NR 324 FINAL EXAM REVIEW
PRACTICE EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
A nurse is caring for a client who enters the emergency department complaining of severe chest
pain. Which of the following interventions should the nurse implement to determine if the
client is experiencing a myocardial infarction?
A. Check the client's blood pressure.
B. Auscultate heart tones.
C. Perform a 12-lead ECG.
D. Determine if pain radiates to the left arm. - ANS C. Perform a 12-lead ECG.
Beta adrenergic blockers cause?
A. Tachycardia
B. Bradycardia
C. Hypertension
D. Tachypnea - ANS B. Bradycardia
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss? - ANS Encourage weight-bearing exercises
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a
partial gastrectomy for ulcers. Which of the following information should the nurse include in
the teaching? - ANS Avoid liquids at meal times
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should review prior to the procedure? - ANS BUN
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following
actions should the nurse take? - ANS Position pillows between the bony prominences.
A nurse is caring for a client who has meningococcal pneumonia. Which of the following
personal protective equipment should the nurse use? - ANS Mask
A nurse is caring for a client following cardiac catheterization. Which of the following is an
appropriate nursing action?
a. Monitor pedal pulses every 15 min.
b. Perform passive range of motion to the affected extremity.
c. Ambulate the client when he is awake and alert.
d. Keep the client in high-Fowler's position for 6 hr. - ANS a. Monitor pedal pulses every 15
min.
a nurse is collect data from a client who has right sided heart failure. which of the following
findings should the nurse expect?
a. frothy sputum
b. dyspnea.
c. orthopnea
d. peripheral edema - ANS d. peripheral edema
A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of
the following clinical manifestations should the nurse expect to find? (Select all that apply.)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, a. Orthopnea
b. Headache
c. Nausea
d. Tachycardia
e. Diaphoresis - ANS Nausea
Tachycardia
Diaphoresis
A client asks a nurse, "Why am I taking nitroglycerin?" Which of the following is the best
response by the nurse?
a. "Nitroglycerin relieves nausea and prevents vomiting which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of
breath."
d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart." -
ANS "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
A client comes to the emergency department via ambulance to report severe radiating chest
pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The
provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and
a 12-lead ECG. Which of the following actions should the nurse assisting with this client's care
take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
c. Initiate oxygen therapy.
d. Insert the IV catheter. - ANS c. Initiate oxygen therapy.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
PRACTICE EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
A nurse is caring for a client who enters the emergency department complaining of severe chest
pain. Which of the following interventions should the nurse implement to determine if the
client is experiencing a myocardial infarction?
A. Check the client's blood pressure.
B. Auscultate heart tones.
C. Perform a 12-lead ECG.
D. Determine if pain radiates to the left arm. - ANS C. Perform a 12-lead ECG.
Beta adrenergic blockers cause?
A. Tachycardia
B. Bradycardia
C. Hypertension
D. Tachypnea - ANS B. Bradycardia
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss? - ANS Encourage weight-bearing exercises
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a
partial gastrectomy for ulcers. Which of the following information should the nurse include in
the teaching? - ANS Avoid liquids at meal times
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should review prior to the procedure? - ANS BUN
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following
actions should the nurse take? - ANS Position pillows between the bony prominences.
A nurse is caring for a client who has meningococcal pneumonia. Which of the following
personal protective equipment should the nurse use? - ANS Mask
A nurse is caring for a client following cardiac catheterization. Which of the following is an
appropriate nursing action?
a. Monitor pedal pulses every 15 min.
b. Perform passive range of motion to the affected extremity.
c. Ambulate the client when he is awake and alert.
d. Keep the client in high-Fowler's position for 6 hr. - ANS a. Monitor pedal pulses every 15
min.
a nurse is collect data from a client who has right sided heart failure. which of the following
findings should the nurse expect?
a. frothy sputum
b. dyspnea.
c. orthopnea
d. peripheral edema - ANS d. peripheral edema
A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of
the following clinical manifestations should the nurse expect to find? (Select all that apply.)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, a. Orthopnea
b. Headache
c. Nausea
d. Tachycardia
e. Diaphoresis - ANS Nausea
Tachycardia
Diaphoresis
A client asks a nurse, "Why am I taking nitroglycerin?" Which of the following is the best
response by the nurse?
a. "Nitroglycerin relieves nausea and prevents vomiting which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of
breath."
d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart." -
ANS "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
A client comes to the emergency department via ambulance to report severe radiating chest
pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The
provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and
a 12-lead ECG. Which of the following actions should the nurse assisting with this client's care
take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
c. Initiate oxygen therapy.
d. Insert the IV catheter. - ANS c. Initiate oxygen therapy.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
