NSG 3160 Exam 3
NSG 3160 EXAM 3 NEWEST 2025/2026 COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
When assessing the carotid pulse, the nurse notices a diminished pulse bilaterally.
What is the most likely cause?
A. Aortic stenosis
B. Hyperthyroidism
C. Hypertension
D. Anemia
A. Aortic stenosis
Rationale: Aortic stenosis can cause a weak, thready carotid pulse due to reduced
cardiac output.
Which of the following is a non-modifiable risk factor for cardiovascular disease?
A. Smoking
B. Hypertension
C. Family history of heart disease
D. Obesity
C. Family history of heart disease
Rationale: Genetic predisposition is a non-modifiable risk factor, while smoking,
hypertension, and obesity are modifiable.
The nurse is teaching a patient about lifestyle modifications to reduce
cardiovascular disease risk. Which statement by the patient indicates the need for
further teaching?
A. "I will try to exercise at least 30 minutes a day."
B. "I will avoid foods high in saturated fats."
C. "I don't need to quit smoking because I use e-cigarettes."
D. "I will monitor my blood pressure regularly."
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, NSG 3160 Exam 3
C. "I don't need to quit smoking because I use e-cigarettes."
Rationale: E-cigarettes still contain harmful chemicals and nicotine, which can
increase cardiovascular risk.
The nurse is assessing a patient with suspected cardiac tamponade. Which finding
would be expected?
A. Decreased jugular venous pressure
B. Pulsus paradoxus
C. Increased carotid pulse strength
D. Bradycardia
:B. Pulsus paradoxus
Rationale: Pulsus paradoxus (a drop in systolic blood pressure >10 mmHg during
inspiration) is a key sign of cardiac tamponade.
The nurse is palpating the carotid pulse and notes a bounding pulse. This finding is
most consistent with:
A. Dehydration
B. Hypovolemia
C. Hyperthyroidism
D. Aortic stenosis
C. Hyperthyroidism
Rationale: Hyperthyroidism increases metabolic activity, leading to a bounding
carotid pulse.
What is the most significant factor contributing to atherosclerosis?
A. High LDL cholesterol
B. High HDL cholesterol
C. Low blood pressure
D. Decreased sodium intake
A. High LDL cholesterol
Rationale: High levels of low-density lipoprotein (LDL) contribute to plaque
buildup in arteries, leading to atherosclerosis.
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, NSG 3160 Exam 3
The nurse is educating a patient on reducing their risk for cardiovascular disease.
Which dietary recommendation is most appropriate?
A. Increase sodium intake
B. Consume trans fats regularly
C. Increase fiber intake
D. Avoid all sources of protein
C. Increase fiber intake
Rationale: Fiber helps lower cholesterol levels, reducing cardiovascular disease
risk.
A patient with a history of coronary artery disease presents with an absent carotid
pulse. What should the nurse do first?
A. Perform CPR
B. Call the provider immediately
C. Ask the patient if they feel lightheaded
D. Reassess in 10 minutes
A. Perform CPR
Rationale: An absent carotid pulse indicates no circulation, requiring immediate
initiation of CPR.
.A patient with heart failure has an elevated jugular venous pressure (JVP). What
is the best intervention?
A. Encourage increased fluid intake
B. Place the patient in Trendelenburg position
C. Administer prescribed diuretics
D. Restrict potassium-rich foods
C. Administer prescribed diuretics
Rationale: Diuretics help reduce fluid overload and decrease JVP.
The nurse auscultates a carotid bruit in a middle-aged patient. What is the priority
action?
A. Document the finding and reassess in one year
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, NSG 3160 Exam 3
B. Check for signs of a stroke
C. Refer the patient for further evaluation
D. Have the patient perform the Valsalva maneuver
C. Refer the patient for further evaluation
Rationale: A carotid bruit suggests atherosclerosis and increases stroke risk.
Further assessment, such as carotid ultrasound, is necessary.
A patient reports sudden, crushing chest pain that radiates to the left arm and
jaw. What is the nurse's priority action?
A. Administer nitroglycerin sublingually
B. Obtain a 12-lead ECG
C. Assess vital signs
D. Administer morphine IV
B. Obtain a 12-lead ECG
Rationale: A 12-lead ECG should be obtained immediately to determine if the
chest pain is due to myocardial infarction (MI). This guides further interventions.
The nurse is caring for a patient with chest pain. Which symptom is most
concerning for myocardial infarction?
A. Pain that worsens with deep inspiration
B. Sharp pain that improves when sitting up
C. Burning sensation after eating a large meal
D. Chest pressure lasting more than 30 minutes
D. Chest pressure lasting more than 30 minutes
Rationale: Prolonged chest pressure is a classic symptom of myocardial infarction
and requires immediate intervention.
A patient experiencing chest pain rates the pain as 9/10. What should the nurse
do first?
A. Administer prescribed nitroglycerin
B. Call the healthcare provider
4|Page
NSG 3160 EXAM 3 NEWEST 2025/2026 COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
When assessing the carotid pulse, the nurse notices a diminished pulse bilaterally.
What is the most likely cause?
A. Aortic stenosis
B. Hyperthyroidism
C. Hypertension
D. Anemia
A. Aortic stenosis
Rationale: Aortic stenosis can cause a weak, thready carotid pulse due to reduced
cardiac output.
Which of the following is a non-modifiable risk factor for cardiovascular disease?
A. Smoking
B. Hypertension
C. Family history of heart disease
D. Obesity
C. Family history of heart disease
Rationale: Genetic predisposition is a non-modifiable risk factor, while smoking,
hypertension, and obesity are modifiable.
The nurse is teaching a patient about lifestyle modifications to reduce
cardiovascular disease risk. Which statement by the patient indicates the need for
further teaching?
A. "I will try to exercise at least 30 minutes a day."
B. "I will avoid foods high in saturated fats."
C. "I don't need to quit smoking because I use e-cigarettes."
D. "I will monitor my blood pressure regularly."
1|Page
, NSG 3160 Exam 3
C. "I don't need to quit smoking because I use e-cigarettes."
Rationale: E-cigarettes still contain harmful chemicals and nicotine, which can
increase cardiovascular risk.
The nurse is assessing a patient with suspected cardiac tamponade. Which finding
would be expected?
A. Decreased jugular venous pressure
B. Pulsus paradoxus
C. Increased carotid pulse strength
D. Bradycardia
:B. Pulsus paradoxus
Rationale: Pulsus paradoxus (a drop in systolic blood pressure >10 mmHg during
inspiration) is a key sign of cardiac tamponade.
The nurse is palpating the carotid pulse and notes a bounding pulse. This finding is
most consistent with:
A. Dehydration
B. Hypovolemia
C. Hyperthyroidism
D. Aortic stenosis
C. Hyperthyroidism
Rationale: Hyperthyroidism increases metabolic activity, leading to a bounding
carotid pulse.
What is the most significant factor contributing to atherosclerosis?
A. High LDL cholesterol
B. High HDL cholesterol
C. Low blood pressure
D. Decreased sodium intake
A. High LDL cholesterol
Rationale: High levels of low-density lipoprotein (LDL) contribute to plaque
buildup in arteries, leading to atherosclerosis.
2|Page
, NSG 3160 Exam 3
The nurse is educating a patient on reducing their risk for cardiovascular disease.
Which dietary recommendation is most appropriate?
A. Increase sodium intake
B. Consume trans fats regularly
C. Increase fiber intake
D. Avoid all sources of protein
C. Increase fiber intake
Rationale: Fiber helps lower cholesterol levels, reducing cardiovascular disease
risk.
A patient with a history of coronary artery disease presents with an absent carotid
pulse. What should the nurse do first?
A. Perform CPR
B. Call the provider immediately
C. Ask the patient if they feel lightheaded
D. Reassess in 10 minutes
A. Perform CPR
Rationale: An absent carotid pulse indicates no circulation, requiring immediate
initiation of CPR.
.A patient with heart failure has an elevated jugular venous pressure (JVP). What
is the best intervention?
A. Encourage increased fluid intake
B. Place the patient in Trendelenburg position
C. Administer prescribed diuretics
D. Restrict potassium-rich foods
C. Administer prescribed diuretics
Rationale: Diuretics help reduce fluid overload and decrease JVP.
The nurse auscultates a carotid bruit in a middle-aged patient. What is the priority
action?
A. Document the finding and reassess in one year
3|Page
, NSG 3160 Exam 3
B. Check for signs of a stroke
C. Refer the patient for further evaluation
D. Have the patient perform the Valsalva maneuver
C. Refer the patient for further evaluation
Rationale: A carotid bruit suggests atherosclerosis and increases stroke risk.
Further assessment, such as carotid ultrasound, is necessary.
A patient reports sudden, crushing chest pain that radiates to the left arm and
jaw. What is the nurse's priority action?
A. Administer nitroglycerin sublingually
B. Obtain a 12-lead ECG
C. Assess vital signs
D. Administer morphine IV
B. Obtain a 12-lead ECG
Rationale: A 12-lead ECG should be obtained immediately to determine if the
chest pain is due to myocardial infarction (MI). This guides further interventions.
The nurse is caring for a patient with chest pain. Which symptom is most
concerning for myocardial infarction?
A. Pain that worsens with deep inspiration
B. Sharp pain that improves when sitting up
C. Burning sensation after eating a large meal
D. Chest pressure lasting more than 30 minutes
D. Chest pressure lasting more than 30 minutes
Rationale: Prolonged chest pressure is a classic symptom of myocardial infarction
and requires immediate intervention.
A patient experiencing chest pain rates the pain as 9/10. What should the nurse
do first?
A. Administer prescribed nitroglycerin
B. Call the healthcare provider
4|Page
