NCLEX-Style Practice Questions
NUR 238 — 80 Items 2025 |
Comprehensive Questions with
Answers | Grade A | 100% Correct -
The Ultimate Guide for Yr.
(2026/2027) (Answers Key at the
End)
1. Which electrolyte abnormality is most commonly associated with
life■threatening dysrhythmias? A. Hyperkalemia
B. Hyponatremia
C. Hypocalcemia
D. Hypomagnesemia
2. Elevation of which lab is considered the gold standard for diagnosing
myocardial infarction?
A. Myoglobin
B. CK■MB
C. Troponin
D. BNP
3. A CK■MB typically rises how many hours after myocardial injury?
A. 1–2 hours
B. 3–4 hours
1
, C. 8–10 hours
D. 24 hours
4. Which lipid value represents a desirable HDL level according to the
slides?
A. <40 mg/dL
B. 40–50 mg/dL
C. >60 mg/dL
D. <130 mg/dL
5. Unstable angina is distinguished from stable angina by which
feature?
A. Pain relieved by rest
B. Predictable with exertion
C. Not relieved by rest or nitroglycerin
D. Always accompanied by ST elevation
6. What does MONA stand for in initial myocardial infarction
management?
A. Morphine, Oxygen, Nitroglycerin, Aspirin
B. Monitor, Observe, Nitrate, Anticoagulant
C. Morphine, Opiates, Nitrate, Aspirin
D. Medicate, Oxygenate, Nitrate, Assess
7. Which complication is least likely directly from myocardial infarction?
A. Arrhythmia
B. Pericarditis
C. Pulmonary embolism
D. Cardiogenic shock
8. Which cardiac enzyme remains elevated longest after MI (based on
slide values)?
2
, A. Myoglobin
B. CK■MB
C. Troponin T
D. Troponin I
9. A BNP >100 pg/mL suggests which condition?
A. Pulmonary embolism
B. Heart failure
C. Myocarditis
D. Pericarditis
10. A high■sensitivity CRP (hs■CRP) ≥3 mg/L implies what?
A. Low CVD risk
B. Moderate CVD risk
C. High CVD risk
D. No relation to CVD
11. After a cardiac catheterization, which is a key nursing action?
A. Encourage immediate ambulation
B. Monitor cath site for bleeding/hematoma
C. Allow leg flexion frequently
D. Remove pressure dressing within 10 minutes
12. Which diagnostic uses ultrasound to assess ejection fraction and
valve motion?
A. 12■lead ECG
B. Echocardiogram
C. Cardiac catheterization
D. BNP level
13. The Swan■Ganz (pulmonary artery) catheter primarily measures:
3 A. Left atrial pressure
NUR 238 — 80 Items 2025 |
Comprehensive Questions with
Answers | Grade A | 100% Correct -
The Ultimate Guide for Yr.
(2026/2027) (Answers Key at the
End)
1. Which electrolyte abnormality is most commonly associated with
life■threatening dysrhythmias? A. Hyperkalemia
B. Hyponatremia
C. Hypocalcemia
D. Hypomagnesemia
2. Elevation of which lab is considered the gold standard for diagnosing
myocardial infarction?
A. Myoglobin
B. CK■MB
C. Troponin
D. BNP
3. A CK■MB typically rises how many hours after myocardial injury?
A. 1–2 hours
B. 3–4 hours
1
, C. 8–10 hours
D. 24 hours
4. Which lipid value represents a desirable HDL level according to the
slides?
A. <40 mg/dL
B. 40–50 mg/dL
C. >60 mg/dL
D. <130 mg/dL
5. Unstable angina is distinguished from stable angina by which
feature?
A. Pain relieved by rest
B. Predictable with exertion
C. Not relieved by rest or nitroglycerin
D. Always accompanied by ST elevation
6. What does MONA stand for in initial myocardial infarction
management?
A. Morphine, Oxygen, Nitroglycerin, Aspirin
B. Monitor, Observe, Nitrate, Anticoagulant
C. Morphine, Opiates, Nitrate, Aspirin
D. Medicate, Oxygenate, Nitrate, Assess
7. Which complication is least likely directly from myocardial infarction?
A. Arrhythmia
B. Pericarditis
C. Pulmonary embolism
D. Cardiogenic shock
8. Which cardiac enzyme remains elevated longest after MI (based on
slide values)?
2
, A. Myoglobin
B. CK■MB
C. Troponin T
D. Troponin I
9. A BNP >100 pg/mL suggests which condition?
A. Pulmonary embolism
B. Heart failure
C. Myocarditis
D. Pericarditis
10. A high■sensitivity CRP (hs■CRP) ≥3 mg/L implies what?
A. Low CVD risk
B. Moderate CVD risk
C. High CVD risk
D. No relation to CVD
11. After a cardiac catheterization, which is a key nursing action?
A. Encourage immediate ambulation
B. Monitor cath site for bleeding/hematoma
C. Allow leg flexion frequently
D. Remove pressure dressing within 10 minutes
12. Which diagnostic uses ultrasound to assess ejection fraction and
valve motion?
A. 12■lead ECG
B. Echocardiogram
C. Cardiac catheterization
D. BNP level
13. The Swan■Ganz (pulmonary artery) catheter primarily measures:
3 A. Left atrial pressure
