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BSN 346 - FINAL EXAM 2026/2027 | NURSING
COURSE | 100 VERIFIED Q&A | DETAILED
RATIONALES | NGN-ALIGNED | PASS
GUARANTEED – A+ GRADED
SECTION I: CARDIOVASCULAR NURSING - Questions 1-10
Q1: Acute coronary syndrome
The student is reviewing acute coronary syndrome. Which finding is most indicative of an acute
myocardial infarction?
A. Chest pain relieved by rest
B. ST-segment elevation on ECG
C. Blood pressure 150/90 mmHg
D. Heart rate 100 beats/min
Correct Answer: B
Rationale: ST-segment elevation on ECG indicates myocardial injury and is a hallmark of STEMI (ST-
elevation myocardial infarction). Chest pain relieved by rest suggests stable angina. Tachycardia and
hypertension may occur but are not specific. [100% CORRECT]
Q2: Heart failure medications
The student is reviewing heart failure management. Which medication class improves survival in
heart failure by reducing afterload?
A. Loop diuretics
B. ACE inhibitors
C. Digoxin
D. Beta-blockers
Correct Answer: B
Rationale: ACE inhibitors reduce afterload by causing vasodilation and also reduce preload,
improving survival in heart failure. Beta-blockers also improve survival. Diuretics and digoxin
improve symptoms but do not significantly improve survival. [100% CORRECT]
Q3: Post-MI complications
The student is reviewing post-MI care. Which complication is most likely to occur 3-7 days after an
MI?
A. Ventricular fibrillation
B. Cardiogenic shock
C. Pericarditis
D. Papillary muscle rupture
,2
Correct Answer: C
Rationale: Pericarditis often occurs 2-4 days after an MI due to inflammation of the pericardium.
Ventricular fibrillation is most common within the first 4 hours. Cardiogenic shock can occur early.
Papillary muscle rupture occurs 2-7 days post-MI. [100% CORRECT]
Q4: Hypertension emergency
The student is reviewing hypertensive crisis. Which finding indicates a hypertensive emergency?
A. Blood pressure 180/110 mmHg without symptoms
B. Blood pressure 220/120 mmHg with chest pain
C. Blood pressure 160/100 mmHg with headache
D. Blood pressure 140/90 mmHg with dizziness
Correct Answer: B
Rationale: Hypertensive emergency is defined as severely elevated BP (>180/120) with evidence of
target organ damage (e.g., chest pain, dyspnea, neurological deficits). Hypertensive urgency is
severe elevation without organ damage. [100% CORRECT]
Q5: Peripheral artery disease
The student is reviewing PAD. Which instruction should the nurse give to a patient with PAD?
A. Wear tight-fitting shoes
B. Elevate legs above heart level
C. Walk until pain occurs, then rest
D. Apply warm compresses to feet
Correct Answer: C
Rationale: Intermittent claudication is managed by walking until pain occurs, then resting, which
promotes collateral circulation. Elevating legs worsens arterial perfusion. Tight shoes and heat can
cause injury. [100% CORRECT]
Q6: Anticoagulant teaching
The student is reviewing warfarin teaching. Which statement by the patient indicates a need for
further teaching?
A. "I will use a soft toothbrush."
B. "I will eat more green leafy vegetables."
C. "I will avoid contact sports."
D. "I will report any unusual bleeding."
Correct Answer: B
Rationale: Green leafy vegetables are high in vitamin K, which antagonizes warfarin. Patients should
maintain consistent vitamin K intake, not increase it. The other statements are correct. [100%
CORRECT]
Q7: Cardiac catheterization
The student is reviewing cardiac catheterization. What is the priority nursing intervention after the
procedure?
, 3
A. Maintain bed rest and keep the affected leg straight
B. Ambulate immediately
C. Apply heat to the puncture site
D. Remove the dressing after 1 hour
Correct Answer: A
Rationale: After cardiac catheterization, maintain bed rest and keep the affected extremity straight
to prevent bleeding and hematoma. Monitor the puncture site for bleeding, swelling, and
circulation. [100% CORRECT]
Q8: Aneurysm
The student is reviewing aortic aneurysm. What is a classic sign of a dissecting aortic aneurysm?
A. Sudden, severe tearing chest pain radiating to the back
B. Crushing chest pain radiating to the left arm
C. Sharp pain worsened by inspiration
D. Dull ache in the lower abdomen
Correct Answer: A
Rationale: A dissecting aortic aneurysm presents with sudden, severe, tearing pain that often
radiates to the back. It is a life-threatening emergency requiring immediate surgical intervention.
[100% CORRECT]
Q9: CPR
The student is reviewing CPR. What is the compression-to-ventilation ratio for adult CPR?
A. 15:2
B. 30:2
C. 5:1
D. 10:2
Correct Answer: B
Rationale: The compression-to-ventilation ratio for adult CPR is 30:2. For children and infants with
two rescuers, it is 15:2. [100% CORRECT]
Q10: ECG interpretation
The student is reviewing ECG. What does a prolonged PR interval indicate?
A. First-degree heart block
B. Second-degree heart block
C. Third-degree heart block
D. Atrial fibrillation
Correct Answer: A
Rationale: A prolonged PR interval (>0.20 sec) indicates first-degree heart block, a delay in
conduction from the atria to the ventricles. Second-degree blocks have dropped beats. Third-degree
is complete dissociation. [100% CORRECT]
BSN 346 - FINAL EXAM 2026/2027 | NURSING
COURSE | 100 VERIFIED Q&A | DETAILED
RATIONALES | NGN-ALIGNED | PASS
GUARANTEED – A+ GRADED
SECTION I: CARDIOVASCULAR NURSING - Questions 1-10
Q1: Acute coronary syndrome
The student is reviewing acute coronary syndrome. Which finding is most indicative of an acute
myocardial infarction?
A. Chest pain relieved by rest
B. ST-segment elevation on ECG
C. Blood pressure 150/90 mmHg
D. Heart rate 100 beats/min
Correct Answer: B
Rationale: ST-segment elevation on ECG indicates myocardial injury and is a hallmark of STEMI (ST-
elevation myocardial infarction). Chest pain relieved by rest suggests stable angina. Tachycardia and
hypertension may occur but are not specific. [100% CORRECT]
Q2: Heart failure medications
The student is reviewing heart failure management. Which medication class improves survival in
heart failure by reducing afterload?
A. Loop diuretics
B. ACE inhibitors
C. Digoxin
D. Beta-blockers
Correct Answer: B
Rationale: ACE inhibitors reduce afterload by causing vasodilation and also reduce preload,
improving survival in heart failure. Beta-blockers also improve survival. Diuretics and digoxin
improve symptoms but do not significantly improve survival. [100% CORRECT]
Q3: Post-MI complications
The student is reviewing post-MI care. Which complication is most likely to occur 3-7 days after an
MI?
A. Ventricular fibrillation
B. Cardiogenic shock
C. Pericarditis
D. Papillary muscle rupture
,2
Correct Answer: C
Rationale: Pericarditis often occurs 2-4 days after an MI due to inflammation of the pericardium.
Ventricular fibrillation is most common within the first 4 hours. Cardiogenic shock can occur early.
Papillary muscle rupture occurs 2-7 days post-MI. [100% CORRECT]
Q4: Hypertension emergency
The student is reviewing hypertensive crisis. Which finding indicates a hypertensive emergency?
A. Blood pressure 180/110 mmHg without symptoms
B. Blood pressure 220/120 mmHg with chest pain
C. Blood pressure 160/100 mmHg with headache
D. Blood pressure 140/90 mmHg with dizziness
Correct Answer: B
Rationale: Hypertensive emergency is defined as severely elevated BP (>180/120) with evidence of
target organ damage (e.g., chest pain, dyspnea, neurological deficits). Hypertensive urgency is
severe elevation without organ damage. [100% CORRECT]
Q5: Peripheral artery disease
The student is reviewing PAD. Which instruction should the nurse give to a patient with PAD?
A. Wear tight-fitting shoes
B. Elevate legs above heart level
C. Walk until pain occurs, then rest
D. Apply warm compresses to feet
Correct Answer: C
Rationale: Intermittent claudication is managed by walking until pain occurs, then resting, which
promotes collateral circulation. Elevating legs worsens arterial perfusion. Tight shoes and heat can
cause injury. [100% CORRECT]
Q6: Anticoagulant teaching
The student is reviewing warfarin teaching. Which statement by the patient indicates a need for
further teaching?
A. "I will use a soft toothbrush."
B. "I will eat more green leafy vegetables."
C. "I will avoid contact sports."
D. "I will report any unusual bleeding."
Correct Answer: B
Rationale: Green leafy vegetables are high in vitamin K, which antagonizes warfarin. Patients should
maintain consistent vitamin K intake, not increase it. The other statements are correct. [100%
CORRECT]
Q7: Cardiac catheterization
The student is reviewing cardiac catheterization. What is the priority nursing intervention after the
procedure?
, 3
A. Maintain bed rest and keep the affected leg straight
B. Ambulate immediately
C. Apply heat to the puncture site
D. Remove the dressing after 1 hour
Correct Answer: A
Rationale: After cardiac catheterization, maintain bed rest and keep the affected extremity straight
to prevent bleeding and hematoma. Monitor the puncture site for bleeding, swelling, and
circulation. [100% CORRECT]
Q8: Aneurysm
The student is reviewing aortic aneurysm. What is a classic sign of a dissecting aortic aneurysm?
A. Sudden, severe tearing chest pain radiating to the back
B. Crushing chest pain radiating to the left arm
C. Sharp pain worsened by inspiration
D. Dull ache in the lower abdomen
Correct Answer: A
Rationale: A dissecting aortic aneurysm presents with sudden, severe, tearing pain that often
radiates to the back. It is a life-threatening emergency requiring immediate surgical intervention.
[100% CORRECT]
Q9: CPR
The student is reviewing CPR. What is the compression-to-ventilation ratio for adult CPR?
A. 15:2
B. 30:2
C. 5:1
D. 10:2
Correct Answer: B
Rationale: The compression-to-ventilation ratio for adult CPR is 30:2. For children and infants with
two rescuers, it is 15:2. [100% CORRECT]
Q10: ECG interpretation
The student is reviewing ECG. What does a prolonged PR interval indicate?
A. First-degree heart block
B. Second-degree heart block
C. Third-degree heart block
D. Atrial fibrillation
Correct Answer: A
Rationale: A prolonged PR interval (>0.20 sec) indicates first-degree heart block, a delay in
conduction from the atria to the ventricles. Second-degree blocks have dropped beats. Third-degree
is complete dissociation. [100% CORRECT]
