MULTIDIMENSIONAL CARE 3 FINAL EXAM
CERTIFICATION EVALUATION TEST 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED GRADED A+
◉ A client is to have a treadmill stress test, prior to the stress test,
the nurse should report which elevated level to the HCP Answer:
Troponin
◉ A client with chest pain is prescribed IV nitroglycerin. Which
finding is of greatest concern for the nurse before administering
nitroglycerin drip? Answer: Low blood pressure- 88/46
◉ A client with acute chest pain is receiving IV morphine sulfate.
Which effects of morphine would be expected Answer: reduces
myocardial oxygen consumption
reduces blood pressure and heart rate
reduces anxiety and fear
◉ An older adult has chest pain and shortness of breath. The HCP
prescribes nitroglycerin tablet. What should the nurse instruct the
client to do Answer: Place the tablet under the tongue until it is
absorbed
,◉ The nurse is preparing a client for a cardiac angiogram. what
actions should the nurse take? Answer: Determine if the client has
an allergy to liquid contrast material.
Inform the client that an IV infusion will be started before the
procedure.
Remind the client to have nothing to eat or drink 8 hours before the
procedure.
Instruct the client to remain still during the procedure
◉ An adult comes to the emergency room with crushing substernal
chest pain that radiates to the shoulder and left arm. The diagnosis
is acute MI. prescriptions include oxygen by nasal canula at 4L, a
CBC, a chest radiography, a 12 lead ECG, and 2mg of morphine
sulfate given IV. What should the nurse do first Answer: Administer
the morphine
◉ A client is admitted with for an MI develops cardiogenic shock.
What prescription from the HCP should the nurse question Answer:
metoprolol
◉ The HCP prescribes continuous IV nitroglycerin infusion for a
client. What should the nurse do to ensure safe administration of
this drug Answer: Use an infusion pump for the medication
,◉ A client is scheduled for insertion of a coronary stent with right
groin access. What teaching points should the nurse include in the
clients preoperative teaching plan? Answer: " If you have chest pain,
please tell the staff"
" You will need to remain flat during this procedure and for 3-6
hours after the procedure"
◉ While caring for a client who has had a MI, the nurse notes eight
PVC's in one minute on the cardiac monitor. What should the nurse
do first Answer: Notify the HCP
◉ The nurse is administering furosemide to a client. what is the
expected outcome? Answer: Increased urine output
◉ The nurse is assisting the client during the acute phase of MI in
making a meal plan. What is the most appropriate diet for this client
Answer: Small, easily digested meals
◉ The nurse is caring for a client that has started clopidogrel. The
nurse develops a teaching plan that includes which points Answer:
to report unexpected bleeding or bleeding that lasts a long time
to understand that the client may bruise more easily or experience
bleeding gums
to know that clopidogrel works by preventing platelets from sticking
together and forming a clot
, ◉ the client has been managing angina episodes with nitroglycerin.
What finding indicates that the therapeutic effect of this drug has
been achieved Answer: reduced chest pain
◉ What is the expected outcome of tissue plasminogen activator
Answer: revascularize the blocked coronary artery
◉ the nurse is monitoring a client who is receiving tissue
plasminogen activator. the nurse should assess the client for which
changes? Answer: cardiac arrythmias
◉ . Following diagnosis of angina pectoris, a client reports being
unable to walk up
two flights of stairs without pain. Which of the following measures
would most likely
help the client prevent this problem?
1. Climb the steps early in the day.
2. Rest for at least an hour before climbing the stairs.
3. Take a nitroglycerin tablet before climbing the stairs.
4. Lie down after climbing the stairs. Answer: take a nitroglycerin
tablet before climbing the stairs
CERTIFICATION EVALUATION TEST 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED GRADED A+
◉ A client is to have a treadmill stress test, prior to the stress test,
the nurse should report which elevated level to the HCP Answer:
Troponin
◉ A client with chest pain is prescribed IV nitroglycerin. Which
finding is of greatest concern for the nurse before administering
nitroglycerin drip? Answer: Low blood pressure- 88/46
◉ A client with acute chest pain is receiving IV morphine sulfate.
Which effects of morphine would be expected Answer: reduces
myocardial oxygen consumption
reduces blood pressure and heart rate
reduces anxiety and fear
◉ An older adult has chest pain and shortness of breath. The HCP
prescribes nitroglycerin tablet. What should the nurse instruct the
client to do Answer: Place the tablet under the tongue until it is
absorbed
,◉ The nurse is preparing a client for a cardiac angiogram. what
actions should the nurse take? Answer: Determine if the client has
an allergy to liquid contrast material.
Inform the client that an IV infusion will be started before the
procedure.
Remind the client to have nothing to eat or drink 8 hours before the
procedure.
Instruct the client to remain still during the procedure
◉ An adult comes to the emergency room with crushing substernal
chest pain that radiates to the shoulder and left arm. The diagnosis
is acute MI. prescriptions include oxygen by nasal canula at 4L, a
CBC, a chest radiography, a 12 lead ECG, and 2mg of morphine
sulfate given IV. What should the nurse do first Answer: Administer
the morphine
◉ A client is admitted with for an MI develops cardiogenic shock.
What prescription from the HCP should the nurse question Answer:
metoprolol
◉ The HCP prescribes continuous IV nitroglycerin infusion for a
client. What should the nurse do to ensure safe administration of
this drug Answer: Use an infusion pump for the medication
,◉ A client is scheduled for insertion of a coronary stent with right
groin access. What teaching points should the nurse include in the
clients preoperative teaching plan? Answer: " If you have chest pain,
please tell the staff"
" You will need to remain flat during this procedure and for 3-6
hours after the procedure"
◉ While caring for a client who has had a MI, the nurse notes eight
PVC's in one minute on the cardiac monitor. What should the nurse
do first Answer: Notify the HCP
◉ The nurse is administering furosemide to a client. what is the
expected outcome? Answer: Increased urine output
◉ The nurse is assisting the client during the acute phase of MI in
making a meal plan. What is the most appropriate diet for this client
Answer: Small, easily digested meals
◉ The nurse is caring for a client that has started clopidogrel. The
nurse develops a teaching plan that includes which points Answer:
to report unexpected bleeding or bleeding that lasts a long time
to understand that the client may bruise more easily or experience
bleeding gums
to know that clopidogrel works by preventing platelets from sticking
together and forming a clot
, ◉ the client has been managing angina episodes with nitroglycerin.
What finding indicates that the therapeutic effect of this drug has
been achieved Answer: reduced chest pain
◉ What is the expected outcome of tissue plasminogen activator
Answer: revascularize the blocked coronary artery
◉ the nurse is monitoring a client who is receiving tissue
plasminogen activator. the nurse should assess the client for which
changes? Answer: cardiac arrythmias
◉ . Following diagnosis of angina pectoris, a client reports being
unable to walk up
two flights of stairs without pain. Which of the following measures
would most likely
help the client prevent this problem?
1. Climb the steps early in the day.
2. Rest for at least an hour before climbing the stairs.
3. Take a nitroglycerin tablet before climbing the stairs.
4. Lie down after climbing the stairs. Answer: take a nitroglycerin
tablet before climbing the stairs
