RN 51 Cardiac Exam
Questions and Answers
Updated 2026
ABpatientBwithBheartBfailureBhasBatrialBfibrillationBthatBhasBbeenBunresponsiveBtoBdru
gBtherapyBforBseveralBdays.BTeachingBforBthisBpatientBwouldBincludeBinformationBabou
tB-BAnswerBanticoagulantBtherapy
AfterBtheBnurseBteachesBtheBpatientBaboutBtheBuseBofBcarvedilolB(Coreg)BinBpreventi
ngBanginalBepisodes,BwhichBstatementBbyBaBpatientBindicatesBthatBtheBteachingBhasB
beenBeffective?B-
BAnswerB"ItBisBimportantBnotBtoBsuddenlyBstopBtakingBtheBcarvidilol."
ABpatientBwhoseBheartBmonitorBshowsBsinusBtachycardia,BrateB132,BisBapneic,BandBh
asBnoBpalpableBpulses.BWhatBactionBshouldBtheBnurseBtakeBnext?B-
BAnswerBStartBcardiopulmonaryBresuscitationB(CPR).
TheBnurseBhasBreceivedBchange-of-
shiftBreportBaboutBtheBfollowingBpatientsBonBtheBprogressiveBcareBunit.BWhichBpatien
tBshouldBtheBnurseBseeBfirst?B-BAnswerBABpatientBwhoseBimplantableBcardioverter-
defibrillatorB(ICD)BfiredBtwiceBtodayBandBhasBaBdoseBofBamiodaroneB(Codarone)Bdue.
AB21-yr-
oldBwomanBisBscheduledBforBpercutaneousBtransluminalBballoonBvalvuloplastyBtoBtreat
BmitralBstenosis.BWhichBinformationBshouldBtheBnurseBincludeBwhenBexplainingBtheBa
dvantagesBofBvalvuloplastyBoverBvalveBreplacementBtoBtheBpatient?B-
BAnswerBLifelongBanticoagulantBtherapyBisBneededBafterBmechanicalBvalveBreplacemen
t.
TheBnurseBisBadmittingBaBpatientBwhoBhasBchestBpain.BWhichBassessmentBdataBsugge
stBthatBtheBpainBisBcausedBbyBanBacuteBmyocardialBinfarctionB(AMI)?B-
BAnswerBTheBpainBhasBlastedBlongerBthanB30Bminutes.
, ABpatientBrecoveringBfromBheartBsurgeryBdevelopsBpericarditisBandBcomplainsBofBlevel
B6B(0BtoB10Bscale)BchestBpainBwithBdeepBbreathing.BWhichBorderedBPRNBmedication
BwillBbeBtheBmostBappropriateBforBtheBnurseBtoBgive?B-
BAnswerBOralBibuprofenB(Motrin)B600Bmg
AfterBanBacuteBmyocardialBinfarctionB(AMI),BaBpatientBambulatesBinBtheBhospitalBhall
way.BWhenBtheBnurseBevaluatesBtheBpatient'sBresponseBtoBtheBactivity,BwhichBdataBw
ouldBindicateBthatBtheBexerciseBlevelBshouldBbeBdecreased?B-
BAnswerBHeartBrateBincreasesBfromB66BtoB98Bbeats/min.
WhenBadmittingBaBpatientBwithBaBnon-ST-segment-
elevationBmyocardialBinfarctionB(NSTEMI)BtoBtheBintensiveBcareBunit,BwhichBactionBsh
ouldBtheBnurseBperformBfirst?B-BAnswerBAttachBtheBheartBmonitor.
TheBnurseBisBcaringBforBaBclientBonBtheBmedical-
surgicalBunitBwhoBsuddenlyBbecomesBunresponsiveBandBhasBnoBpulse.BTheBcardiacBm
onitorBshowsBventricularBfibrillation.BAfterBcallingBforBassistanceBandBaBdefibrillator,Bw
hichBactionBshouldBtheBnurseBtakeBnext?B-
BAnswerBInitiateBcardiopulmonaryBresuscitationB(CPR).
AfterBtheBnurseBgivesBIVBatropineBtoBaBpatientBwithBsymptomaticBtypeB1,Bsecond-
degreeBatrioventricularB(AV)Bblock,BwhichBfindingBindicatesBthatBtheBmedicationBhasBb
eenBeffective?B-BAnswerBIncreaseBinBtheBpatient'sBheartBrate
WhichBpatientBatBtheBcardiovascularBclinicBrequiresBtheBmostBimmediateBactionBbyBth
eBnurse?B-
BAnswerBPatientBwithBstableBanginaBwhoseBchestBpainBhasBrecentlyBincreasedBinBfreq
uency
AfterBreceivingBchange-of-
shiftBreportBaboutBtheBfollowingBfourBpatientsBonBtheBcardiacBcareBunit,BwhichBpatie
ntBshouldBtheBnurseBassessBfirst?B-BAnswerBAB59-yr-
oldBpatientBwithBunstableBanginaBwhoBhasBjustBreturnedBafterBaBpercutaneousBcoron
aryBinterventionB(PCI)
Questions and Answers
Updated 2026
ABpatientBwithBheartBfailureBhasBatrialBfibrillationBthatBhasBbeenBunresponsiveBtoBdru
gBtherapyBforBseveralBdays.BTeachingBforBthisBpatientBwouldBincludeBinformationBabou
tB-BAnswerBanticoagulantBtherapy
AfterBtheBnurseBteachesBtheBpatientBaboutBtheBuseBofBcarvedilolB(Coreg)BinBpreventi
ngBanginalBepisodes,BwhichBstatementBbyBaBpatientBindicatesBthatBtheBteachingBhasB
beenBeffective?B-
BAnswerB"ItBisBimportantBnotBtoBsuddenlyBstopBtakingBtheBcarvidilol."
ABpatientBwhoseBheartBmonitorBshowsBsinusBtachycardia,BrateB132,BisBapneic,BandBh
asBnoBpalpableBpulses.BWhatBactionBshouldBtheBnurseBtakeBnext?B-
BAnswerBStartBcardiopulmonaryBresuscitationB(CPR).
TheBnurseBhasBreceivedBchange-of-
shiftBreportBaboutBtheBfollowingBpatientsBonBtheBprogressiveBcareBunit.BWhichBpatien
tBshouldBtheBnurseBseeBfirst?B-BAnswerBABpatientBwhoseBimplantableBcardioverter-
defibrillatorB(ICD)BfiredBtwiceBtodayBandBhasBaBdoseBofBamiodaroneB(Codarone)Bdue.
AB21-yr-
oldBwomanBisBscheduledBforBpercutaneousBtransluminalBballoonBvalvuloplastyBtoBtreat
BmitralBstenosis.BWhichBinformationBshouldBtheBnurseBincludeBwhenBexplainingBtheBa
dvantagesBofBvalvuloplastyBoverBvalveBreplacementBtoBtheBpatient?B-
BAnswerBLifelongBanticoagulantBtherapyBisBneededBafterBmechanicalBvalveBreplacemen
t.
TheBnurseBisBadmittingBaBpatientBwhoBhasBchestBpain.BWhichBassessmentBdataBsugge
stBthatBtheBpainBisBcausedBbyBanBacuteBmyocardialBinfarctionB(AMI)?B-
BAnswerBTheBpainBhasBlastedBlongerBthanB30Bminutes.
, ABpatientBrecoveringBfromBheartBsurgeryBdevelopsBpericarditisBandBcomplainsBofBlevel
B6B(0BtoB10Bscale)BchestBpainBwithBdeepBbreathing.BWhichBorderedBPRNBmedication
BwillBbeBtheBmostBappropriateBforBtheBnurseBtoBgive?B-
BAnswerBOralBibuprofenB(Motrin)B600Bmg
AfterBanBacuteBmyocardialBinfarctionB(AMI),BaBpatientBambulatesBinBtheBhospitalBhall
way.BWhenBtheBnurseBevaluatesBtheBpatient'sBresponseBtoBtheBactivity,BwhichBdataBw
ouldBindicateBthatBtheBexerciseBlevelBshouldBbeBdecreased?B-
BAnswerBHeartBrateBincreasesBfromB66BtoB98Bbeats/min.
WhenBadmittingBaBpatientBwithBaBnon-ST-segment-
elevationBmyocardialBinfarctionB(NSTEMI)BtoBtheBintensiveBcareBunit,BwhichBactionBsh
ouldBtheBnurseBperformBfirst?B-BAnswerBAttachBtheBheartBmonitor.
TheBnurseBisBcaringBforBaBclientBonBtheBmedical-
surgicalBunitBwhoBsuddenlyBbecomesBunresponsiveBandBhasBnoBpulse.BTheBcardiacBm
onitorBshowsBventricularBfibrillation.BAfterBcallingBforBassistanceBandBaBdefibrillator,Bw
hichBactionBshouldBtheBnurseBtakeBnext?B-
BAnswerBInitiateBcardiopulmonaryBresuscitationB(CPR).
AfterBtheBnurseBgivesBIVBatropineBtoBaBpatientBwithBsymptomaticBtypeB1,Bsecond-
degreeBatrioventricularB(AV)Bblock,BwhichBfindingBindicatesBthatBtheBmedicationBhasBb
eenBeffective?B-BAnswerBIncreaseBinBtheBpatient'sBheartBrate
WhichBpatientBatBtheBcardiovascularBclinicBrequiresBtheBmostBimmediateBactionBbyBth
eBnurse?B-
BAnswerBPatientBwithBstableBanginaBwhoseBchestBpainBhasBrecentlyBincreasedBinBfreq
uency
AfterBreceivingBchange-of-
shiftBreportBaboutBtheBfollowingBfourBpatientsBonBtheBcardiacBcareBunit,BwhichBpatie
ntBshouldBtheBnurseBassessBfirst?B-BAnswerBAB59-yr-
oldBpatientBwithBunstableBanginaBwhoBhasBjustBreturnedBafterBaBpercutaneousBcoron
aryBinterventionB(PCI)