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Galen NUR 242 Exam 4 Cardiovascular 2026 – 100 Questions | CHF, EKG, Afib, Hypertension, PAD, VTE

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This expertly compiled guide contains 100 verified questions and answers for NUR 242 Exam 4 (Cardiovascular Focus) at Galen College of Nursing, updated for the 2026 exam cycle. It offers a thorough review of cardiovascular pathophysiology, diagnostics, pharmacology, and nursing interventions, tailored to advanced med-surg students preparing for exams or clinicals. Core content includes: Hemodynamic Concepts: Cardiac output (CO = HR × SV), preload, afterload, MAP equation, orthostatic vital signs Heart Failure (CHF): Etiology (CAD, MI, VHD, substance abuse), symptoms (dyspnea, edema, fatigue), diagnostics (BNP, echocardiogram), and management with diuretics, ACE inhibitors, beta blockers, and digoxin Electrophysiology and ECG Interpretation: Cardiac conduction system, PQRST wave meanings, sinus bradycardia/tachycardia, Afib characteristics, and emergency use of atropine, cardioversion, and amiodarone Arrhythmias and Emergency Response: Afib risks (stroke, CHF), defibrillation vs cardioversion, and rhythm complications like V-tach, V-fib, and asystole Cardiac Diagnostic Testing and Cath Lab Care: Cardiac enzymes, ECG, catheterization precautions (iodine allergy, renal function), post-op monitoring, and TEE use in Afib Hypertension Management: Essential vs secondary HTN, diagnostic workup, DASH diet, antihypertensives (ACE, ARBs, diuretics, CCBs), and hypertensive crisis interventions Peripheral Vascular Disorders: Atherosclerosis, PAD (claudication stages), ankle-brachial index interpretation, arterial vs venous ulcer findings, and bypass surgery priorities Venous Thromboembolism (VTE): Pathophysiology (Virchow’s triad), DVT/PE symptoms, diagnosis (doppler, CT angio), step therapy (heparin → warfarin), and prevention strategies This resource is ideal for: Nursing students enrolled in NUR 242 – Advanced Medical-Surgical Nursing ADN or BSN students preparing for cardiac/vascular exams or clinical assessments NCLEX-RN candidates needing cardiovascular review Instructors and preceptors seeking structured, scenario-based question sets Keywords: NUR 242, Galen College, cardiovascular nursing, CHF management, cardiac output, preload and afterload, Afib treatment, beta blockers, hypertension, hypertensive crisis, ECG interpretation, sinus bradycardia, defibrillation, stroke prevention, BNP levels, cardiac catheterization, digoxin, PAD symptoms, ankle-brachial index, VTE nursing, NCLEX cardiac

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Galen NUR 242 Exam 4 –
Cardiovascular 2026 Exam
Questions and Verified Answers
| Already Graded A+



What is the equation for cardiac output? - 🧠 ANSWER ✔✔CO = HR x SV


What is preload? - 🧠 ANSWER ✔✔the heart is being stretched out


What does preload reflect? - 🧠 ANSWER ✔✔how much fluid is in the heart


What is afterload? - 🧠 ANSWER ✔✔resistance the ventricle must overcome

to eject blood

,Example of increased preload - 🧠 ANSWER ✔✔CHF


Example of increased afterload - 🧠 ANSWER ✔✔hypertension


What is blood pressure? - 🧠 ANSWER ✔✔force of blood against vessel

walls


What is systolic blood pressure? - 🧠 ANSWER ✔✔amount of pressure

generated by the left ventricle to distribute blood into the aorta with each

CONTRACTION of the heart


What is diastolic blood pressure? - 🧠 ANSWER ✔✔amount of pressure

against the arterial walls during RELAXATION of the heart


What is the equation for MAP? - 🧠 ANSWER ✔✔2(diastolic) + systolic / 3


What is the minimum the MAP can be to maintain adequate perfusion? - 🧠

ANSWER ✔✔no less than 60


What is another name for orthostatic changes? - 🧠 ANSWER ✔✔postural

hypotension

A decrease of more than 20 mmHg systolic or more than 10 mmHg

diastolic pressure with an increase in heart rate - 🧠 ANSWER

✔✔orthostatic change

, How do you measure orthostatic changes? - 🧠 ANSWER ✔✔Check blood

pressure in the following order: after laying supine for 3 minutes, after

sitting for 1 minute and standing **Keep cuff in same place**

What precautions are important for a patient experiencing orthostatic

changes? - 🧠 ANSWER ✔✔fall


Who is at risk for orthostatic changes? - 🧠 ANSWER ✔✔prolonged bed

rest, medications, dehydration, volume depletion, autonomic nervous

system disorders


Cardiovascular assessment - 🧠 ANSWER ✔✔general apperance, skin,

weight, edema, extremities, blood pressure


Markers of myocardial damage - 🧠 ANSWER ✔✔troponin, creatinine

kinase, CKMB, myoglobin, serum lipids, homocystine levels


Normal lipid levels - 🧠 ANSWER ✔✔Total cholesterol <200mg/dL, LDL

(Cardiac pt) <70/dL, LDL (Non-Cardiac pt) <130/, HDL >40mg/dL,

Triglycerides <150mg/dL


Cardiac Diagnostic Tests - 🧠 ANSWER ✔✔ECG, Echocardiogram, Cardiac

Catherization



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