EXAM 2026 WITH ACTUAL CORRECT
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The nurse cares for a client diagnosed with an acute MI. the nurse attributes what ECG changes
to the pathology of MI?
A. T wave inversion
B. Abnormal Q wave
C. Irregular PR interval
D. ST elevation
E. U wave
A, B, D
A nurse cares for a client with pericarditis and notes inverted T waves on the ECG. What priority
intervention by the nurse is most appropriate?
A. Notify HCP
B. Assess the client for chest discomfort
C. Obtain vital signs including O2 sat
D. administer O2 100%
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,B
Inverted or depressed T waves on the patients EKG indicates tissue ischemia or decreased O2
to the tissues
The nurse reviews the health record for a client with CAD. when assessing client risk, what
elevated lab value is the most likely to cause the progression of CAD?
A. Blood glucose
B. HDL
C. LDL
D. Microalbuminuria
C
The nurse evaluates a middle-aged adult client with CAD, obesity, and nicotine addiction. The
nurse counsels the client about what additional factors that increase the risk for CAD?
A. History of valve disease
B. DM type II
C. Elevated HDL levels
D. Familial HTN
B
The nurse reviews the prescribed medications for a client with asthma, diabetes, and acute HF.
Which pharmacological intervention is prescribed to reduce myocardial workload?
A. Montelukast
B. Dobutamine
C. Lopressor/metoprolol
D. Morphine sulfate
E. salmeterol
B,C,D
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,A client with underlying sinus tachycardia experiences frequent short episodes of VT, what lab
test does the nurse expect the HCP will evaluate to determine a possible cause of ventricular
tachycardia?
A. Potassium
B. Sodium
C. Chloride
D. Magnesium
D
The nurse cares for a client who was diagnosed with acute MI. The nurse incorporates which
assessments as part of the monitoring for common complications of MI?
Select all that apply
A. Lung auscultation
B. Cognitive assessment
C. Apical Heart Rate
D. residual urine volumes
E. Daily weight
A, C, E
A client with a left bundle branch block asks the nurse to explain the ECG monitor pattern. What
teaching by the nurse explains the wide QRS complex?
a. ventricular depolarization occurs through an alternate pathway
b. ventricular repolarization is prolonged, resulting in a large t wave
c. depolarization of the purkinje fibers occurs normally
d. delayed atrial repolarization causes a bigger wave
A
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, the nurse assesses a male client in the ER with chest pain. Chest pain suspicious for MI includes
which feature?
A. described as gnawing
B. accompanied by nausea
C. Stabbing pain
D. Radiates to jaw
D
The nurse evaluates a clients cardiac monitor strip and notes a 58 bpm, regular rhythm, P waves
normal in size and shape, a normally shaped QRS measuring 0.08 seconds, and consistent PR
interval that measures 0.24 seconds. How does the nurse document this rhythm?
A. Sinus tachydysrhythmia
B. ventricular tachycardia
C. sinus bradydysrhythmia
D. Normal sinus rhythm
C`
The nurse assesses a client with CAD who has been hospitalized for 3 days. the nurse notes
moderate peripheral edema bilaterally and crackles in the lungs. What should the nurse do
first?
A. Teach the client about sodium restricted diet
B. Request an order for daily weights
C. Discuss diuretic options with the provider
D. Review intake and output since admission
D
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