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Exam (elaborations)

NSG 320 Exam 2 Actual Exam | All Questions and Correct Answers | Updated Version | 2026 Version

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The NSG 320 Exam 2 document is a comprehensive guide for nursing students preparing for the 2026 version of the exam, featuring actual questions and correct answers. It provides crucial insights into various medical scenarios and the appropriate nursing interventions. Key topics covered include cardiac emergencies, such as the priority action when a patient experiences sudden ventricular fibrillation, and the function of demand pacemakers in maintaining heart rates. The document also explains the significance of understanding the SA node's automaticity and the PR interval's correct measurement. Additionally, the exam content highlights the importance of assessing vital signs and lab values, such as potassium levels and the P-R interval in ECG analysis. It includes scenarios related to administering and monitoring medications like digoxin and warfarin, with an emphasis on precautions and side effects. Nursing students will gain insights into documenting symptoms like orthopnea and using specific labs to evaluate heart failure and monitor medication efficacy.

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NSG 320 Exam 2 Actual Exam |
All Questions and Correct
Answers | Updated Version |
2026 Version
A pt goes into sudden ventricular fibrillation. The priority action would
be to immediately:
a. administer a lidocaine bolus.
b. administer atropine.
c. administer cardiopulmonary resuscitation (CPR).
d. administer intravenous (IV) magnesium. ---------CORRECT ANSWER----
-------------c




A RN would explain to a pt who has a demand pacemaker in place that
this pacemaker functions by
a. demanding the heart to contract at a preset rate.
b. firing after the SA node has started the cycle.
c. firing if the heart rate drops below a preset rate.
d. stimulating the SA node to fire. ---------CORRECT ANSWER----------------
-c

,A RN instructing a pt in the proper administration of sublingual
nitroglycerin would include:
a. assess blood pressure for hypertension after each dose.
b. repeat the dose every 5 minutes up to 3 times for chest pain
c. store NTG tablets in the refrigerator for up to 6 months.
d. take an aspirin before taking the first dose of NTG. ---------CORRECT
ANSWER-----------------b




A RN knows that some goals have been met when a pt admitted for
angina makes which menu choices
a. Bran flakes with skim milk, apple slices, and orange juice
b. French toast with syrup, grapefruit half, and skim milk
c. Oatmeal with skim milk, one bacon slice, and hot tea
d. Scrambled eggs, whole-wheat toast, and prune juice ---------CORRECT
ANSWER-----------------a




4 hours after the onset of pain from an MI, the RN would expect an
increase in which lab result
a. Alkaline phosphatase (ALP)

,b. CK-MB
c. Lactate dehydrogenase (LDH)
d. Leukocyte count ---------CORRECT ANSWER-----------------b




When caring for a client immediately after an MI, the nurse's first
priority would be
a. monitoring for dysrhythmias.
b. preventing an embolism.
c. relieving pain.
d. relieving the client's apprehension. ---------CORRECT ANSWER-----------
------c




The nurse would explain to a client that increased levels of troponin I
are evident within
a. 1 to 2 hours after MI pain has started.
b. 3 to 12 hours after MI pain has started.
c. 7 to 9 hours after MI pain has started.
d. 12 to 15 hours after MI pain has started. ---------CORRECT ANSWER----
-------------b

, A 58-yr-old pt is in cardiac rehab. The nurse teaches the patient to stop
exercising if what occurs?
a. pain or dyspnea develop
b. the respiratory rate increases to 30
c. the HR exceeds 150 bpm
d. the HR is 30 bpm over the resting HR ---------CORRECT ANSWER--------
---------a




What are side effects of chemotherapy & radiation? (SATA)
a. N/V/D
b. skin irritations
c. increased energy
d. hair loss/fatigue ---------CORRECT ANSWER-----------------a,b,d




what accurately describes the pathophysiology of CAD?
a. partial or total occulsion of the coronary artery during the fibrous
stage
b. endothelial alteration by chemical irritants such as hyperlipidemia
c. collateral circulation in the coronary circ is more likely to be present
d. infection and fatty dietary intake are the basic underlying causes of
ather ---------CORRECT ANSWER-----------------b

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