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NSG 4100 ADULT HEALTH III EXAM 3 AT GALEN COLLEGE OF NURSING
EXAM NEWEST UPDATED EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
1. A nurse is caring for a client scheduled for cardiac surgery. Which preoperative
nursing action is most appropriate?
A. Withhold all scheduled medications for at least 12 hours
B. Clarify the surgical procedure with the client and address fears
C. Avoid discussing the client's fears to prevent anxiety
D. Delay all teaching until after surgery
Answer: B
Rationale: Preoperative care includes clarifying the procedure and exploring the client's
fears and anxiety; withholding all medications, avoiding fears, and delaying teaching are
inappropriate .
2. A client asks how blood is kept out of the surgical field during cardiac surgery
while organs remain perfused. The nurse should describe which technique?
A. Coronary artery bypass graft (CABG)
B. Percutaneous transluminal coronary angioplasty (PTCA)
C. Atherectomy
D. Cardiopulmonary bypass
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Answer: D
Rationale: Cardiopulmonary bypass diverts blood from the heart and lungs,
maintaining perfusion of body organs while providing a bloodless surgical field .
3. A client scheduled for cardiac surgery tearfully states, “I'm afraid I'm going to
die.” What is the nurse's best response?
A. “Let's explore what is making you feel this way.”
B. “I'll teach you guided imagery techniques.”
C. “I'll get an order for a PRN benzodiazepine.”
D. “Let me describe the procedure in greater detail.”
Answer: A
Rationale: Exploring the underlying anxiety is therapeutic and addresses the client's
fear; guided imagery, medication, and detailed description may be premature until the
fear is explored .
4. A client with angina is prescribed nitroglycerin. Which adverse effects should the
nurse teach the client to expect?
A. Nervousness or paresthesia
B. Throbbing headache or dizziness
C. Drowsiness or blurred vision
D. Tinnitus or diplopia
Answer: B
Rationale: Nitroglycerin causes vasodilation, leading to throbbing headache and
dizziness as common adverse effects .
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5. A client admitted to the CCU with an MI requires which priority nursing
assessment on admission?
A. Begin ECG monitoring
B. Obtain family history of heart disease
C. Auscultate lung fields
D. Determine smoking history
Answer: A
Rationale: Continuous ECG monitoring is the priority to detect life-threatening
dysrhythmias in the acute phase of MI .
6. A client with hypertension who smokes one pack per day denies symptoms of
CAD. The nurse should focus teaching on which areas?
A. Drug therapy and smoking cessation
B. Diet and drug therapy
C. Diet therapy only
D. Diet therapy and smoking cessation
Answer: A
Rationale: Smoking cessation and drug therapy are the most important interventions
for reducing CAD risk in this client .
7. A client in cardiac rehabilitation should stop activity if which of the following
occurs?
A. Chest pain, palpitations, or dyspnea
B. A noticeable increase in heart rate during activity
C. Oxygen saturation below 96%
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D. Respiratory rate above 30 breaths/min
Answer: A
Rationale: Chest pain, palpitations, and dyspnea are warning signs of cardiac ischemia
and require immediate cessation of activity .
8. A client is prescribed amlodipine (Norvasc). The therapeutic effect of calcium
channel blockers includes which of the following?
A. Reducing the heart's workload by decreasing heart rate and myocardial contraction
B. Preventing platelet aggregation and thrombosis
C. Reducing myocardial oxygen consumption by blocking adrenergic stimulation
D. Increasing myocardial efficiency and decreasing ischemia
Answer: A
Rationale: Calcium channel blockers reduce the heart's workload by decreasing heart
rate and myocardial contractility, lowering myocardial oxygen demand .
9. A client has orders for central venous pressure (CVP) monitoring. The nurse
understands the catheter tip will be placed in which location?
A. Left to right ventricle
B. Vena cava or left atrium
C. Vena cava or right atrium, preferred site subclavian vein
D. Pulmonary artery or vein
Answer: C
Rationale: A CVP catheter is threaded through the subclavian vein into the vena cava,
just above or within the right atrium .
NSG 4100 ADULT HEALTH III EXAM 3 AT GALEN COLLEGE OF NURSING
EXAM NEWEST UPDATED EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
1. A nurse is caring for a client scheduled for cardiac surgery. Which preoperative
nursing action is most appropriate?
A. Withhold all scheduled medications for at least 12 hours
B. Clarify the surgical procedure with the client and address fears
C. Avoid discussing the client's fears to prevent anxiety
D. Delay all teaching until after surgery
Answer: B
Rationale: Preoperative care includes clarifying the procedure and exploring the client's
fears and anxiety; withholding all medications, avoiding fears, and delaying teaching are
inappropriate .
2. A client asks how blood is kept out of the surgical field during cardiac surgery
while organs remain perfused. The nurse should describe which technique?
A. Coronary artery bypass graft (CABG)
B. Percutaneous transluminal coronary angioplasty (PTCA)
C. Atherectomy
D. Cardiopulmonary bypass
, Page 2 of 116
Answer: D
Rationale: Cardiopulmonary bypass diverts blood from the heart and lungs,
maintaining perfusion of body organs while providing a bloodless surgical field .
3. A client scheduled for cardiac surgery tearfully states, “I'm afraid I'm going to
die.” What is the nurse's best response?
A. “Let's explore what is making you feel this way.”
B. “I'll teach you guided imagery techniques.”
C. “I'll get an order for a PRN benzodiazepine.”
D. “Let me describe the procedure in greater detail.”
Answer: A
Rationale: Exploring the underlying anxiety is therapeutic and addresses the client's
fear; guided imagery, medication, and detailed description may be premature until the
fear is explored .
4. A client with angina is prescribed nitroglycerin. Which adverse effects should the
nurse teach the client to expect?
A. Nervousness or paresthesia
B. Throbbing headache or dizziness
C. Drowsiness or blurred vision
D. Tinnitus or diplopia
Answer: B
Rationale: Nitroglycerin causes vasodilation, leading to throbbing headache and
dizziness as common adverse effects .
, Page 3 of 116
5. A client admitted to the CCU with an MI requires which priority nursing
assessment on admission?
A. Begin ECG monitoring
B. Obtain family history of heart disease
C. Auscultate lung fields
D. Determine smoking history
Answer: A
Rationale: Continuous ECG monitoring is the priority to detect life-threatening
dysrhythmias in the acute phase of MI .
6. A client with hypertension who smokes one pack per day denies symptoms of
CAD. The nurse should focus teaching on which areas?
A. Drug therapy and smoking cessation
B. Diet and drug therapy
C. Diet therapy only
D. Diet therapy and smoking cessation
Answer: A
Rationale: Smoking cessation and drug therapy are the most important interventions
for reducing CAD risk in this client .
7. A client in cardiac rehabilitation should stop activity if which of the following
occurs?
A. Chest pain, palpitations, or dyspnea
B. A noticeable increase in heart rate during activity
C. Oxygen saturation below 96%
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D. Respiratory rate above 30 breaths/min
Answer: A
Rationale: Chest pain, palpitations, and dyspnea are warning signs of cardiac ischemia
and require immediate cessation of activity .
8. A client is prescribed amlodipine (Norvasc). The therapeutic effect of calcium
channel blockers includes which of the following?
A. Reducing the heart's workload by decreasing heart rate and myocardial contraction
B. Preventing platelet aggregation and thrombosis
C. Reducing myocardial oxygen consumption by blocking adrenergic stimulation
D. Increasing myocardial efficiency and decreasing ischemia
Answer: A
Rationale: Calcium channel blockers reduce the heart's workload by decreasing heart
rate and myocardial contractility, lowering myocardial oxygen demand .
9. A client has orders for central venous pressure (CVP) monitoring. The nurse
understands the catheter tip will be placed in which location?
A. Left to right ventricle
B. Vena cava or left atrium
C. Vena cava or right atrium, preferred site subclavian vein
D. Pulmonary artery or vein
Answer: C
Rationale: A CVP catheter is threaded through the subclavian vein into the vena cava,
just above or within the right atrium .
