NUR 425 Exam 2
NUR 425 Exam 2 Questions and 100% Correct Answers
2026/27 Update - Arizona College of Nursing
1. Place in order the steps of identifying to interpret the points of an EKG?
(put in order)
a. Rate
b. Rhythm
c. P wave
d. QRS complex
e. T wavesleft-s
2. A client is receiving education for the new diagnosis of left-sided heart failure. What
symptoms associated with this disease should the nurse educate the client can be
relieved by sitting upright, dangling the feet, or walking?
f. Oliguria
g. Restlessness
h. Paroxysmal nocturnal dyspnea
i. Tachycardia palpitations
3. What assessment finding would indicate a significant complication has
occurred after acute myocardial
Infarction?
j. A. Oxygen saturation of 88% on room air
k. B. Urine output of 300 milliliters in the last 4 hours
l. C. Blood pressure that is 10 mmHg below baseline
m. D. Weak peripheral pulses and cool skin
4. Based on the procedure note on the client's chart, what medication would the
nurse expect to educate the
client on before discharge? Please use the chart exhibit to answer this question.
Name: Debbie Wallace Age: 43
Health Care Provider: Archie Summer
Allergies: NKA
Code Status: Full
a. Diuretics, ARBs, ACEI, Beta blockers, Aspirin (Its one of these)
5. What differs sinus bradycardia from normal sinus rhythm?
A. Rate is less than 60 beats per minute
B. Rate is greater than 100 beats per minute
C. It is not regular
D. P.QRS ratio is not 1:1
6. A patient is admitted with right and left-sided heart failure. The nurse's assessment
reveals that the patient has 3+ pitting edema on the sacrum, blood pressure of 176/98
,NUR 425 Exam 2
mm Hg, and bilateral crackles in the lungs. The patient is experiencing shortness of
breath and chest discomfort. On the basis of this information, how would the nurse
evaluate the patient's preload status?
a. The patient is hypertensive and the preload is not a factor
b. The patient is experiencing heart failure and has too much preload.
c. The patient is experiencing congestive heart failure (CHF) and has too little
preload
d. The patient is hypovolemic and has too little preload
7. What assessment finding would indicate a significant complication has occurred after
acute myocardial Infarction?
A. Oxygen saturation of 88% on room air
B. Urine output of 300 milliliters in the last 4 hours
C. Blood pressure that is 10 mmHg below baseline
D. Weak peripheral pulses and cool skin
8. What disease can the nurse expect to educate a client on when discussing the
impact of long-term uncontrolled hypertension complications?
A Chronic obstructive pulmonary disease
B Diabetes type Il
C Heart failure
D Infective endocarditis
9. A nurse is caring for a client in an emergency department. The client's BP is 280/140.
The client states she has a 10/10 headache and has double vision. What is the nurse's
priority action?
A. Administer a dose of analgesia
B. Position the client into High-Fowler's
C. Establish an intravenous line
D. Ask the client how long she has had the headache
10. Which criteria are representative of the patient in normal sinus rhythm?
A. Heart rate, 92 beats/min; rhythm irregular; PR interval, 0.22 second; QRS,
0.08 second
B. Heart rate, 57 beats/min; rhythm regular; PR interval, 0.16 second; QRS, 0.10
second
C Heart rate, 64 beats/min; rhythm regular; PR interval, 0.08 second; QRS, 0.16
second
, NUR 425 Exam 2
D Heart rate, 72 beats/min; rhythm regular; PR interval, 0.14 second; QRS, 0.06
second
11. When educating the client on their prescribed digoxin for the treatment of second
degree heart block, what symptom should the nurse include to report as a sign of
possible toxicity?
A Visual disturbances
B Headache
C Auditory hallucinations
D Constipation
12. When a client with coronary artery disease presents to the hospital with chest pain,
what diagnostic testing should the nurse anticipate will be performed to rule out acute
myocardial infarction? Select all that apply
a. Troponin
b. Electrocardiogram
c. Blood pressure
d. Creatinine kinase-MB
e. Chest x-ray
13. Which statement about coronary artery disease (CAD) is accurate?
A The onset of CAD occurs sooner in middle age women than men of the same
age.
B There is a low correlation between modifiable risk factors and CAD.
C The lower the C-reactive protein level the higher the risk for a coronary event.
D The presence of nonmodifiable risk factors is associated with higher risk of
CAD
14. A nurse educates the client to measure the blood pressure before taking his/her
prescribed metoprolol. When should the nurse tell the client to hold their dose?
a. A. Diastolic bp less than 90
b. B. diastolic bp greater than 90
c. C. Systolic bp greater than 100
d. D. systolic bp less than 100
15. A patient presents with atrial fibrillation, a heart rate of 156 beats/min, and a blood
pressure of 124/76 mm Hg. The practitioner orders diltiazem, a calcium channel
blocker, to be given slowly by intravenous push. Why did the practitioner choose this
medication to treat this patient's atrial tachyarrhythmia?
NUR 425 Exam 2 Questions and 100% Correct Answers
2026/27 Update - Arizona College of Nursing
1. Place in order the steps of identifying to interpret the points of an EKG?
(put in order)
a. Rate
b. Rhythm
c. P wave
d. QRS complex
e. T wavesleft-s
2. A client is receiving education for the new diagnosis of left-sided heart failure. What
symptoms associated with this disease should the nurse educate the client can be
relieved by sitting upright, dangling the feet, or walking?
f. Oliguria
g. Restlessness
h. Paroxysmal nocturnal dyspnea
i. Tachycardia palpitations
3. What assessment finding would indicate a significant complication has
occurred after acute myocardial
Infarction?
j. A. Oxygen saturation of 88% on room air
k. B. Urine output of 300 milliliters in the last 4 hours
l. C. Blood pressure that is 10 mmHg below baseline
m. D. Weak peripheral pulses and cool skin
4. Based on the procedure note on the client's chart, what medication would the
nurse expect to educate the
client on before discharge? Please use the chart exhibit to answer this question.
Name: Debbie Wallace Age: 43
Health Care Provider: Archie Summer
Allergies: NKA
Code Status: Full
a. Diuretics, ARBs, ACEI, Beta blockers, Aspirin (Its one of these)
5. What differs sinus bradycardia from normal sinus rhythm?
A. Rate is less than 60 beats per minute
B. Rate is greater than 100 beats per minute
C. It is not regular
D. P.QRS ratio is not 1:1
6. A patient is admitted with right and left-sided heart failure. The nurse's assessment
reveals that the patient has 3+ pitting edema on the sacrum, blood pressure of 176/98
,NUR 425 Exam 2
mm Hg, and bilateral crackles in the lungs. The patient is experiencing shortness of
breath and chest discomfort. On the basis of this information, how would the nurse
evaluate the patient's preload status?
a. The patient is hypertensive and the preload is not a factor
b. The patient is experiencing heart failure and has too much preload.
c. The patient is experiencing congestive heart failure (CHF) and has too little
preload
d. The patient is hypovolemic and has too little preload
7. What assessment finding would indicate a significant complication has occurred after
acute myocardial Infarction?
A. Oxygen saturation of 88% on room air
B. Urine output of 300 milliliters in the last 4 hours
C. Blood pressure that is 10 mmHg below baseline
D. Weak peripheral pulses and cool skin
8. What disease can the nurse expect to educate a client on when discussing the
impact of long-term uncontrolled hypertension complications?
A Chronic obstructive pulmonary disease
B Diabetes type Il
C Heart failure
D Infective endocarditis
9. A nurse is caring for a client in an emergency department. The client's BP is 280/140.
The client states she has a 10/10 headache and has double vision. What is the nurse's
priority action?
A. Administer a dose of analgesia
B. Position the client into High-Fowler's
C. Establish an intravenous line
D. Ask the client how long she has had the headache
10. Which criteria are representative of the patient in normal sinus rhythm?
A. Heart rate, 92 beats/min; rhythm irregular; PR interval, 0.22 second; QRS,
0.08 second
B. Heart rate, 57 beats/min; rhythm regular; PR interval, 0.16 second; QRS, 0.10
second
C Heart rate, 64 beats/min; rhythm regular; PR interval, 0.08 second; QRS, 0.16
second
, NUR 425 Exam 2
D Heart rate, 72 beats/min; rhythm regular; PR interval, 0.14 second; QRS, 0.06
second
11. When educating the client on their prescribed digoxin for the treatment of second
degree heart block, what symptom should the nurse include to report as a sign of
possible toxicity?
A Visual disturbances
B Headache
C Auditory hallucinations
D Constipation
12. When a client with coronary artery disease presents to the hospital with chest pain,
what diagnostic testing should the nurse anticipate will be performed to rule out acute
myocardial infarction? Select all that apply
a. Troponin
b. Electrocardiogram
c. Blood pressure
d. Creatinine kinase-MB
e. Chest x-ray
13. Which statement about coronary artery disease (CAD) is accurate?
A The onset of CAD occurs sooner in middle age women than men of the same
age.
B There is a low correlation between modifiable risk factors and CAD.
C The lower the C-reactive protein level the higher the risk for a coronary event.
D The presence of nonmodifiable risk factors is associated with higher risk of
CAD
14. A nurse educates the client to measure the blood pressure before taking his/her
prescribed metoprolol. When should the nurse tell the client to hold their dose?
a. A. Diastolic bp less than 90
b. B. diastolic bp greater than 90
c. C. Systolic bp greater than 100
d. D. systolic bp less than 100
15. A patient presents with atrial fibrillation, a heart rate of 156 beats/min, and a blood
pressure of 124/76 mm Hg. The practitioner orders diltiazem, a calcium channel
blocker, to be given slowly by intravenous push. Why did the practitioner choose this
medication to treat this patient's atrial tachyarrhythmia?
