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NUR 211 NCLEX STYLE QUESTIONSPRACTICE EXAM
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
A nurse is assessing a client with suspected infective endocarditis. Which
finding supports this diagnosis rather than myocarditis?
A. Chest pain worsening when lying flat
B. Muffled heart sounds
C. New-onset murmur over a heart valve
D. Viral-like flu symptoms
Correct Answer: C Rationale: Endocarditis affects the valves, so new murmurs are
key. Myocarditis is more viral and causes generalized inflammation.
A client reports sharp chest pain that improves when sitting forward and
worsens when lying down. The nurse suspects pericarditis. Which additional
finding supports this?
A. High-pitched diastolic murmur
B. Friction rub over the left sternal border
C. Widened pulse pressure
D. S3 heart sound
Correct Answer: B Rationale: Pericarditis uniquely presents with a pericardial friction
rub and positional chest pain.
A client with mitral valve prolapse asks why caffeine should be avoided. Which
is the best response?
A. "Caffeine increases the risk of valve infection."
B. "Caffeine can worsen palpitations and chest pain."
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C. "Caffeine reduces blood pressure too much."
D. "Caffeine increases clotting risk."
Correct Answer: B Rationale: MVP often causes palpitations; caffeine worsens them.
A nurse is assessing a client who suddenly develops cool, clammy skin, a
thready pulse, and severe dyspnea after an MI. A high-pitched systolic murmur
is heard at the apex. What condition is suspected?
A. Acute mitral regurgitation
B. Mitral stenosis
C. Aortic stenosis
D. Pericardial effusion
Correct Answer: ARationale: Acute MR after MI causes shock, pulmonary edema,
and a systolic murmur at the apex.
Which finding distinguishes chronic mitral regurgitation from acute MR?
A. Sudden onset pulmonary edema
B. Long-term fatigue and orthopnea
C. Systolic murmur at the apex
D. Risk for endocarditis
Correct Answer: B Rationale: Chronic MR is slow and silent for years until HF
develops.
A patient with a history of rheumatic fever presents with DOE and a
low-pitched rumbling diastolic murmur at the apex. Which condition does the
nurse suspect?
A. Mitral stenosis
B. Aortic regurgitation
C. Aortic stenosis
D. Mitral prolapse
Correct Answer: A Rationale: MS is linked to rheumatic disease and produces a
rumbling diastolic murmur at the apex.
A nurse is caring for a client with aortic regurgitation. Which order should the
nurse question?
A. Furosemide
B. ACE inhibitor
C. Verapamil
D. Daily weight monitoring
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Correct Answer: C Rationale: In AR, Verapamil and Diltiazem slow the HR and
worsen CO.
A nurse is teaching a patient with aortic stenosis about activity limitations.
Which teaching is correct?
A. "Avoid nitroglycerin because it may severely drop your blood pressure."
B. "Stress tests are part of your routine care."
C. "Competitive sports are safe as long as you rest afterward."
D. "Your murmur will disappear with treatment."
Correct Answer: A Rationale: In AS, nitro may drop BP so low the coronaries aren't
perfused.
A client with suspected aortic stenosis reports syncope, chest pain, and
shortness of breath. The nurse recognizes these as:
A. Signs of acute regurgitation
B. Classic triad of aortic stenosis
C. Indicators of myocarditis
D. Symptoms of cardiac tamponade
Correct Answer: B
A client undergoes balloon valvuloplasty. Which finding requires immediate
intervention?
A. Mild soreness at puncture site
B. Heart rate 110/min after procedure
C. Sudden drop in blood pressure
D. Bruising at insertion site
Correct Answer: C Rationale: Could signal bleeding, rupture, or embolization.
Which valve problem is most associated with a "fish-mouth" appearance and
commonly caused by rheumatic disease?
A. Aortic stenosis
B. Mitral stenosis
C. Aortic regurgitation
D. Mitral prolapse
Correct Answer: B
The nurse is caring for a client with pericardial effusion. Which finding
indicates progression to cardiac tamponade?
A. Bounding pulses
NUR 211 NCLEX STYLE QUESTIONSPRACTICE EXAM
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
A nurse is assessing a client with suspected infective endocarditis. Which
finding supports this diagnosis rather than myocarditis?
A. Chest pain worsening when lying flat
B. Muffled heart sounds
C. New-onset murmur over a heart valve
D. Viral-like flu symptoms
Correct Answer: C Rationale: Endocarditis affects the valves, so new murmurs are
key. Myocarditis is more viral and causes generalized inflammation.
A client reports sharp chest pain that improves when sitting forward and
worsens when lying down. The nurse suspects pericarditis. Which additional
finding supports this?
A. High-pitched diastolic murmur
B. Friction rub over the left sternal border
C. Widened pulse pressure
D. S3 heart sound
Correct Answer: B Rationale: Pericarditis uniquely presents with a pericardial friction
rub and positional chest pain.
A client with mitral valve prolapse asks why caffeine should be avoided. Which
is the best response?
A. "Caffeine increases the risk of valve infection."
B. "Caffeine can worsen palpitations and chest pain."
, Page 2 of 27
C. "Caffeine reduces blood pressure too much."
D. "Caffeine increases clotting risk."
Correct Answer: B Rationale: MVP often causes palpitations; caffeine worsens them.
A nurse is assessing a client who suddenly develops cool, clammy skin, a
thready pulse, and severe dyspnea after an MI. A high-pitched systolic murmur
is heard at the apex. What condition is suspected?
A. Acute mitral regurgitation
B. Mitral stenosis
C. Aortic stenosis
D. Pericardial effusion
Correct Answer: ARationale: Acute MR after MI causes shock, pulmonary edema,
and a systolic murmur at the apex.
Which finding distinguishes chronic mitral regurgitation from acute MR?
A. Sudden onset pulmonary edema
B. Long-term fatigue and orthopnea
C. Systolic murmur at the apex
D. Risk for endocarditis
Correct Answer: B Rationale: Chronic MR is slow and silent for years until HF
develops.
A patient with a history of rheumatic fever presents with DOE and a
low-pitched rumbling diastolic murmur at the apex. Which condition does the
nurse suspect?
A. Mitral stenosis
B. Aortic regurgitation
C. Aortic stenosis
D. Mitral prolapse
Correct Answer: A Rationale: MS is linked to rheumatic disease and produces a
rumbling diastolic murmur at the apex.
A nurse is caring for a client with aortic regurgitation. Which order should the
nurse question?
A. Furosemide
B. ACE inhibitor
C. Verapamil
D. Daily weight monitoring
, Page 3 of 27
Correct Answer: C Rationale: In AR, Verapamil and Diltiazem slow the HR and
worsen CO.
A nurse is teaching a patient with aortic stenosis about activity limitations.
Which teaching is correct?
A. "Avoid nitroglycerin because it may severely drop your blood pressure."
B. "Stress tests are part of your routine care."
C. "Competitive sports are safe as long as you rest afterward."
D. "Your murmur will disappear with treatment."
Correct Answer: A Rationale: In AS, nitro may drop BP so low the coronaries aren't
perfused.
A client with suspected aortic stenosis reports syncope, chest pain, and
shortness of breath. The nurse recognizes these as:
A. Signs of acute regurgitation
B. Classic triad of aortic stenosis
C. Indicators of myocarditis
D. Symptoms of cardiac tamponade
Correct Answer: B
A client undergoes balloon valvuloplasty. Which finding requires immediate
intervention?
A. Mild soreness at puncture site
B. Heart rate 110/min after procedure
C. Sudden drop in blood pressure
D. Bruising at insertion site
Correct Answer: C Rationale: Could signal bleeding, rupture, or embolization.
Which valve problem is most associated with a "fish-mouth" appearance and
commonly caused by rheumatic disease?
A. Aortic stenosis
B. Mitral stenosis
C. Aortic regurgitation
D. Mitral prolapse
Correct Answer: B
The nurse is caring for a client with pericardial effusion. Which finding
indicates progression to cardiac tamponade?
A. Bounding pulses
