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MED-SURG: CARDIOVASCULAR REVIEW
QUESTIONS 2025–2026 | A+ GRADED,
GUARANTEED PASS COMPLETE REVIEW PACK
(UPDATED EDITION) | COMPREHENSIVE
CARDIOVASCULAR NURSING QUESTIONS WITH
100% VERIFIED CORRECT ANSWERS & DETAILED
CLINICAL RATIONALES | EXPERT-REVIEWED
MEDICAL-SURGICAL CARDIAC MASTERY GUIDE
1. A client complains of crushing chest pain that
radiates to his left arm. He should be presented
with the following treatment:
1. Aspirin, oxygen, nitroglycerin, and morphine
2. Aspirin, oxygen, nitroglycerin, and codeine
3. Oxygen, nitroglycerin, meperidine, and
thrombolytics
4. Aspirin, oxygen, nitroprusside, and morphine
Answer: 1. Aspirin, oxygen, nitroglycerin, and
morphine
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2. Which lifestyle changes should a client diagnosed
with coronary artery disease consider?
1. Smoking cessation
2. Establishing a regular exercise routine
3. Weight reduction
4. All of the Above
Answer: 4. All of the Above
3. A client's cardiac monitor alarm sounds,
indicating ventricular tachycardia. The nurse should:
1. perform immediate defibrillation.
2. Assess the client.
3. Call the physician.
4. Administer a precordial thump.
Answer: 2. Assess the client.
4. A complication of peripheral vascular disease
may be:
1. stasis ulcer.
2. Pressure ulcer.
3. Gastric ulcer.
4. Duodenal ulcer.
Answer: 1. stasis ulcer.
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5. A key diagnostic test for heart failure is:
1. serum potassium.
2. B-type natriuretic peptide.
3. Troponin I
4. cardiac enzymes.
Answer: 2. B-type natriuretic peptide.
6. While auscultating the heart sounds of a client
with mitral insufficiency, the nurse hears an extra
heart sound immediately after the S2. The nurse
should document this extra heart sound as a:
1. S1.
2. S3.
3. S4.
4. mitral murmur.
Answer: 2. S3.
Rationale: An S3, is heard following an S2. This
indicates that the client is experiencing heart failure
and results from increased filling pressures. An S1 is
a normal heart sound made by the closing of the
mitral and tricuspid valves. An S4 is heard before S1
and is caused by resistance to ventricular filling. A
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murmur of mitral insufficiency occurs during systole
and is heard when there's turbulent blood flow
across the valve.
7. A nurse administers heparin to a client with deep
vein thrombophlebitis. Which laboratory value
should the nurse monitor to determine the
effectiveness of heparin?
1. PTT
2. HCT
3. CBC
4. PT
Answer: 1. PTT
Rationale: The therapeutic effectiveness of heparin
is determined by monitoring the patient's PTT, PT,
HCT, and CBC don't monitor the therapeutic
effectiveness of heparin. Monitoring the PT
determines warfarin's effectiveness.
8. A client has just returned from cardiac
catheterization. Which nursing intervention would
be most appropriate?
1. Help the client ambulate to the bathroom.
MED-SURG: CARDIOVASCULAR REVIEW
QUESTIONS 2025–2026 | A+ GRADED,
GUARANTEED PASS COMPLETE REVIEW PACK
(UPDATED EDITION) | COMPREHENSIVE
CARDIOVASCULAR NURSING QUESTIONS WITH
100% VERIFIED CORRECT ANSWERS & DETAILED
CLINICAL RATIONALES | EXPERT-REVIEWED
MEDICAL-SURGICAL CARDIAC MASTERY GUIDE
1. A client complains of crushing chest pain that
radiates to his left arm. He should be presented
with the following treatment:
1. Aspirin, oxygen, nitroglycerin, and morphine
2. Aspirin, oxygen, nitroglycerin, and codeine
3. Oxygen, nitroglycerin, meperidine, and
thrombolytics
4. Aspirin, oxygen, nitroprusside, and morphine
Answer: 1. Aspirin, oxygen, nitroglycerin, and
morphine
,2|Page
2. Which lifestyle changes should a client diagnosed
with coronary artery disease consider?
1. Smoking cessation
2. Establishing a regular exercise routine
3. Weight reduction
4. All of the Above
Answer: 4. All of the Above
3. A client's cardiac monitor alarm sounds,
indicating ventricular tachycardia. The nurse should:
1. perform immediate defibrillation.
2. Assess the client.
3. Call the physician.
4. Administer a precordial thump.
Answer: 2. Assess the client.
4. A complication of peripheral vascular disease
may be:
1. stasis ulcer.
2. Pressure ulcer.
3. Gastric ulcer.
4. Duodenal ulcer.
Answer: 1. stasis ulcer.
,3|Page
5. A key diagnostic test for heart failure is:
1. serum potassium.
2. B-type natriuretic peptide.
3. Troponin I
4. cardiac enzymes.
Answer: 2. B-type natriuretic peptide.
6. While auscultating the heart sounds of a client
with mitral insufficiency, the nurse hears an extra
heart sound immediately after the S2. The nurse
should document this extra heart sound as a:
1. S1.
2. S3.
3. S4.
4. mitral murmur.
Answer: 2. S3.
Rationale: An S3, is heard following an S2. This
indicates that the client is experiencing heart failure
and results from increased filling pressures. An S1 is
a normal heart sound made by the closing of the
mitral and tricuspid valves. An S4 is heard before S1
and is caused by resistance to ventricular filling. A
, 4|Page
murmur of mitral insufficiency occurs during systole
and is heard when there's turbulent blood flow
across the valve.
7. A nurse administers heparin to a client with deep
vein thrombophlebitis. Which laboratory value
should the nurse monitor to determine the
effectiveness of heparin?
1. PTT
2. HCT
3. CBC
4. PT
Answer: 1. PTT
Rationale: The therapeutic effectiveness of heparin
is determined by monitoring the patient's PTT, PT,
HCT, and CBC don't monitor the therapeutic
effectiveness of heparin. Monitoring the PT
determines warfarin's effectiveness.
8. A client has just returned from cardiac
catheterization. Which nursing intervention would
be most appropriate?
1. Help the client ambulate to the bathroom.
