NUR 254 Exam 1 Latest Update 2024-2025 Actual
Exam from Credible Sources with 250 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
A 65 year old, obese patient who has been extremely sedentary for most of her life is
diagnosed with coronary artery disease. You are educating her with regards to physical
activity. What would a reasonable initial goal be? - CORRECT ANSWER: Park in the
farthest parking spots and increase your walk to work and at stores.
A client complains of chest pain and the nurse administers 0.4 mg of SL nitro. Prior to
administering a second dose 5 minutes later, the nurse should assess which of the
following? - CORRECT ANSWER: check bp
reassess pain
a flutter - CORRECT ANSWER: Verapamil, Digoxin, beta blockers, Cardioversion, anti-
coagulants, & anti-arrhythmics (Cardizem)
A patient complains of chest pain. In order to obtain a thorough history for diagnostic
purposes the nurse should ask questions about the chest pain. The acronym PQRST is
a helpful quick reminder. True or False: This abbreviation stands for P - Precipitating
factors Q - Quality R - Region/radiation S - Severity T - Timing - CORRECT ANSWER:
True
A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENOSINE OR
CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVENTION FOR PSVT?
- CORRECT ANSWER: ELICIT VAGAL RESPONSE/VALSALVA MANEUVER
A patient has a history of aortic stenosis and has a murmur. This murmur would be best
auscultated in what location? - CORRECT ANSWER: 2nd intercostal space, right
sternal border
,A patient has been receiving enoxaparin. Which of the following labs is important to
monitor to detect HIT (heparin induced thrombocytopenia)? - CORRECT ANSWER:
platelet count
A patient is experiencing STEMI (ST elevation myocardial infarction). The nurse has
administred SL nitro every 5 minutes X 3 with no relief. What analgesic will the nurse
anticipate administering next? - CORRECT ANSWER: morphine
A patient is involved in a MVC. Which finding would indicate neruogenic shock as
opposed to hypovolvemic shock?
1. Decreased hgb and hct
2. Bradycardia
3. Tachycardia
4. Hypotension
5. Hypertension - CORRECT ANSWER: 2. bradycardia
A patient is taking simvastatin for coronary artery disease. Which of the following is the
desired goal for triglycerides? - CORRECT ANSWER: <150 mg/dL
A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PROGRESSED
TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY
INTERVENTION? - CORRECT ANSWER: pacemaker
A patient with a known DVT (deep vein thrombosis) may have a surgical procedure to
place this, which would "catch" any clots that may dislodge - CORRECT ANSWER:
Inferior Vena Cava (IVC) filter
,A patient with coronary artery disease has been taking aspirin 81 mg daily for more than
a year. The physician prescribes clopidogrel after the patient has a cardiac cath with
stent placement. The physician continues the aspirin order as well. The nurse should: -
CORRECT ANSWER: administer the medication as it acts differently to prevent platelet
aggregation than aspirin
A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS HIGH IN
SATURATED FAT WITH FOODS HIGHER IN UNSATURATED FAT. NAME THREE (3)
FOODS THE PATIENT SHOULD AVOID THAT ARE HIGH IN SATURATED FAT. -
CORRECT ANSWER: BUTTER, CHEESE, MILK, CREAM, ICE CREAM, COCONUT
OIL AND FATTY MEATS
A patient with myocardial infarction is ordered the fibrinolytic streptokinase. Which of the
following would contraindicate its use? - CORRECT ANSWER: a patient that fell 3 days
ago
a sign/symptom of early/Stage I shock? - CORRECT ANSWER: Tachycardia
adenosine - CORRECT ANSWER: Antiarrhythmic-short flatline for SVT
afib - CORRECT ANSWER: Anticoagulant and diltiazem
After a severe myocardial infarction the ability of the damaged myocardium to pump
effectively can be decreased. This can lead to heart failure. Which of the following
serum labs would be useful in detecting heart failure? - CORRECT ANSWER: Brain
natriuretic protein (BNP)
After administering nitroglycerin a patient complains of headache. The nurse knows this
is: - CORRECT ANSWER: the result of vasodilation in the cerebral vessels
All of the manifestations of shock can be directly related to the body's attempts to
maintain __________. - CORRECT ANSWER: Perfusion of vital organs (heart and
brain)
, Amiodarone - CORRECT ANSWER: Antiarrhythmic-for Vfib/Vtach/Afib
An echocardiogram is performed after a massive myocardial infarction. This would
provide which information? - CORRECT ANSWER: Pictures of cardiac structures
angioplasty - CORRECT ANSWER: Restore blood flow to ischemic area
ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS
COMPLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A
PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY) -
CORRECT ANSWER: HEART RATE >60, NORMOTENSIVE, SKIN COLOR
APPROPRIATE
Atherectomy - CORRECT ANSWER: shaves off plaque in vessel
Atropine - CORRECT ANSWER: Anticholinergic-symptomatic brady
CABG - CORRECT ANSWER: Uses vein or artery to bypass vessel
cardiac cath - CORRECT ANSWER: Visualization of coronary arteries
cardiac S/S of compensatory/ early shock - CORRECT ANSWER: Adequate early
stages. Heart rate increased, but BP normal.
cardiac S/S of progressive/ intermediate shock - CORRECT ANSWER: HR >120 bpm.
Vasoconstriction = thread pulses. BP drops overall with narrowing pulse pressure.
Acidosis/hypoxia and hyperkalemia lead to altered conduction/dysrhythmias.
cardioversion - CORRECT ANSWER: Synchronized shock
Exam from Credible Sources with 250 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
A 65 year old, obese patient who has been extremely sedentary for most of her life is
diagnosed with coronary artery disease. You are educating her with regards to physical
activity. What would a reasonable initial goal be? - CORRECT ANSWER: Park in the
farthest parking spots and increase your walk to work and at stores.
A client complains of chest pain and the nurse administers 0.4 mg of SL nitro. Prior to
administering a second dose 5 minutes later, the nurse should assess which of the
following? - CORRECT ANSWER: check bp
reassess pain
a flutter - CORRECT ANSWER: Verapamil, Digoxin, beta blockers, Cardioversion, anti-
coagulants, & anti-arrhythmics (Cardizem)
A patient complains of chest pain. In order to obtain a thorough history for diagnostic
purposes the nurse should ask questions about the chest pain. The acronym PQRST is
a helpful quick reminder. True or False: This abbreviation stands for P - Precipitating
factors Q - Quality R - Region/radiation S - Severity T - Timing - CORRECT ANSWER:
True
A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENOSINE OR
CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVENTION FOR PSVT?
- CORRECT ANSWER: ELICIT VAGAL RESPONSE/VALSALVA MANEUVER
A patient has a history of aortic stenosis and has a murmur. This murmur would be best
auscultated in what location? - CORRECT ANSWER: 2nd intercostal space, right
sternal border
,A patient has been receiving enoxaparin. Which of the following labs is important to
monitor to detect HIT (heparin induced thrombocytopenia)? - CORRECT ANSWER:
platelet count
A patient is experiencing STEMI (ST elevation myocardial infarction). The nurse has
administred SL nitro every 5 minutes X 3 with no relief. What analgesic will the nurse
anticipate administering next? - CORRECT ANSWER: morphine
A patient is involved in a MVC. Which finding would indicate neruogenic shock as
opposed to hypovolvemic shock?
1. Decreased hgb and hct
2. Bradycardia
3. Tachycardia
4. Hypotension
5. Hypertension - CORRECT ANSWER: 2. bradycardia
A patient is taking simvastatin for coronary artery disease. Which of the following is the
desired goal for triglycerides? - CORRECT ANSWER: <150 mg/dL
A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PROGRESSED
TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY
INTERVENTION? - CORRECT ANSWER: pacemaker
A patient with a known DVT (deep vein thrombosis) may have a surgical procedure to
place this, which would "catch" any clots that may dislodge - CORRECT ANSWER:
Inferior Vena Cava (IVC) filter
,A patient with coronary artery disease has been taking aspirin 81 mg daily for more than
a year. The physician prescribes clopidogrel after the patient has a cardiac cath with
stent placement. The physician continues the aspirin order as well. The nurse should: -
CORRECT ANSWER: administer the medication as it acts differently to prevent platelet
aggregation than aspirin
A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS HIGH IN
SATURATED FAT WITH FOODS HIGHER IN UNSATURATED FAT. NAME THREE (3)
FOODS THE PATIENT SHOULD AVOID THAT ARE HIGH IN SATURATED FAT. -
CORRECT ANSWER: BUTTER, CHEESE, MILK, CREAM, ICE CREAM, COCONUT
OIL AND FATTY MEATS
A patient with myocardial infarction is ordered the fibrinolytic streptokinase. Which of the
following would contraindicate its use? - CORRECT ANSWER: a patient that fell 3 days
ago
a sign/symptom of early/Stage I shock? - CORRECT ANSWER: Tachycardia
adenosine - CORRECT ANSWER: Antiarrhythmic-short flatline for SVT
afib - CORRECT ANSWER: Anticoagulant and diltiazem
After a severe myocardial infarction the ability of the damaged myocardium to pump
effectively can be decreased. This can lead to heart failure. Which of the following
serum labs would be useful in detecting heart failure? - CORRECT ANSWER: Brain
natriuretic protein (BNP)
After administering nitroglycerin a patient complains of headache. The nurse knows this
is: - CORRECT ANSWER: the result of vasodilation in the cerebral vessels
All of the manifestations of shock can be directly related to the body's attempts to
maintain __________. - CORRECT ANSWER: Perfusion of vital organs (heart and
brain)
, Amiodarone - CORRECT ANSWER: Antiarrhythmic-for Vfib/Vtach/Afib
An echocardiogram is performed after a massive myocardial infarction. This would
provide which information? - CORRECT ANSWER: Pictures of cardiac structures
angioplasty - CORRECT ANSWER: Restore blood flow to ischemic area
ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS
COMPLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A
PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY) -
CORRECT ANSWER: HEART RATE >60, NORMOTENSIVE, SKIN COLOR
APPROPRIATE
Atherectomy - CORRECT ANSWER: shaves off plaque in vessel
Atropine - CORRECT ANSWER: Anticholinergic-symptomatic brady
CABG - CORRECT ANSWER: Uses vein or artery to bypass vessel
cardiac cath - CORRECT ANSWER: Visualization of coronary arteries
cardiac S/S of compensatory/ early shock - CORRECT ANSWER: Adequate early
stages. Heart rate increased, but BP normal.
cardiac S/S of progressive/ intermediate shock - CORRECT ANSWER: HR >120 bpm.
Vasoconstriction = thread pulses. BP drops overall with narrowing pulse pressure.
Acidosis/hypoxia and hyperkalemia lead to altered conduction/dysrhythmias.
cardioversion - CORRECT ANSWER: Synchronized shock
