NUR 170 Exam 3 Practice Questions and Review Guide
NUR170 Exam 3 practice questions
1) A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours
before the procedure and for 48 hours after the procedure?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin
2) The home care nurse is providing instructions to a client with an arterial ischemic leg ulcer
about home care management and self-care management. Which statement, if made by the client,
indicates a need for further instruction?
1. "I need to be sure not to go barefoot around the house."
2. "If I cut my toenails, I need to be sure that I cut them straight across."
3. "It is all right to apply lanolin to my feet, but I shouldn't place it between my toes."
4. "I need to be sure that I elevate my leg above the level of my heart for at least an hour every
day."
3) The nurse is preparing discharge instructions for a client with Raynaud's disease. The nurse
should plan to provide which instruction to the client?
1. Use nail polish to protect the nail beds from injury.
2. Wear gloves for all activities involving the use of both hands.
3. Stop smoking because it causes cutaneous blood vessel spasm.
4. Always wear warm clothing, even in warm climates, to prevent vasoconstriction.
4) Which topics will the nurse plan to include in discharge teaching for a patient who has been
admitted with heart failure? Select all that apply.
1 How to monitor and record daily weight
2 Importance of stopping exercise if heart rate increases
3 Symptoms of worsening heart failure
4 Purpose of chronic antibiotic therapy
5 How to read food labels for sodium content
6 Date and time for follow-up appointments
5) A patient whose systolic blood pressure is always higher than 140 mm Hg in the clinic tells
the nurse, "My blood pressure at home is always fine!" What action should the nurse take next?
NUR 170 Exam 3 Practice Questions and Review Guide
, NUR 170 Exam 3 Practice Questions and Review Guide
1 Instruct the patient about the effects of untreated high blood pressure on the cardiovascular
and cerebrovascular systems.
2 Educate the patient about lifestyle changes such as a low-sodium diet, daily exercise, and
restricting alcohol use to no more than 2 beers per day.
3 Ask the patient to obtain blood pressures twice daily with an automatic blood pressure cuff at
home and bring the results to the clinic in a week.
4 Provide the patient with a handout describing the various types of antihypertensive
medications with the medication effects and adverse effects.
6) A nurse reviews a client’s laboratory results. Which findings would alert the nurse to the
possibility of atherosclerosis? (Select all that apply.)
A. Low-density lipoprotein cholesterol: 160 mg/dL (4.1 mmol/L)
B. Serum albumin: 4 g/dL (5.8 mcmol/L)
C. Triglycerides: 200 mg/dL (2.3 mmol/L)
D. High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L)
E. Total cholesterol: 280 mg/dL (7.3 mmol/L)
7) A nurse assesses a client with atrial fibrillation. Which manifestation would alert the nurse to
the possibility of a serious complication from this condition?
A. Dyspnea with activity
B. Sinus tachycardia
C. Fatigue
D. Speech alterations
8) A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the
nurse to the possibility of right-sided heart failure?
A. “I sleep with four pillows at night.”
B. “I wake up coughing every night.”
C. “My shoes fit really tight lately.”
D. “I have trouble catching my breath.”
9) A client asks what “essential hypertension” is. What response by the registered nurse is best?
A. “It means it is caused by another disease.”
B. “It is hypertension with no specific cause.”
C. “It refers to severe and life-threatening hypertension.”
D. “It means it is ‘essential’ that it be treated.”
10) A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse
sees no electrocardiographic complexes on the screen. Which is the priority nursing action?
1. Call a code.
2. Call the primary health care provider.
NUR 170 Exam 3 Practice Questions and Review Guide
NUR170 Exam 3 practice questions
1) A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours
before the procedure and for 48 hours after the procedure?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin
2) The home care nurse is providing instructions to a client with an arterial ischemic leg ulcer
about home care management and self-care management. Which statement, if made by the client,
indicates a need for further instruction?
1. "I need to be sure not to go barefoot around the house."
2. "If I cut my toenails, I need to be sure that I cut them straight across."
3. "It is all right to apply lanolin to my feet, but I shouldn't place it between my toes."
4. "I need to be sure that I elevate my leg above the level of my heart for at least an hour every
day."
3) The nurse is preparing discharge instructions for a client with Raynaud's disease. The nurse
should plan to provide which instruction to the client?
1. Use nail polish to protect the nail beds from injury.
2. Wear gloves for all activities involving the use of both hands.
3. Stop smoking because it causes cutaneous blood vessel spasm.
4. Always wear warm clothing, even in warm climates, to prevent vasoconstriction.
4) Which topics will the nurse plan to include in discharge teaching for a patient who has been
admitted with heart failure? Select all that apply.
1 How to monitor and record daily weight
2 Importance of stopping exercise if heart rate increases
3 Symptoms of worsening heart failure
4 Purpose of chronic antibiotic therapy
5 How to read food labels for sodium content
6 Date and time for follow-up appointments
5) A patient whose systolic blood pressure is always higher than 140 mm Hg in the clinic tells
the nurse, "My blood pressure at home is always fine!" What action should the nurse take next?
NUR 170 Exam 3 Practice Questions and Review Guide
, NUR 170 Exam 3 Practice Questions and Review Guide
1 Instruct the patient about the effects of untreated high blood pressure on the cardiovascular
and cerebrovascular systems.
2 Educate the patient about lifestyle changes such as a low-sodium diet, daily exercise, and
restricting alcohol use to no more than 2 beers per day.
3 Ask the patient to obtain blood pressures twice daily with an automatic blood pressure cuff at
home and bring the results to the clinic in a week.
4 Provide the patient with a handout describing the various types of antihypertensive
medications with the medication effects and adverse effects.
6) A nurse reviews a client’s laboratory results. Which findings would alert the nurse to the
possibility of atherosclerosis? (Select all that apply.)
A. Low-density lipoprotein cholesterol: 160 mg/dL (4.1 mmol/L)
B. Serum albumin: 4 g/dL (5.8 mcmol/L)
C. Triglycerides: 200 mg/dL (2.3 mmol/L)
D. High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L)
E. Total cholesterol: 280 mg/dL (7.3 mmol/L)
7) A nurse assesses a client with atrial fibrillation. Which manifestation would alert the nurse to
the possibility of a serious complication from this condition?
A. Dyspnea with activity
B. Sinus tachycardia
C. Fatigue
D. Speech alterations
8) A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the
nurse to the possibility of right-sided heart failure?
A. “I sleep with four pillows at night.”
B. “I wake up coughing every night.”
C. “My shoes fit really tight lately.”
D. “I have trouble catching my breath.”
9) A client asks what “essential hypertension” is. What response by the registered nurse is best?
A. “It means it is caused by another disease.”
B. “It is hypertension with no specific cause.”
C. “It refers to severe and life-threatening hypertension.”
D. “It means it is ‘essential’ that it be treated.”
10) A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse
sees no electrocardiographic complexes on the screen. Which is the priority nursing action?
1. Call a code.
2. Call the primary health care provider.
NUR 170 Exam 3 Practice Questions and Review Guide
