NRSG 357 Exam | Verified Exam Questions and Answers | Latest
Updated Study Material 2026
Question:
1. The nurse obtains a 6-second rhythm strip and
Answer:
charts the following analysis:
Atrial data: Rate: 70, regular
Variable PR interval Independent beats
Ventricular data: Rate: 40, regular
Isolated escape beats
Additional data: QRS: 0.04 sec
P wave and QRS complexes unrelated
Which rhythm is described by the data in the table?
A. Sinus dysrhythmia
B. Third-degree heart block
C. Wenckebach phenomenon
D. Premature ventricular contractions
Question:
2. A client is taking enoxaparin (Lovenox) daily. Which A
Answer:
client statement requires additional teaching?
A "I take aspirin for headache."
B "I take Ibuprofen (Motrin) at least once a week for
joint pain."
C "Whenever I have a fever, I take acetaminophen
(Tylenol)."
D "I take my medicine first thing in the morning."
Question:
3. A patient who takes warfarin (Coumadin) is
brought to the Emergency Department after acci-
dentally taking too much warfarin. The patient's
heart rate is 78 beats per minute and the blood
,Answer:
D
pressure is 120/80 mm Hg. A dipstick urinalysis
is normal. The patient does not have any obvious
hematoma or petechiae and does not complain of
pain. The nurse will anticipate an order for:
A Vitamin K (phytonadione).
B Protamine sulfate.
C an aPTT.
D an INR.
Question:
4. The nurse expects a newly diagnosed patient with C
Answer:
primary hypertension to likely state:
A "I started to notice difficulty breathing recently"
B "I started to feel palpitations lately"
C "I don't feel anything different. Are you sure my
pressure is high?"
D "I started to feel dizziness every day for the last
week"
Question:
5. The nurse has been working with a 45-year-old
African American who bicycles to work. Lab tests
show low serum lipids. The nurse knows that the
client's risk factors for primary (essential) hyperten-
sion include which of the following?
Answer:
B
A Being under the age of 65.
B Race.
C Low serum lipids.
D Active lifestyle.
Question:
6. A patient has had their blood pressure evaluated D
,Answer:
weekly for 1 month. At the end of the month, the
nurse averages out the weekly blood pressures at
150/96 mm HG. The patient is 20 pounds over-
weight, and their cholesterol is 240 mg/dl. What is
important information for the nurse to include in
the teaching plan for this patient?
A Refer her to the doctor for further follow-up and
medications
B Decrease the fiber in her diet and begin a daily 30
minute workout
C Reduce her cholesterol intake for 1 month and
check her BP 3 times per week
D Reduce her sodium intake and decrease the di-
etary calories that come from fat
Question:
7. A patient with hypertension asks the nurse why
lifestyle changes are needed when the patient has
no symptoms from the high BP. The response by
the nurse that is most likely to improve patient
compliance with therapy is that hypertension
Answer:
B
A Increases blood flow to the kidneys leading to
increased workload for the renal system.
B Damages the blood vessels leading to risk for
heart attack, stroke, and kidney failure.
C May not cause any problems for some people but
does cause symptoms in many others.
D Is probably causing symptoms but the patient
does not recognize that they are occurring.
Question:
8. A 84-yr-old patient is admitted with a BP of 180/98 D
Answer:
mm Hg. Which age-related physical changes is
probably not contributing to this patient's hyper-
tension?
, A Decreased renal function
B Increased peripheral vascular resistance
C Increased collagen and stiffness of the myocardi-
um
D Decreased peristalsis in large intestine
Question:
9. When the nurse is scheduled to administer lisino-
pril to a patient, which laboratory values should be
reviewed? SATA
Answer:
A, C, D
A Creatinine
B Fasting blood sugar
C Sodium
D Potassium
E Uric acid
Question:
10. What should the nurse teach a patient about pre- A
Answer:
caution before dental surgery when the patient is
prescribed long-term warfarin therapy?
A Inform the dentist of the most recent INR results.
B No action is needed.
C Stop warfarin 3 days before the dental surgery.
D Take half the normal dose of warfarin for 3 days
before the dental surgery.
Question:
11. Aggregation means clustering.
Answer:
A
A True
B False
Updated Study Material 2026
Question:
1. The nurse obtains a 6-second rhythm strip and
Answer:
charts the following analysis:
Atrial data: Rate: 70, regular
Variable PR interval Independent beats
Ventricular data: Rate: 40, regular
Isolated escape beats
Additional data: QRS: 0.04 sec
P wave and QRS complexes unrelated
Which rhythm is described by the data in the table?
A. Sinus dysrhythmia
B. Third-degree heart block
C. Wenckebach phenomenon
D. Premature ventricular contractions
Question:
2. A client is taking enoxaparin (Lovenox) daily. Which A
Answer:
client statement requires additional teaching?
A "I take aspirin for headache."
B "I take Ibuprofen (Motrin) at least once a week for
joint pain."
C "Whenever I have a fever, I take acetaminophen
(Tylenol)."
D "I take my medicine first thing in the morning."
Question:
3. A patient who takes warfarin (Coumadin) is
brought to the Emergency Department after acci-
dentally taking too much warfarin. The patient's
heart rate is 78 beats per minute and the blood
,Answer:
D
pressure is 120/80 mm Hg. A dipstick urinalysis
is normal. The patient does not have any obvious
hematoma or petechiae and does not complain of
pain. The nurse will anticipate an order for:
A Vitamin K (phytonadione).
B Protamine sulfate.
C an aPTT.
D an INR.
Question:
4. The nurse expects a newly diagnosed patient with C
Answer:
primary hypertension to likely state:
A "I started to notice difficulty breathing recently"
B "I started to feel palpitations lately"
C "I don't feel anything different. Are you sure my
pressure is high?"
D "I started to feel dizziness every day for the last
week"
Question:
5. The nurse has been working with a 45-year-old
African American who bicycles to work. Lab tests
show low serum lipids. The nurse knows that the
client's risk factors for primary (essential) hyperten-
sion include which of the following?
Answer:
B
A Being under the age of 65.
B Race.
C Low serum lipids.
D Active lifestyle.
Question:
6. A patient has had their blood pressure evaluated D
,Answer:
weekly for 1 month. At the end of the month, the
nurse averages out the weekly blood pressures at
150/96 mm HG. The patient is 20 pounds over-
weight, and their cholesterol is 240 mg/dl. What is
important information for the nurse to include in
the teaching plan for this patient?
A Refer her to the doctor for further follow-up and
medications
B Decrease the fiber in her diet and begin a daily 30
minute workout
C Reduce her cholesterol intake for 1 month and
check her BP 3 times per week
D Reduce her sodium intake and decrease the di-
etary calories that come from fat
Question:
7. A patient with hypertension asks the nurse why
lifestyle changes are needed when the patient has
no symptoms from the high BP. The response by
the nurse that is most likely to improve patient
compliance with therapy is that hypertension
Answer:
B
A Increases blood flow to the kidneys leading to
increased workload for the renal system.
B Damages the blood vessels leading to risk for
heart attack, stroke, and kidney failure.
C May not cause any problems for some people but
does cause symptoms in many others.
D Is probably causing symptoms but the patient
does not recognize that they are occurring.
Question:
8. A 84-yr-old patient is admitted with a BP of 180/98 D
Answer:
mm Hg. Which age-related physical changes is
probably not contributing to this patient's hyper-
tension?
, A Decreased renal function
B Increased peripheral vascular resistance
C Increased collagen and stiffness of the myocardi-
um
D Decreased peristalsis in large intestine
Question:
9. When the nurse is scheduled to administer lisino-
pril to a patient, which laboratory values should be
reviewed? SATA
Answer:
A, C, D
A Creatinine
B Fasting blood sugar
C Sodium
D Potassium
E Uric acid
Question:
10. What should the nurse teach a patient about pre- A
Answer:
caution before dental surgery when the patient is
prescribed long-term warfarin therapy?
A Inform the dentist of the most recent INR results.
B No action is needed.
C Stop warfarin 3 days before the dental surgery.
D Take half the normal dose of warfarin for 3 days
before the dental surgery.
Question:
11. Aggregation means clustering.
Answer:
A
A True
B False
