COMPREHENSIVE RNSG 2539 FINAL
PRACTICE: CRITICAL THINKING AND
CLINICAL APPLICATION WITH 232
QUESTIONS AND CORRECT
ANSWERS RATED A+ 2026/2027
What is the nurse's priority action for a client developing pulseless ventricular
tachycardia?
Begin CPR and prepare defibrillation
Which rhythm is indicated by a rhythm strip showing P waves and QRS complexes
with no relationship?
Third-degree AV block
Which findings require urgent assessment in a client with a dysrhythmia? (Select
all that apply)
Chest pain, Syncope, New confusion, O2 saturation 88%
Which treatment should the nurse anticipate for a client with chest pressure and
ST elevation in II, III, and aVF?
Emergent PCI
What should the nurse do first for a client reporting new crushing chest pain?
Obtain a 12-lead ECG
How should the nurse interpret elevated troponin with no ST elevation and
ongoing chest discomfort?
NSTEMI is possible
Which teaching should be included for a client prescribed sublingual
nitroglycerin? (Select all that apply)
,Sit down before taking it, Call 911 if chest pain is not relieved after the prescribed
doses, Store tablets in original dark container, Expect possible headache or
dizziness
Which finding is most urgent for a STEMI client receiving thrombolytic therapy?
Sudden severe headache and neuro changes
Match the medication with its expected use: Adenosine
Slows AV nodal conduction briefly for SVT
Match the medication with its expected use: Amiodarone
Antidysrhythmic for ventricular/atrial rhythms
Match the medication with its expected use: Digoxin
Increases contractility and slows AV conduction
Match the medication with its expected use: Epinephrine
Supports BP/bronchodilation in emergencies
Which shock type is most likely for a client after MI with hypotension and
pulmonary congestion?
Cardiogenic
What is the priority intervention for a trauma client with tachycardia and
hypotension?
Control bleeding and start rapid fluid/blood replacement
What is the priority action for a client with hypotension, bradycardia, and warm
dry skin due to spinal cord injury?
Administer epinephrine as ordered
What type of shock is indicated by tracheal deviation, severe dyspnea, JVD, and
hypotension?
Obstructive shock
, What is the initial crystalloid resuscitation volume for a 70-kg adult with sepsis at
30 mL/kg?
2100 mL
What nursing action is unsafe for a client with suspected abdominal aortic
aneurysm (AAA)?
Palpate the mass to confirm size
What is the priority concern for a known AAA client who suddenly reports tearing
back pain and becomes hypotensive?
Rupture with hypovolemic shock
What is the most important teaching for a client with a small stable aneurysm?
Control BP and stop smoking
What assessment is priority after endovascular AAA repair?
Pedal pulses and urine output
Which congenital heart defect is indicated by a continuous machinery-like
murmur and bounding pulses?
Patent ductus arteriosus
What defect is suspected in a child with higher BP in the arms than legs and weak
femoral pulses?
Coarctation of the aorta
What compensatory action does a toddler with Tetralogy of Fallot exhibit during
play?
Squatting to improve pulmonary blood flow
Which findings may suggest heart failure in an infant with congenital heart
disease?
Poor feeding, diaphoresis with feeds, tachypnea, poor weight gain
PRACTICE: CRITICAL THINKING AND
CLINICAL APPLICATION WITH 232
QUESTIONS AND CORRECT
ANSWERS RATED A+ 2026/2027
What is the nurse's priority action for a client developing pulseless ventricular
tachycardia?
Begin CPR and prepare defibrillation
Which rhythm is indicated by a rhythm strip showing P waves and QRS complexes
with no relationship?
Third-degree AV block
Which findings require urgent assessment in a client with a dysrhythmia? (Select
all that apply)
Chest pain, Syncope, New confusion, O2 saturation 88%
Which treatment should the nurse anticipate for a client with chest pressure and
ST elevation in II, III, and aVF?
Emergent PCI
What should the nurse do first for a client reporting new crushing chest pain?
Obtain a 12-lead ECG
How should the nurse interpret elevated troponin with no ST elevation and
ongoing chest discomfort?
NSTEMI is possible
Which teaching should be included for a client prescribed sublingual
nitroglycerin? (Select all that apply)
,Sit down before taking it, Call 911 if chest pain is not relieved after the prescribed
doses, Store tablets in original dark container, Expect possible headache or
dizziness
Which finding is most urgent for a STEMI client receiving thrombolytic therapy?
Sudden severe headache and neuro changes
Match the medication with its expected use: Adenosine
Slows AV nodal conduction briefly for SVT
Match the medication with its expected use: Amiodarone
Antidysrhythmic for ventricular/atrial rhythms
Match the medication with its expected use: Digoxin
Increases contractility and slows AV conduction
Match the medication with its expected use: Epinephrine
Supports BP/bronchodilation in emergencies
Which shock type is most likely for a client after MI with hypotension and
pulmonary congestion?
Cardiogenic
What is the priority intervention for a trauma client with tachycardia and
hypotension?
Control bleeding and start rapid fluid/blood replacement
What is the priority action for a client with hypotension, bradycardia, and warm
dry skin due to spinal cord injury?
Administer epinephrine as ordered
What type of shock is indicated by tracheal deviation, severe dyspnea, JVD, and
hypotension?
Obstructive shock
, What is the initial crystalloid resuscitation volume for a 70-kg adult with sepsis at
30 mL/kg?
2100 mL
What nursing action is unsafe for a client with suspected abdominal aortic
aneurysm (AAA)?
Palpate the mass to confirm size
What is the priority concern for a known AAA client who suddenly reports tearing
back pain and becomes hypotensive?
Rupture with hypovolemic shock
What is the most important teaching for a client with a small stable aneurysm?
Control BP and stop smoking
What assessment is priority after endovascular AAA repair?
Pedal pulses and urine output
Which congenital heart defect is indicated by a continuous machinery-like
murmur and bounding pulses?
Patent ductus arteriosus
What defect is suspected in a child with higher BP in the arms than legs and weak
femoral pulses?
Coarctation of the aorta
What compensatory action does a toddler with Tetralogy of Fallot exhibit during
play?
Squatting to improve pulmonary blood flow
Which findings may suggest heart failure in an infant with congenital heart
disease?
Poor feeding, diaphoresis with feeds, tachypnea, poor weight gain
