NURS 480 Final Exam – Nursing – Actual
Questions & Answers (West Coast
University) 100% Guarantee Pass
1. A nurse is caring for a patient who is 12 hours post-operative from a CABG.
The nurse notes a sudden drop in blood pressure, muffled heart sounds, and
jugular venous distention (JVD). Which complication should the nurse
suspect?
A. Myocardial Infarction
B. Cardiac Tamponade
C. Acute Kidney Injury
D. Pulmonary Embolism
Answer: B
2. A patient is diagnosed with a 3rd-degree heart block. Which of the following
is the priority medical management for this patient?
A. Administration of Digoxin
B. Immediate cardioversion
C. Permanent pacemaker insertion
D. Administration of Beta-blockers
Answer: C
3. Select All That Apply: A nurse is assessing a patient with a suspected
Abdominal Aortic Aneurysm (AAA). Which of the following findings would
indicate an impending rupture?
A. Severe back or abdominal pain
B. Intense, localized pain in the middle or lower abdomen
C. Falling blood pressure
D. Decreasing hematocrit
E. Increased urinary output
Answer: A, B, C, D
4. True or False: In a patient with an Abdominal Aortic Aneurysm, it is normal
to expect the patient to complain of a "heart beating in their abdomen" when
lying down.
A. True
B. False
Answer: A
5. A nurse is monitoring a patient's Central Venous Pressure (CVP). The
current reading is 1 mm Hg. How should the nurse interpret this finding?
A. The patient is experiencing fluid volume excess
,B. The patient is experiencing hypovolemia
C. This is a normal finding for an adult
D. The patient has right-sided heart failure
Answer: B (Normal range is 2-6 mm Hg)
6. A patient with heart failure is prescribed Digoxin. Which of the following
instructions should the nurse include in the patient's education?
A. Take your medication with a glass of milk
B. Take your radial pulse daily before taking the medication
C. If you miss a dose, you can take it up to 12 hours later
D. This medication will increase your heart rate
Answer: B
7. Select All That Apply: Which of the following are potential causes of
Ventricular Tachycardia?
A. Hypokalemia
B. Digitalis toxicity
C. Cardiac ischemia or infarction
D. Excessive caffeine or nicotine use
E. Metabolic alkalosis
Answer: A, B, C, D
8. A nurse is caring for a patient with a chest tube. Which of the following
findings should the nurse report to the healthcare provider immediately?
A. Drainage of 30 mL/hr
B. Continuous bubbling in the water-seal chamber
C. Intermittent bubbling during coughing or sneezing
D. The drainage system is located below the level of the chest
Answer: B (Indicates an air leak)
9. True or False: When a patient is in Ventricular Tachycardia and has a
palpable pulse, the priority intervention is immediate defibrillation.
A. True
B. False
Answer: B (Cardioversion is used if there is a pulse; defibrillation is for
pulseless VT/V-fib.)
10. A patient with Aortic Valve Stenosis is being assessed. Which of the
following clinical manifestations is the nurse most likely to find?
A. A loud, harsh systolic murmur over the right second intercostal space
B. Bounding peripheral pulses
C. Increased exercise tolerance
D. Hypotension and bradycardia
Answer: A
,11. Select All That Apply: Which of the following are common complications
following cardiac surgery?
A. Cardiac Tamponade
B. Electrolyte imbalances
C. Impaired gas exchange
D. Acute Kidney Injury (AKI)
E. Hypothermia
Answer: A, B, C, D, E
12. A nurse is caring for a patient who has just returned from a CABG
procedure. The patient's CVP is 8 mm Hg. Which intervention should the
nurse anticipate?
A. Administration of a fluid bolus
B. Administration of a diuretic
C. Immediate return to the OR
D. Starting a dopamine infusion
Answer: B (CVP > 6 indicates hypervolemia/fluid overload)
13. True or False: Atenolol should be used with caution or avoided in patients
with a history of asthma because it can cause bronchoconstriction.
A. True
B. False
Answer: A
14. A patient with heart failure presents with pink, frothy sputum and a
persistent cough. Which condition is most likely occurring?
A. Pulmonary Embolism
B. Pulmonary Edema
C. Tuberculosis
D. Pneumonia
Answer: B
15. Select All That Apply: Which of the following are indications for a Coronary
Artery Bypass Graft (CABG)?
A. Angina that cannot be controlled with medications
B. Left main coronary artery stenosis
C. Treatment or prevention of a Myocardial Infarction
D. Asymptomatic mitral valve prolapse
E. Stable hypertension
Answer: A, B, C
16. A nurse is caring for a patient in the ICU. The CVP monitor shows a
reading of 4 mm Hg. What is the nurse's best action?
A. Notify the provider of a critical value
B. Document the finding as normal
, C. Increase the IV fluid rate
D. Place the patient in Trendelenburg position
Answer: B (Normal range is 2-6 mm Hg)
17. True or False: During a code, the nurse should call "Clear" three times to
ensure no one is touching the patient or the bed before delivering a shock.
A. True
B. False
Answer: A
18. A patient with an Abdominal Aortic Aneurysm (AAA) is being monitored.
Which of the following is a primary risk factor for the development of this
condition?
A. Hypotension
B. Nicotine use (Smoking)
C. Low-sodium diet
D. Regular physical activity
Answer: B
19. Select All That Apply: Which of the following findings are characteristic of
Left-Sided Heart Failure?
A. Crackles in the lungs
B. S3 (Ventricular gallop)
C. Dyspnea and cough
D. Jugular Venous Distention (JVD)
E. Peripheral edema
Answer: A, B, C
20. A nurse is administering Albuterol to a patient with COPD. Which side
effect should the nurse monitor for?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Drowsiness
Answer: B
21. True or False: A patient with an Implantable Cardioverter-Defibrillator
(ICD) should be instructed to continue taking their anti-arrhythmic medications
as prescribed.
A. True
B. False
Answer: A
22. A patient is suspected of having an Aortic Dissection. Which of the
following is a classic clinical manifestation of this emergency?
A. Gradual onset of mild chest discomfort
Questions & Answers (West Coast
University) 100% Guarantee Pass
1. A nurse is caring for a patient who is 12 hours post-operative from a CABG.
The nurse notes a sudden drop in blood pressure, muffled heart sounds, and
jugular venous distention (JVD). Which complication should the nurse
suspect?
A. Myocardial Infarction
B. Cardiac Tamponade
C. Acute Kidney Injury
D. Pulmonary Embolism
Answer: B
2. A patient is diagnosed with a 3rd-degree heart block. Which of the following
is the priority medical management for this patient?
A. Administration of Digoxin
B. Immediate cardioversion
C. Permanent pacemaker insertion
D. Administration of Beta-blockers
Answer: C
3. Select All That Apply: A nurse is assessing a patient with a suspected
Abdominal Aortic Aneurysm (AAA). Which of the following findings would
indicate an impending rupture?
A. Severe back or abdominal pain
B. Intense, localized pain in the middle or lower abdomen
C. Falling blood pressure
D. Decreasing hematocrit
E. Increased urinary output
Answer: A, B, C, D
4. True or False: In a patient with an Abdominal Aortic Aneurysm, it is normal
to expect the patient to complain of a "heart beating in their abdomen" when
lying down.
A. True
B. False
Answer: A
5. A nurse is monitoring a patient's Central Venous Pressure (CVP). The
current reading is 1 mm Hg. How should the nurse interpret this finding?
A. The patient is experiencing fluid volume excess
,B. The patient is experiencing hypovolemia
C. This is a normal finding for an adult
D. The patient has right-sided heart failure
Answer: B (Normal range is 2-6 mm Hg)
6. A patient with heart failure is prescribed Digoxin. Which of the following
instructions should the nurse include in the patient's education?
A. Take your medication with a glass of milk
B. Take your radial pulse daily before taking the medication
C. If you miss a dose, you can take it up to 12 hours later
D. This medication will increase your heart rate
Answer: B
7. Select All That Apply: Which of the following are potential causes of
Ventricular Tachycardia?
A. Hypokalemia
B. Digitalis toxicity
C. Cardiac ischemia or infarction
D. Excessive caffeine or nicotine use
E. Metabolic alkalosis
Answer: A, B, C, D
8. A nurse is caring for a patient with a chest tube. Which of the following
findings should the nurse report to the healthcare provider immediately?
A. Drainage of 30 mL/hr
B. Continuous bubbling in the water-seal chamber
C. Intermittent bubbling during coughing or sneezing
D. The drainage system is located below the level of the chest
Answer: B (Indicates an air leak)
9. True or False: When a patient is in Ventricular Tachycardia and has a
palpable pulse, the priority intervention is immediate defibrillation.
A. True
B. False
Answer: B (Cardioversion is used if there is a pulse; defibrillation is for
pulseless VT/V-fib.)
10. A patient with Aortic Valve Stenosis is being assessed. Which of the
following clinical manifestations is the nurse most likely to find?
A. A loud, harsh systolic murmur over the right second intercostal space
B. Bounding peripheral pulses
C. Increased exercise tolerance
D. Hypotension and bradycardia
Answer: A
,11. Select All That Apply: Which of the following are common complications
following cardiac surgery?
A. Cardiac Tamponade
B. Electrolyte imbalances
C. Impaired gas exchange
D. Acute Kidney Injury (AKI)
E. Hypothermia
Answer: A, B, C, D, E
12. A nurse is caring for a patient who has just returned from a CABG
procedure. The patient's CVP is 8 mm Hg. Which intervention should the
nurse anticipate?
A. Administration of a fluid bolus
B. Administration of a diuretic
C. Immediate return to the OR
D. Starting a dopamine infusion
Answer: B (CVP > 6 indicates hypervolemia/fluid overload)
13. True or False: Atenolol should be used with caution or avoided in patients
with a history of asthma because it can cause bronchoconstriction.
A. True
B. False
Answer: A
14. A patient with heart failure presents with pink, frothy sputum and a
persistent cough. Which condition is most likely occurring?
A. Pulmonary Embolism
B. Pulmonary Edema
C. Tuberculosis
D. Pneumonia
Answer: B
15. Select All That Apply: Which of the following are indications for a Coronary
Artery Bypass Graft (CABG)?
A. Angina that cannot be controlled with medications
B. Left main coronary artery stenosis
C. Treatment or prevention of a Myocardial Infarction
D. Asymptomatic mitral valve prolapse
E. Stable hypertension
Answer: A, B, C
16. A nurse is caring for a patient in the ICU. The CVP monitor shows a
reading of 4 mm Hg. What is the nurse's best action?
A. Notify the provider of a critical value
B. Document the finding as normal
, C. Increase the IV fluid rate
D. Place the patient in Trendelenburg position
Answer: B (Normal range is 2-6 mm Hg)
17. True or False: During a code, the nurse should call "Clear" three times to
ensure no one is touching the patient or the bed before delivering a shock.
A. True
B. False
Answer: A
18. A patient with an Abdominal Aortic Aneurysm (AAA) is being monitored.
Which of the following is a primary risk factor for the development of this
condition?
A. Hypotension
B. Nicotine use (Smoking)
C. Low-sodium diet
D. Regular physical activity
Answer: B
19. Select All That Apply: Which of the following findings are characteristic of
Left-Sided Heart Failure?
A. Crackles in the lungs
B. S3 (Ventricular gallop)
C. Dyspnea and cough
D. Jugular Venous Distention (JVD)
E. Peripheral edema
Answer: A, B, C
20. A nurse is administering Albuterol to a patient with COPD. Which side
effect should the nurse monitor for?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Drowsiness
Answer: B
21. True or False: A patient with an Implantable Cardioverter-Defibrillator
(ICD) should be instructed to continue taking their anti-arrhythmic medications
as prescribed.
A. True
B. False
Answer: A
22. A patient is suspected of having an Aortic Dissection. Which of the
following is a classic clinical manifestation of this emergency?
A. Gradual onset of mild chest discomfort
