NUR 221 Test #2 2026 Questions and
Answers Graded A+
Which assessment finding should be considered when caring for a woman with
suspected coronary artery disease? - Correct answer-Correct Answer:
-Fatigue may be the first symptom.
Rationale:
Fatigue, rather than pain or shortness of breath, may be the first symptom of
impaired cardiac circulation. Women may not exhibit the classic signs and
symptoms of ischemia such as chest pain which radiates down the left arm. Neck,
throat, or back pain may be symptoms experienced by women. Risk for coronary
artery disease increases four times after menopause. Men are more likely to
develop collateral circulation
In caring for the patient with angina, the patient said, "While I was having a bowel
movement, I started having the worst chest pain ever, like before I was admitted. I
called for a nurse, then the pain went away." What further assessment data should
the nurse obtain from the patient? - Correct answer-Correct Answer:
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,-"In what areas did you feel this pain?"
Rationale:
Using PQRST, the assessment data not volunteered by the patient is the radiation
of pain, the area the patient felt the pain, and if it radiated. The precipitating event
was going to the bathroom and having a bowel movement. The quality of the pain
was "like before I was admitted," although a more specific description may be
helpful. Severity of the pain was the "worst chest pain ever," although an actual
number may be needed. Timing is supplied by the patient describing when the pain
occurred and that he had previously had this pain
The nurse is teaching a patient recovering from a myocardial infarction. How
should resumption of sexual activity be discussed? - Correct answer-Correct
Answer:
-Discussed along with other physical activities
Rationale:
Although some nurses may not feel comfortable discussing sexual activity with
patients, it is a necessary component of patient teaching. It is helpful to consider
sex as a physical activity and to discuss or explore feelings in this area when other
physical activities are discussed. Although providing the patient with written
©COPYRIGHT 2026, ALL RIGHTS RESERVED 2
,material is appropriate, it should not replace a verbal dialogue that can address the
patient's questions and concerns
The nurse is examining the electrocardiogram (ECG) of a patient just admitted
with a suspected myocardial infarction (MI). Which ECG change is most indicative
of prolonged or complete coronary occlusion? - Correct answer-Correct Answer:
-Pathologic Q wave
Rationale:
The presence of a pathologic Q wave, as often accompanies STEMI, is indicative
of complete coronary occlusion. Sinus tachycardia, fibrillatory P waves (atrial
fibrillation), or a prolonged PR interval (first-degree heart block) are not direct
indicators of extensive occlusion
The patient is being dismissed from the hospital after acute coronary syndrome
(ACS) and will be attending rehabilitation. What information would be taught in
the early recovery phase of rehabilitation? - Correct answer-Correct Answer:
-Activity level is gradually increased under cardiac rehabilitation team supervision
and monitoring.
Rationale:
©COPYRIGHT 2026, ALL RIGHTS RESERVED 3
, In the early recovery phase after the patient is dismissed from the hospital, the
activity level is gradually increased under supervision and with ECG monitoring.
The late recovery phase includes therapeutic lifestyle changes that become lifelong
habits. In the first phase of recovery, activity is dependent on the severity of the
angina or myocardial infarction, and attention is focused on the management of
chest pain, anxiety, dysrhythmias, and other complications. With early recovery
phase, the cardiac rehabilitation team may suggest that physical activity be
initiated at home, but this is not always done
The nurse teaches a patient with high cholesterol about natural lipid-lowering
therapies. The nurse determines further teaching is necessary when the patient
makes which statement? - Correct answer-Correct Answer:
-"I will take garlic instead of my prescription medication to reduce my
cholesterol."
Rationale:
Current evidence does not support using garlic in the treatment of elevated
cholesterol. Strong evidence supports the use of omega-3 fatty acids for reduction
of triglyceride levels. Many herbal products are not standardized, and effects are
not predictable. Patients should consult with their health care provider before
starting herbal or natural therapies
©COPYRIGHT 2026, ALL RIGHTS RESERVED 4
Answers Graded A+
Which assessment finding should be considered when caring for a woman with
suspected coronary artery disease? - Correct answer-Correct Answer:
-Fatigue may be the first symptom.
Rationale:
Fatigue, rather than pain or shortness of breath, may be the first symptom of
impaired cardiac circulation. Women may not exhibit the classic signs and
symptoms of ischemia such as chest pain which radiates down the left arm. Neck,
throat, or back pain may be symptoms experienced by women. Risk for coronary
artery disease increases four times after menopause. Men are more likely to
develop collateral circulation
In caring for the patient with angina, the patient said, "While I was having a bowel
movement, I started having the worst chest pain ever, like before I was admitted. I
called for a nurse, then the pain went away." What further assessment data should
the nurse obtain from the patient? - Correct answer-Correct Answer:
©COPYRIGHT 2026, ALL RIGHTS RESERVED 1
,-"In what areas did you feel this pain?"
Rationale:
Using PQRST, the assessment data not volunteered by the patient is the radiation
of pain, the area the patient felt the pain, and if it radiated. The precipitating event
was going to the bathroom and having a bowel movement. The quality of the pain
was "like before I was admitted," although a more specific description may be
helpful. Severity of the pain was the "worst chest pain ever," although an actual
number may be needed. Timing is supplied by the patient describing when the pain
occurred and that he had previously had this pain
The nurse is teaching a patient recovering from a myocardial infarction. How
should resumption of sexual activity be discussed? - Correct answer-Correct
Answer:
-Discussed along with other physical activities
Rationale:
Although some nurses may not feel comfortable discussing sexual activity with
patients, it is a necessary component of patient teaching. It is helpful to consider
sex as a physical activity and to discuss or explore feelings in this area when other
physical activities are discussed. Although providing the patient with written
©COPYRIGHT 2026, ALL RIGHTS RESERVED 2
,material is appropriate, it should not replace a verbal dialogue that can address the
patient's questions and concerns
The nurse is examining the electrocardiogram (ECG) of a patient just admitted
with a suspected myocardial infarction (MI). Which ECG change is most indicative
of prolonged or complete coronary occlusion? - Correct answer-Correct Answer:
-Pathologic Q wave
Rationale:
The presence of a pathologic Q wave, as often accompanies STEMI, is indicative
of complete coronary occlusion. Sinus tachycardia, fibrillatory P waves (atrial
fibrillation), or a prolonged PR interval (first-degree heart block) are not direct
indicators of extensive occlusion
The patient is being dismissed from the hospital after acute coronary syndrome
(ACS) and will be attending rehabilitation. What information would be taught in
the early recovery phase of rehabilitation? - Correct answer-Correct Answer:
-Activity level is gradually increased under cardiac rehabilitation team supervision
and monitoring.
Rationale:
©COPYRIGHT 2026, ALL RIGHTS RESERVED 3
, In the early recovery phase after the patient is dismissed from the hospital, the
activity level is gradually increased under supervision and with ECG monitoring.
The late recovery phase includes therapeutic lifestyle changes that become lifelong
habits. In the first phase of recovery, activity is dependent on the severity of the
angina or myocardial infarction, and attention is focused on the management of
chest pain, anxiety, dysrhythmias, and other complications. With early recovery
phase, the cardiac rehabilitation team may suggest that physical activity be
initiated at home, but this is not always done
The nurse teaches a patient with high cholesterol about natural lipid-lowering
therapies. The nurse determines further teaching is necessary when the patient
makes which statement? - Correct answer-Correct Answer:
-"I will take garlic instead of my prescription medication to reduce my
cholesterol."
Rationale:
Current evidence does not support using garlic in the treatment of elevated
cholesterol. Strong evidence supports the use of omega-3 fatty acids for reduction
of triglyceride levels. Many herbal products are not standardized, and effects are
not predictable. Patients should consult with their health care provider before
starting herbal or natural therapies
©COPYRIGHT 2026, ALL RIGHTS RESERVED 4
