P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NURS 190 Midterm Exam
Questions & Answers
2026/2027 Complete
Updated Edition
(Rationales)
Verified Answers Exam Ready With Rationales 60 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive study guide provides 60 updated NURS 190 midterm exam questions,
complete with correct answers and detailed rationales. It covers fundamental
cardiovascular nursing concepts, offering students a valuable resource for exam
preparation and knowledge reinforcement. This resource is ideal for reviewing key
principles and ensuring mastery of the subject matter.
TOPICS
Integumentary & Neurological Assessment Q1–Q7
Cardiovascular Assessment & Physiology Q8–Q39
Systemic Conditions & Interventions Q40–Q54
Respiratory Assessment & Conditions Q55–Q60
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 60
While performing an admission assessment for a client to nurse the client has varicose veins
and ulceration sound lower extremity edema with a report a feeling of heaviness which
diagnosis is best
ANSWER
impaired tissue perfusion
RATIONALE
Varicose veins, edema, and a sensation of heaviness in the lower extremities are indicative of
compromised circulation. This reduced blood flow leads to insufficient oxygen and nutrient
delivery to tissues. Therefore, impaired tissue perfusion accurately describes the underlying
physiological problem.
Q2 QUESTION 2 OF 60
A nurse is caring for a client who has herpes zoster which of the following findings should
the nurse expect
ANSWER
Painful lesions following a nerve pathway
RATIONALE
Herpes zoster, commonly known as shingles, is caused by the reactivation of the varicella-zoster
virus. This reactivation typically occurs along a dermatome, which is the area of skin supplied by a
single spinal nerve. Therefore, the characteristic clinical presentation is the development of painful,
unilateral vesicular lesions that follow a specific nerve pathway or dermatome.
Q3 QUESTION 3 OF 60
A nurse is assessing a client who has Bell's palsy which of the following findings should the
nurse expect
Page 2
, ANSWER
Muscle distortion
Pain behind the ear
Impaired taste
RATIONALE
Bell's palsy is an idiopathic facial nerve (CN VII) paresis causing unilateral facial muscle weakness.
This weakness leads to visible muscle distortion and functional deficits like impaired taste on the
affected side. Inflammation of the nerve often causes characteristic pain behind the ear preceding
or accompanying the facial paralysis.
Q4 QUESTION 4 OF 60
A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should
expect which of the following findings
ANSWER
Silvery white scales
RATIONALE
Psoriasis is a chronic inflammatory skin condition characterized by abnormal keratinocyte
proliferation. This rapid cell turnover leads to the hallmark presentation of erythematous plaques
covered with characteristic silvery-white scales. These scales are composed of immature keratin
and cellular debris.
Q5 QUESTION 5 OF 60
During an elderly clients physical exam the nurse nuts his fingernails are spongy around and
wide greater than 170°
ANSWER
Clubbing
Page 3
NURS 190 Midterm Exam
Questions & Answers
2026/2027 Complete
Updated Edition
(Rationales)
Verified Answers Exam Ready With Rationales 60 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive study guide provides 60 updated NURS 190 midterm exam questions,
complete with correct answers and detailed rationales. It covers fundamental
cardiovascular nursing concepts, offering students a valuable resource for exam
preparation and knowledge reinforcement. This resource is ideal for reviewing key
principles and ensuring mastery of the subject matter.
TOPICS
Integumentary & Neurological Assessment Q1–Q7
Cardiovascular Assessment & Physiology Q8–Q39
Systemic Conditions & Interventions Q40–Q54
Respiratory Assessment & Conditions Q55–Q60
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 60
While performing an admission assessment for a client to nurse the client has varicose veins
and ulceration sound lower extremity edema with a report a feeling of heaviness which
diagnosis is best
ANSWER
impaired tissue perfusion
RATIONALE
Varicose veins, edema, and a sensation of heaviness in the lower extremities are indicative of
compromised circulation. This reduced blood flow leads to insufficient oxygen and nutrient
delivery to tissues. Therefore, impaired tissue perfusion accurately describes the underlying
physiological problem.
Q2 QUESTION 2 OF 60
A nurse is caring for a client who has herpes zoster which of the following findings should
the nurse expect
ANSWER
Painful lesions following a nerve pathway
RATIONALE
Herpes zoster, commonly known as shingles, is caused by the reactivation of the varicella-zoster
virus. This reactivation typically occurs along a dermatome, which is the area of skin supplied by a
single spinal nerve. Therefore, the characteristic clinical presentation is the development of painful,
unilateral vesicular lesions that follow a specific nerve pathway or dermatome.
Q3 QUESTION 3 OF 60
A nurse is assessing a client who has Bell's palsy which of the following findings should the
nurse expect
Page 2
, ANSWER
Muscle distortion
Pain behind the ear
Impaired taste
RATIONALE
Bell's palsy is an idiopathic facial nerve (CN VII) paresis causing unilateral facial muscle weakness.
This weakness leads to visible muscle distortion and functional deficits like impaired taste on the
affected side. Inflammation of the nerve often causes characteristic pain behind the ear preceding
or accompanying the facial paralysis.
Q4 QUESTION 4 OF 60
A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should
expect which of the following findings
ANSWER
Silvery white scales
RATIONALE
Psoriasis is a chronic inflammatory skin condition characterized by abnormal keratinocyte
proliferation. This rapid cell turnover leads to the hallmark presentation of erythematous plaques
covered with characteristic silvery-white scales. These scales are composed of immature keratin
and cellular debris.
Q5 QUESTION 5 OF 60
During an elderly clients physical exam the nurse nuts his fingernails are spongy around and
wide greater than 170°
ANSWER
Clubbing
Page 3
