NSG 222 EXAM 5 2026 CERTIFICATION
EVALUATION QUESTIONS AND ANSWERS
◉ Which nursing action can the registered nurse (RN) delegate to
experienced unlicensed assistive personnel (UAP) working as
telemetry technicians on the cardiac unit?
a. Select the best lead for monitoring a client admitted with acute
coronary syndrome
b. Observe heart rhythms for multiple clients who have telemetry
monitoring
c. Monitor a client's level of consciousness during synchronized
cardioversion
d. Decide whether a client's heart rate of 116 requires urgent
treatment Answer: b
◉ The nurse is caring for four clients on a cardiac unit. Which of the
following therapeutic nursing interventions is a priority?
a. Initiation of teaching concerning reduction of risk factors for heart
disease
b. Taking report on a new admission coming to the unit
c. Administration of morning medications
,d. Administration of IV push morphine for a diagnosis of unstable
angina Answer: d
◉ A nurse on the cardiac care unit is monitoring telemetry. The
following appears on the cardiac monitor. Which of the following
medications may be used to treat this dysrhythmia? (Select all
that apply).
a. amiodarone (Cordarone)
b. Warfarin (coumadin)
c. Morphine
d. Diltiazem (Cardizem)
e. Lanoxin (digoxin) Answer: a, b, d, e
◉ After reviewing information shown in the accompanying figure
rom the medical records of a 43-year-old, which risk factor
modification for coronary artery disease should the nurse include in
client teaching?
a. Ongoing cardiac risk associated with the history of tobacco use
b. Importance of daily physical activity
c. Dietary changes to improve lipid levels
d. Effect of weight loss on blood pressure Answer: c
,◉ A client is ordered Simvastatin (Zocor) for the management of
dyslipidemia. The client is instructed by the nurse to have which
serum level monitored by the health care provider while on this
drug?
a. Cardiac enzymes
b. Liver enzymes
c. Electrolyte level
d. Blood urea nitrogen Answer: b
◉ A nurse is assessing clients on a medical-surgical unit. Which
client should the nurse identify as being at greatest risk for atrial
fibrillation?
a. A 45-year-old who takes an aspirin daily
b. An 80-year-old with chronic obstructive pulmonary disease
c. A 78-year-old who had a carotid endarterectomy
d. A 50-year-old who is post coronary artery bypass graft surgery
Answer: d
◉ A nurse teaches a client with a new permanent pacemaker. Which
instructions should the nurse include in this client's teaching?
(Select all that apply)
, a. "Report any pulse rates lower than your pacemaker settings"
b. "Have your pacemaker turned off before having magnetic
resonance imaging (MRI)"
c. "Do not lift your left arm above the level of your shoulder for 8
weeks"
d. "If you feel weak, apply pressure over your generator"
e. "Until your incision is healed, do not submerge your pacemaker.
Only take showers." Answer: a, c, e
◉ The client is newly prescribed apixaban (Eliquis) for treatment of
atrial fibrillation. The nurse evaluates teaching was effective when
the client states which one of the following?
a. "I will need to get monthly INR levels drawn while on this
medication"
b. "If I start bleeding, I must get Vitamin K injections"
c. "If I miss my morning dose, I can double up on my evening dose"
d. "I will not need to have routine laboratory testing while on this
medication" Answer: d
◉ A 74 y/o client with recurring stable angina is experiencing chest
pain while out for a walk. What action should he take first?
EVALUATION QUESTIONS AND ANSWERS
◉ Which nursing action can the registered nurse (RN) delegate to
experienced unlicensed assistive personnel (UAP) working as
telemetry technicians on the cardiac unit?
a. Select the best lead for monitoring a client admitted with acute
coronary syndrome
b. Observe heart rhythms for multiple clients who have telemetry
monitoring
c. Monitor a client's level of consciousness during synchronized
cardioversion
d. Decide whether a client's heart rate of 116 requires urgent
treatment Answer: b
◉ The nurse is caring for four clients on a cardiac unit. Which of the
following therapeutic nursing interventions is a priority?
a. Initiation of teaching concerning reduction of risk factors for heart
disease
b. Taking report on a new admission coming to the unit
c. Administration of morning medications
,d. Administration of IV push morphine for a diagnosis of unstable
angina Answer: d
◉ A nurse on the cardiac care unit is monitoring telemetry. The
following appears on the cardiac monitor. Which of the following
medications may be used to treat this dysrhythmia? (Select all
that apply).
a. amiodarone (Cordarone)
b. Warfarin (coumadin)
c. Morphine
d. Diltiazem (Cardizem)
e. Lanoxin (digoxin) Answer: a, b, d, e
◉ After reviewing information shown in the accompanying figure
rom the medical records of a 43-year-old, which risk factor
modification for coronary artery disease should the nurse include in
client teaching?
a. Ongoing cardiac risk associated with the history of tobacco use
b. Importance of daily physical activity
c. Dietary changes to improve lipid levels
d. Effect of weight loss on blood pressure Answer: c
,◉ A client is ordered Simvastatin (Zocor) for the management of
dyslipidemia. The client is instructed by the nurse to have which
serum level monitored by the health care provider while on this
drug?
a. Cardiac enzymes
b. Liver enzymes
c. Electrolyte level
d. Blood urea nitrogen Answer: b
◉ A nurse is assessing clients on a medical-surgical unit. Which
client should the nurse identify as being at greatest risk for atrial
fibrillation?
a. A 45-year-old who takes an aspirin daily
b. An 80-year-old with chronic obstructive pulmonary disease
c. A 78-year-old who had a carotid endarterectomy
d. A 50-year-old who is post coronary artery bypass graft surgery
Answer: d
◉ A nurse teaches a client with a new permanent pacemaker. Which
instructions should the nurse include in this client's teaching?
(Select all that apply)
, a. "Report any pulse rates lower than your pacemaker settings"
b. "Have your pacemaker turned off before having magnetic
resonance imaging (MRI)"
c. "Do not lift your left arm above the level of your shoulder for 8
weeks"
d. "If you feel weak, apply pressure over your generator"
e. "Until your incision is healed, do not submerge your pacemaker.
Only take showers." Answer: a, c, e
◉ The client is newly prescribed apixaban (Eliquis) for treatment of
atrial fibrillation. The nurse evaluates teaching was effective when
the client states which one of the following?
a. "I will need to get monthly INR levels drawn while on this
medication"
b. "If I start bleeding, I must get Vitamin K injections"
c. "If I miss my morning dose, I can double up on my evening dose"
d. "I will not need to have routine laboratory testing while on this
medication" Answer: d
◉ A 74 y/o client with recurring stable angina is experiencing chest
pain while out for a walk. What action should he take first?
