NURSING 5333 CERTIFICATION EXAMINATION
TEST QUESTIONS AND ANSWERS 2026
COMPREHENSIVE REVIEW RESOURCE
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
13. The client diagnosed with rule-out myocardial infarction is experiencing
chest pain while walking to the bathroom. After having the client sit down,
which action should the nurse implement next?
a. Administer sublingual nitroglycerin
b. Obtain a STAT electrocardiogram (ECG)
c. Have the client sit down immediately
d. Assess the client's vital sign . Answer: d. Assess the client's vital sign
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
14. Paul is wearing a continuous cardiac monitor, which begins to sound its
alarm. The nurse sees no electrocardiographic complexes on the screen.
Which is the priority nursing action?
a. Call a code
b. Call a healthcare provider
,c. Check the client's status and lead placement
d. Press the recorder button on the electrocardiogram console . Answer: c.
Check the client's status and lead placement
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
15. Which cardiac enzyme would the nurse expect to be a more reliable
test in diagnosing Paul with a myocardial infarction (MI)?
a. Creatine kinase (CK-MB)
b. Lactate dehydrogenase (LDH)
c. Troponin
d. White blood cells (WBCs . Answer: c. Troponin
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
16. Paul's partner named Jenny sold their mushroom farm and decided to
submit her partner to a Coronary Artery Bypass Graft. Paul is now one (1)
day postoperative coronary artery bypass surgery. The client complains of
chest pain. Which intervention should the nurse implement first?
a. Medicate the client with intravenous morphine
b. Assess the client's chest dressing and vital signs . Answer: b. Assess the
client's chest dressing and vital signs
, ▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
17. Recognition of critical signs and symptoms are crucial in addressing the
needs of the patient with CHF. Which clinical manifestation of the systemic
venous congestion that can occur with congestive heart failure?
a.. Peripheral edema
b. Tachypnea
c. Poor skin turgor and dry skin
d. Tachycardia . Answer: a.. Peripheral edema
▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
18. Heart failure can also result from Cardiac Tamponade. Which of the
following is not part in the constellation of Beck's Triad?
a. Decreased heart sounds
b. Neck vein engorgement
c. Pulsus paradoxus
d. Hypotension . Answer: c. Pulsus paradoxus
▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
19. As congestion worsens, a patient develops hypertension from
congestion and fluid overload. Instruction for the patient includes?
TEST QUESTIONS AND ANSWERS 2026
COMPREHENSIVE REVIEW RESOURCE
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
13. The client diagnosed with rule-out myocardial infarction is experiencing
chest pain while walking to the bathroom. After having the client sit down,
which action should the nurse implement next?
a. Administer sublingual nitroglycerin
b. Obtain a STAT electrocardiogram (ECG)
c. Have the client sit down immediately
d. Assess the client's vital sign . Answer: d. Assess the client's vital sign
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
14. Paul is wearing a continuous cardiac monitor, which begins to sound its
alarm. The nurse sees no electrocardiographic complexes on the screen.
Which is the priority nursing action?
a. Call a code
b. Call a healthcare provider
,c. Check the client's status and lead placement
d. Press the recorder button on the electrocardiogram console . Answer: c.
Check the client's status and lead placement
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
15. Which cardiac enzyme would the nurse expect to be a more reliable
test in diagnosing Paul with a myocardial infarction (MI)?
a. Creatine kinase (CK-MB)
b. Lactate dehydrogenase (LDH)
c. Troponin
d. White blood cells (WBCs . Answer: c. Troponin
▶ SITUATION: A group of nursing reviewees is conducting a meeting on
how to secure their school documents for the exam application amidst the
dreaded crisis of COVID-19. George is the president of the class and is the
one who presides the meeting, when suddenly got a verbal confrontation
with his co-reviewee named Joaquin. George burst into extreme emotion
and experienced sudden onset of chest pain. He was rushed into the
hospital accompanied with his partner named Kendal and was initially
diagnosed with Acute Myocardial Infarction.
16. Paul's partner named Jenny sold their mushroom farm and decided to
submit her partner to a Coronary Artery Bypass Graft. Paul is now one (1)
day postoperative coronary artery bypass surgery. The client complains of
chest pain. Which intervention should the nurse implement first?
a. Medicate the client with intravenous morphine
b. Assess the client's chest dressing and vital signs . Answer: b. Assess the
client's chest dressing and vital signs
, ▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
17. Recognition of critical signs and symptoms are crucial in addressing the
needs of the patient with CHF. Which clinical manifestation of the systemic
venous congestion that can occur with congestive heart failure?
a.. Peripheral edema
b. Tachypnea
c. Poor skin turgor and dry skin
d. Tachycardia . Answer: a.. Peripheral edema
▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
18. Heart failure can also result from Cardiac Tamponade. Which of the
following is not part in the constellation of Beck's Triad?
a. Decreased heart sounds
b. Neck vein engorgement
c. Pulsus paradoxus
d. Hypotension . Answer: c. Pulsus paradoxus
▶ SITUATION: Heart Failure, is the inability of the heart to pump sufficient
blood to meet the needs of the tissues for oxygen and nutrients. The
Agency for Health Care Policy and Research (AHCPR) CHF guidelines
panel defined HF as a clinical syndrome characterized by signs and
symptoms of fluid overload or of inadequate tissue perfusion. In preparing
for this the nurse understands the following principles:
19. As congestion worsens, a patient develops hypertension from
congestion and fluid overload. Instruction for the patient includes?
