NUR 170/ NUR170 exam 3: Completed Questions and Answers | Latest 2026 - Galen College of Nursing.

NUR 170/ NUR170 exam 3: Completed Questions and Answers | Latest 2026 - Galen College of Nursing. A. “Have you ever had this pain before?” B. “Can you describe the pain to me?” C. “Does the pain get worse when you breathe in?” D. “Can you rate the pain on a scale of 1-10, with ten (10) being the worst?” 1/1 A. Review the intake and output records for the last two (2) days. B. Change the time of diuretic administration from morning to evening. C. Request a sodium restriction of one (1) g/day from the physician. D. Order daily weight starting the following morning. 1. A client with no history of cardiovascular disease comes into the ambulatory clinic with flu-like symptoms. The client suddenly complains of chest pain. Which of the following questions would best help a nurse to discriminate pain caused by a non-cardiac problem? * 2. A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted two (2) days ago. The nurse would plan to do which of the following next? *0/1 A. Administer the morphine. B. Obtain a 12-lead ECG. C. Obtain the lab work. D. Order the chest x-ray. 1/1 A. Cancer B. Hypertension C. Liver disease D. Myocardial infarction 3. A 60-year-old male client comes into the emergency department with complaints of crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction. Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2) mg of morphine given intravenously. The nurse should first: * 4. The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following? *1/1 A. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and Conduction. B. Increases norepinephrine secretion and thus decreases blood pressure and heart rate. C. Is a potent arterial and venous vasodilator that reduces peripheral vascular resistance and lowers blood pressure. D. Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking the conversion of angiotensin I to angiotensin II. 0/1 A. Learn how to avoid stress. B. Explore a job change or early retirement. C. Make a commitment to long-term therapy. D. Control high blood pressure. 5. When teaching a client about propranolol hydrochloride, the nurse should base the information on the knowledge that propranolol hydrochloride: * 6. The most important long-term goal for a client with hypertension would be to: *1/1 A. A change in the pattern of her pain. B. Pain during sex. C. Pain during an argument with her husband. D. Pain during or after an activity such as lawn mowing. 1/1 A. Open and dilate the blocked coronary arteries. B. Assess the extent of arterial blockage. C. Bypass obstructed vessels. D. Assess the functional adequacy of the valves and heart muscle. 1/1 A. Antispasmodic effect on the pericardium. B. Causing an increased myocardial oxygen demand. C. Vasodilation of peripheral vasculature. D. Improved conductivity in the myocardium. 7. Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to her physician? * 8. The physician refers the client with unstable angina for a cardiac catheterization. The nurse explains to the client that this procedure is being used in this specific case to: * 9. It is an initial step in treating a client with angina, the physician prescribes nitroglycerin tablets, 0.3mg given sublingually. This drug’s principal effects are produced by: *1/1 A. Aortic B. Mitral C. Pulmonic D. Tricuspid 1/1 A. Troponin I B. Complete blood count (CBC) C. Creatine kinase (CK) D. Lactate dehydrogenase 1/1 A. Cardiac catheterization B. Cardiac enzymes C. Echocardiogram D. Electrocardiogram (ECG) 10. murmur is heard at the second left intercostal space along the left sternal border. Which valve is this? * 11. Which of the following blood tests is most indicative of cardiac damage? * 12. Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage? *1/1 A. “Apply the patch to a non-hairy, non-fatty area of the upper torso or arms.” B. “Apply the patch to the same site each day to maintain consistent drug absorption.” C. “If you get a headache, remove the patch for 4 hours and then reapply.” D. “If you get chest pain, apply a second patch right next to the first patch.” 1/1 A. Moderate doses of two different types of diuretics are more effective than a large dose of one type. B. This combination promotes diuresis but decreases the risk of hypokalemia. C. This combination prevents dehydration and hypovolemia. D. Using two drugs increases osmolality of plasma and the glomerular filtration rate. 13. Which of the following instructions should be included in the discharge teaching for a patient discharged with a transdermal nitroglycerin patch? * 14. When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are prescribed together, the nurse bases teaching on the knowledge that: *0/1 A. Cardiac catheterization B. Coronary artery bypass surgery C. Oral medication therapy D. Percutaneous transluminal coronary angioplasty 1/1 A. To sedate the client. B. To decrease the client’s pain. C. To decrease the client’s anxiety. D. To decrease oxygen demand on the client’s heart. 1/1 A. Angina decubitus B. Chronic stable angina C. Nocturnal angina D. Unstable angina 15. Medical treatment of coronary artery disease includes which of the following procedures? * 16. What is the primary reason for administering morphine to a client with an MI? * 17. Which of the following types of angina is most closely related with an impending MI? *1/1 A. Avoid focusing on his weight. B. Increase his activity level. C. Follow a regular diet. D. Continue leading a high-stress lifestyle. 1/1 A. cigarette smoking B. hyperlipidemia C. female over 55 years of age D. sedentary lifestyle 0/1 A. High levels of low density lipid (LDL) cholesterol B. High levels of high density lipid (HDL) cholesterol C. Low concentration triglycerides D. Low levels of LDL cholesterol. 18. The nurse is teaching a client with a history of atherosclerosis. To decrease the risk of atherosclerosis, the nurse should encourage the client to: * 19. The nurse teaching the client about behavioral changes, which can affect development of atherosclerosis, should discuss which of the following as a non-modifiable risk factor for atherosclerosis? * 20. The following are lipid abnormalities. Which of the following is a risk factor for the development of atherosclerosis and PVD? *0/1 A. TROP I B. MYOGLOBIN C. CPK D. CK-MB 1/1 A. necrosis B. injury C. ischemia D. nothing significant 21. Patient Isabel was admitted in the CCU witched complaint of chest pain, to rule out a myocardial infarction (MI). Which cardiac enzyme test is most specific of an MI? * 22. The client has ST segment depression on his 12-lead ECG. The nurse determines that this would indicate the following: *1/1 A. Hold the Lanoxin B. Give the half dose now, wait an hour and give the other half C. Call the physician D. Give the Lanoxin as ordered 1/1 A. Help keep him well hydrated. B. Dissolve clots he may have. C. Prevent kidney failure. D. Treat potential cardiac arrhythmias. 23. A client with congestive heart failure has digoxin (Lanoxin) ordered everyday. Prior to giving the medication, the nurse checks the digoxin level which is therapeutic and auscultates an apical pulse. The apical pulse is 63 bpm for 1 full minute. The nurse should: * 24. The nurse administered a thrombolytic drug to the client experiencing an MI, the nurse explains to him that the purpose of this drug is to: *1/1 A. Take one (1) tablet every two (2) to five (5) minutes until the pain stops. B. Take one (1) tablet and rest for ten (10) minutes. Call the physician if pain persists after ten (10) minutes. C. Take one (1) tablet, then an additional tablet every 5 minutes for a total of three (3) tablets. Call the physician if pain persists after three (3) tablets. D. Take one (1) tablet. If pain persists after five (5) minutes, take two (2) tablets. If pain persists five (5) minutes later, call the physician. This form was created inside of TopRank Review Academy. Does this form look suspicious? Report 25. Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How should the nurse instruct the client to use the drug when chest pain occurs? * Forms