1|Page
NRSG 3420: EXAM 2 2026 ALL
QUESTIONS AND CORRECT DETILED
ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED
A client with angina has been prescribed nitroglycerin. Before
administering the drug, the nurse should inform the client about what
potential adverse effects?
A) Nervousness or paresthesia
B)Throbbing headache or dizziness
C) Drowsiness or blurred vision
D) Tinnitus or diplopia - ANSWER- Correct response:
Throbbing headache or dizziness
Explanation:
Headache and dizziness commonly occur when nitroglycerin is taken at
the beginning of therapy. Nervousness, paresthesia, drowsiness, blurred
vision, tinnitus, and diplopia do not typically occur as a result of
nitroglycerin therapy.
,2|Page
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters
Kluwer, 2018, Chapter 27: Management of Patients with Coronary
Vascular Disorders, Chart 27-3, p. 759.
Chapter 27: Management of Patients with Coronary Vascular Disorders -
Page 759
The physical therapist notifies the nurse that a client with coronary
artery disease (CAD) experiences a much greater-than-average increase
in heart rate during physical therapy. The nurse recognizes that an
increase in heart rate in a client with CAD may result in what?
A) Development of an atrial-septal defect
B) Myocardial ischemia
C) Formation of a pulmonary embolism
D) Release of potassium ions from cardiac cells - ANSWER- Correct
response:
Myocardial ischemia
Explanation:
Unlike other arteries, the coronary arteries are perfused during diastole.
An increase in heart rate shortens diastole and can decrease myocardial
perfusion. Clients, particularly those with CAD, can develop myocardial
ischemia. An increase in heart rate will not usually result in a pulmonary
embolism or create electrolyte imbalances. Atrial-septal defects are
congenital.
,3|Page
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters
Kluwer, 2018, Chapter 25: Assessment of Cardiovascular Function,
Coronary Arteries, p. 675.
Chapter 25: Assessment of Cardiovascular Function - Page 675
The nurse is providing care for a client with high cholesterol and
triglyceride values. In teaching the client about therapeutic lifestyle
changes such as diet and exercise, the nurse realizes that the desired goal
for cholesterol levels is which of the following?
A) High HDL values and high triglyceride values
B) Absence of detectable total cholesterol levels
C) Elevated blood lipids, fasting glucose less than 100
D) Low LDL values and high HDL values - ANSWER- Correct
response:
Low LDL values and high HDL values
Explanation:
The desired goal for cholesterol readings is for a client to have low LDL
and high HDL values. LDL exerts a harmful effect on the coronary
vasculature because the small LDL particles can be easily transported
, 4|Page
into the vessel lining. In contrast, HDL promotes the use of total
cholesterol by transporting LDL to the liver, where it is excreted.
Elevated triglycerides are also a major risk factor for cardiovascular
disease. A goal is also to keep triglyceride levels less than 150 mg/dL.
All individuals possess detectable levels of total cholesterol.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters
Kluwer, 2018, Chapter 27: Management of Patients with Coronary
Vascular Disorders, Controlling Cholesterol Abnormalities, p. 753.
Chapter 27: Management of Patients with Coronary Vascular Disorders -
Page 753
The health care provider has placed a central venous pressure (CVP)
monitoring line in an acutely ill client so right ventricular function and
venous blood return can be closely monitored. The results show
decreased CVP. What does this indicate?
A) Possible hypovolemia
B) Possible myocardial infarction (MI)
C) Left-sided heart failure
D) Aortic valve regurgitation - ANSWER- Correct response:
Possible hypovolemia
NRSG 3420: EXAM 2 2026 ALL
QUESTIONS AND CORRECT DETILED
ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED
A client with angina has been prescribed nitroglycerin. Before
administering the drug, the nurse should inform the client about what
potential adverse effects?
A) Nervousness or paresthesia
B)Throbbing headache or dizziness
C) Drowsiness or blurred vision
D) Tinnitus or diplopia - ANSWER- Correct response:
Throbbing headache or dizziness
Explanation:
Headache and dizziness commonly occur when nitroglycerin is taken at
the beginning of therapy. Nervousness, paresthesia, drowsiness, blurred
vision, tinnitus, and diplopia do not typically occur as a result of
nitroglycerin therapy.
,2|Page
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters
Kluwer, 2018, Chapter 27: Management of Patients with Coronary
Vascular Disorders, Chart 27-3, p. 759.
Chapter 27: Management of Patients with Coronary Vascular Disorders -
Page 759
The physical therapist notifies the nurse that a client with coronary
artery disease (CAD) experiences a much greater-than-average increase
in heart rate during physical therapy. The nurse recognizes that an
increase in heart rate in a client with CAD may result in what?
A) Development of an atrial-septal defect
B) Myocardial ischemia
C) Formation of a pulmonary embolism
D) Release of potassium ions from cardiac cells - ANSWER- Correct
response:
Myocardial ischemia
Explanation:
Unlike other arteries, the coronary arteries are perfused during diastole.
An increase in heart rate shortens diastole and can decrease myocardial
perfusion. Clients, particularly those with CAD, can develop myocardial
ischemia. An increase in heart rate will not usually result in a pulmonary
embolism or create electrolyte imbalances. Atrial-septal defects are
congenital.
,3|Page
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters
Kluwer, 2018, Chapter 25: Assessment of Cardiovascular Function,
Coronary Arteries, p. 675.
Chapter 25: Assessment of Cardiovascular Function - Page 675
The nurse is providing care for a client with high cholesterol and
triglyceride values. In teaching the client about therapeutic lifestyle
changes such as diet and exercise, the nurse realizes that the desired goal
for cholesterol levels is which of the following?
A) High HDL values and high triglyceride values
B) Absence of detectable total cholesterol levels
C) Elevated blood lipids, fasting glucose less than 100
D) Low LDL values and high HDL values - ANSWER- Correct
response:
Low LDL values and high HDL values
Explanation:
The desired goal for cholesterol readings is for a client to have low LDL
and high HDL values. LDL exerts a harmful effect on the coronary
vasculature because the small LDL particles can be easily transported
, 4|Page
into the vessel lining. In contrast, HDL promotes the use of total
cholesterol by transporting LDL to the liver, where it is excreted.
Elevated triglycerides are also a major risk factor for cardiovascular
disease. A goal is also to keep triglyceride levels less than 150 mg/dL.
All individuals possess detectable levels of total cholesterol.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters
Kluwer, 2018, Chapter 27: Management of Patients with Coronary
Vascular Disorders, Controlling Cholesterol Abnormalities, p. 753.
Chapter 27: Management of Patients with Coronary Vascular Disorders -
Page 753
The health care provider has placed a central venous pressure (CVP)
monitoring line in an acutely ill client so right ventricular function and
venous blood return can be closely monitored. The results show
decreased CVP. What does this indicate?
A) Possible hypovolemia
B) Possible myocardial infarction (MI)
C) Left-sided heart failure
D) Aortic valve regurgitation - ANSWER- Correct response:
Possible hypovolemia
