NUR 265 EXAM 1 PREPARATION 2026
HIGH YIELD TOPICS SOLUTIONS
ROADMAP
◉ Oozing blood at the IV site
Answer: The nurse in the ER is caring for a client who just had an MI
and is receiving a continuous infusion of TPA. It would be most
important for the nurse to notify the PCP if the client develops
◉ Do you currently take blood thinners
Answer: The nurse is caring for a client who has had chest pain for
the past 45 min and has been prescribed the intravenous
thrombolytic Tenecteplase. Which of the following questions is the
most important for the nurse to ask the client before administering
the medication
◉ Systolic bp has decreased from 126/96 to 106/68mmhg
Answer: The nurse working in a rehab is assisting a client who had
an MI to increase activity tolerance. Which of the following client
symptoms indicates a need to stop the clients current activity
◉ A. 20ml/hr B. 5ml/hr C. 15ml/hr D. 10ml/hr
, Answer: The nurse has received a prescription to increase a clients
dopamine drip from 3mcg/kg/min to 5mcg/kg/min. The
concentration of dopamine is 400mg/250ml D5W and the client
weighs 235lbs. What would the nurse increase the clients infusion
pump
◉ BUN of 26mg/dl
Answer: The nurse working in the tele step down unit is caring for a
client who is scheduled for a cardiac catheterization and an
angioplasty. Which of the following lab findings is most important
for the nurse to report to the PCP
◉ This test is performed to help detect problems with my heart
valves and chambers
Answer: The nurse has instructed a client who is scheduled to have a
cardiac catheterization. Which of the following client statements
would indicate a correct understanding of the teaching
◉ Had CABG surgery 24 hrs ago and has developed distant muffled
heart sounds
Answer: The nurse has been made aware of the following client
situation. The nurse should initially plan to assess the client
◉ Sharp pain in the anterior chest
A right sternal border heart murmur
HIGH YIELD TOPICS SOLUTIONS
ROADMAP
◉ Oozing blood at the IV site
Answer: The nurse in the ER is caring for a client who just had an MI
and is receiving a continuous infusion of TPA. It would be most
important for the nurse to notify the PCP if the client develops
◉ Do you currently take blood thinners
Answer: The nurse is caring for a client who has had chest pain for
the past 45 min and has been prescribed the intravenous
thrombolytic Tenecteplase. Which of the following questions is the
most important for the nurse to ask the client before administering
the medication
◉ Systolic bp has decreased from 126/96 to 106/68mmhg
Answer: The nurse working in a rehab is assisting a client who had
an MI to increase activity tolerance. Which of the following client
symptoms indicates a need to stop the clients current activity
◉ A. 20ml/hr B. 5ml/hr C. 15ml/hr D. 10ml/hr
, Answer: The nurse has received a prescription to increase a clients
dopamine drip from 3mcg/kg/min to 5mcg/kg/min. The
concentration of dopamine is 400mg/250ml D5W and the client
weighs 235lbs. What would the nurse increase the clients infusion
pump
◉ BUN of 26mg/dl
Answer: The nurse working in the tele step down unit is caring for a
client who is scheduled for a cardiac catheterization and an
angioplasty. Which of the following lab findings is most important
for the nurse to report to the PCP
◉ This test is performed to help detect problems with my heart
valves and chambers
Answer: The nurse has instructed a client who is scheduled to have a
cardiac catheterization. Which of the following client statements
would indicate a correct understanding of the teaching
◉ Had CABG surgery 24 hrs ago and has developed distant muffled
heart sounds
Answer: The nurse has been made aware of the following client
situation. The nurse should initially plan to assess the client
◉ Sharp pain in the anterior chest
A right sternal border heart murmur
