔Alcohol Misuse
The health care provider prescribes lactulose for a client with hepatic encephalopathy. Which of the
following assessment parameters should the nurse monitor for effectiveness of this medication? -
correct answer ✔✔Decreased ammonia levels
The family of a client newly diagnosed with hepatitis A asks the nurse what they can do to prevent
becoming ill themselves. Which of the following responses by the nurse is most appropriate? - correct
answer ✔✔"An injection of immune globulin will need to be given to prevent or minimize the effects
from this exposure."
The nurse is planning care for a client with cirrhosis. Which of the following nursing diagnoses is priority?
- correct answer ✔✔Ineffective breathing pattern related to pressure on diaphragm and reduced lung
volume
Normal serum bilirubin levels lie between: - correct answer ✔✔5.1 and 17 mcmol/L
Which if the following is a possible cause of loss of capture in a pacemaker? - correct answer ✔✔Battery
depletion
A patient in the coronary care unit develops ventricular fibrillation. The first action of the nurse should
take is to: - correct answer ✔✔Initiate cardiopulmonary resuscitation
A patient has a diagnosis of acute myocardial infraction, and his cardiac rhythm is sinus bradycardia with
six to eight premature ventricular contractions (PVCs) per minute. The pattern that the nurse recognize
as the most characteristic of PVC is: - correct answer ✔✔A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the bradycardia is
symptomatic, the nurse would expect the patient to exhibit: - correct answer ✔✔Shortness of breath
When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks between the
R waves of a client whose rhythm is regular. From these data, which of the following rates should the
nurse calculate as the client's heart rate? - correct answer ✔✔100 beats/minute
Which of the following statements best describes the electrical activity of the heart represented by
measuring the PR interval on the ECG? - correct answer ✔✔The length of time for the electrical impulse
to travel from the SA node to the Purkinje fibres
The nurse obtains a 6-second rhythm strip and charts the following analysis: atrial rate 70, regular;
ventricular rate 40, regular; QRS 0.04 second; no relationship between P waves and QRS complexes; atria
, and ventricles beating independently of each other. Which of the following descriptions is a correct
interpretation of this rhythm strip? - correct answer ✔✔Third-degree heart block
The nurse is caring for a client who is 24 hours postpacemaker insertion. Which of the following nursing
interventions is most appropriate at this time? - correct answer ✔✔Assessing the incision for any
redness, swelling, or discharge
The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P
waves. Instead there are fine, wavy lines between the QRS complexes. The QRS complexes measure 0.08
second (narrow), but they occur irregularly with a rate of 120 beats/minute. Which of the following
rhythms should the nurse identify from this data? - correct answer ✔✔Atrial fibrillation
A client has sought care following a syncopal episode of unknown etiology. Which of the following
nursing actions should the nurse prioritize in the client's subsequent diagnostic workup? - correct answer
✔✔Preparing to assist with a head-upright tilt-table test
For which of the following dysrhythmias is defibrillation primarily indicated? - correct answer
✔✔Ventricular fibrillation
The nurse is caring for a client in asystole. Which of the following drug treatments is the client most likely
to receive? - correct answer ✔✔Atropine and epinephrine
The nurse is caring for a client with ventricular tachycardia. Which of the following ECG characteristics is
consistent with a diagnosis of ventricular tachycardia (VT)? - correct answer ✔✔Rate 200 beats/minute;
P wave not visible
The community health nurse is planning health-promotion teaching targeted at preventing coronary
artery disease (CAD). Which of the following individuals would the nurse select as the highest priority for
this intervention? - correct answer ✔✔White male
For which of the following antilipemic medications would the nurse question an order in a client with
cirrhosis of the liver? - correct answer ✔✔Atorvastatin
The nurse is planning emergent care for a client with a suspected myocardial infarction (MI). Which of
the following actions should the nurse include in the emergency care for this client? - correct answer
✔✔Oxygen, nitroglycerin, acetylsalisylic acid, and morphine sulphate
The nurse is caring for a postoperative client who underwent coronary artery bypass graft (CABG)
surgery. Which of the following common complication should the nurse monitor in the client? - correct
answer ✔✔Atrial dysrhythmias
A client was admitted to the emergency department 24 hours earlier with symptoms of chest pain that
were subsequently attributed to ST-segment-elevation myocardial infarction (STEMI). Which of the
following complications of MI should the nurse anticipate? - correct answer ✔✔Cardiac dysrhythmias
The nurse is examining the ECG of a client who has just been admitted with a suspected MI. Which of the
following ECG changes is most indicative of prolonged or complete coronary occlusion? - correct answer
✔✔Pathological Q wave
