NURS 3980 SI CARDIAC EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
Congestive Heart Failure
The nurse is administering a calcium channel blocker to the client diagnosed with a
myocardial infarction. Which assessment data would cause the nurse
to question administering this medication?
1. The client’s apical pulse is 64.
2. The client’s calcium level is elevated.
3. The client’s telemetry shows occasional PVCs.
4. The client’s blood pressure is 90/58. do not want to bottom out the pt’s BP
The client diagnosed with a myocardial infarction is on bedrest. The unlicensed assistive
personnel (UAP) is encouraging the client to move the legs. Which action should the
nurse implement?
1. Instruct the UAP to stop encouraging the leg movements.
2. Report this behavior to the charge nurse as soon as possible.
3. Praise the UAP for encouraging the client to move the legs. good helps dec DVT
risk
4. Take no action concerning the UAP’s behavior.
The client diagnosed with a myocardial infarction asks the nurse, “Why do I have to rest
and take it easy? My chest doesn’t hurt anymore.” Which statement would be the
nurse’s best response?
1. “Your heart is damaged and needs about four (4) to six (6) weeks to heal.” this is
how long the scar tissue takes to form
2. “There is necrotic myocardial tissue that puts you at risk for dysrhythmias.”
terminology too complex
3. “Your doctor has ordered bedrest. Therefore, you must stay in the bed.”
, NURS 3980 SI CARDIAC EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
4. “Just because your chest doesn’t hurt anymore doesn’t mean you are out of danger.”
The client has just returned from a cardiac catheterization. Which assessment data
would warrant immediate intervention from the nurse?
1. The client’s BP is 110/70 and pulse is 90.
2. The client’s groin dressing is dry and intact.
3. The client refuses to keep the leg straight. could cause a bleed from an artery
which is dangerous.
4. The client denies any numbness and tingling.
Coronary Artery Disease
The male client is diagnosed with coronary artery disease (CAD) and is prescribed
sublingual nitroglycerin. Which statement indicates the client needs more
teaching?
1. “I should keep the tablets in the dark-colored bottle they came in.”
2. “If the tablets do not burn under my tongue, they are not effective.”
3. “I should keep the bottle with me in my pocket at all times.” in case of chest pain
4. “If my chest pain is not gone with one tablet, I will go to the ER.”
The client with coronary artery disease asks the nurse, “Why do I get chest pain?”
Which statement would be the most appropriate response by the nurse?
1. “Chest pain is caused by decreased oxygen to the heart muscle.”
2. “There is ischemia to the myocardium as a result of hypoxemia.”
3. “The heart muscle is unable to pump effectively to perfuse the body.”
4. “Chest pain occurs when the lungs cannot adequately oxygenate the blood.”
The client is scheduled for a right femoral cardiac catheterization. Which
, NURS 3980 SI CARDIAC EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
nursing intervention should the nurse implement after the procedure?
1. Perform passive range-of-motion exercises.
2. Assess the client’s neurovascular status.
3. Keep the client in high Fowler’s position. Elevate HOB no more than 10 degrees.
4. Assess the gag reflex prior to feeding the client.
The nurse is preparing to administer a beta blocker to the client diagnosed with coronary
artery disease. Which assessment data would cause the nurse to question administering
the medication?
1. The client has a BP of 110/70.
2. The client has an apical pulse of 56.
3. The client is complaining of a headache.
4. The client’s potassium level is 4.5 mEq/L.
Which intervention should the nurse implement when administering a loop diuretic to a
client diagnosed with coronary artery disease?
1. Assess the client’s radial pulse.
2. Assess the client’s serum potassium level.
3. Assess the client’s glucometer reading.
4. Assess the client’s pulse oximeter reading.
Which client teaching should the nurse implement for the client diagnosed with coronary
artery disease? Select all that apply.
1. Encourage a low-fat, low-cholesterol diet.
2. Instruct the client to walk 30 minutes a day.
3. Decrease the salt intake to two (2) g a day. technically for HTN not CAD
4. Refer to a counselor for stress reduction techniques.
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
Congestive Heart Failure
The nurse is administering a calcium channel blocker to the client diagnosed with a
myocardial infarction. Which assessment data would cause the nurse
to question administering this medication?
1. The client’s apical pulse is 64.
2. The client’s calcium level is elevated.
3. The client’s telemetry shows occasional PVCs.
4. The client’s blood pressure is 90/58. do not want to bottom out the pt’s BP
The client diagnosed with a myocardial infarction is on bedrest. The unlicensed assistive
personnel (UAP) is encouraging the client to move the legs. Which action should the
nurse implement?
1. Instruct the UAP to stop encouraging the leg movements.
2. Report this behavior to the charge nurse as soon as possible.
3. Praise the UAP for encouraging the client to move the legs. good helps dec DVT
risk
4. Take no action concerning the UAP’s behavior.
The client diagnosed with a myocardial infarction asks the nurse, “Why do I have to rest
and take it easy? My chest doesn’t hurt anymore.” Which statement would be the
nurse’s best response?
1. “Your heart is damaged and needs about four (4) to six (6) weeks to heal.” this is
how long the scar tissue takes to form
2. “There is necrotic myocardial tissue that puts you at risk for dysrhythmias.”
terminology too complex
3. “Your doctor has ordered bedrest. Therefore, you must stay in the bed.”
, NURS 3980 SI CARDIAC EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
4. “Just because your chest doesn’t hurt anymore doesn’t mean you are out of danger.”
The client has just returned from a cardiac catheterization. Which assessment data
would warrant immediate intervention from the nurse?
1. The client’s BP is 110/70 and pulse is 90.
2. The client’s groin dressing is dry and intact.
3. The client refuses to keep the leg straight. could cause a bleed from an artery
which is dangerous.
4. The client denies any numbness and tingling.
Coronary Artery Disease
The male client is diagnosed with coronary artery disease (CAD) and is prescribed
sublingual nitroglycerin. Which statement indicates the client needs more
teaching?
1. “I should keep the tablets in the dark-colored bottle they came in.”
2. “If the tablets do not burn under my tongue, they are not effective.”
3. “I should keep the bottle with me in my pocket at all times.” in case of chest pain
4. “If my chest pain is not gone with one tablet, I will go to the ER.”
The client with coronary artery disease asks the nurse, “Why do I get chest pain?”
Which statement would be the most appropriate response by the nurse?
1. “Chest pain is caused by decreased oxygen to the heart muscle.”
2. “There is ischemia to the myocardium as a result of hypoxemia.”
3. “The heart muscle is unable to pump effectively to perfuse the body.”
4. “Chest pain occurs when the lungs cannot adequately oxygenate the blood.”
The client is scheduled for a right femoral cardiac catheterization. Which
, NURS 3980 SI CARDIAC EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
nursing intervention should the nurse implement after the procedure?
1. Perform passive range-of-motion exercises.
2. Assess the client’s neurovascular status.
3. Keep the client in high Fowler’s position. Elevate HOB no more than 10 degrees.
4. Assess the gag reflex prior to feeding the client.
The nurse is preparing to administer a beta blocker to the client diagnosed with coronary
artery disease. Which assessment data would cause the nurse to question administering
the medication?
1. The client has a BP of 110/70.
2. The client has an apical pulse of 56.
3. The client is complaining of a headache.
4. The client’s potassium level is 4.5 mEq/L.
Which intervention should the nurse implement when administering a loop diuretic to a
client diagnosed with coronary artery disease?
1. Assess the client’s radial pulse.
2. Assess the client’s serum potassium level.
3. Assess the client’s glucometer reading.
4. Assess the client’s pulse oximeter reading.
Which client teaching should the nurse implement for the client diagnosed with coronary
artery disease? Select all that apply.
1. Encourage a low-fat, low-cholesterol diet.
2. Instruct the client to walk 30 minutes a day.
3. Decrease the salt intake to two (2) g a day. technically for HTN not CAD
4. Refer to a counselor for stress reduction techniques.
