NU 372 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 180 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
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The health care provider prescribes atenolol for a client with angina. Which potential side
effect will the nurse mention when instructing the client about this medication?
a) Headache
b) Tachycardia
c) Constipation
d) Hypotension - (answers)d) Hypotension
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Atenolol competitively blocks stimulation of beta-adrenergic receptors within vascular
smooth muscles, which lowers the blood pressure. This medication does not cause
headaches; this medication may be used to relieve vascular headaches. This medication may
cause bradycardia, not tachycardia. This medication may cause diarrhea, not constipation.
Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The
nurse advises the client to anticipate pain relief will begin within which period of time?
a) 1 to 3 minutes
b) 4 to 5 seconds
c) 30 to 45 seconds
d) 10 to 15 minutes - (answers)a) 1 to 3 minutes
-
The onset of action of sublingual nitroglycerin tablets is rapid (1-3 minutes); duration of
action is 30 to 60 minutes. If nitroglycerin is administered intravenously, the onset of action
is immediate, and the duration is 3 to 5 minutes. It takes longer than 30 to 45 seconds for
sublingual nitroglycerin tablets to have a therapeutic effect. Sustained-release nitroglycerin
tablets start to act in 20 to 45 minutes, and the duration of action is 3 to 8 hours.
When a client is diagnosed with microvascular angina, which topics would the nurse include
in client teaching? Select all that apply. One, some, or all responses may be correct.
,a) Use of daily aspirin
b) Tobacco cessation techniques
c) Benefits of coronary artery bypass graft surgery
d) Management of usual daily activities to avoid symptoms
e) Use of nitroglycerin to prevent and treat anginal symptoms - (answers)a) Use of daily
aspirin
b) Tobacco cessation techniques
d) Management of usual daily activities to avoid symptoms
e) Use of nitroglycerin to prevent and treat anginal symptoms
-
Microvascular angina is caused by atherosclerosis or spasm in very distal microvascular
branches of the coronary artery system. Daily aspirin use, tobacco cessation, and use of
nitroglycerin would be included in client teaching. Microvascular angina tends to cause
symptoms during usual daily activities and the nurse would teach symptom management
through activity modification or the use of nitroglycerin. Because the coronary artery
disease is in small and distal vessels, coronary artery bypass surgery is not an option for
treatment.
Which activities might cause chest pain in a client with stable angina? Select all that apply.
One, some, or all responses may be correct.
a) Deep breathing during meditation
b) Walking outside on a cold day
c) Sexual activity
d) Taking an afternoon nap
e) Smoking a cigarette
f) Use of an oral decongestant - (answers)b) Walking outside on a cold day
c) Sexual activity
e) Smoking a cigarette
f) Use of an oral decongestant
-
, Clients with stable angina experience chest pain (or other angina equivalents) in response to
activities that increase cardiac workload or decrease blood flow and oxygen availability to
the heart. Cold temperatures cause vasoconstriction, increasing the cardiac workload during
systole. Sexual activity increases heart rate and force of contraction, leading to increased
cardiac workload. Tobacco use stimulates catecholamine release, increasing heart rate and
causing vasoconstriction, and resulting in increased cardiac workload. In addition, tobacco
use transiently increases carbon monoxide levels, resulting in a decrease in available oxygen
for cardiac tissues. Oral decongestants are sympathetic nervous system stimulants, which
increase heart rate and force of contraction and cause vasoconstriction, leading to increased
cardiac workload. Deep breathing will increase oxygen availability and tends to lead to
relaxation, resulting in reduced heart rate and force of contraction. Taking an afternoon nap
will reduce cardiac workload.
A client with a diagnosis of myocardial infarction asks the nurse, "What is causing the pain I
am having?" Which explanation would the nurse give?
a) Compression of the heart muscle
b) Release of myocardial isoenzymes
c) Rapid vasodilation of the coronary arteries
d) Inadequate oxygenation of the myocardium - (answers)d) Inadequate oxygenation of the
myocardium
-
Cessation of the blood flow that normally carries oxygen to the myocardium results in pain
because of ischemia of myocardial tissue. Myocardial infarction does not involve
compression of the heart. The release of myocardial isoenzymes is an indication of
myocardial damage; this does not cause myocardial pain. Vasodilation will increase
perfusion and contribute to pain relief, not cause myocardial pain.
Which finding on an electrocardiogram for a client complaining of chest pain indicates
possible acute myocardial infarction?
a) Flattened T waves
b) Absence of P waves
c) Elevated ST segments
d) Disappearance of Q waves - (answers)c) Elevated ST segments
-
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
Save
The health care provider prescribes atenolol for a client with angina. Which potential side
effect will the nurse mention when instructing the client about this medication?
a) Headache
b) Tachycardia
c) Constipation
d) Hypotension - (answers)d) Hypotension
-
Atenolol competitively blocks stimulation of beta-adrenergic receptors within vascular
smooth muscles, which lowers the blood pressure. This medication does not cause
headaches; this medication may be used to relieve vascular headaches. This medication may
cause bradycardia, not tachycardia. This medication may cause diarrhea, not constipation.
Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The
nurse advises the client to anticipate pain relief will begin within which period of time?
a) 1 to 3 minutes
b) 4 to 5 seconds
c) 30 to 45 seconds
d) 10 to 15 minutes - (answers)a) 1 to 3 minutes
-
The onset of action of sublingual nitroglycerin tablets is rapid (1-3 minutes); duration of
action is 30 to 60 minutes. If nitroglycerin is administered intravenously, the onset of action
is immediate, and the duration is 3 to 5 minutes. It takes longer than 30 to 45 seconds for
sublingual nitroglycerin tablets to have a therapeutic effect. Sustained-release nitroglycerin
tablets start to act in 20 to 45 minutes, and the duration of action is 3 to 8 hours.
When a client is diagnosed with microvascular angina, which topics would the nurse include
in client teaching? Select all that apply. One, some, or all responses may be correct.
,a) Use of daily aspirin
b) Tobacco cessation techniques
c) Benefits of coronary artery bypass graft surgery
d) Management of usual daily activities to avoid symptoms
e) Use of nitroglycerin to prevent and treat anginal symptoms - (answers)a) Use of daily
aspirin
b) Tobacco cessation techniques
d) Management of usual daily activities to avoid symptoms
e) Use of nitroglycerin to prevent and treat anginal symptoms
-
Microvascular angina is caused by atherosclerosis or spasm in very distal microvascular
branches of the coronary artery system. Daily aspirin use, tobacco cessation, and use of
nitroglycerin would be included in client teaching. Microvascular angina tends to cause
symptoms during usual daily activities and the nurse would teach symptom management
through activity modification or the use of nitroglycerin. Because the coronary artery
disease is in small and distal vessels, coronary artery bypass surgery is not an option for
treatment.
Which activities might cause chest pain in a client with stable angina? Select all that apply.
One, some, or all responses may be correct.
a) Deep breathing during meditation
b) Walking outside on a cold day
c) Sexual activity
d) Taking an afternoon nap
e) Smoking a cigarette
f) Use of an oral decongestant - (answers)b) Walking outside on a cold day
c) Sexual activity
e) Smoking a cigarette
f) Use of an oral decongestant
-
, Clients with stable angina experience chest pain (or other angina equivalents) in response to
activities that increase cardiac workload or decrease blood flow and oxygen availability to
the heart. Cold temperatures cause vasoconstriction, increasing the cardiac workload during
systole. Sexual activity increases heart rate and force of contraction, leading to increased
cardiac workload. Tobacco use stimulates catecholamine release, increasing heart rate and
causing vasoconstriction, and resulting in increased cardiac workload. In addition, tobacco
use transiently increases carbon monoxide levels, resulting in a decrease in available oxygen
for cardiac tissues. Oral decongestants are sympathetic nervous system stimulants, which
increase heart rate and force of contraction and cause vasoconstriction, leading to increased
cardiac workload. Deep breathing will increase oxygen availability and tends to lead to
relaxation, resulting in reduced heart rate and force of contraction. Taking an afternoon nap
will reduce cardiac workload.
A client with a diagnosis of myocardial infarction asks the nurse, "What is causing the pain I
am having?" Which explanation would the nurse give?
a) Compression of the heart muscle
b) Release of myocardial isoenzymes
c) Rapid vasodilation of the coronary arteries
d) Inadequate oxygenation of the myocardium - (answers)d) Inadequate oxygenation of the
myocardium
-
Cessation of the blood flow that normally carries oxygen to the myocardium results in pain
because of ischemia of myocardial tissue. Myocardial infarction does not involve
compression of the heart. The release of myocardial isoenzymes is an indication of
myocardial damage; this does not cause myocardial pain. Vasodilation will increase
perfusion and contribute to pain relief, not cause myocardial pain.
Which finding on an electrocardiogram for a client complaining of chest pain indicates
possible acute myocardial infarction?
a) Flattened T waves
b) Absence of P waves
c) Elevated ST segments
d) Disappearance of Q waves - (answers)c) Elevated ST segments
-
