NURS 401 EXAM 1 PRACTICE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALE | NEW
2026 UPDATE
Save
Terms in this set (25)
The nurse is providing education to d. "We should take hormones for menopause to
help reduce cardiovascular risks for decrease the risk for heart attack"
a women's book club. Which Rationale: meds used in hormone therapy can
statement made by a participant cause an increased incidence of MI or stroke in
indicates a need for further women
teaching?
a. "We are more likely to die from
cardiovascular disease than men"
b. "We need to walk or do other
exercise everyday for 30 minutes"
c. "We need to stay away from
people who smoke"
d. "We should take hormones for
menopause to decrease the risk for
heart attack"
,A client is admitted to the telemetry c. Check the client's arterial insertion site
unit after a right-sided cardiac Rationale: Pts who have had a cardiac
catheterization. What is the nurse's catheterization should be restricted to short-
priority when caring for this client? term bedrest, and the insertion site extremity
a. Assess the intensity and quality of should be kept straight. The nurse should assess
the client's pain the site for bloody drainage or hematoma
b. Position the client in a sitting formation because complications with vascular
position to improve breathing closure devices are not common but can be very
c. Check the client's arterial serious.
insertion site
d. Apply oxygen at 2 L/min via nasal
cannula
, A middle-aged man is admitted to 1. Assess all VS, specifically BP, and conduct a
the cardiac unit after reports of a head to toe assessment. VS should be taken to
severe headache and flushing of continue observing the pt's condition
the face. He is diagnosed with (specifically HTN) and trended to determine if
severe hypertension. The patient is treatment and interventions are working. During
alert and oriented. BP = 192/104, HR the physical assessment, you will specifically
= 88. You are the RN assigned to his need to listen to the heart for the presence or
care. There is an unlicensed nurse absence of murmurs or other abnormal heart
technician working with you. sounds and perform a basic neurological
1. What assessment data will you assessment to determine the pt's baseline
perform upon his arrival to the unit? orientation.
why? 2. Can delegate: hourly BP checks, with
2. The cardiologist prescribes IV understanding that you must follow all Nurse
fluids, hourly BP checks, BP Practice Acts related to appropriate delegation.
medication, and oxygen at 2 L/min Communicate: task that is to be performed and
via nasal cannula. What part of the the method by which it should be (manual vs
patient's care will you delegate to automated). Also clarify that you need the
the unlicensed nurse technician? findings reported back to you hourly.
What information will you Follow up hourly to obtain report of the vitals so
communicate upon delegation? you can make appropriate nursing decisions
3. What interventions will you 3. Safety precautions; if need for invasive
implement to ensure this patient's diagnostic testing, determine if there is iodine-
safety? based contrast media allergies; report
4. The patient's wife is very dysrhythmias immediately; continually assess pt's
concerned about her husband report of pain, especially when pt's report is
returning to work as owner of a descriptive of angina or MI; teach pt safety
roofing company. What education precautions regarding calling for assistance if pt
will you provide the patient and his needs to ambulate to the bathroom b/c syncope
wife at this time? With what health can be related to severe HTN
care team members w 4. Teach methods for decreasing cardiovascular
disease risk such as control of HTN with meds,
moderate physical exercise, smoking cessation,
decrease psychological stressors, and diet
modification.
Collaborate with dietician for nutrition planning,
primary care provider for meds that may assist
with smoking cessation, and community support
systems that may assist with psychological
stressors
CORRECT ANSWERS WITH RATIONALE | NEW
2026 UPDATE
Save
Terms in this set (25)
The nurse is providing education to d. "We should take hormones for menopause to
help reduce cardiovascular risks for decrease the risk for heart attack"
a women's book club. Which Rationale: meds used in hormone therapy can
statement made by a participant cause an increased incidence of MI or stroke in
indicates a need for further women
teaching?
a. "We are more likely to die from
cardiovascular disease than men"
b. "We need to walk or do other
exercise everyday for 30 minutes"
c. "We need to stay away from
people who smoke"
d. "We should take hormones for
menopause to decrease the risk for
heart attack"
,A client is admitted to the telemetry c. Check the client's arterial insertion site
unit after a right-sided cardiac Rationale: Pts who have had a cardiac
catheterization. What is the nurse's catheterization should be restricted to short-
priority when caring for this client? term bedrest, and the insertion site extremity
a. Assess the intensity and quality of should be kept straight. The nurse should assess
the client's pain the site for bloody drainage or hematoma
b. Position the client in a sitting formation because complications with vascular
position to improve breathing closure devices are not common but can be very
c. Check the client's arterial serious.
insertion site
d. Apply oxygen at 2 L/min via nasal
cannula
, A middle-aged man is admitted to 1. Assess all VS, specifically BP, and conduct a
the cardiac unit after reports of a head to toe assessment. VS should be taken to
severe headache and flushing of continue observing the pt's condition
the face. He is diagnosed with (specifically HTN) and trended to determine if
severe hypertension. The patient is treatment and interventions are working. During
alert and oriented. BP = 192/104, HR the physical assessment, you will specifically
= 88. You are the RN assigned to his need to listen to the heart for the presence or
care. There is an unlicensed nurse absence of murmurs or other abnormal heart
technician working with you. sounds and perform a basic neurological
1. What assessment data will you assessment to determine the pt's baseline
perform upon his arrival to the unit? orientation.
why? 2. Can delegate: hourly BP checks, with
2. The cardiologist prescribes IV understanding that you must follow all Nurse
fluids, hourly BP checks, BP Practice Acts related to appropriate delegation.
medication, and oxygen at 2 L/min Communicate: task that is to be performed and
via nasal cannula. What part of the the method by which it should be (manual vs
patient's care will you delegate to automated). Also clarify that you need the
the unlicensed nurse technician? findings reported back to you hourly.
What information will you Follow up hourly to obtain report of the vitals so
communicate upon delegation? you can make appropriate nursing decisions
3. What interventions will you 3. Safety precautions; if need for invasive
implement to ensure this patient's diagnostic testing, determine if there is iodine-
safety? based contrast media allergies; report
4. The patient's wife is very dysrhythmias immediately; continually assess pt's
concerned about her husband report of pain, especially when pt's report is
returning to work as owner of a descriptive of angina or MI; teach pt safety
roofing company. What education precautions regarding calling for assistance if pt
will you provide the patient and his needs to ambulate to the bathroom b/c syncope
wife at this time? With what health can be related to severe HTN
care team members w 4. Teach methods for decreasing cardiovascular
disease risk such as control of HTN with meds,
moderate physical exercise, smoking cessation,
decrease psychological stressors, and diet
modification.
Collaborate with dietician for nutrition planning,
primary care provider for meds that may assist
with smoking cessation, and community support
systems that may assist with psychological
stressors
