NURSE PRACTITIONERS PRIMARY CARE I
ASSESSMENT FOUR 2026 COMPLETE STUDY
GUIDE
◉ The nurse is assessing a client admitted to the cardiac unit. Which
assessment findings are a priority for the nurse to report to the
healthcare provider?
a. Pulse oximetry 88% on room air, dry hacking cough, confusion
b. HR 98, BP 110/72, 1+ pedal edema in bilateral extremities
c. Abdominal girth 36 inches, peripheral pulse amplitude regular
d. Sodium level 135 mEq/L, scattered crackles in all lung fields
Answer: a
◉ When titrating IV nitroglycerin for a client with a myocardial
infarction (MI), which action will the nurse take to evaluate the
effectiveness of the drug?
a. Monitor heart rate
b. Observe for dysrhythmias
c. Check blood pressure
d. Ask about chest pain Answer: d
,◉ Which nursing action can the registered nurse (RN) delegate to
experienced unlicensed assistive personnel (UAP) working as
telemetry technicians on the cardiac unit?
a. Select the best lead for monitoring a client admitted with acute
coronary syndrome
b. Observe heart rhythms for multiple clients who have telemetry
monitoring
c. Monitor a client's level of consciousness during synchronized
cardioversion
d. Decide whether a client's heart rate of 116 requires urgent
treatment Answer: b
◉ The nurse is caring for four clients on a cardiac unit. Which of the
following therapeutic nursing interventions is a priority?
a. Initiation of teaching concerning reduction of risk factors for heart
disease
b. Taking report on a new admission coming to the unit
c. Administration of morning medications
d. Administration of IV push morphine for a diagnosis of unstable
angina Answer: d
,◉ A nurse on the cardiac care unit is monitoring telemetry. The
following appears on the cardiac monitor. Which of the following
medications may be used to treat this dysrhythmia? (Select all
that apply).
a. amiodarone (Cordarone)
b. Warfarin (coumadin)
c. Morphine
d. Diltiazem (Cardizem)
e. Lanoxin (digoxin) Answer: a, b, d, e
◉ After reviewing information shown in the accompanying figure
rom the medical records of a 43-year-old, which risk factor
modification for coronary artery disease should the nurse include in
client teaching?
a. Ongoing cardiac risk associated with the history of tobacco use
b. Importance of daily physical activity
c. Dietary changes to improve lipid levels
d. Effect of weight loss on blood pressure Answer: c
◉ A client is ordered Simvastatin (Zocor) for the management of
dyslipidemia. The client is instructed by the nurse to have which
, serum level monitored by the health care provider while on this
drug?
a. Cardiac enzymes
b. Liver enzymes
c. Electrolyte level
d. Blood urea nitrogen Answer: b
◉ A nurse is assessing clients on a medical-surgical unit. Which
client should the nurse identify as being at greatest risk for atrial
fibrillation?
a. A 45-year-old who takes an aspirin daily
b. An 80-year-old with chronic obstructive pulmonary disease
c. A 78-year-old who had a carotid endarterectomy
d. A 50-year-old who is post coronary artery bypass graft surgery
Answer: d
◉ A nurse teaches a client with a new permanent pacemaker. Which
instructions should the nurse include in this client's teaching?
(Select all that apply)
a. "Report any pulse rates lower than your pacemaker settings"
ASSESSMENT FOUR 2026 COMPLETE STUDY
GUIDE
◉ The nurse is assessing a client admitted to the cardiac unit. Which
assessment findings are a priority for the nurse to report to the
healthcare provider?
a. Pulse oximetry 88% on room air, dry hacking cough, confusion
b. HR 98, BP 110/72, 1+ pedal edema in bilateral extremities
c. Abdominal girth 36 inches, peripheral pulse amplitude regular
d. Sodium level 135 mEq/L, scattered crackles in all lung fields
Answer: a
◉ When titrating IV nitroglycerin for a client with a myocardial
infarction (MI), which action will the nurse take to evaluate the
effectiveness of the drug?
a. Monitor heart rate
b. Observe for dysrhythmias
c. Check blood pressure
d. Ask about chest pain Answer: d
,◉ Which nursing action can the registered nurse (RN) delegate to
experienced unlicensed assistive personnel (UAP) working as
telemetry technicians on the cardiac unit?
a. Select the best lead for monitoring a client admitted with acute
coronary syndrome
b. Observe heart rhythms for multiple clients who have telemetry
monitoring
c. Monitor a client's level of consciousness during synchronized
cardioversion
d. Decide whether a client's heart rate of 116 requires urgent
treatment Answer: b
◉ The nurse is caring for four clients on a cardiac unit. Which of the
following therapeutic nursing interventions is a priority?
a. Initiation of teaching concerning reduction of risk factors for heart
disease
b. Taking report on a new admission coming to the unit
c. Administration of morning medications
d. Administration of IV push morphine for a diagnosis of unstable
angina Answer: d
,◉ A nurse on the cardiac care unit is monitoring telemetry. The
following appears on the cardiac monitor. Which of the following
medications may be used to treat this dysrhythmia? (Select all
that apply).
a. amiodarone (Cordarone)
b. Warfarin (coumadin)
c. Morphine
d. Diltiazem (Cardizem)
e. Lanoxin (digoxin) Answer: a, b, d, e
◉ After reviewing information shown in the accompanying figure
rom the medical records of a 43-year-old, which risk factor
modification for coronary artery disease should the nurse include in
client teaching?
a. Ongoing cardiac risk associated with the history of tobacco use
b. Importance of daily physical activity
c. Dietary changes to improve lipid levels
d. Effect of weight loss on blood pressure Answer: c
◉ A client is ordered Simvastatin (Zocor) for the management of
dyslipidemia. The client is instructed by the nurse to have which
, serum level monitored by the health care provider while on this
drug?
a. Cardiac enzymes
b. Liver enzymes
c. Electrolyte level
d. Blood urea nitrogen Answer: b
◉ A nurse is assessing clients on a medical-surgical unit. Which
client should the nurse identify as being at greatest risk for atrial
fibrillation?
a. A 45-year-old who takes an aspirin daily
b. An 80-year-old with chronic obstructive pulmonary disease
c. A 78-year-old who had a carotid endarterectomy
d. A 50-year-old who is post coronary artery bypass graft surgery
Answer: d
◉ A nurse teaches a client with a new permanent pacemaker. Which
instructions should the nurse include in this client's teaching?
(Select all that apply)
a. "Report any pulse rates lower than your pacemaker settings"
