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Galen NUR 242 Exam 2026 – 40 Cardiac Questions | Heart Failure, BNP, Atrial Fibrillation, Lasix

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This document contains 40 expert-verified cardiac questions and answers for the 2026 NUR 242 Exam at Galen College of Nursing, focused on high-risk conditions and clinical decision-making for patients with cardiovascular disease. Designed specifically for advanced medical-surgical nursing students, the content emphasizes NCLEX-style critical thinking and real-world clinical application. Topics include: Left- and right-sided heart failure: signs, symptoms, fluid overload indicators, and complications BNP interpretation in diagnosing heart failure exacerbations Management of atrial fibrillation, including initiation of heparin and antidysrhythmic therapy Patient education for discharge, diet, medication adherence, and red-flag symptoms Pharmacologic interventions: use of IV Diltiazem, Lasix (furosemide), and when to withhold diuretics based on labs like potassium (K⁺) Identifying high-risk patients and early recognition of exacerbation based on clinical presentation Students are tested on selecting priority actions, interpreting ejection fraction results, identifying proper discharge instructions, and anticipating complications such as fluid retention, orthopnea, and pulmonary congestion. Also addressed are nursing interventions based on abnormal labs like critically low potassium and elevated BNP levels. This resource is ideal for: Galen College students in NUR 242 – Advanced Medical-Surgical Nursing Nursing students preparing for cardiac-focused exams or NCLEX-RN ADN/BSN candidates studying heart failure, arrhythmias, and cardiac pharmacology Clinical educators and preceptors seeking high-quality Q&A for group review or tutoring Keywords: NUR 242, Galen College, cardiac nursing, BNP levels, Lasix, heart failure, left-sided heart failure, right-sided heart failure, Diltiazem, furosemide, potassium level, atrial fibrillation, heparin infusion, discharge teaching, fluid overload, NCLEX cardiac, advanced med-surg, IV medications, ejection fraction, heart failure education, oxygen saturation

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Galen NUR 242 Cardiac Study
Questions 2026 Expert Verified |
Ace the Test



A client develops the following tracing on the monitor. The client is

assessed and is lethargic. VS 150/95 mmHg, 175, 16. The nurse should

anticipate administering which drug for this rhythm?

, IVP Enalapril 2.5 mg

IVPB Magnesium sulfate 1g

IV Epinephrine 1mg


IVP Diltiazem 15mg - 🧠 ANSWER ✔✔IVP Diltiazem 15mg


Which of the following patients are MOST at risk for developing heart

failure? Select-all-that-apply:*




A. A 69 year old male with a history of alcohol abuse and is recovering

from a myocardial infarction.

B. A 55 year old female with a health history of asthma and

hypoparathyroidism.

C. A 30 year old male with a history of endocarditis and has severe mitral

stenosis.

D. A 45 year old female with lung cancer stage 2.

E. A 58 year old female with uncontrolled hypertension and is being

treated for influenza. - 🧠 ANSWER ✔✔A. A 69 year old male with a history

of alcohol abuse and is recovering from a myocardial infarction.

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