NSG 239 EXAM 4 REMEDIATION QUESTIONS AND ANSWERS |
NSG 239 STUDY GUIDE & PRACTICE TEST 2026/2027
A patient is at risk for coronary artery disease. Which dietary instruction would the patient with a BMI of
35 follow to reduce his or her weight? SATA
A. Avoid pastries
B. Avoid seafood
C. Avoid fast food
D. Avoid fresh fruits
E. Avoid peanut butter - correct answer ✔✔A, C, E
Which patient is least likely to require red blood cell transfusion therapy?
A. patient who sustained trauma
B. Problems that destroy RBC
C. Hemoglobin level of 8
D. Impaired RBC maturation - correct answer ✔✔C
Which symptom of cardiac tamponade may occur in a patient after CABG surgery?
A. Cessation of previously heavy mediastinal drainage
B. Rise in overall body temperature
C. Blood pressure increase of 10mm Hg or higher on inspiration
D. Pulmonary artery wedge pressure greater than the right atrial pressure - correct answer ✔✔A
A patient presents to the ER reporting chest pain radiating to the jaw and left arm. After obtaining vital
signs, the nurse would perform which action first?
A. Obtain an ECG
B. Draw blood for a cardiac catheterization
C. Schedule a cardiac catheterization
D. Contact the radiology dept for a chest xray - correct answer ✔✔A. Obtain an ECG
A patient with anemia is prescribed a transfusion of packed RBC to be administered over 4 hours. Which
volume should the nurse anticipate for the transfusion?
A. 100 to 150 mL
B. 200 to 250 mL
C. 300 to 350 mL
D. 400 to 450 mL - correct answer ✔✔B. 200 to 250 mL
Anemia is usually treated by administering 200mL of packed red blood cells over 4 hours.
Which information would the nurse include in discharge instructions for a patient with a new diagnosis
of angina about nitroglycerin administration?
A. Take the BP and HR before administration.
B. Monitor for tinnitus as this indicates toxicity
C. Hold the dose if the HR is less than 55bpm
D. Repeat the dose every 5 minutes up to 3 tablets, if needed. - correct answer ✔✔D. Repeat the dose
every 5 minutes up to 3 tablets, if needed.
, A patient with leukemia will begin induction therapy with a combination of chemotherapeutic agents.
The nurse explains to the patient that induction therapy has which treatment goal?
A. Remission of all disease manifestations
B. Complete cure once remission is established.
C. Prevention of infection and other complications
D. Maintenance of remission during chemotherapy. - correct answer ✔✔A. Remission of all disease
manifestations.
Rationale: Induction therapy is initiated upon diagnosis and is intended to induce remission from all
manifestations of the disease.
An African-American patient taking thiazide diuretic develops hemolytic anemia. The nurse notifies the
HCP and anticipates a prescription to test this patient for which type of anemia?
A. Iron deficiency
B. Glucose-6-Phosphate dehydrogenase deficiency
C. Immunohemolytic
D. Sickle cell disease - correct answer ✔✔B. G6PD
Rationale: Patients with G6PD deficiency do not have symptoms until they develop a severe infection or
are exposed to certain drugs, such as thiazide, a diuretic that causes RBC with reduced G6PD to break
more easily.
Which complication would cause a non-ST elevated myocardial infarction? SATA
A. Untreated angina
B. Coronary vasospasm
C. Spontaneous dissection
D. Narrowing of the coronary artery
E. Rupture of fibrous atherosclerotic plaque. - correct answer ✔✔B, C, D
Which complication can occur as a result of ventricular remodeling? SATA
A. Heart failure
B. Electrolyte disturbances
C. Acute atrial dysrhythmias
D. Chronic ventricular dysrhythmias
E. Decreased left ventricular function - correct answer ✔✔A, D, E
pg 752
Which change should be monitored for during the first 15 to 30 minutes in a patient who is undergoing
blood transfusion?
A. Hyperkalemia
B. Fluid overload
C. Febrile reaction
D. Hemolytic reaction - correct answer ✔✔D. Hemolytic reaction
Rationale: hemolytic reaction may occur during the infusion of the first 50mL of the blood. Therefore,
the nurse should remain with the patient for the first 15 to 30 minutes to monitor hemolytic reaction.
A patient complains of cold intolerance, severe fatigue, and difficulty breathing. While taking the history
of the patient, it is revealed that she has been experiencing excessive menstrual bleeding for a few
NSG 239 STUDY GUIDE & PRACTICE TEST 2026/2027
A patient is at risk for coronary artery disease. Which dietary instruction would the patient with a BMI of
35 follow to reduce his or her weight? SATA
A. Avoid pastries
B. Avoid seafood
C. Avoid fast food
D. Avoid fresh fruits
E. Avoid peanut butter - correct answer ✔✔A, C, E
Which patient is least likely to require red blood cell transfusion therapy?
A. patient who sustained trauma
B. Problems that destroy RBC
C. Hemoglobin level of 8
D. Impaired RBC maturation - correct answer ✔✔C
Which symptom of cardiac tamponade may occur in a patient after CABG surgery?
A. Cessation of previously heavy mediastinal drainage
B. Rise in overall body temperature
C. Blood pressure increase of 10mm Hg or higher on inspiration
D. Pulmonary artery wedge pressure greater than the right atrial pressure - correct answer ✔✔A
A patient presents to the ER reporting chest pain radiating to the jaw and left arm. After obtaining vital
signs, the nurse would perform which action first?
A. Obtain an ECG
B. Draw blood for a cardiac catheterization
C. Schedule a cardiac catheterization
D. Contact the radiology dept for a chest xray - correct answer ✔✔A. Obtain an ECG
A patient with anemia is prescribed a transfusion of packed RBC to be administered over 4 hours. Which
volume should the nurse anticipate for the transfusion?
A. 100 to 150 mL
B. 200 to 250 mL
C. 300 to 350 mL
D. 400 to 450 mL - correct answer ✔✔B. 200 to 250 mL
Anemia is usually treated by administering 200mL of packed red blood cells over 4 hours.
Which information would the nurse include in discharge instructions for a patient with a new diagnosis
of angina about nitroglycerin administration?
A. Take the BP and HR before administration.
B. Monitor for tinnitus as this indicates toxicity
C. Hold the dose if the HR is less than 55bpm
D. Repeat the dose every 5 minutes up to 3 tablets, if needed. - correct answer ✔✔D. Repeat the dose
every 5 minutes up to 3 tablets, if needed.
, A patient with leukemia will begin induction therapy with a combination of chemotherapeutic agents.
The nurse explains to the patient that induction therapy has which treatment goal?
A. Remission of all disease manifestations
B. Complete cure once remission is established.
C. Prevention of infection and other complications
D. Maintenance of remission during chemotherapy. - correct answer ✔✔A. Remission of all disease
manifestations.
Rationale: Induction therapy is initiated upon diagnosis and is intended to induce remission from all
manifestations of the disease.
An African-American patient taking thiazide diuretic develops hemolytic anemia. The nurse notifies the
HCP and anticipates a prescription to test this patient for which type of anemia?
A. Iron deficiency
B. Glucose-6-Phosphate dehydrogenase deficiency
C. Immunohemolytic
D. Sickle cell disease - correct answer ✔✔B. G6PD
Rationale: Patients with G6PD deficiency do not have symptoms until they develop a severe infection or
are exposed to certain drugs, such as thiazide, a diuretic that causes RBC with reduced G6PD to break
more easily.
Which complication would cause a non-ST elevated myocardial infarction? SATA
A. Untreated angina
B. Coronary vasospasm
C. Spontaneous dissection
D. Narrowing of the coronary artery
E. Rupture of fibrous atherosclerotic plaque. - correct answer ✔✔B, C, D
Which complication can occur as a result of ventricular remodeling? SATA
A. Heart failure
B. Electrolyte disturbances
C. Acute atrial dysrhythmias
D. Chronic ventricular dysrhythmias
E. Decreased left ventricular function - correct answer ✔✔A, D, E
pg 752
Which change should be monitored for during the first 15 to 30 minutes in a patient who is undergoing
blood transfusion?
A. Hyperkalemia
B. Fluid overload
C. Febrile reaction
D. Hemolytic reaction - correct answer ✔✔D. Hemolytic reaction
Rationale: hemolytic reaction may occur during the infusion of the first 50mL of the blood. Therefore,
the nurse should remain with the patient for the first 15 to 30 minutes to monitor hemolytic reaction.
A patient complains of cold intolerance, severe fatigue, and difficulty breathing. While taking the history
of the patient, it is revealed that she has been experiencing excessive menstrual bleeding for a few
