NUR 265 EXAM 1 NEWEST 2026 ACTUAL EXAM
COMPLETE 160 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ (BRAND NEW
VERSION!)
The nurse in the ER is caring for a client who just had an MI and is
receiving a continuous infusion of TPA. It would be most important for
the nurse to notify the PCP if the client develops - CORRECT ANSWER
✔✔- Oozing blood at the IV site
The nurse is caring for a client who has had chest pain for the past 45
min and has been prescribed the intravenous thrombolytic
Tenecteplase. Which of the following questions is the most important
for the nurse to ask the client before administering the medication -
CORRECT ANSWER ✔✔- Do you currently take blood thinners
The nurse working in a rehab is assisting a client who had an MI to
increase activity tolerance. Which of the following client symptoms
indicates a need to stop the clients current activity - CORRECT ANSWER
✔✔- Systolic bp has decreased from 126/96 to 106/68mmhg
The nurse has received a prescription to increase a clients dopamine
drip from 3mcg/kg/min to 5mcg/kg/min. The concentration of
1|Page
,dopamine is 400mg/250ml D5W and the client weighs 235lbs. What
would the nurse increase the clients infusion pump - CORRECT ANSWER
✔✔- A. 20ml/hr B. 5ml/hr C. 15ml/hr D. 10ml/hr
The nurse working in the tele step down unit is caring for a client who is
scheduled for a cardiac catheterization and an angioplasty. Which of
the following lab findings is most important for the nurse to report to
the PCP - CORRECT ANSWER ✔✔- BUN of 26mg/dl
The nurse has instructed a client who is scheduled to have a cardiac
catheterization. Which of the following client statements would
indicate a correct understanding of the teaching - CORRECT ANSWER
✔✔- This test is performed to help detect problems with my heart
valves and chambers
The nurse has been made aware of the following client situation. The
nurse should initially plan to assess the client - CORRECT ANSWER ✔✔-
Had CABG surgery 24 hrs ago and has developed distant muffled heart
sounds
The nurse is assessing a client who has a suspected aortic dissection.
Which of the following findings should the nurse anticipate the client to
have - CORRECT ANSWER ✔✔- Sharp pain in the anterior chest
A right sternal border heart murmur
2|Page
,The nurse is caring for assigned clients. It would be priority for the
nurse to follow up with the PCP of a client who - CORRECT ANSWER
✔✔- Has a suspected thoracic aortic aneurysm and is reporting the
development of back pain
The nurse is assessing a client who has developed cardiac tamponade.
Which of the following findings should the nurse expect to observe -
CORRECT ANSWER ✔✔- Jugular venous distention with clear lung
sounds
The nurse has been made aware of the following client situations. The
nurse should initially assess the client who - CORRECT ANSWER ✔✔-
Has HF and is receiving a continuous infusion of NS and the IV pump is
infusing at rate of 250ml/hr
The nurse is caring for a client who was recently diagnosed with
pericarditis. It would require follow up by the nurse if - CORRECT
ANSWER ✔✔- Nurse assessment of the client reveals muffled heart
sound sand reported fatigue by the client
The nurse working in the med surg unit is caring for a client who
reports a racing heart and feeling anxious. The client is placed on a
heart monitor and displays a heart rhythm indicated below. Which of
the following findings should the nurse correlate to this assignment -
CORRECT ANSWER ✔✔- The client takes a daily dose of levothyroxine
3|Page
, The nurse is caring for a client who reports dizziness and has a bp of
80/49mmhg and has a cardiac rhythm indicated below. Which of the
following actions should the nurse take - CORRECT ANSWER ✔✔- A.
administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of
0.3mcg/kg/min
The nurse came for a client who develops the following dysrhythmia.
The nurse should assess which of the following manifestations in the
client - CORRECT ANSWER ✔✔- Irregular apical pulse
The nurse is caring for a client who develops the cardiac rhythm
indicated below. Which of the following actions should the nurse take -
CORRECT ANSWER ✔✔- Ask the client if their experiencing palpitations
The nurse is caring for a client who has received a prescription to
administer a continuous infusion of lidocaine 2g/5ml D5W at a rate of
3mg/min the client weighs 175lbs. At what rate should the nurse set
the clients infusion rate - CORRECT ANSWER ✔✔- A. 80ml/hr B. 3ml/hr
C. 45ml/hr D. 30ml/hr
The nurse has provided discharge teaching to a client following the
insertion of a permanent pacemaker to the left chest area. Which of
the following client statements would indicate a correct understanding
4|Page
COMPLETE 160 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ (BRAND NEW
VERSION!)
The nurse in the ER is caring for a client who just had an MI and is
receiving a continuous infusion of TPA. It would be most important for
the nurse to notify the PCP if the client develops - CORRECT ANSWER
✔✔- Oozing blood at the IV site
The nurse is caring for a client who has had chest pain for the past 45
min and has been prescribed the intravenous thrombolytic
Tenecteplase. Which of the following questions is the most important
for the nurse to ask the client before administering the medication -
CORRECT ANSWER ✔✔- Do you currently take blood thinners
The nurse working in a rehab is assisting a client who had an MI to
increase activity tolerance. Which of the following client symptoms
indicates a need to stop the clients current activity - CORRECT ANSWER
✔✔- Systolic bp has decreased from 126/96 to 106/68mmhg
The nurse has received a prescription to increase a clients dopamine
drip from 3mcg/kg/min to 5mcg/kg/min. The concentration of
1|Page
,dopamine is 400mg/250ml D5W and the client weighs 235lbs. What
would the nurse increase the clients infusion pump - CORRECT ANSWER
✔✔- A. 20ml/hr B. 5ml/hr C. 15ml/hr D. 10ml/hr
The nurse working in the tele step down unit is caring for a client who is
scheduled for a cardiac catheterization and an angioplasty. Which of
the following lab findings is most important for the nurse to report to
the PCP - CORRECT ANSWER ✔✔- BUN of 26mg/dl
The nurse has instructed a client who is scheduled to have a cardiac
catheterization. Which of the following client statements would
indicate a correct understanding of the teaching - CORRECT ANSWER
✔✔- This test is performed to help detect problems with my heart
valves and chambers
The nurse has been made aware of the following client situation. The
nurse should initially plan to assess the client - CORRECT ANSWER ✔✔-
Had CABG surgery 24 hrs ago and has developed distant muffled heart
sounds
The nurse is assessing a client who has a suspected aortic dissection.
Which of the following findings should the nurse anticipate the client to
have - CORRECT ANSWER ✔✔- Sharp pain in the anterior chest
A right sternal border heart murmur
2|Page
,The nurse is caring for assigned clients. It would be priority for the
nurse to follow up with the PCP of a client who - CORRECT ANSWER
✔✔- Has a suspected thoracic aortic aneurysm and is reporting the
development of back pain
The nurse is assessing a client who has developed cardiac tamponade.
Which of the following findings should the nurse expect to observe -
CORRECT ANSWER ✔✔- Jugular venous distention with clear lung
sounds
The nurse has been made aware of the following client situations. The
nurse should initially assess the client who - CORRECT ANSWER ✔✔-
Has HF and is receiving a continuous infusion of NS and the IV pump is
infusing at rate of 250ml/hr
The nurse is caring for a client who was recently diagnosed with
pericarditis. It would require follow up by the nurse if - CORRECT
ANSWER ✔✔- Nurse assessment of the client reveals muffled heart
sound sand reported fatigue by the client
The nurse working in the med surg unit is caring for a client who
reports a racing heart and feeling anxious. The client is placed on a
heart monitor and displays a heart rhythm indicated below. Which of
the following findings should the nurse correlate to this assignment -
CORRECT ANSWER ✔✔- The client takes a daily dose of levothyroxine
3|Page
, The nurse is caring for a client who reports dizziness and has a bp of
80/49mmhg and has a cardiac rhythm indicated below. Which of the
following actions should the nurse take - CORRECT ANSWER ✔✔- A.
administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of
0.3mcg/kg/min
The nurse came for a client who develops the following dysrhythmia.
The nurse should assess which of the following manifestations in the
client - CORRECT ANSWER ✔✔- Irregular apical pulse
The nurse is caring for a client who develops the cardiac rhythm
indicated below. Which of the following actions should the nurse take -
CORRECT ANSWER ✔✔- Ask the client if their experiencing palpitations
The nurse is caring for a client who has received a prescription to
administer a continuous infusion of lidocaine 2g/5ml D5W at a rate of
3mg/min the client weighs 175lbs. At what rate should the nurse set
the clients infusion rate - CORRECT ANSWER ✔✔- A. 80ml/hr B. 3ml/hr
C. 45ml/hr D. 30ml/hr
The nurse has provided discharge teaching to a client following the
insertion of a permanent pacemaker to the left chest area. Which of
the following client statements would indicate a correct understanding
4|Page
