NURS 497 EXAM 1 PRACTICE 2026 || MOST RECENT
EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A client has heart failure with reduced ejection fraction (HFrEF).
Which ejection fraction would the nurse expect?
A. 40%
B. 60%
C. 80%
D. 90%
Answer: A
Rationale: A reduced ejection fraction indicates impaired left
ventricular systolic function. An ejection fraction around 40% is
consistent with reduced systolic function, whereas a normal left
ventricular ejection fraction is generally around 50–70%.
Many valvular stenosis and regurgitation disorders have a common
underlying cause. Which condition should alert the nurse to the
possibility of both types of valve dysfunction?
A. Rheumatic fever or rheumatic heart disease
B. Heart failure
C. Syphilis infection
D. Connective tissue disorders
Answer: A
,Rationale: Rheumatic heart disease can cause chronic structural
damage to cardiac valves. This damage can result in either stenosis,
regurgitation, or a combination of valvular abnormalities.
A 72-year-old client with hypertension and atherosclerosis has an
echocardiogram showing backflow of blood into the left ventricle.
Which diagnosis is most likely?
A. Mitral stenosis
B. Mitral regurgitation
C. Aortic regurgitation
D. Aortic stenosis
Answer: C
Rationale: Aortic regurgitation occurs when the aortic valve does not
close completely, allowing blood to flow backward from the aorta into
the left ventricle during diastole. This produces left ventricular volume
overload.
A 35-year-old client has pulmonary hypertension and develops right-
sided heart failure. Which valvular disorder could contribute to this
condition?
A. Mitral regurgitation
B. Aortic regurgitation
C. Aortic stenosis
D. Tricuspid regurgitation
Answer: D
,Rationale: The tricuspid valve is located between the right atrium and
right ventricle. Tricuspid regurgitation allows blood to flow backward
into the right atrium during ventricular contraction and can
contribute to systemic venous congestion and right-sided heart failure.
Which topic is most important to include when teaching a client about
testing for possible metabolic syndrome?
A. Blood glucose testing
B. Cardiac enzyme testing
C. Postural blood pressures
D. Resting electrocardiogram
Answer: A
Rationale: Metabolic syndrome is associated with abnormal glucose
regulation, abdominal obesity, hypertension, and dyslipidemia. Blood
glucose assessment is an important component of evaluating metabolic
risk and identifying impaired glucose regulation.
Which diagnostic test is most useful for helping determine whether a
client admitted with acute shortness of breath has heart failure?
A. Serum creatine kinase (CK)
B. Arterial blood gases (ABGs)
C. B-type natriuretic peptide (BNP)
D. 12-lead electrocardiogram (ECG)
Answer: C
Rationale: BNP is released by cardiac muscle in response to increased
ventricular stretch and pressure. Elevated BNP levels can support a
, diagnosis of heart failure in a patient presenting with dyspnea,
although results must be interpreted with the clinical assessment and
other diagnostic findings.
A client is admitted with chronic venous insufficiency. Which
statement is most consistent with this condition?
A. “I can't get my shoes on at the end of the day.”
B. “I can never seem to get my feet warm enough.”
C. “I wake up during the night because my legs hurt.”
D. “I have burning leg pains after I walk three blocks.”
Answer: A
Rationale: Chronic venous insufficiency causes venous pooling and
dependent edema, which often becomes worse throughout the day.
Swelling can make shoes or clothing feel tighter by evening.
A 65-year-old woman presents to the emergency department with
intermittent difficulty breathing and palpitations for two days. Her
history includes type 2 diabetes, hypertension, and obesity. Which six
findings require immediate attention? Select all that apply.
A. Fine crackles at the bilateral lung bases
B. S3 heart sound
C. SpO₂ of 95% on room air
D. Tachycardia
E. Elevated blood pressure
F. Bowel sounds present in all four quadrants
G. Tachypnea
H. History of type 2 diabetes
I. Difficulty breathing
EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A client has heart failure with reduced ejection fraction (HFrEF).
Which ejection fraction would the nurse expect?
A. 40%
B. 60%
C. 80%
D. 90%
Answer: A
Rationale: A reduced ejection fraction indicates impaired left
ventricular systolic function. An ejection fraction around 40% is
consistent with reduced systolic function, whereas a normal left
ventricular ejection fraction is generally around 50–70%.
Many valvular stenosis and regurgitation disorders have a common
underlying cause. Which condition should alert the nurse to the
possibility of both types of valve dysfunction?
A. Rheumatic fever or rheumatic heart disease
B. Heart failure
C. Syphilis infection
D. Connective tissue disorders
Answer: A
,Rationale: Rheumatic heart disease can cause chronic structural
damage to cardiac valves. This damage can result in either stenosis,
regurgitation, or a combination of valvular abnormalities.
A 72-year-old client with hypertension and atherosclerosis has an
echocardiogram showing backflow of blood into the left ventricle.
Which diagnosis is most likely?
A. Mitral stenosis
B. Mitral regurgitation
C. Aortic regurgitation
D. Aortic stenosis
Answer: C
Rationale: Aortic regurgitation occurs when the aortic valve does not
close completely, allowing blood to flow backward from the aorta into
the left ventricle during diastole. This produces left ventricular volume
overload.
A 35-year-old client has pulmonary hypertension and develops right-
sided heart failure. Which valvular disorder could contribute to this
condition?
A. Mitral regurgitation
B. Aortic regurgitation
C. Aortic stenosis
D. Tricuspid regurgitation
Answer: D
,Rationale: The tricuspid valve is located between the right atrium and
right ventricle. Tricuspid regurgitation allows blood to flow backward
into the right atrium during ventricular contraction and can
contribute to systemic venous congestion and right-sided heart failure.
Which topic is most important to include when teaching a client about
testing for possible metabolic syndrome?
A. Blood glucose testing
B. Cardiac enzyme testing
C. Postural blood pressures
D. Resting electrocardiogram
Answer: A
Rationale: Metabolic syndrome is associated with abnormal glucose
regulation, abdominal obesity, hypertension, and dyslipidemia. Blood
glucose assessment is an important component of evaluating metabolic
risk and identifying impaired glucose regulation.
Which diagnostic test is most useful for helping determine whether a
client admitted with acute shortness of breath has heart failure?
A. Serum creatine kinase (CK)
B. Arterial blood gases (ABGs)
C. B-type natriuretic peptide (BNP)
D. 12-lead electrocardiogram (ECG)
Answer: C
Rationale: BNP is released by cardiac muscle in response to increased
ventricular stretch and pressure. Elevated BNP levels can support a
, diagnosis of heart failure in a patient presenting with dyspnea,
although results must be interpreted with the clinical assessment and
other diagnostic findings.
A client is admitted with chronic venous insufficiency. Which
statement is most consistent with this condition?
A. “I can't get my shoes on at the end of the day.”
B. “I can never seem to get my feet warm enough.”
C. “I wake up during the night because my legs hurt.”
D. “I have burning leg pains after I walk three blocks.”
Answer: A
Rationale: Chronic venous insufficiency causes venous pooling and
dependent edema, which often becomes worse throughout the day.
Swelling can make shoes or clothing feel tighter by evening.
A 65-year-old woman presents to the emergency department with
intermittent difficulty breathing and palpitations for two days. Her
history includes type 2 diabetes, hypertension, and obesity. Which six
findings require immediate attention? Select all that apply.
A. Fine crackles at the bilateral lung bases
B. S3 heart sound
C. SpO₂ of 95% on room air
D. Tachycardia
E. Elevated blood pressure
F. Bowel sounds present in all four quadrants
G. Tachypnea
H. History of type 2 diabetes
I. Difficulty breathing
