Page 1 of 52
ORIGINAL COPY|100QUESTIONS AND
100% VERIFIED ANSWERS|GRADED A+
Q1. A patient with heart failure has crackles in both lungs,
jugular venous distension, and 3+ pitting edema in the legs.
Which medication should the nurse expect to administer first?
a) Metoprolol
b) Furosemide
c) Lisinopril
d) Digoxin
Correct Answer: b) Furosemide
Rationale: The patient has signs of fluid overload. Loop diuretics
(furosemide) are first-line to reduce preload and relieve pulmonary
congestion. Beta-blockers and ACE inhibitors are chronic therapies.
Digoxin is for refractory symptoms or atrial fibrillation.
,Page 2 of 52
Q2. A patient with atrial fibrillation is prescribed warfarin.
Which laboratory value is most important to monitor for
therapeutic effect?
a) aPTT
b) INR
c) Platelet count
d) Bleeding time
Correct Answer: b) INR
*Rationale: Warfarin is monitored by INR (target 2-3 for atrial
fibrillation). aPTT monitors heparin; platelet count monitors for
thrombocytopenia.*
Q3. A patient with chest pain has an ECG showing ST-segment
elevation in leads V1-V4. The nurse should anticipate which
immediate intervention?
a) Administer sublingual nitroglycerin and morphine
b) Activate the catheterization lab for primary PCI
,Page 3 of 52
c) Administer thrombolytics immediately
d) Obtain a troponin level and repeat ECG in 6 hours
Correct Answer: b) Activate the catheterization lab for primary
PCI
*Rationale: ST elevation in anterior leads indicates acute STEMI.
Primary PCI (door-to-balloon <90 minutes) is preferred over
thrombolytics if available. Troponin can be drawn but should not
delay reperfusion.*
Q4. A patient post-cardiac catheterization via the femoral
artery has a large groin hematoma and reports severe pain. The
nurse’s priority action is:
a) Apply warm compresses to the hematoma
b) Notify the provider and apply firm pressure above the
puncture site
c) Elevate the head of the bed to 90 degrees
d) Increase the IV fluid rate
, Page 4 of 52
Correct Answer: b) Notify the provider and apply firm
pressure above the puncture site
*Rationale: Hematoma with pain may indicate bleeding or
pseudoaneurysm. Apply manual pressure 1-2 cm above the
puncture site to occlude the arterial entry point. Notify provider
immediately. Warm compresses are contraindicated (could
increase bleeding).*
Q5. A patient with hypertension is prescribed lisinopril. Which
adverse effect is most important to teach the patient to report
immediately?
a) Dry cough
b) Angioedema (swelling of lips, tongue, or throat)
c) Headache
d) Dizziness
Correct Answer: b) Angioedema (swelling of lips, tongue, or
throat)
ORIGINAL COPY|100QUESTIONS AND
100% VERIFIED ANSWERS|GRADED A+
Q1. A patient with heart failure has crackles in both lungs,
jugular venous distension, and 3+ pitting edema in the legs.
Which medication should the nurse expect to administer first?
a) Metoprolol
b) Furosemide
c) Lisinopril
d) Digoxin
Correct Answer: b) Furosemide
Rationale: The patient has signs of fluid overload. Loop diuretics
(furosemide) are first-line to reduce preload and relieve pulmonary
congestion. Beta-blockers and ACE inhibitors are chronic therapies.
Digoxin is for refractory symptoms or atrial fibrillation.
,Page 2 of 52
Q2. A patient with atrial fibrillation is prescribed warfarin.
Which laboratory value is most important to monitor for
therapeutic effect?
a) aPTT
b) INR
c) Platelet count
d) Bleeding time
Correct Answer: b) INR
*Rationale: Warfarin is monitored by INR (target 2-3 for atrial
fibrillation). aPTT monitors heparin; platelet count monitors for
thrombocytopenia.*
Q3. A patient with chest pain has an ECG showing ST-segment
elevation in leads V1-V4. The nurse should anticipate which
immediate intervention?
a) Administer sublingual nitroglycerin and morphine
b) Activate the catheterization lab for primary PCI
,Page 3 of 52
c) Administer thrombolytics immediately
d) Obtain a troponin level and repeat ECG in 6 hours
Correct Answer: b) Activate the catheterization lab for primary
PCI
*Rationale: ST elevation in anterior leads indicates acute STEMI.
Primary PCI (door-to-balloon <90 minutes) is preferred over
thrombolytics if available. Troponin can be drawn but should not
delay reperfusion.*
Q4. A patient post-cardiac catheterization via the femoral
artery has a large groin hematoma and reports severe pain. The
nurse’s priority action is:
a) Apply warm compresses to the hematoma
b) Notify the provider and apply firm pressure above the
puncture site
c) Elevate the head of the bed to 90 degrees
d) Increase the IV fluid rate
, Page 4 of 52
Correct Answer: b) Notify the provider and apply firm
pressure above the puncture site
*Rationale: Hematoma with pain may indicate bleeding or
pseudoaneurysm. Apply manual pressure 1-2 cm above the
puncture site to occlude the arterial entry point. Notify provider
immediately. Warm compresses are contraindicated (could
increase bleeding).*
Q5. A patient with hypertension is prescribed lisinopril. Which
adverse effect is most important to teach the patient to report
immediately?
a) Dry cough
b) Angioedema (swelling of lips, tongue, or throat)
c) Headache
d) Dizziness
Correct Answer: b) Angioedema (swelling of lips, tongue, or
throat)
