NSG 3800 EXAM 2 QUESTIONS
AND ANSWERS 2026 - 2027
The nurse is assessing a client whose apical pulse rate is 42 and the
client reports feeling dizzy and nauseated. Which of the following
standing protocol medications should the nurse plan to administer?
a. Atropine.
b. Epinephrine.
c. Adenosine.
d. Calcium channel blocker. - ANSWERS-a. Atropine.
The nurse is providing discharge teaching to a client diagnosed with
heart failure (HF). It indicates a need for additional teaching if the
client states, "I will call the primary health care provider (PHCP) if
a. I have increased swelling of my ankles, feet, or abdomen."
b. I develop worsening shortness of breath with activity or rest."
c. my disease becomes long-term and is not cured after this
treatment."
d. I gain 2 to 3 pounds in 1 day or 5 pounds in 1 week." - ANSWERS-
c. my disease becomes long-term and is not cured after this
treatment."
,The nurse working on the telemetry unit obtains the following rhythm
strip:
***Picture of Rhythm Strip***
***Picture Not Found***
After interpretation, which of the following actions should the nurse
take next?
a. Administer the prescribed calcium-channel blockers as needed.
b. Assess if there is vagal stimulation or hypoxemia present in the
client.
c. Nothing since the ventricular rate and atrial rate is about 60 beats
per minute.
d. Document the findings after double-checking the client's bilateral
radial pulses. - ANSWERS-b. Assess if there is vagal stimulation or
hypoxemia present in the client.
The nurse is recovering a client after insertion of an implantable
cardioverter-defibrillator (ICD). Which of the following
complications requires immediate intervention by the nurse?
a. 2/4 bilateral peripheral edema.
, b. Temperature of 96° F (35.5° C).
c. Pulse of 56.
d. Muffled heart sounds. - ANSWERS-d. Muffled heart sounds.
The nurse working on the telemetry unit obtains the following rhythm
strip for an assigned client:
***Picture of Rhythm Strip***
The nurse recognizes this rhythm and the likely cause as
a. atrial fibrillation (AF) due to myocardial hypertrophy or fibrosis.
b. normal sinus rhythm in a client who is stressed due to
hospitalization.
c. sinus bradycardia due to apprehension for upcoming cardiac
surgery.
d. ventricular fibrillation due to myocardial hypotrophy or reduction. -
ANSWERS-a. atrial fibrillation (AF) due to myocardial hypertrophy
or fibrosis.
The nurse is performing a routine history and physical assessment of a
healthy 100-year-old female client with no medical history. Which of
the following findings should the nurse attribute to age-
relatedfunctional changes of the cardiovascular system?
AND ANSWERS 2026 - 2027
The nurse is assessing a client whose apical pulse rate is 42 and the
client reports feeling dizzy and nauseated. Which of the following
standing protocol medications should the nurse plan to administer?
a. Atropine.
b. Epinephrine.
c. Adenosine.
d. Calcium channel blocker. - ANSWERS-a. Atropine.
The nurse is providing discharge teaching to a client diagnosed with
heart failure (HF). It indicates a need for additional teaching if the
client states, "I will call the primary health care provider (PHCP) if
a. I have increased swelling of my ankles, feet, or abdomen."
b. I develop worsening shortness of breath with activity or rest."
c. my disease becomes long-term and is not cured after this
treatment."
d. I gain 2 to 3 pounds in 1 day or 5 pounds in 1 week." - ANSWERS-
c. my disease becomes long-term and is not cured after this
treatment."
,The nurse working on the telemetry unit obtains the following rhythm
strip:
***Picture of Rhythm Strip***
***Picture Not Found***
After interpretation, which of the following actions should the nurse
take next?
a. Administer the prescribed calcium-channel blockers as needed.
b. Assess if there is vagal stimulation or hypoxemia present in the
client.
c. Nothing since the ventricular rate and atrial rate is about 60 beats
per minute.
d. Document the findings after double-checking the client's bilateral
radial pulses. - ANSWERS-b. Assess if there is vagal stimulation or
hypoxemia present in the client.
The nurse is recovering a client after insertion of an implantable
cardioverter-defibrillator (ICD). Which of the following
complications requires immediate intervention by the nurse?
a. 2/4 bilateral peripheral edema.
, b. Temperature of 96° F (35.5° C).
c. Pulse of 56.
d. Muffled heart sounds. - ANSWERS-d. Muffled heart sounds.
The nurse working on the telemetry unit obtains the following rhythm
strip for an assigned client:
***Picture of Rhythm Strip***
The nurse recognizes this rhythm and the likely cause as
a. atrial fibrillation (AF) due to myocardial hypertrophy or fibrosis.
b. normal sinus rhythm in a client who is stressed due to
hospitalization.
c. sinus bradycardia due to apprehension for upcoming cardiac
surgery.
d. ventricular fibrillation due to myocardial hypotrophy or reduction. -
ANSWERS-a. atrial fibrillation (AF) due to myocardial hypertrophy
or fibrosis.
The nurse is performing a routine history and physical assessment of a
healthy 100-year-old female client with no medical history. Which of
the following findings should the nurse attribute to age-
relatedfunctional changes of the cardiovascular system?
