NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025
A client with angina has been prescribed nitroglycerin. Before administering the
drug, the nurse should inform the client about what potential adverse effects?
A) Nervousness or paresthesia
B)Throbbing headache or dizziness
C) Drowsiness or blurred vision
D) Tinnitus or diplopia
Correct response:
Throbbing headache or dizziness
Explanation:
Headache and dizziness commonly occur when nitroglycerin is taken at the beginning
of therapy. Nervousness, paresthesia, drowsiness, blurred vision, tinnitus, and diplopia
do not typically occur as a result of nitroglycerin therapy.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:
Management of Patients with Coronary Vascular Disorders, Chart 27-3, p. 759.
,Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 759
The physical therapist notifies the nurse that a client with coronary artery disease
(CAD) experiences a much greater-than-average increase in heart rate during
physical therapy. The nurse recognizes that an increase in heart rate in a client
with CAD may result in what?
A) Development of an atrial-septal defect
B) Myocardial ischemia
C) Formation of a pulmonary embolism
D) Release of potassium ions from cardiac cells
Correct response:
Myocardial ischemia
Explanation:
Unlike other arteries, the coronary arteries are perfused during diastole. An increase in
heart rate shortens diastole and can decrease myocardial perfusion. Clients, particularly
those with CAD, can develop myocardial ischemia. An increase in heart rate will not
usually result in a pulmonary embolism or create electrolyte imbalances. Atrial-septal
defects are congenital.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
,Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 25:
Assessment of Cardiovascular Function, Coronary Arteries, p. 675.
Chapter 25: Assessment of Cardiovascular Function - Page 675
The nurse is providing care for a client with high cholesterol and triglyceride
values. In teaching the client about therapeutic lifestyle changes such as diet and
exercise, the nurse realizes that the desired goal for cholesterol levels is which of
the following?
A) High HDL values and high triglyceride values
B) Absence of detectable total cholesterol levels
C) Elevated blood lipids, fasting glucose less than 100
D) Low LDL values and high HDL values
Correct response:
Low LDL values and high HDL values
Explanation:
The desired goal for cholesterol readings is for a client to have low LDL and high HDL
values. LDL exerts a harmful effect on the coronary vasculature because the small LDL
particles can be easily transported into the vessel lining. In contrast, HDL promotes the
use of total cholesterol by transporting LDL to the liver, where it is excreted. Elevated
triglycerides are also a major risk factor for cardiovascular disease. A goal is also to
, keep triglyceride levels less than 150 mg/dL. All individuals possess detectable levels of
total cholesterol.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:
Management of Patients with Coronary Vascular Disorders, Controlling Cholesterol
Abnormalities, p. 753.
Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 753
The health care provider has placed a central venous pressure (CVP) monitoring
line in an acutely ill client so right ventricular function and venous blood return
can be closely monitored. The results show decreased CVP. What does this
indicate?
A) Possible hypovolemia
B) Possible myocardial infarction (MI)
C) Left-sided heart failure
D) Aortic valve regurgitation
Correct response:
Possible hypovolemia
Explanation:
COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025
A client with angina has been prescribed nitroglycerin. Before administering the
drug, the nurse should inform the client about what potential adverse effects?
A) Nervousness or paresthesia
B)Throbbing headache or dizziness
C) Drowsiness or blurred vision
D) Tinnitus or diplopia
Correct response:
Throbbing headache or dizziness
Explanation:
Headache and dizziness commonly occur when nitroglycerin is taken at the beginning
of therapy. Nervousness, paresthesia, drowsiness, blurred vision, tinnitus, and diplopia
do not typically occur as a result of nitroglycerin therapy.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:
Management of Patients with Coronary Vascular Disorders, Chart 27-3, p. 759.
,Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 759
The physical therapist notifies the nurse that a client with coronary artery disease
(CAD) experiences a much greater-than-average increase in heart rate during
physical therapy. The nurse recognizes that an increase in heart rate in a client
with CAD may result in what?
A) Development of an atrial-septal defect
B) Myocardial ischemia
C) Formation of a pulmonary embolism
D) Release of potassium ions from cardiac cells
Correct response:
Myocardial ischemia
Explanation:
Unlike other arteries, the coronary arteries are perfused during diastole. An increase in
heart rate shortens diastole and can decrease myocardial perfusion. Clients, particularly
those with CAD, can develop myocardial ischemia. An increase in heart rate will not
usually result in a pulmonary embolism or create electrolyte imbalances. Atrial-septal
defects are congenital.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
,Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 25:
Assessment of Cardiovascular Function, Coronary Arteries, p. 675.
Chapter 25: Assessment of Cardiovascular Function - Page 675
The nurse is providing care for a client with high cholesterol and triglyceride
values. In teaching the client about therapeutic lifestyle changes such as diet and
exercise, the nurse realizes that the desired goal for cholesterol levels is which of
the following?
A) High HDL values and high triglyceride values
B) Absence of detectable total cholesterol levels
C) Elevated blood lipids, fasting glucose less than 100
D) Low LDL values and high HDL values
Correct response:
Low LDL values and high HDL values
Explanation:
The desired goal for cholesterol readings is for a client to have low LDL and high HDL
values. LDL exerts a harmful effect on the coronary vasculature because the small LDL
particles can be easily transported into the vessel lining. In contrast, HDL promotes the
use of total cholesterol by transporting LDL to the liver, where it is excreted. Elevated
triglycerides are also a major risk factor for cardiovascular disease. A goal is also to
, keep triglyceride levels less than 150 mg/dL. All individuals possess detectable levels of
total cholesterol.
Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:
Management of Patients with Coronary Vascular Disorders, Controlling Cholesterol
Abnormalities, p. 753.
Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 753
The health care provider has placed a central venous pressure (CVP) monitoring
line in an acutely ill client so right ventricular function and venous blood return
can be closely monitored. The results show decreased CVP. What does this
indicate?
A) Possible hypovolemia
B) Possible myocardial infarction (MI)
C) Left-sided heart failure
D) Aortic valve regurgitation
Correct response:
Possible hypovolemia
Explanation:
