NUR257 Exam 2 QUESTIONS
AND VERIFIED CORRECT
ANSWERS LATEST 2026-2027
The nurse is providing discharge teaching for a client with rheumatic endocarditis but no
valvular dysfunction. On which nursing diagnosis should the nurse focus her teaching?
Chronic pain
Impaired gas exchange
Risk for infection
Impaired memory - CORRECT ANSWER-Risk for infection
A client who had a prosthetic valve replacement was taking warfarin to reduce the risk of
postoperative thrombosis. The client visited the nurse at a clinic once a week. What INR level
would alert the nurse to notify the health care provider?
2.6
3.4
3.0
3.8 - CORRECT ANSWER-3.8
A client with aortic stenosis is reluctant to have valve replacement surgery. A nurse is present
when the health care provider talks to the client about a treatment that is less invasive than
surgery which will likely relieve some of the client's symptoms. What treatment option has been
discussed?
,Balloon percutaneous valvuloplasty
Placement of an autograft valve
Antibiotic therapy
Placement of a xenograft valve - CORRECT ANSWER-Balloon percutaneous valvuloplasty
A client with a recent history of atrial fibrillation has been prescribed warfarin. What action will
the nurse take to confirm safe dosing?
Review the client's most recent warfarin blood levels.
Assess the client's apical pulse.
Review the client's international normalized ratio (INR).
Assess the client's radial pulse. - CORRECT ANSWER-Review the client's international normalized
ratio (INR).
The nurse is teaching a client diagnosed with aortic stenosis appropriate strategies for
attempting to relieve the symptom of angina without resorting to taking medications. What
should the nurse teach the client?
To eat a small meal before taking nitroglycerin
To drink a glass of milk before taking nitroglycerin
To rest and relax before taking nitroglycerin
To engage in 15 minutes of light exercise before taking nitroglycerin - CORRECT ANSWER-To rest
and relax before taking nitroglycerin
A nurse plans to have an education session with a client with cardiomyopathy and the client's
spouse about ways to increase activity tolerance. What instructions would the nurse provide?
Gradually work up to strenuous activity.
Avoid all physical and emotional stress.
Alternate active periods with rest periods.
,Include isometric exercises in the daily routine. - CORRECT ANSWER-Alternate active periods
with rest periods.
A nurse is obtaining a history from a new client in the cardiovascular clinic. When investigating
for childhood diseases and disorders associated with structural heart disease, which finding
should the nurse consider significant?
Severe staphylococcal infection
Rheumatic fever
Medullary sponge kidney
Croup - CORRECT ANSWER-Rheumatic fever
The nurse is auscultating the heart of a client diagnosed with mitral valve prolapse. Which is
often the first and only manifestation of mitral valve prolapse?
Syncope
Dizziness
Extra heart sound
Fatigue - CORRECT ANSWER-Extra heart sound
A nurse is caring for a young female adult client diagnosed with atrial fibrillation who has just
had a mitral valve replacement. The client is being discharged with prescribed warfarin. The
client mentions to the nurse that she relies on the rhythm method for birth control. What
education will be a priority for the nurse to provide to this client?
symptoms to report of worsening tachycardia related to atrial fibrillation
foods to limit (green leafy vegetables) while taking warfarin
the high risk for complications if she becomes pregnant while taking warfarin
instructions for using the rhythm method - CORRECT ANSWER-the high risk for complications if
she becomes pregnant while taking warfarin
, A nurse reviewing a client's echocardiogram report reads the following statements: "The heart
muscle is asymmetrically thickened and the overall size and mass are increased, especially along
the septum. The ventricular walls are thickened, reducing the size of the ventricular cavities.
Several areas of the myocardium show evidence of scarring." The nurse knows these
manifestations are indicative of which type of cardiomyopathy?
dilated
restrictive
arrhythmogenic right ventricular
hypertrophic - CORRECT ANSWER-hypertrophic
The nurse determines that a client recently diagnosed with subacute bacterial endocarditis
understands discharge teaching upon which client statement?
"Can I take the antibiotics as a pill now?"
"I have to call my doctor so I can get antibiotics before seeing the dentist."
"I need a referral to a dietician to understand a low-sodium diet."
"If I quit smoking, it will help the endocarditis." - CORRECT ANSWER-"I have to call my doctor so
I can get antibiotics before seeing the dentist."
A total artificial heart (TAH) is an electrically powered pump that circulates blood into the
pulmonary artery and the aorta, thus replacing the functions of both the right and left
ventricles. What makes it different from an LVAD?
It is specifically designed for long-term use.
It is designed for extremely active patients.
An LVAD only supports a failing left ventricle.
It never needs batteries. - CORRECT ANSWER-An LVAD only supports a failing left ventricle.
A client comes into the emergency department reporting about chest pain that gets worse
when taking deep breaths and lying down. After ruling out a myocardial infarction, a nurse
would assess for which diagnosis?
AND VERIFIED CORRECT
ANSWERS LATEST 2026-2027
The nurse is providing discharge teaching for a client with rheumatic endocarditis but no
valvular dysfunction. On which nursing diagnosis should the nurse focus her teaching?
Chronic pain
Impaired gas exchange
Risk for infection
Impaired memory - CORRECT ANSWER-Risk for infection
A client who had a prosthetic valve replacement was taking warfarin to reduce the risk of
postoperative thrombosis. The client visited the nurse at a clinic once a week. What INR level
would alert the nurse to notify the health care provider?
2.6
3.4
3.0
3.8 - CORRECT ANSWER-3.8
A client with aortic stenosis is reluctant to have valve replacement surgery. A nurse is present
when the health care provider talks to the client about a treatment that is less invasive than
surgery which will likely relieve some of the client's symptoms. What treatment option has been
discussed?
,Balloon percutaneous valvuloplasty
Placement of an autograft valve
Antibiotic therapy
Placement of a xenograft valve - CORRECT ANSWER-Balloon percutaneous valvuloplasty
A client with a recent history of atrial fibrillation has been prescribed warfarin. What action will
the nurse take to confirm safe dosing?
Review the client's most recent warfarin blood levels.
Assess the client's apical pulse.
Review the client's international normalized ratio (INR).
Assess the client's radial pulse. - CORRECT ANSWER-Review the client's international normalized
ratio (INR).
The nurse is teaching a client diagnosed with aortic stenosis appropriate strategies for
attempting to relieve the symptom of angina without resorting to taking medications. What
should the nurse teach the client?
To eat a small meal before taking nitroglycerin
To drink a glass of milk before taking nitroglycerin
To rest and relax before taking nitroglycerin
To engage in 15 minutes of light exercise before taking nitroglycerin - CORRECT ANSWER-To rest
and relax before taking nitroglycerin
A nurse plans to have an education session with a client with cardiomyopathy and the client's
spouse about ways to increase activity tolerance. What instructions would the nurse provide?
Gradually work up to strenuous activity.
Avoid all physical and emotional stress.
Alternate active periods with rest periods.
,Include isometric exercises in the daily routine. - CORRECT ANSWER-Alternate active periods
with rest periods.
A nurse is obtaining a history from a new client in the cardiovascular clinic. When investigating
for childhood diseases and disorders associated with structural heart disease, which finding
should the nurse consider significant?
Severe staphylococcal infection
Rheumatic fever
Medullary sponge kidney
Croup - CORRECT ANSWER-Rheumatic fever
The nurse is auscultating the heart of a client diagnosed with mitral valve prolapse. Which is
often the first and only manifestation of mitral valve prolapse?
Syncope
Dizziness
Extra heart sound
Fatigue - CORRECT ANSWER-Extra heart sound
A nurse is caring for a young female adult client diagnosed with atrial fibrillation who has just
had a mitral valve replacement. The client is being discharged with prescribed warfarin. The
client mentions to the nurse that she relies on the rhythm method for birth control. What
education will be a priority for the nurse to provide to this client?
symptoms to report of worsening tachycardia related to atrial fibrillation
foods to limit (green leafy vegetables) while taking warfarin
the high risk for complications if she becomes pregnant while taking warfarin
instructions for using the rhythm method - CORRECT ANSWER-the high risk for complications if
she becomes pregnant while taking warfarin
, A nurse reviewing a client's echocardiogram report reads the following statements: "The heart
muscle is asymmetrically thickened and the overall size and mass are increased, especially along
the septum. The ventricular walls are thickened, reducing the size of the ventricular cavities.
Several areas of the myocardium show evidence of scarring." The nurse knows these
manifestations are indicative of which type of cardiomyopathy?
dilated
restrictive
arrhythmogenic right ventricular
hypertrophic - CORRECT ANSWER-hypertrophic
The nurse determines that a client recently diagnosed with subacute bacterial endocarditis
understands discharge teaching upon which client statement?
"Can I take the antibiotics as a pill now?"
"I have to call my doctor so I can get antibiotics before seeing the dentist."
"I need a referral to a dietician to understand a low-sodium diet."
"If I quit smoking, it will help the endocarditis." - CORRECT ANSWER-"I have to call my doctor so
I can get antibiotics before seeing the dentist."
A total artificial heart (TAH) is an electrically powered pump that circulates blood into the
pulmonary artery and the aorta, thus replacing the functions of both the right and left
ventricles. What makes it different from an LVAD?
It is specifically designed for long-term use.
It is designed for extremely active patients.
An LVAD only supports a failing left ventricle.
It never needs batteries. - CORRECT ANSWER-An LVAD only supports a failing left ventricle.
A client comes into the emergency department reporting about chest pain that gets worse
when taking deep breaths and lying down. After ruling out a myocardial infarction, a nurse
would assess for which diagnosis?
