NUR257 SCRIPT 2026 FULL SOLVED
CONTENT
◉The school nurse is providing care to a child with a sore throat.
With any sign of throat infection, the nurse stresses which of the
following?
Administering antiseptic lozenges
Warm, salt water gargling
Fluid increase to 2500cc
Obtaining a throat culture. Answer: Obtaining a throat culture
◉A nurse is admitting a client with hypertrophic cardiomyopathy
(HCM). What medication order will the nurse question?
spironolactone
metoprolol
isosorbide dinitrate
enalapril. Answer: isosorbide dinitrate
◉The instructor is talking with a nursing student who is caring for a
client with pericarditis. The instructor asks the student to name the
main characteristic of pericarditis. What should be the student's
answer?
,Respiratory symptoms
Dyspnea
Fever
Precordial pain. Answer: Precordial pain
◉The nurse is caring for a patient diagnosed with pericarditis. What
serious complication should this patient be monitored for?
Hypertension
Left ventricular hypertrophy
Cardiac tamponade
Decreased venous pressure. Answer: Cardiac tamponade
◉The nurse is preparing to administer warfarin to a client with a
mechanical valve replacement. The client's international normalized
ratio is 2.7. What action will the nurse take?
Prepare to administer vitamin K.
Administer the medication as ordered.
Hold the medication and notify the HCP.
Asses the client for abnormal bleeding.. Answer: Administer the
medication as ordered.
◉A nurse is caring for a client with acute mitral regurgitation
related to an acute myocardial infarction. The nurse knows to
,monitor the client carefully for symptoms of which initial
complication or result?
Cerebral vascular accident (CVA)
Infarcted bowel
Kidney failure
Severe heart failure. Answer: Severe heart failure
◉A client who suffered blunt chest trauma in a motor vehicle
accident reports chest pain during deep inspiration. On auscultation,
the nurse detects a pericardial friction rub — a classic sign of acute
pericarditis. To relieve this chest pain, which position should the
nurse encourage the client to assume?
Prone
Supine
Semi-Fowler's
Leaning forward while sitting. Answer: Leaning forward while
sitting
◉Which nursing intervention should a nurse perform to reduce
cardiac workload in a client diagnosed with myocarditis?
Administer supplemental oxygen.
Administer a prescribed antipyretic.
Elevate the client's head.
, Maintain the client on bed rest.. Answer: Maintain the client on bed
rest.
◉Which type of graft is used when a heart valve replacement is
made of tissue from an animal heart valve?
Autograft
Allograft
Heterograft
Homograft. Answer: Heterograft
◉A nurse is assessing a client with aortic stenosis. What type of
murmur will the nurse expect to hear?
high-pitched and blowing.
low-pitched, rumbling during diastole.
loud and rough during systole.
low-pitched and blowing.. Answer: loud and rough during systole.
◉A client seeks medical attention for dyspnea, chest pain, syncope,
fatigue, and palpitations. A thorough physical examination reveals an
apical systolic thrill and heave, along with a fourth heart sound (S4)
and a systolic murmur. Diagnostic tests reveal that the client has a
new onset of hypertrophic cardiomyopathy (HCM). What will be
included on the plan of care?
beginning a weight reduction diet
CONTENT
◉The school nurse is providing care to a child with a sore throat.
With any sign of throat infection, the nurse stresses which of the
following?
Administering antiseptic lozenges
Warm, salt water gargling
Fluid increase to 2500cc
Obtaining a throat culture. Answer: Obtaining a throat culture
◉A nurse is admitting a client with hypertrophic cardiomyopathy
(HCM). What medication order will the nurse question?
spironolactone
metoprolol
isosorbide dinitrate
enalapril. Answer: isosorbide dinitrate
◉The instructor is talking with a nursing student who is caring for a
client with pericarditis. The instructor asks the student to name the
main characteristic of pericarditis. What should be the student's
answer?
,Respiratory symptoms
Dyspnea
Fever
Precordial pain. Answer: Precordial pain
◉The nurse is caring for a patient diagnosed with pericarditis. What
serious complication should this patient be monitored for?
Hypertension
Left ventricular hypertrophy
Cardiac tamponade
Decreased venous pressure. Answer: Cardiac tamponade
◉The nurse is preparing to administer warfarin to a client with a
mechanical valve replacement. The client's international normalized
ratio is 2.7. What action will the nurse take?
Prepare to administer vitamin K.
Administer the medication as ordered.
Hold the medication and notify the HCP.
Asses the client for abnormal bleeding.. Answer: Administer the
medication as ordered.
◉A nurse is caring for a client with acute mitral regurgitation
related to an acute myocardial infarction. The nurse knows to
,monitor the client carefully for symptoms of which initial
complication or result?
Cerebral vascular accident (CVA)
Infarcted bowel
Kidney failure
Severe heart failure. Answer: Severe heart failure
◉A client who suffered blunt chest trauma in a motor vehicle
accident reports chest pain during deep inspiration. On auscultation,
the nurse detects a pericardial friction rub — a classic sign of acute
pericarditis. To relieve this chest pain, which position should the
nurse encourage the client to assume?
Prone
Supine
Semi-Fowler's
Leaning forward while sitting. Answer: Leaning forward while
sitting
◉Which nursing intervention should a nurse perform to reduce
cardiac workload in a client diagnosed with myocarditis?
Administer supplemental oxygen.
Administer a prescribed antipyretic.
Elevate the client's head.
, Maintain the client on bed rest.. Answer: Maintain the client on bed
rest.
◉Which type of graft is used when a heart valve replacement is
made of tissue from an animal heart valve?
Autograft
Allograft
Heterograft
Homograft. Answer: Heterograft
◉A nurse is assessing a client with aortic stenosis. What type of
murmur will the nurse expect to hear?
high-pitched and blowing.
low-pitched, rumbling during diastole.
loud and rough during systole.
low-pitched and blowing.. Answer: loud and rough during systole.
◉A client seeks medical attention for dyspnea, chest pain, syncope,
fatigue, and palpitations. A thorough physical examination reveals an
apical systolic thrill and heave, along with a fourth heart sound (S4)
and a systolic murmur. Diagnostic tests reveal that the client has a
new onset of hypertrophic cardiomyopathy (HCM). What will be
included on the plan of care?
beginning a weight reduction diet
