Final NSG 229 EXAM 1 CARDIAC
Questions And 100% Correct Answers
2025-2026 Updated.
Which action would a nurse perform when a patient is in Ventricular Fibrillation? (select all)
A: Initiating CPR
B: Assessing the EKG
C: Using a defibrillator
D: Obtaining Electrolytes
E: Administering epinephrine - Answer A, B, C, D, E
Which intervention is the priority when the nurse in the coronary care unit identifies ventricular
fibrillation on a client’s cardiac monitor?
A: Defibrillate the client
B: Notify the rapid response team
C: Administer intravenous epinephrine
D:Initiate cardiopulmonary resuscitation - Answer A: Defibrillate the client
Which priority nursing action would the nurse implement first when caring for a client receiving
nitroglycerin for the treatment of angina
A: Instruct the client to sit or stand slowly
B: Monitor the clients urine output frequently
C: Advise the clients to report when experiencing a headache
D: Instruct client to notify the healthcare provider if pain does not subside after 5 minutes -
Answer A: Instruct the client to sit or stand slowly
Which potential effect will the nurse teach to a client receiving metoprolol?
A: Dizziness with strenuous activity
B: Acceleration of the heart rate after eating a heavy meal
C: Flushing sensations after taking the medication
D: Pounding of the heart - Answer A: Dizziness with strenuous Activity
,A: Intravenous adenosine
B: Intravenous metoprolol
C: Carotid Sinus Massage
D: Synchronized Cardioversion - Answer D: Synchronized Cardioversion
Which adverse effect would a nurse monitor for when caring for a client with hypertension who
is prescribed metoprolol?
A: Hirsutism
B: Bradycardia
C: Restlessness
D: Angina - Answer B: Bradycardia
Which topic would be included when teaching a client with heart failure who will be discharged
with a new prescription for digoxin?
A: Take Your radial pulse daily and write it down
B: Avoid foods that are high in potassium such as bananas and potatoes
C: Notify the healthcare provider if you develop any vision changes
D: Call the healthcare provider if your pulse is irregular or less than 60 beats/minute.
E: Eat at least 1 serving of green leafy vegetables daily. - Answer A, C, D
Which change would the nurse expect to find in a client with left ventricular heart failure and
supraventricular tachycardia when the prescribed digoxin 0.25 mg daily is therapeutically
effective?
A: Diuresis
B: Tachycardia
C: Decreased Edema
D: Decreased Pulse Right
E: Reduced heart murmur
F: Jugular vein distention - Answer
Where would the nurse place the stethoscope to listen for mitral valve insufficiency
(regurgitaation)? - Answer The mitral area at the fifth intercostal space at the left
midclavicular line (the apex of the heart)
, B: Tachycardia when changing positions
C: Development of systolic murmurs
D: Shortening of the PR, QRS, and QT intervals
E: Increase in systolic blood pressure - Answer A, C, E
Which response would a nurse give a client with a prosthetic heart valve asks why it is
important to take antibiotics before a dental procedure?
A: The antibiotic is taken to prevent infection around your artificial heart valve
B: Valvular heart disease increases the risk for dental caries and gum disease
C: All clients with murmurs need prophylactic antibiotics before dental procedures
D: You only need to take antibiotic if you have a fever before your dental procedure - Answer
A: The antibiotic is taken to prevent infection around your artificial heart valve
Which finding for a client who has a diagnosis of paroxysmal atrial fribrillation is most important
to report quickly to the health care provider?
A: Irregular heartbeat
B: right arm weakness
C: client report of palpitations
D client report of lightheadedness - Answer B: Right Arm Weakness
Which rhythm would the nurse document when observing the following dysrhythmia on a
clients cardiac monitor?
A: Atrial Flutter
B: Atrial Fibrillation
C: Ventricular Fibrillation
D: Ventricular Tachycardia - Answer C: Ventricular Fibrillation
Which findings would the nurse expect when caring for a client with cor pulmonale? (select all)
A: Weightloss
B: Neck Vein Distention
C: Lower Extremity Edema
D: Right uper quandrant abdominal tenderness
Questions And 100% Correct Answers
2025-2026 Updated.
Which action would a nurse perform when a patient is in Ventricular Fibrillation? (select all)
A: Initiating CPR
B: Assessing the EKG
C: Using a defibrillator
D: Obtaining Electrolytes
E: Administering epinephrine - Answer A, B, C, D, E
Which intervention is the priority when the nurse in the coronary care unit identifies ventricular
fibrillation on a client’s cardiac monitor?
A: Defibrillate the client
B: Notify the rapid response team
C: Administer intravenous epinephrine
D:Initiate cardiopulmonary resuscitation - Answer A: Defibrillate the client
Which priority nursing action would the nurse implement first when caring for a client receiving
nitroglycerin for the treatment of angina
A: Instruct the client to sit or stand slowly
B: Monitor the clients urine output frequently
C: Advise the clients to report when experiencing a headache
D: Instruct client to notify the healthcare provider if pain does not subside after 5 minutes -
Answer A: Instruct the client to sit or stand slowly
Which potential effect will the nurse teach to a client receiving metoprolol?
A: Dizziness with strenuous activity
B: Acceleration of the heart rate after eating a heavy meal
C: Flushing sensations after taking the medication
D: Pounding of the heart - Answer A: Dizziness with strenuous Activity
,A: Intravenous adenosine
B: Intravenous metoprolol
C: Carotid Sinus Massage
D: Synchronized Cardioversion - Answer D: Synchronized Cardioversion
Which adverse effect would a nurse monitor for when caring for a client with hypertension who
is prescribed metoprolol?
A: Hirsutism
B: Bradycardia
C: Restlessness
D: Angina - Answer B: Bradycardia
Which topic would be included when teaching a client with heart failure who will be discharged
with a new prescription for digoxin?
A: Take Your radial pulse daily and write it down
B: Avoid foods that are high in potassium such as bananas and potatoes
C: Notify the healthcare provider if you develop any vision changes
D: Call the healthcare provider if your pulse is irregular or less than 60 beats/minute.
E: Eat at least 1 serving of green leafy vegetables daily. - Answer A, C, D
Which change would the nurse expect to find in a client with left ventricular heart failure and
supraventricular tachycardia when the prescribed digoxin 0.25 mg daily is therapeutically
effective?
A: Diuresis
B: Tachycardia
C: Decreased Edema
D: Decreased Pulse Right
E: Reduced heart murmur
F: Jugular vein distention - Answer
Where would the nurse place the stethoscope to listen for mitral valve insufficiency
(regurgitaation)? - Answer The mitral area at the fifth intercostal space at the left
midclavicular line (the apex of the heart)
, B: Tachycardia when changing positions
C: Development of systolic murmurs
D: Shortening of the PR, QRS, and QT intervals
E: Increase in systolic blood pressure - Answer A, C, E
Which response would a nurse give a client with a prosthetic heart valve asks why it is
important to take antibiotics before a dental procedure?
A: The antibiotic is taken to prevent infection around your artificial heart valve
B: Valvular heart disease increases the risk for dental caries and gum disease
C: All clients with murmurs need prophylactic antibiotics before dental procedures
D: You only need to take antibiotic if you have a fever before your dental procedure - Answer
A: The antibiotic is taken to prevent infection around your artificial heart valve
Which finding for a client who has a diagnosis of paroxysmal atrial fribrillation is most important
to report quickly to the health care provider?
A: Irregular heartbeat
B: right arm weakness
C: client report of palpitations
D client report of lightheadedness - Answer B: Right Arm Weakness
Which rhythm would the nurse document when observing the following dysrhythmia on a
clients cardiac monitor?
A: Atrial Flutter
B: Atrial Fibrillation
C: Ventricular Fibrillation
D: Ventricular Tachycardia - Answer C: Ventricular Fibrillation
Which findings would the nurse expect when caring for a client with cor pulmonale? (select all)
A: Weightloss
B: Neck Vein Distention
C: Lower Extremity Edema
D: Right uper quandrant abdominal tenderness
