NUR 202 TEST 4 – CARDIAC & MANAGEMENT | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE
PRACTICE QUESTIONS & ANSWERS 2026/2027
You are caring for a Post CABG patient. Which of the following findings are most concerning to
you?
a. No chest tube output for 1 hour that had been copious previously
b. Temperature of 99.1
c. ABG results of pH 7.32, PCO2 48, PO2 82, Bicarb 28
d. Urine output of 200 ml for the past 4 hours - ✔✔a. No chest tube output for 1 hour that had
been copious previously
A client on a telemetry unit has a BP of 88/40, HR of 44, feels faint and is pale and confused.
When caring for this client, which tasks should a RN delegate to a CNA? SELECT ALL that apply.
a. Paging for the charge nurse
b. Paging for a respiratory therapist
c. Applying oxygen per protocol
d. Securing an automatic BP machine
e. Completing a head to toe assessment
f. Obtaining a cardiac rhythm strip that the nurse sent to the central desk for printing - ✔✔a.
Paging for the charge nurse
d. Securing an automatic BP machine
f. Obtaining a cardiac rhythm strip that the nurse sent to the central desk for printing
Four clients need immediate attention. The nurse could delegate which of the following to the
LPN?
, a. Suction the airway of a client with a tracheostomy with copious secretions
b. Reinforce the abdominal dressing that has moderate serous drainage
c. Take the BP of a client during a severe hypertensive crisis
d. Teach a client refusing a procedure about the expected outcomes of the procedure. - ✔✔b.
Reinforce the abdominal dressing that has moderate serous drainage
A client admitted for a MI develops cardiogenic shock. An arterial line is inserted. Which of the
following orders should the nurse question?
a. Call for Urine output < 30 mL/hr for 2 consecutive hours
b. Metoprolol (Lopressor) 5 mg IV push
c. Prepare for a pulmonary artery catheter insertion.
d. Titrate Dobutamine (Dobutrex) to keep BP > 100 - ✔✔b. Metoprolol (Lopressor) 5 mg IV
push
Metoprolol is indicated in the treatment of hemodynamically stable clients with an acute MI to
reduce cardiovascular mortality. Cardiogenic shock causes severe hemodynamic instability and a
beta blocker will further depress myocardial contractility. The metoprolol should be
discontinued.
Your patient has just been scheduled for a cardiac cath later in the day. What action will you
take first?
a. Make the patient NPO
b. Teach the client about the procedure
c. Start an IV line with 0.9% NS
d. Ask the patient to sign a consent form. - ✔✔a. Make the patient NPO
PRACTICE QUESTIONS & ANSWERS 2026/2027
You are caring for a Post CABG patient. Which of the following findings are most concerning to
you?
a. No chest tube output for 1 hour that had been copious previously
b. Temperature of 99.1
c. ABG results of pH 7.32, PCO2 48, PO2 82, Bicarb 28
d. Urine output of 200 ml for the past 4 hours - ✔✔a. No chest tube output for 1 hour that had
been copious previously
A client on a telemetry unit has a BP of 88/40, HR of 44, feels faint and is pale and confused.
When caring for this client, which tasks should a RN delegate to a CNA? SELECT ALL that apply.
a. Paging for the charge nurse
b. Paging for a respiratory therapist
c. Applying oxygen per protocol
d. Securing an automatic BP machine
e. Completing a head to toe assessment
f. Obtaining a cardiac rhythm strip that the nurse sent to the central desk for printing - ✔✔a.
Paging for the charge nurse
d. Securing an automatic BP machine
f. Obtaining a cardiac rhythm strip that the nurse sent to the central desk for printing
Four clients need immediate attention. The nurse could delegate which of the following to the
LPN?
, a. Suction the airway of a client with a tracheostomy with copious secretions
b. Reinforce the abdominal dressing that has moderate serous drainage
c. Take the BP of a client during a severe hypertensive crisis
d. Teach a client refusing a procedure about the expected outcomes of the procedure. - ✔✔b.
Reinforce the abdominal dressing that has moderate serous drainage
A client admitted for a MI develops cardiogenic shock. An arterial line is inserted. Which of the
following orders should the nurse question?
a. Call for Urine output < 30 mL/hr for 2 consecutive hours
b. Metoprolol (Lopressor) 5 mg IV push
c. Prepare for a pulmonary artery catheter insertion.
d. Titrate Dobutamine (Dobutrex) to keep BP > 100 - ✔✔b. Metoprolol (Lopressor) 5 mg IV
push
Metoprolol is indicated in the treatment of hemodynamically stable clients with an acute MI to
reduce cardiovascular mortality. Cardiogenic shock causes severe hemodynamic instability and a
beta blocker will further depress myocardial contractility. The metoprolol should be
discontinued.
Your patient has just been scheduled for a cardiac cath later in the day. What action will you
take first?
a. Make the patient NPO
b. Teach the client about the procedure
c. Start an IV line with 0.9% NS
d. Ask the patient to sign a consent form. - ✔✔a. Make the patient NPO
