NUR 265 EXAM 3 VERSION 1 AND 2 | ACTUAL
QUESTIONS AND ANSWERS LATEST
UPDATED 2026/2027 (GRADED A+)- GALEN
COLLEGE OF NURSING
AT GALEN COLLEGE OF NURSING
1. A patient with heart failure has crackles, jugular vein distention, and 3+ edema. Which
finding requires the MOST immediate action?
A. Weight gain of 2 lb in one week
B. Crackles in bilateral lung bases
C. Potassium level of 3.6 mEq/L
D. Fatigue with activity
Answer: B
Rationale: Crackles indicate pulmonary congestion and impaired gas exchange, which is
immediately life-threatening.
2. Which medication reduces preload in a patient with acute heart failure?
A. Metoprolol
B. Furosemide
C. Digoxin
D. Lisinopril
Answer: B
Rationale: Loop diuretics decrease circulating volume, reducing preload and pulmonary
congestion.
3. A patient with atrial fibrillation is at greatest risk for:
A. Bradycardia
B. Stroke
C. Myocardial infarction
D. Ventricular tachycardia
Answer: B
Rationale: Atrial fibrillation promotes clot formation in the atria, increasing stroke risk.
, 4. Which assessment finding suggests worsening left-sided heart failure?
A. Peripheral edema
B. Ascites
C. Crackles
D. Jugular vein distention
Answer: C
Rationale: Left-sided failure leads to pulmonary congestion and crackles.
5. The nurse should hold digoxin if which lab value is present?
A. Potassium 4.2 mEq/L
B. Heart rate 52 bpm
C. Sodium 138 mEq/L
D. Blood pressure 130/84 mmHg
Answer: B
Rationale: Digoxin can cause bradycardia; heart rate below 60 requires holding the dose.
6. Which symptom is MOST concerning in a patient with acute coronary syndrome?
A. Nausea
B. Diaphoresis
C. Chest pain radiating to the left arm
D. Fatigue
Answer: C
Rationale: Radiating chest pain is a classic sign of myocardial ischemia.
7. A patient receiving heparin therapy should be monitored for which lab value?
A. INR
B. Platelets
C. aPTT
D. Hemoglobin A1c
Answer: C
Rationale: aPTT measures therapeutic effectiveness of heparin.
8. Which patient is at highest risk for hypertension complications?
A. 22-year-old athlete
QUESTIONS AND ANSWERS LATEST
UPDATED 2026/2027 (GRADED A+)- GALEN
COLLEGE OF NURSING
AT GALEN COLLEGE OF NURSING
1. A patient with heart failure has crackles, jugular vein distention, and 3+ edema. Which
finding requires the MOST immediate action?
A. Weight gain of 2 lb in one week
B. Crackles in bilateral lung bases
C. Potassium level of 3.6 mEq/L
D. Fatigue with activity
Answer: B
Rationale: Crackles indicate pulmonary congestion and impaired gas exchange, which is
immediately life-threatening.
2. Which medication reduces preload in a patient with acute heart failure?
A. Metoprolol
B. Furosemide
C. Digoxin
D. Lisinopril
Answer: B
Rationale: Loop diuretics decrease circulating volume, reducing preload and pulmonary
congestion.
3. A patient with atrial fibrillation is at greatest risk for:
A. Bradycardia
B. Stroke
C. Myocardial infarction
D. Ventricular tachycardia
Answer: B
Rationale: Atrial fibrillation promotes clot formation in the atria, increasing stroke risk.
, 4. Which assessment finding suggests worsening left-sided heart failure?
A. Peripheral edema
B. Ascites
C. Crackles
D. Jugular vein distention
Answer: C
Rationale: Left-sided failure leads to pulmonary congestion and crackles.
5. The nurse should hold digoxin if which lab value is present?
A. Potassium 4.2 mEq/L
B. Heart rate 52 bpm
C. Sodium 138 mEq/L
D. Blood pressure 130/84 mmHg
Answer: B
Rationale: Digoxin can cause bradycardia; heart rate below 60 requires holding the dose.
6. Which symptom is MOST concerning in a patient with acute coronary syndrome?
A. Nausea
B. Diaphoresis
C. Chest pain radiating to the left arm
D. Fatigue
Answer: C
Rationale: Radiating chest pain is a classic sign of myocardial ischemia.
7. A patient receiving heparin therapy should be monitored for which lab value?
A. INR
B. Platelets
C. aPTT
D. Hemoglobin A1c
Answer: C
Rationale: aPTT measures therapeutic effectiveness of heparin.
8. Which patient is at highest risk for hypertension complications?
A. 22-year-old athlete
