Exam 1,2,3 & 4 NUR209 / NUR 209 Compilation
BUNDLE (2026 Update) Medical Surgical Nursing II|
Review with Questions and Verified Answers
Prep U
A nurse is assigned to care for a client with a terminal cardiovascular
illness. When developing the client's plan of care, which outcome would
the nurse identify as most realistic for this client?
adaptation to living with limitations
maintenance of adequate comfort
acceptance of changes in lifestyle
recovery from the cardiovascular problem - ANSWER -maintenance of
adequate comfort
Rationale: The realistic outcome for a client with terminal
cardiovascular disease is maintenance of adequate comfort and
acceptance of impending death.Realistic outcomes for the client with
pg. 1
,chronic cardiovascular disease focus on helping the client to live within
limitations imposed by the disease and to improve acceptance of
changes in lifestyle and self-concept. Outcomes pertinent to the client
who is admitted with an acute problem focus on recovery from the
cardiovascular problem without residual complications.
Prep U
Upon entering a client's room, the client tells the nurse, "I'm having
some really strong pain in my chest." The nurse intervenes immediately,
placing the client in which position?
Sitting
Standing upright
Flat with legs raised 20 to 30 degrees
Supine - ANSWER -Sitting
Explanation:The nurse should make the client comfortable in a sitting
position. A supine position inhibits full chest expansion and limits gas
exchange in the lung, so this position should be avoided. Since the heart
works harder in the supine position than in the upright position, the
supine position is not recommended. The hypotensive client is
positioned with legs elevated 20 to 30 degrees.
pg. 2
,Prep U
Which of the following is a noninvasive procedure assisting the nurse in
cardiovascular care?
Electrocardiography
Pulmonary artery monitoring
Swan-Ganz catheterization
Cardiac output determination - ANSWER -Electrocardiography
Explanation:Noninvasive heart monitoring involves electrocardiography
and cardiac monitoring. Invasive techniques, such as pulmonary artery
monitoring, Swan-Ganz catheterization, cardiac output determination,
and cardiac support via an intraaortic balloon pump (IABP), typically are
used by trained critical care personnel to provide additional monitoring
and support.
Prep U
pg. 3
, A nurse is teaching a client with heart disease about exercising and
signs of overexertion. The nurse determines that additional education is
needed if the client states:
"I should wait at least an hour after eating before exercising."
"I need to call the doctor if it feels like my heart is racing."
"I need to start my routine with my warm-up exercises."
"I should stop exercising if my pulse is below my target zone." -
ANSWER -"I should stop exercising if my pulse is below my target zone."
Explanation:For the client, the goal of the exercise program is to achieve
the target heart rate. The client should stop exercising if his pulse rate
exceeds his target zone.
Prep U
A nursing instructor is developing a class presentation about reasons
people with cardiovascular problems seek medical care. Which of the
following would the instructor include as the most common reason?
Lower extremity swelling
pg. 4
BUNDLE (2026 Update) Medical Surgical Nursing II|
Review with Questions and Verified Answers
Prep U
A nurse is assigned to care for a client with a terminal cardiovascular
illness. When developing the client's plan of care, which outcome would
the nurse identify as most realistic for this client?
adaptation to living with limitations
maintenance of adequate comfort
acceptance of changes in lifestyle
recovery from the cardiovascular problem - ANSWER -maintenance of
adequate comfort
Rationale: The realistic outcome for a client with terminal
cardiovascular disease is maintenance of adequate comfort and
acceptance of impending death.Realistic outcomes for the client with
pg. 1
,chronic cardiovascular disease focus on helping the client to live within
limitations imposed by the disease and to improve acceptance of
changes in lifestyle and self-concept. Outcomes pertinent to the client
who is admitted with an acute problem focus on recovery from the
cardiovascular problem without residual complications.
Prep U
Upon entering a client's room, the client tells the nurse, "I'm having
some really strong pain in my chest." The nurse intervenes immediately,
placing the client in which position?
Sitting
Standing upright
Flat with legs raised 20 to 30 degrees
Supine - ANSWER -Sitting
Explanation:The nurse should make the client comfortable in a sitting
position. A supine position inhibits full chest expansion and limits gas
exchange in the lung, so this position should be avoided. Since the heart
works harder in the supine position than in the upright position, the
supine position is not recommended. The hypotensive client is
positioned with legs elevated 20 to 30 degrees.
pg. 2
,Prep U
Which of the following is a noninvasive procedure assisting the nurse in
cardiovascular care?
Electrocardiography
Pulmonary artery monitoring
Swan-Ganz catheterization
Cardiac output determination - ANSWER -Electrocardiography
Explanation:Noninvasive heart monitoring involves electrocardiography
and cardiac monitoring. Invasive techniques, such as pulmonary artery
monitoring, Swan-Ganz catheterization, cardiac output determination,
and cardiac support via an intraaortic balloon pump (IABP), typically are
used by trained critical care personnel to provide additional monitoring
and support.
Prep U
pg. 3
, A nurse is teaching a client with heart disease about exercising and
signs of overexertion. The nurse determines that additional education is
needed if the client states:
"I should wait at least an hour after eating before exercising."
"I need to call the doctor if it feels like my heart is racing."
"I need to start my routine with my warm-up exercises."
"I should stop exercising if my pulse is below my target zone." -
ANSWER -"I should stop exercising if my pulse is below my target zone."
Explanation:For the client, the goal of the exercise program is to achieve
the target heart rate. The client should stop exercising if his pulse rate
exceeds his target zone.
Prep U
A nursing instructor is developing a class presentation about reasons
people with cardiovascular problems seek medical care. Which of the
following would the instructor include as the most common reason?
Lower extremity swelling
pg. 4
