NSG 223 JUNETTA COOPER VSIM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF |
HERZING UNIVERSITY
CORE DOMAINS
Angina Pectoris Pathophysiology
Nitroglycerin Pharmacology and Administration
Hypertension Management
Cardiovascular Risk Factor Assessment
Pain Assessment and Management
Patient Safety and Fall Prevention
Medication Reconciliation and Patient Education
SBAR Communication and Clinical Judgment
INTRODUCTION
The NSG 223 Junetta Cooper vSim examination assesses a nursing
student's comprehensive understanding of angina management,
nitroglycerin administration, and cardiovascular pharmacology. This
simulation-based assessment evaluates clinical judgment, patient-
centered care, and interprofessional communication through
scenario-based questions and reflective analysis. Students must
demonstrate proficiency in recognizing cardiac emergencies,
administering medications safely, educating patients about adverse
effects, and communicating findings using SBAR format. The
examination emphasizes real-world application, critical thinking,
and safe nursing practice for patients with coronary artery disease.
,SECTION ONE: QUESTIONS 1–100
Question 1
Junetta Cooper is a 75-year-old African American female with a
20-year history of primary hypertension. Which of the following is
her most significant modifiable risk factor for cardiovascular
disease?
A. Age
B. Race
C. Hypertension
D. Gender
🟢C
🔴 RATIONALE: Hypertension is a modifiable risk factor for
cardiovascular disease. Age, race, and gender are non-modifiable
risk factors. Effective blood pressure management significantly
reduces cardiovascular risk.
Question 2
Mrs. Cooper presents to the emergency department with angina
unrelieved by nitroglycerin. What is the most appropriate initial
nursing action?
A. Administer a third sublingual nitroglycerin tablet
B. Obtain a 12-lead ECG and notify the provider
C. Place the patient in Trendelenburg position
D. Administer oral pain medication
🟢B
🔴 RATIONALE: Unrelieved angina despite nitroglycerin requires
immediate ECG and provider notification to rule out myocardial
,infarction. A third nitroglycerin tablet may be given if within
protocol, but ECG is the priority.
Question 3
The provider orders sublingual nitroglycerin 0.4 mg every 5
minutes for chest pain, maximum 3 doses. Mrs. Cooper reports
chest tightness rated 7/10. What is the correct administration
technique?
A. Place the tablet on top of the tongue
B. Have the patient swallow the tablet with water
C. Place the tablet under the tongue and allow it to dissolve
D. Chew the tablet for faster absorption
🟢C
🔴 RATIONALE: Sublingual nitroglycerin must be placed under
the tongue and allowed to dissolve completely for mucosal
absorption. Swallowing or chewing reduces therapeutic effect.
Question 4
After receiving sublingual nitroglycerin, Mrs. Cooper reports
feeling light-headed. What is the priority nursing action?
A. Administer the next dose immediately
B. Assess blood pressure and keep the patient supine
C. Document the finding and continue monitoring
D. Elevate the head of the bed to 90 degrees
🟢B
🔴 RATIONALE: Light-headedness after nitroglycerin indicates
possible hypotension. The nurse should assess blood pressure and
, keep the patient supine to prevent falls and maintain cerebral
perfusion.
Question 5
What potential synergistic effect should the nurse monitor when
administering nitroglycerin to a patient taking antihypertensive
medications?
A. Hypertensive crisis
B. Severe hypotension
C. Hyperkalemia
D. Tachycardia
🟢B
🔴 RATIONALE: Nitroglycerin and antihypertensive medications
both lower blood pressure. Concurrent administration can cause
severe hypotension requiring close monitoring.
Question 6
Mrs. Cooper asks why she needs to keep the nitroglycerin tablet
under her tongue instead of swallowing it. What is the nurse's
best response?
A. "Swallowing the tablet will cause stomach upset."
B. "Under the tongue, the medication is absorbed directly into the
bloodstream and works faster."
C. "The tablet tastes better when dissolved under the tongue."
D. "Swallowing the tablet makes it less effective because of liver
metabolism."
🟢B
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF |
HERZING UNIVERSITY
CORE DOMAINS
Angina Pectoris Pathophysiology
Nitroglycerin Pharmacology and Administration
Hypertension Management
Cardiovascular Risk Factor Assessment
Pain Assessment and Management
Patient Safety and Fall Prevention
Medication Reconciliation and Patient Education
SBAR Communication and Clinical Judgment
INTRODUCTION
The NSG 223 Junetta Cooper vSim examination assesses a nursing
student's comprehensive understanding of angina management,
nitroglycerin administration, and cardiovascular pharmacology. This
simulation-based assessment evaluates clinical judgment, patient-
centered care, and interprofessional communication through
scenario-based questions and reflective analysis. Students must
demonstrate proficiency in recognizing cardiac emergencies,
administering medications safely, educating patients about adverse
effects, and communicating findings using SBAR format. The
examination emphasizes real-world application, critical thinking,
and safe nursing practice for patients with coronary artery disease.
,SECTION ONE: QUESTIONS 1–100
Question 1
Junetta Cooper is a 75-year-old African American female with a
20-year history of primary hypertension. Which of the following is
her most significant modifiable risk factor for cardiovascular
disease?
A. Age
B. Race
C. Hypertension
D. Gender
🟢C
🔴 RATIONALE: Hypertension is a modifiable risk factor for
cardiovascular disease. Age, race, and gender are non-modifiable
risk factors. Effective blood pressure management significantly
reduces cardiovascular risk.
Question 2
Mrs. Cooper presents to the emergency department with angina
unrelieved by nitroglycerin. What is the most appropriate initial
nursing action?
A. Administer a third sublingual nitroglycerin tablet
B. Obtain a 12-lead ECG and notify the provider
C. Place the patient in Trendelenburg position
D. Administer oral pain medication
🟢B
🔴 RATIONALE: Unrelieved angina despite nitroglycerin requires
immediate ECG and provider notification to rule out myocardial
,infarction. A third nitroglycerin tablet may be given if within
protocol, but ECG is the priority.
Question 3
The provider orders sublingual nitroglycerin 0.4 mg every 5
minutes for chest pain, maximum 3 doses. Mrs. Cooper reports
chest tightness rated 7/10. What is the correct administration
technique?
A. Place the tablet on top of the tongue
B. Have the patient swallow the tablet with water
C. Place the tablet under the tongue and allow it to dissolve
D. Chew the tablet for faster absorption
🟢C
🔴 RATIONALE: Sublingual nitroglycerin must be placed under
the tongue and allowed to dissolve completely for mucosal
absorption. Swallowing or chewing reduces therapeutic effect.
Question 4
After receiving sublingual nitroglycerin, Mrs. Cooper reports
feeling light-headed. What is the priority nursing action?
A. Administer the next dose immediately
B. Assess blood pressure and keep the patient supine
C. Document the finding and continue monitoring
D. Elevate the head of the bed to 90 degrees
🟢B
🔴 RATIONALE: Light-headedness after nitroglycerin indicates
possible hypotension. The nurse should assess blood pressure and
, keep the patient supine to prevent falls and maintain cerebral
perfusion.
Question 5
What potential synergistic effect should the nurse monitor when
administering nitroglycerin to a patient taking antihypertensive
medications?
A. Hypertensive crisis
B. Severe hypotension
C. Hyperkalemia
D. Tachycardia
🟢B
🔴 RATIONALE: Nitroglycerin and antihypertensive medications
both lower blood pressure. Concurrent administration can cause
severe hypotension requiring close monitoring.
Question 6
Mrs. Cooper asks why she needs to keep the nitroglycerin tablet
under her tongue instead of swallowing it. What is the nurse's
best response?
A. "Swallowing the tablet will cause stomach upset."
B. "Under the tongue, the medication is absorbed directly into the
bloodstream and works faster."
C. "The tablet tastes better when dissolved under the tongue."
D. "Swallowing the tablet makes it less effective because of liver
metabolism."
🟢B
