NUR 417 FINAL EXAM 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ The nurse is monitoring for the effectiveness of treatment for a
patient with left ventricular
failure. Which of the following assessments is most important for the
nurse to evaluate?
a. Mean arterial pressure (MAP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery occlusive pressure (PAOP). Answer: d
◉ Which of the following actions should the nurse take when the
low-pressure alarm sounds for
a patient who has an arterial line in the right radial artery?
a. Check the right hand for pallor.
b. Assess for cardiac dysrhythmias.
c. Flush the arterial line with saline.
d. Rezero the monitoring equipment. Answer: b
◉ The nurse is assisting with insertion of a pulmonary artery (PA)
catheter in a patient. Which of
,the following data identifies that the catheter is correctly placed?
a. Monitor shows a typical PAOP tracing.
b. PA waveform is observed on the monitor.
c. Systemic arterial pressure tracing appears on the monitor.
d. Catheter has been inserted to the 22-cm marking on the line..
Answer: a
◉ The nurse is caring for a patient who is in cardiogenic shock
requiring an intra-aortic balloon
pump (IABP). Which of the following assessment findings indicates
that the goals of
treatment with the IABP are being met?
a. Heart rate of 110 beats/minute
b. Urine output of 20 mL/hour
c. Cardiac output (CO) of 5 L/minute
d. Stroke volume (SV) of 40 mL/beat. Answer: c
◉ The nurse is caring for a patient who has an intra-aortic balloon
pump in place. Which of the
following actions should be included in the plan of care?
a. Avoid the use of anticoagulant medications.
b. Keep the head of the bed elevated 45 degrees.
c. Measure the patient's urinary output every hour.
,d. Provide passive range of motion for all extremities.. Answer: c
◉ The nurse is caring for a patient with heart failure requiring a
ventricular assist device (VAD)
implanted and is waiting for cardiac transplantation. Which of the
following actions should
the nurse include in the plan of care?
a. Administer of immuno-suppressive medications.
b. Monitor the surgical incision for signs of infection.
c. Teach the patient the reason for continuous bed rest.
d. Prepare the patient to have the VAD in place permanently..
Answer: b
◉ Which of the following information obtained by the nurse when
caring for a patient receiving
mechanical ventilation indicates the need for suctioning?
a. The respiratory rate is 32 breaths/minute.
b. The pulse oximeter shows a SpO2 of 93%.
c. The patient has not been suctioned for the last 6 hours.
d. The lungs have occasional audible expiratory wheezes.. Answer: a
◉ Four hours after mechanical ventilation is initiated for a patient
with chronic obstructive
, pulmonary disease (COPD), the patient's arterial blood gas (ABG)
results include a pH of
7.50, PaO2 of 80 mm Hg, PaCO2 of 29 mm Hg, and HCO3
-
of 23 mmol/L. The nurse will
anticipate the need to do which of the following actions based upon
these findings?
a. Increase the FIO2.
b. Decrease the respiratory rate.
c. Increase the tidal volume (VT).
d. Leave the ventilator at the current settings.. Answer: b
◉ The nurse is caring for the patient with a pulmonary artery
catheter (PAC) and notes that the
PA waveform indicates that the catheter is in the wedged position.
Which of the following
actions should the nurse take?
a. Inflate the PA balloon.
b. Change the flush system.
c. Zero balance the transducer.
d. Notify the health care provider.. Answer: d
◉ normal MAP. Answer: 70-100
ANSWERS GRADED A+
◉ The nurse is monitoring for the effectiveness of treatment for a
patient with left ventricular
failure. Which of the following assessments is most important for the
nurse to evaluate?
a. Mean arterial pressure (MAP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery occlusive pressure (PAOP). Answer: d
◉ Which of the following actions should the nurse take when the
low-pressure alarm sounds for
a patient who has an arterial line in the right radial artery?
a. Check the right hand for pallor.
b. Assess for cardiac dysrhythmias.
c. Flush the arterial line with saline.
d. Rezero the monitoring equipment. Answer: b
◉ The nurse is assisting with insertion of a pulmonary artery (PA)
catheter in a patient. Which of
,the following data identifies that the catheter is correctly placed?
a. Monitor shows a typical PAOP tracing.
b. PA waveform is observed on the monitor.
c. Systemic arterial pressure tracing appears on the monitor.
d. Catheter has been inserted to the 22-cm marking on the line..
Answer: a
◉ The nurse is caring for a patient who is in cardiogenic shock
requiring an intra-aortic balloon
pump (IABP). Which of the following assessment findings indicates
that the goals of
treatment with the IABP are being met?
a. Heart rate of 110 beats/minute
b. Urine output of 20 mL/hour
c. Cardiac output (CO) of 5 L/minute
d. Stroke volume (SV) of 40 mL/beat. Answer: c
◉ The nurse is caring for a patient who has an intra-aortic balloon
pump in place. Which of the
following actions should be included in the plan of care?
a. Avoid the use of anticoagulant medications.
b. Keep the head of the bed elevated 45 degrees.
c. Measure the patient's urinary output every hour.
,d. Provide passive range of motion for all extremities.. Answer: c
◉ The nurse is caring for a patient with heart failure requiring a
ventricular assist device (VAD)
implanted and is waiting for cardiac transplantation. Which of the
following actions should
the nurse include in the plan of care?
a. Administer of immuno-suppressive medications.
b. Monitor the surgical incision for signs of infection.
c. Teach the patient the reason for continuous bed rest.
d. Prepare the patient to have the VAD in place permanently..
Answer: b
◉ Which of the following information obtained by the nurse when
caring for a patient receiving
mechanical ventilation indicates the need for suctioning?
a. The respiratory rate is 32 breaths/minute.
b. The pulse oximeter shows a SpO2 of 93%.
c. The patient has not been suctioned for the last 6 hours.
d. The lungs have occasional audible expiratory wheezes.. Answer: a
◉ Four hours after mechanical ventilation is initiated for a patient
with chronic obstructive
, pulmonary disease (COPD), the patient's arterial blood gas (ABG)
results include a pH of
7.50, PaO2 of 80 mm Hg, PaCO2 of 29 mm Hg, and HCO3
-
of 23 mmol/L. The nurse will
anticipate the need to do which of the following actions based upon
these findings?
a. Increase the FIO2.
b. Decrease the respiratory rate.
c. Increase the tidal volume (VT).
d. Leave the ventilator at the current settings.. Answer: b
◉ The nurse is caring for the patient with a pulmonary artery
catheter (PAC) and notes that the
PA waveform indicates that the catheter is in the wedged position.
Which of the following
actions should the nurse take?
a. Inflate the PA balloon.
b. Change the flush system.
c. Zero balance the transducer.
d. Notify the health care provider.. Answer: d
◉ normal MAP. Answer: 70-100
