TEST BANK FOR BRUNNER & SUDTEST BANK-
BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING BY HINKLE, CHEEVER,
OVERBAUGHDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING JANIC L HINKLE, KERRY H.
CHEEVER, KRISTEN OVERBAUGH REVISED
EDITION LATEST UPDATED 2026-2027 ACTUAL
FINAL EXAM PREP WITH ALL POSSIBLE TESTED
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
CERTIFIED ANSWER KEY RATED A+ GRADE
Section 1: Cardiovascular and Hematologic
Systems
1. A nurse is assessing a client with heart failure.
Which of the following findings would the nurse
expect to observe?
a. Dry, hacking cough
b. Hypertension and bradycardia
c. Jugular venous distention (JVD)
d. Decreased respiratory rate
*Rationale: JVD is a classic sign of right-
sided heart failure due to increased venous
, pressure. A dry cough is more common in
left-sided failure. *
2. The nurse is teaching a client about a low-
sodium diet for hypertension. Which statement
by the client indicates a need for further
teaching?
a. "I will use herbs and spices instead of salt to
flavor my food."
b. "I should read food labels for sodium
content."
c. "I can use a salt substitute without
checking with my doctor."
d. "I will avoid processed meats like bacon and
hot dogs."
*Rationale: Many salt substitutes contain
potassium chloride. Clients, especially those
on certain medications like ACE inhibitors or
with renal impairment, can develop
hyperkalemia. They should always consult
their provider before using them. *
3. A client is admitted with an acute myocardial
infarction (MI). Which laboratory test is most
specific for confirming myocardial damage?
, a. Myoglobin
b. Creatine kinase (CK-MB)
c. Troponin I
d. Lactate dehydrogenase (LDH)
*Rationale: Troponin I is highly specific to
cardiac muscle and is the preferred
biomarker for diagnosing an acute MI. It
rises within 3-4 hours and remains elevated
for 7-10 days. *
4. A nurse is caring for a client who has just
returned from a cardiac catheterization. Which
assessment is the priority?
a. Checking for a gag reflex
b. Monitoring the insertion site for bleeding
and assessing the distal pulses
c. Assessing for a fever
d. Encouraging oral fluids
*Rationale: The priority post-cardiac
catheterization is to monitor for bleeding or
hematoma at the arterial access site and to
ensure adequate circulation to the extremity
by checking pulses, color, warmth, and
sensation. *
, 5. A client with atrial fibrillation is prescribed
warfarin. The nurse should monitor for which of
the following potential complications?
a. Hypertension
b. Bleeding
c. Bradycardia
d. Hyperkalemia
*Rationale: Warfarin is an anticoagulant.
The primary and most serious adverse effect
is bleeding. The nurse must monitor the
client's INR and assess for signs of bleeding,
such as bruising, gum bleeding, or
hematuria. *
6. Which of the following is a classic symptom of
peripheral arterial disease (PAD)?
a. Warm, swollen extremities
b. Intermittent claudication
c. Dependent rubor
d. Pitting edema
*Rationale: Intermittent claudication is a
cramping pain in the muscles (usually the
calf) that occurs with exercise and is relieved
BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING BY HINKLE, CHEEVER,
OVERBAUGHDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING JANIC L HINKLE, KERRY H.
CHEEVER, KRISTEN OVERBAUGH REVISED
EDITION LATEST UPDATED 2026-2027 ACTUAL
FINAL EXAM PREP WITH ALL POSSIBLE TESTED
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
CERTIFIED ANSWER KEY RATED A+ GRADE
Section 1: Cardiovascular and Hematologic
Systems
1. A nurse is assessing a client with heart failure.
Which of the following findings would the nurse
expect to observe?
a. Dry, hacking cough
b. Hypertension and bradycardia
c. Jugular venous distention (JVD)
d. Decreased respiratory rate
*Rationale: JVD is a classic sign of right-
sided heart failure due to increased venous
, pressure. A dry cough is more common in
left-sided failure. *
2. The nurse is teaching a client about a low-
sodium diet for hypertension. Which statement
by the client indicates a need for further
teaching?
a. "I will use herbs and spices instead of salt to
flavor my food."
b. "I should read food labels for sodium
content."
c. "I can use a salt substitute without
checking with my doctor."
d. "I will avoid processed meats like bacon and
hot dogs."
*Rationale: Many salt substitutes contain
potassium chloride. Clients, especially those
on certain medications like ACE inhibitors or
with renal impairment, can develop
hyperkalemia. They should always consult
their provider before using them. *
3. A client is admitted with an acute myocardial
infarction (MI). Which laboratory test is most
specific for confirming myocardial damage?
, a. Myoglobin
b. Creatine kinase (CK-MB)
c. Troponin I
d. Lactate dehydrogenase (LDH)
*Rationale: Troponin I is highly specific to
cardiac muscle and is the preferred
biomarker for diagnosing an acute MI. It
rises within 3-4 hours and remains elevated
for 7-10 days. *
4. A nurse is caring for a client who has just
returned from a cardiac catheterization. Which
assessment is the priority?
a. Checking for a gag reflex
b. Monitoring the insertion site for bleeding
and assessing the distal pulses
c. Assessing for a fever
d. Encouraging oral fluids
*Rationale: The priority post-cardiac
catheterization is to monitor for bleeding or
hematoma at the arterial access site and to
ensure adequate circulation to the extremity
by checking pulses, color, warmth, and
sensation. *
, 5. A client with atrial fibrillation is prescribed
warfarin. The nurse should monitor for which of
the following potential complications?
a. Hypertension
b. Bleeding
c. Bradycardia
d. Hyperkalemia
*Rationale: Warfarin is an anticoagulant.
The primary and most serious adverse effect
is bleeding. The nurse must monitor the
client's INR and assess for signs of bleeding,
such as bruising, gum bleeding, or
hematuria. *
6. Which of the following is a classic symptom of
peripheral arterial disease (PAD)?
a. Warm, swollen extremities
b. Intermittent claudication
c. Dependent rubor
d. Pitting edema
*Rationale: Intermittent claudication is a
cramping pain in the muscles (usually the
calf) that occurs with exercise and is relieved
