NSG 222 EXAM 4 2026 COMPREHENSIVE
STUDY GUIDE WITH SOLVED QUESTIONS
◉ You are preparing to administer nitroglycerin sublingual to a 58
y/o male client with unstable angina. He complains of 7/10 chest
pain. BP is 95/64, HR 89, and SPO2 (cut out of pic). Which of the
following actions should you take next?
a. Reassess his chest pain after administering
b. Hold the medication and notify the provider
c. Give the nitroglycerin as ordered
d. Inform the client that the medication may give him a headache
Answer: a
◉ A client has recently started on digoxin (Lanoxin) in addition to
furosemide (Lasix) and captopril (Capoten) for the management of
heart failure. Which assessment finding by the home health nurse is
a priority to communicate to the health care provider?
a. Weight increase from 120 pounds to 122 pounds over 3 days
b. Palpable liver edge 2 cm below the ribs on the right side
c. Serum potassium level 3.0 mEq/L after 1 week of therapy
d. Presence of 1+ to 2+ edema in the feet and ankles Answer: c
,◉ Which information about a client who has been receiving
thrombolytic therapy for an acute myocardial infarction (AMI) is
most important for the nurse to communicate to the health care
provider?
a. A decrease in troponin levels from baseline
b. A drop in BP and hematuria
c. A decrease in ST-segment elevation on the electrocardiogram
d. A large bruise at the client's IV insertion site Answer: a
◉ Interpret the following rhythm.
a. Sinus arrythmia
b. Sinus bradycardia
c. Sinus tachycardia
d. Normal sinus rhythm Answer: d
◉ The nurse is caring for a client on a telemetry unit. The nurse
interprets the rhythm strip below from the nursing station monitor.
What is the nurse's priority action?
a. Assess the client
, b. Start CPR
c. Defibrillate
d. Call a code Answer: a
◉ A nurse is preparing to defibrillate a client in ventricular
fibrillation. After placing the paddles on the client's chest and before
discharging them, which of the following should be done?
a. Ensure the client has been intubated
b. Confirm that the rhythm is actually ventricular fibrillation
c. Administer lidocaine hydrochloride (Xylocaine)
d. Set the defibrillator to the "synchronize" mode Answer: b
◉ Interpret the following rhythm.
a. Junctional escape rhythm
b. Atrial flutter
c. Atrial flutter with RVR
d. Atrial fibrillation Answer: d
◉ A client of Asian descent is admitted with uncontrolled
hypertension, congestive heart failure (CHF) and coronary artery
STUDY GUIDE WITH SOLVED QUESTIONS
◉ You are preparing to administer nitroglycerin sublingual to a 58
y/o male client with unstable angina. He complains of 7/10 chest
pain. BP is 95/64, HR 89, and SPO2 (cut out of pic). Which of the
following actions should you take next?
a. Reassess his chest pain after administering
b. Hold the medication and notify the provider
c. Give the nitroglycerin as ordered
d. Inform the client that the medication may give him a headache
Answer: a
◉ A client has recently started on digoxin (Lanoxin) in addition to
furosemide (Lasix) and captopril (Capoten) for the management of
heart failure. Which assessment finding by the home health nurse is
a priority to communicate to the health care provider?
a. Weight increase from 120 pounds to 122 pounds over 3 days
b. Palpable liver edge 2 cm below the ribs on the right side
c. Serum potassium level 3.0 mEq/L after 1 week of therapy
d. Presence of 1+ to 2+ edema in the feet and ankles Answer: c
,◉ Which information about a client who has been receiving
thrombolytic therapy for an acute myocardial infarction (AMI) is
most important for the nurse to communicate to the health care
provider?
a. A decrease in troponin levels from baseline
b. A drop in BP and hematuria
c. A decrease in ST-segment elevation on the electrocardiogram
d. A large bruise at the client's IV insertion site Answer: a
◉ Interpret the following rhythm.
a. Sinus arrythmia
b. Sinus bradycardia
c. Sinus tachycardia
d. Normal sinus rhythm Answer: d
◉ The nurse is caring for a client on a telemetry unit. The nurse
interprets the rhythm strip below from the nursing station monitor.
What is the nurse's priority action?
a. Assess the client
, b. Start CPR
c. Defibrillate
d. Call a code Answer: a
◉ A nurse is preparing to defibrillate a client in ventricular
fibrillation. After placing the paddles on the client's chest and before
discharging them, which of the following should be done?
a. Ensure the client has been intubated
b. Confirm that the rhythm is actually ventricular fibrillation
c. Administer lidocaine hydrochloride (Xylocaine)
d. Set the defibrillator to the "synchronize" mode Answer: b
◉ Interpret the following rhythm.
a. Junctional escape rhythm
b. Atrial flutter
c. Atrial flutter with RVR
d. Atrial fibrillation Answer: d
◉ A client of Asian descent is admitted with uncontrolled
hypertension, congestive heart failure (CHF) and coronary artery
