Page 1 of 101
“2243C NURSING EXAM PRACTICE “
NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST
VERSION)
2243C Exam
A nurse cares for a client who is prescribed magnetic resonance imaging (MRI)
of the heart. The client's health history includes a previous myocardial
infarction and pacemaker implantation. Which action should the nurse take?
a. Schedule an electrocardiogram just before the MRI.
b. Notify the health care provider before scheduling the MRI.
c. Call the physician and request a laboratory draw for cardiac enzymes.
d. Instruct the client to increase fluid intake the day before the MRI.
ANS: B
The magnetic fields of the MRI can deactivate the pacemaker. The nurse should call
the health care provider and report that the client has a pacemaker so the provider
can order other diagnostic tests. The client does not need an electrocardiogram,
cardiac enzymes, or increased fluids.
A nurse assesses a client who is recovering from a myocardial infarction. The
client's pulmonary artery pressure reading is 25/12 mm Hg. Which action
should the nurse take first?
a. Compare the results with previous pulmonary artery pressure readings.
, Page 2 of 101
b. Increase the intravenous fluid rate because these readings are low.
c. Immediately notify the health care provider of the elevated pressures.
d. Document the finding in the client's chart as the only action.
ANS: A
Normal pulmonary artery pressures range from 15 to 26 mm Hg for systolic and from
5 to 15 mm Hg for diastolic. Although this client's readings are within normal limits,
the nurse needs to assess any trends that may indicate a need for medical treatment
to prevent complications. There is no need to increase intravenous fluids or notify the
provider.
A nurse cares for a client who has an 80% blockage of the right coronary
artery (RCA) and is scheduled for bypass surgery. Which intervention should
the nurse be prepared to implement while this client waits for surgery?
a. Administration of IV furosemide (Lasix)
b. Initiation of an external pacemaker
c. Assistance with endotracheal intubation
d. Placement of central venous access
ANS: B
The RCA supplies the right atrium, the right ventricle, the inferior portion of the left
ventricle, and the atrioventricular (AV) node. It also supplies the sinoatrial node in
50% of people. If the client totally occludes the RCA, the AV node would not function
and the client would go into heart block, so emergency pacing should be available
for the client. Furosemide, intubation, and central venous access will not address the
primary complication of RCA occlusion, which is AV node malfunction.
A nurse teaches a client with diabetes mellitus and a body mass index of 42
who is at high risk for coronary artery disease. Which statement related to
nutrition should the nurse include in this client's teaching?
a. "The best way to lose weight is a high-protein, low-carbohydrate diet."
b. "You should balance weight loss with consuming necessary nutrients."
c. "A nutritionist will provide you with information about your new diet."
d. "If you exercise more frequently, you won't need to change your diet."
, Page 3 of 101
ANS: B
Clients at risk for cardiovascular diseases should follow the American Heart
Association guidelines to combat obesity and improve cardiac health. The nurse
should encourage the client to eat vegetables, fruits, unrefined whole-grain products,
and fat-free dairy products while losing weight. High-protein food items are often high
in fat and calories. Although the nutritionist can assist with client education, the nurse
should include nutrition education and assist the client to make healthy decisions.
Exercising and eating nutrient-rich foods are both important components in reducing
cardiovascular risk.
A nurse cares for a client who has advanced cardiac disease and states, "I am
having trouble sleeping at night." How should the nurse respond?
a. "I will consult the provider to prescribe a sleep study to determine the
problem."
b. "You become hypoxic while sleeping; oxygen therapy via nasal cannula will
help."
c. "A continuous positive airway pressure, or CPAP, breathing mask will help
you breathe at night."
d. "Use pillows to elevate your head and chest while you are sleeping."
ANS: D
The client is experiencing orthopnea (shortness of breath while lying flat). The nurse
should teach the client to elevate the head and chest with pillows or sleep in a
recliner. A sleep study is not necessary to diagnose this client. Oxygen and CPAP
will not help a client with orthopnea.
A nurse cares for a client who is recovering from a myocardial infarction. The
client states, "I will need to stop eating so much chili to keep that indigestion
pain from returning." How should the nurse respond?
a. "Chili is high in fat and calories; it would be a good idea to stop eating it."
b. "The provider has prescribed an antacid for you to take every morning."
c. "What do you understand about what happened to you?"
d. "When did you start experiencing this indigestion?"
, Page 4 of 101
ANS: C
Clients who experience myocardial infarction often respond with denial, which is a
defense mechanism. The nurse should ask the client what he or she thinks
happened, or what the illness means to him or her. The other responses do not
address the client's misconception about recent pain and the cause of that pain.
A nurse prepares a client for coronary artery bypass graft surgery. The client
states, "I am afraid I might die." How should the nurse respond?
a. "This is a routine surgery and the risk of death is very low."
b. "Would you like to speak with a chaplain prior to surgery?"
c. "Tell me more about your concerns about the surgery."
d. "What support systems do you have to assist you?"
ANS: C
The nurse should discuss the client's feelings and concerns related to the surgery.
The nurse should not provide false hope or push the client's concerns off on the
chaplain. The nurse should address support systems after addressing the client's
current issue.
An emergency department nurse triages clients who present with chest
discomfort. Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness
in her fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her
abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads
across his chest
ANS: D
All clients who have chest pain should be assessed more thoroughly. To determine
which client should be seen first, the nurse must understand common differences in
pain descriptions. Intense stabbing, vise-like substernal pain that spreads through
the client's chest, arms, jaw, back, or neck is indicative of a myocardial infarction.
The nurse should plan to see this client first to prevent cardiac cell death. A dull ache
“2243C NURSING EXAM PRACTICE “
NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST
VERSION)
2243C Exam
A nurse cares for a client who is prescribed magnetic resonance imaging (MRI)
of the heart. The client's health history includes a previous myocardial
infarction and pacemaker implantation. Which action should the nurse take?
a. Schedule an electrocardiogram just before the MRI.
b. Notify the health care provider before scheduling the MRI.
c. Call the physician and request a laboratory draw for cardiac enzymes.
d. Instruct the client to increase fluid intake the day before the MRI.
ANS: B
The magnetic fields of the MRI can deactivate the pacemaker. The nurse should call
the health care provider and report that the client has a pacemaker so the provider
can order other diagnostic tests. The client does not need an electrocardiogram,
cardiac enzymes, or increased fluids.
A nurse assesses a client who is recovering from a myocardial infarction. The
client's pulmonary artery pressure reading is 25/12 mm Hg. Which action
should the nurse take first?
a. Compare the results with previous pulmonary artery pressure readings.
, Page 2 of 101
b. Increase the intravenous fluid rate because these readings are low.
c. Immediately notify the health care provider of the elevated pressures.
d. Document the finding in the client's chart as the only action.
ANS: A
Normal pulmonary artery pressures range from 15 to 26 mm Hg for systolic and from
5 to 15 mm Hg for diastolic. Although this client's readings are within normal limits,
the nurse needs to assess any trends that may indicate a need for medical treatment
to prevent complications. There is no need to increase intravenous fluids or notify the
provider.
A nurse cares for a client who has an 80% blockage of the right coronary
artery (RCA) and is scheduled for bypass surgery. Which intervention should
the nurse be prepared to implement while this client waits for surgery?
a. Administration of IV furosemide (Lasix)
b. Initiation of an external pacemaker
c. Assistance with endotracheal intubation
d. Placement of central venous access
ANS: B
The RCA supplies the right atrium, the right ventricle, the inferior portion of the left
ventricle, and the atrioventricular (AV) node. It also supplies the sinoatrial node in
50% of people. If the client totally occludes the RCA, the AV node would not function
and the client would go into heart block, so emergency pacing should be available
for the client. Furosemide, intubation, and central venous access will not address the
primary complication of RCA occlusion, which is AV node malfunction.
A nurse teaches a client with diabetes mellitus and a body mass index of 42
who is at high risk for coronary artery disease. Which statement related to
nutrition should the nurse include in this client's teaching?
a. "The best way to lose weight is a high-protein, low-carbohydrate diet."
b. "You should balance weight loss with consuming necessary nutrients."
c. "A nutritionist will provide you with information about your new diet."
d. "If you exercise more frequently, you won't need to change your diet."
, Page 3 of 101
ANS: B
Clients at risk for cardiovascular diseases should follow the American Heart
Association guidelines to combat obesity and improve cardiac health. The nurse
should encourage the client to eat vegetables, fruits, unrefined whole-grain products,
and fat-free dairy products while losing weight. High-protein food items are often high
in fat and calories. Although the nutritionist can assist with client education, the nurse
should include nutrition education and assist the client to make healthy decisions.
Exercising and eating nutrient-rich foods are both important components in reducing
cardiovascular risk.
A nurse cares for a client who has advanced cardiac disease and states, "I am
having trouble sleeping at night." How should the nurse respond?
a. "I will consult the provider to prescribe a sleep study to determine the
problem."
b. "You become hypoxic while sleeping; oxygen therapy via nasal cannula will
help."
c. "A continuous positive airway pressure, or CPAP, breathing mask will help
you breathe at night."
d. "Use pillows to elevate your head and chest while you are sleeping."
ANS: D
The client is experiencing orthopnea (shortness of breath while lying flat). The nurse
should teach the client to elevate the head and chest with pillows or sleep in a
recliner. A sleep study is not necessary to diagnose this client. Oxygen and CPAP
will not help a client with orthopnea.
A nurse cares for a client who is recovering from a myocardial infarction. The
client states, "I will need to stop eating so much chili to keep that indigestion
pain from returning." How should the nurse respond?
a. "Chili is high in fat and calories; it would be a good idea to stop eating it."
b. "The provider has prescribed an antacid for you to take every morning."
c. "What do you understand about what happened to you?"
d. "When did you start experiencing this indigestion?"
, Page 4 of 101
ANS: C
Clients who experience myocardial infarction often respond with denial, which is a
defense mechanism. The nurse should ask the client what he or she thinks
happened, or what the illness means to him or her. The other responses do not
address the client's misconception about recent pain and the cause of that pain.
A nurse prepares a client for coronary artery bypass graft surgery. The client
states, "I am afraid I might die." How should the nurse respond?
a. "This is a routine surgery and the risk of death is very low."
b. "Would you like to speak with a chaplain prior to surgery?"
c. "Tell me more about your concerns about the surgery."
d. "What support systems do you have to assist you?"
ANS: C
The nurse should discuss the client's feelings and concerns related to the surgery.
The nurse should not provide false hope or push the client's concerns off on the
chaplain. The nurse should address support systems after addressing the client's
current issue.
An emergency department nurse triages clients who present with chest
discomfort. Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness
in her fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her
abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads
across his chest
ANS: D
All clients who have chest pain should be assessed more thoroughly. To determine
which client should be seen first, the nurse must understand common differences in
pain descriptions. Intense stabbing, vise-like substernal pain that spreads through
the client's chest, arms, jaw, back, or neck is indicative of a myocardial infarction.
The nurse should plan to see this client first to prevent cardiac cell death. A dull ache
