NUR-213 FINAL exam practice questions and answers
with solutions 2025
Which patient should the nurse assess first?
a. 2nd degree Mobitz 1
b. 1st degree AV block
c. occasional PVCs
d. ST elevation - ANSWER d. ST elevation
This indicates the pt is having a STEMI now
The patient is in V-fib and code blue has been activated. What setting with the nurse use on the defibrillator?
a. cardiovert
b. pace
c. defibrillate - ANSWER c. defibrillate
The patient's BP is 80/50 and has a 1+ brachial pulse. What drug is now indicated?
a. amiodarone
b. metoprolol
c. amlodipine
d. atropine
e. nitroglycerine - ANSWER d. atropine
This is a cholinergic drug that increase HR and BP
A client diagnosed with shock is prescribed dobutamine. Which finding indicates this medication is effective?
a. BP decreases from 160/120 to 140/88
b. urine output increases from 20 mL/hour to 40 mL/hour
c. peripheral pulses decrease in strength from 2+ to 1+ bilaterally
d. respirations increase from 10 bpm to 18 bpm - ANSWER b. urine output increases from 20 mL/hour to 40
mL/hour
Dobutmaine is prescribed to increase cardiac output, which increases perfusion. When their is increases renal
perfusion, urine output will increase as well.
A client is suffering from pericarditis after an MI. What assessment finding will confirm this medical diagnosis?
a. distended neck veins
b. chest pain is relieved by nitroglycerin
c. chest pain with exertion
d. audible friction rub over left sternal border - ANSWER d. audible friction rub over left sternal border
A client is about to received a thrombolytic after an EKG shows changes consistent with an MI. What information
is most important for the nurses to obtain from the client's family?
a. the client takes amlodipine daily
b. the client takes levothyroxine 100 mcg daily
,c. the client is allergic to shellfish
d. the client takes clopidogrel 75 mg daily - ANSWER d. the client takes clopidogrel 75 mg daily
Clopidogrel is an anti platelet that could interact with a thombolytic and increase the chances of the pt bleeding
out.
Which assignment should the LPN take?
a. 100% capture
b. STEMI
c. complete heart block
d. asystole - ANSWER a. 100% capture
it has predictable outcomes
The EKG rhythm strip on telemetry notes 2nd degree Mobitz 1. What will be the priority action of the nurse?
a. notify the HCP
b. call a rapid response
c. assess the client's pulse oximetry reading
d. assess the client's BP - ANSWER d. assess the client's BP
The nurse is caring for a client admitted with a purulent draining pressure injury. What client assessment(s) will
alert the nurse that the client could be developing sepsis?
a. BP 148/78
b. O2 93% on RA
c. RR 28 bpm
d. HR 118 bpm
E. lethargy - ANSWER b. O2 93% on RA
c. RR 28 bpm
d. HR 118 bpm
E. lethargy
A client with cardiomypathy has an invasive pulmonary artery catheter inserted. The pulmonary capillary wedge
pressure is 18 mmHg and the central venous pressure is 15 mmHg. What medication/parenteral therapy will the
nurse anticipate administering?
a. warfarin PO
b. furosemide IV
c. hetastarch
d. albumin - ANSWER b. furosemide IV
An elevated PCWP and CVP indicates hypervolemia and signs of CHF.
What interventions can be assigned that could decrease the chance of a client becoming septic?
a. empty indwelling catheter bag every 12 hrs
b. ambulate the client once a day around the nursing station
, c. catheter care q2h
d. mouth care once per shift - ANSWER c. catheter care q2h
The nurse suspects that a client diagnosed with an MI is developing cardiogenic shock. What assessment finding
led the nurse to conclude the client is developing cariogenic shock?
a. petechiae over trunk, arms, and legs
b. JVD
c. fever 102.6 F
d. laryngospasm - ANSWER b. JVD
With cardiogenic shock, the pump is ineffective leading to s/sx of CHF
A client who developed septic shock secondary to a UTI is now at risk for what life-threatening complications?
SELECT ALL THAT APPLY.
a. Disseminated intravascular coagulation (DIC)
b. metabolic alkalosis
c. hypoglycemia
d. acute kidney injury
e. thyroid storm - ANSWER a. Disseminated intravascular coagulation (DIC)
d. acute kidney injury - due to decreased perfusion to the kidneys
A client with diabetes is prescribed metoprolol for a heart disorder and a student nurse is providing medication
instruction. Which instruction will require the nursing instructor to intervene?
a. "Sometimes this drug causes SOB, it should get better after about 2 weeks"
b. Rise slowly from a sitting or lying position
c. check your finger stick blood sugars closely and notify the HCP for elevated glucose levels
d. check your radial pulse - ANSWER a. "Sometimes this drug causes SOB, it should get better after about 2 weeks"
Metoprolol decreases the workload of the heart, which can lead to heart failure
What fluid orders would the nurse question for a pt experiencing Hypovolemic shock? SELECT ALL THAT APPLY.
a. LR
b. 0.9% NaCl
c. 0.45% NaCl
d. 0.25% NaCl
e. dextrose 5% in water - ANSWER c. 0.45% NaCl
d. 0.25% NaCl
e. dextrose 5% in water
isotonic and hypertonic fluids are indicated to replace volume
What EKG change would validate that a client is experiencing an acute MI?
a. loss of atrial (P) waves
b. ST-segment elevation
with solutions 2025
Which patient should the nurse assess first?
a. 2nd degree Mobitz 1
b. 1st degree AV block
c. occasional PVCs
d. ST elevation - ANSWER d. ST elevation
This indicates the pt is having a STEMI now
The patient is in V-fib and code blue has been activated. What setting with the nurse use on the defibrillator?
a. cardiovert
b. pace
c. defibrillate - ANSWER c. defibrillate
The patient's BP is 80/50 and has a 1+ brachial pulse. What drug is now indicated?
a. amiodarone
b. metoprolol
c. amlodipine
d. atropine
e. nitroglycerine - ANSWER d. atropine
This is a cholinergic drug that increase HR and BP
A client diagnosed with shock is prescribed dobutamine. Which finding indicates this medication is effective?
a. BP decreases from 160/120 to 140/88
b. urine output increases from 20 mL/hour to 40 mL/hour
c. peripheral pulses decrease in strength from 2+ to 1+ bilaterally
d. respirations increase from 10 bpm to 18 bpm - ANSWER b. urine output increases from 20 mL/hour to 40
mL/hour
Dobutmaine is prescribed to increase cardiac output, which increases perfusion. When their is increases renal
perfusion, urine output will increase as well.
A client is suffering from pericarditis after an MI. What assessment finding will confirm this medical diagnosis?
a. distended neck veins
b. chest pain is relieved by nitroglycerin
c. chest pain with exertion
d. audible friction rub over left sternal border - ANSWER d. audible friction rub over left sternal border
A client is about to received a thrombolytic after an EKG shows changes consistent with an MI. What information
is most important for the nurses to obtain from the client's family?
a. the client takes amlodipine daily
b. the client takes levothyroxine 100 mcg daily
,c. the client is allergic to shellfish
d. the client takes clopidogrel 75 mg daily - ANSWER d. the client takes clopidogrel 75 mg daily
Clopidogrel is an anti platelet that could interact with a thombolytic and increase the chances of the pt bleeding
out.
Which assignment should the LPN take?
a. 100% capture
b. STEMI
c. complete heart block
d. asystole - ANSWER a. 100% capture
it has predictable outcomes
The EKG rhythm strip on telemetry notes 2nd degree Mobitz 1. What will be the priority action of the nurse?
a. notify the HCP
b. call a rapid response
c. assess the client's pulse oximetry reading
d. assess the client's BP - ANSWER d. assess the client's BP
The nurse is caring for a client admitted with a purulent draining pressure injury. What client assessment(s) will
alert the nurse that the client could be developing sepsis?
a. BP 148/78
b. O2 93% on RA
c. RR 28 bpm
d. HR 118 bpm
E. lethargy - ANSWER b. O2 93% on RA
c. RR 28 bpm
d. HR 118 bpm
E. lethargy
A client with cardiomypathy has an invasive pulmonary artery catheter inserted. The pulmonary capillary wedge
pressure is 18 mmHg and the central venous pressure is 15 mmHg. What medication/parenteral therapy will the
nurse anticipate administering?
a. warfarin PO
b. furosemide IV
c. hetastarch
d. albumin - ANSWER b. furosemide IV
An elevated PCWP and CVP indicates hypervolemia and signs of CHF.
What interventions can be assigned that could decrease the chance of a client becoming septic?
a. empty indwelling catheter bag every 12 hrs
b. ambulate the client once a day around the nursing station
, c. catheter care q2h
d. mouth care once per shift - ANSWER c. catheter care q2h
The nurse suspects that a client diagnosed with an MI is developing cardiogenic shock. What assessment finding
led the nurse to conclude the client is developing cariogenic shock?
a. petechiae over trunk, arms, and legs
b. JVD
c. fever 102.6 F
d. laryngospasm - ANSWER b. JVD
With cardiogenic shock, the pump is ineffective leading to s/sx of CHF
A client who developed septic shock secondary to a UTI is now at risk for what life-threatening complications?
SELECT ALL THAT APPLY.
a. Disseminated intravascular coagulation (DIC)
b. metabolic alkalosis
c. hypoglycemia
d. acute kidney injury
e. thyroid storm - ANSWER a. Disseminated intravascular coagulation (DIC)
d. acute kidney injury - due to decreased perfusion to the kidneys
A client with diabetes is prescribed metoprolol for a heart disorder and a student nurse is providing medication
instruction. Which instruction will require the nursing instructor to intervene?
a. "Sometimes this drug causes SOB, it should get better after about 2 weeks"
b. Rise slowly from a sitting or lying position
c. check your finger stick blood sugars closely and notify the HCP for elevated glucose levels
d. check your radial pulse - ANSWER a. "Sometimes this drug causes SOB, it should get better after about 2 weeks"
Metoprolol decreases the workload of the heart, which can lead to heart failure
What fluid orders would the nurse question for a pt experiencing Hypovolemic shock? SELECT ALL THAT APPLY.
a. LR
b. 0.9% NaCl
c. 0.45% NaCl
d. 0.25% NaCl
e. dextrose 5% in water - ANSWER c. 0.45% NaCl
d. 0.25% NaCl
e. dextrose 5% in water
isotonic and hypertonic fluids are indicated to replace volume
What EKG change would validate that a client is experiencing an acute MI?
a. loss of atrial (P) waves
b. ST-segment elevation
