NUR 254 TEST 1 REVIEW QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATE 2026-2027 GUARANTEED PASS
1. Initial dose of amiodarone bolus IV: 300mg
2. The med is administrated rapid iv push resulting In a brief flatline, used for
SVT, code cart must be at bedside: adenosine
3. what are the doses for adenosine?: 6mg, 12 mg, 12mg rapid IV push
4. medication used PRN for angina: Nitro- warn of HA, low BP
5. Each large box on the ecg paper represents how many seconds: 20 seconds
6. wo serum lab tests that would be elevated with MI: CK (CREATININE KINASE)
and Troponin
7. What complication of CABG presents with manifestations of decreased
urinary output, crackles, jvd, s3 gallop: pump failure (heart failure)
8. Most carbohydrates in the diet should be complex such as whole grains.
Name 2 foods that would be considered complex carbs: whole grain breads/pas-
ta, legumes, potatoes
9. What would a high CVP reading indicate (normal readings are
3-12mmhg)(dehydrated means 2-3mmhg)(20-22mmhg hypervolemia): hyperv-
olemia
10. what would you see on an EKG with a pt with Hyperkalemia?: peaked T
waves
11. 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 SATU-
RATED FAT.: BUTTER, CHEESE, MILK, CREAM, ICE CREAM, COCONUT OIL
AND FATTY MEATS
12. ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS COM-
PLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A
PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY)-
: HEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
13. WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON
SIDE EFFECTS OF COUGH, HYPERKALEMIA (TOO HIGH) AND HYPOTEN-
SION?: ANGIOTENSION CONVERTING ENZYME (ACE) INHIBITORS
14. THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG
IV PUSH FOR SYMPTOMATIC BRADYCARDIA: ATROPINE
15. CHEST PAIN RELIEVED BY REST IS REFERRED TO AS: STABLE ANGINA
16. NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD: HYPERLIPI-
DEMIA
CIGARETTE SMOKING/TOBACCO USE
HTN
DM
OBESITY
,NUR 254 TEST 1 REVIEW QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATE 2026-2027 GUARANTEED PASS
ATHEROGENIC DIET
ORAL CONTRACEPTIVES (HRT)
PHYSICAL INACTIVITY
METABOLIC SYNDROME
17. ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR
CORONARY ARTERY DISEASE IS:: 30 minutes per day most days (5-6 days a
week)
18. MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS
WHOLE GRAINS. NAME TWO (2) FOODS THAT WOULD BE CONSIDERED
COMPLEX CARBOHYDRATES.: WHOLE GRAIN BREADS/PASTA, LEGUMES,
POTATOES, RICE, STARCHY VEGETABLES.
19. USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART
TRANSPLANT: ventricular assistive device
20. THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE
THAN TYPICAL ANGINA, LASTS GREATER THAN 15 MINUTES, INDICATES
MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO MYOCARDIAL IN-
FARCTION?: ACS- acute coronary syndrome
21. CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST
3):: UNRELIEVED BY REST/NITROGLYCERIN, OCCURS AT REST, RADIATING,
CRUSHING/SQUEEZING, ASSOCIATED FACTORS (DYSPNEA, DIAPHORESIS)
22. WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED
HEART TONES, CT DRAINAGE ABRUPTLY SUBSIDING, HYPOTENSION AND
TACHYCARDIA?: cardiac tamponade
23. WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTER-
VAL?: 0.12- 0.20 seconds
24. WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COM-
PLEX?: 0.6-0.10 seconds
25. THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARC-
TION.: ST ELEVATION AND PATHOLOGIC Q WAVES***
26. A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PRO-
GRESSED TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE
PRIORITY INTERVENTION?: pacemaker
27. WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA?: FEVER,
HYPOXIA, ANEMIA, HYPOVOLEMIA, PAIN/ANXIETY
28. WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLA-
TION, THAT HAS THE GREATEST IMPACT ON SURVIVAL RATE?: defib
29. A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENO-
SINE OR CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVEN-
TION FOR PSVT?: ELICIT VAGAL RESPONSE/VALSALVA MANEUVER
,NUR 254 TEST 1 REVIEW QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATE 2026-2027 GUARANTEED PASS
30. WHAT DIAGNOSTIC TEST IS ESSENTIAL IN THE DIAGNOSIS OF STEMI (ST
ELEVATION MYOCARDIAL INFARCTION)?: EKG
31. WHAT DIAGNOSTIC TEST IS ESSENTIAL IN THE DIAGNOSIS OF STEMI (ST
ELEVATION MYOCARDIAL INFARCTION)?: echocardiogram
32. WHAT IS THE MOST LIKELY IMMEDIATE COMPLICATION FOLLOWING
CARDIAC CATHETERIZATION SHEATH REMOVAL?: bleeding
33. Shock is a SYNDROME resulting from a decrease in
a. , that causes inadequate
b. resulting in ischemic organs/tissues that cannot carry out
cellular metabolism.: a. blood flow
b. oxygenation
34. When monitoring for effectiveness of treatment, which value is often used
to titrate medications such as norepinepherine, as it is an indicator of tissue
perfusion.: MAP
35. Which findings indicates progression from early (I) to intermediate (II)?
1. decreased U/O
2. increased lactic acid/ hyperkalemia
3. fluid shift from interstitial space INTO capillaries
4. MAP drop 12 mmHg: 2. increased lactic acid/ hyperkalemia
36. if norepinephrine, dobutamine or dopamine infiltrates in a peripheral site
which medication should be used as an antidote?: Phentolamine
37. Four factors necessary to maintain cellular metabolism. When one of these
is disrupted, shock occurs.: 1. Cardiac output
2. Vessel diameter and tone
3. Blood volume
4. Tissues ability to extract and use O2
38. All of the manifestations of shock can be directly related to the body's
attempts to maintain .: Perfusion of vital organs (heart and brain)
39. In stage I of shock, compensatory mechanisms begin when there is a vol-
ume loss of approximately 1000 mL which causes a MAP drop of
mmHg: 10-15 mmhg
40. A patient is involved in a MVC. Which finding would indicate neruogenic
shock as opposed to hypovolvemic shock?
1. Decreased hgb and hct
UPDATE 2026-2027 GUARANTEED PASS
1. Initial dose of amiodarone bolus IV: 300mg
2. The med is administrated rapid iv push resulting In a brief flatline, used for
SVT, code cart must be at bedside: adenosine
3. what are the doses for adenosine?: 6mg, 12 mg, 12mg rapid IV push
4. medication used PRN for angina: Nitro- warn of HA, low BP
5. Each large box on the ecg paper represents how many seconds: 20 seconds
6. wo serum lab tests that would be elevated with MI: CK (CREATININE KINASE)
and Troponin
7. What complication of CABG presents with manifestations of decreased
urinary output, crackles, jvd, s3 gallop: pump failure (heart failure)
8. Most carbohydrates in the diet should be complex such as whole grains.
Name 2 foods that would be considered complex carbs: whole grain breads/pas-
ta, legumes, potatoes
9. What would a high CVP reading indicate (normal readings are
3-12mmhg)(dehydrated means 2-3mmhg)(20-22mmhg hypervolemia): hyperv-
olemia
10. what would you see on an EKG with a pt with Hyperkalemia?: peaked T
waves
11. 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 SATU-
RATED FAT.: BUTTER, CHEESE, MILK, CREAM, ICE CREAM, COCONUT OIL
AND FATTY MEATS
12. ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS COM-
PLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A
PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY)-
: HEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
13. WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON
SIDE EFFECTS OF COUGH, HYPERKALEMIA (TOO HIGH) AND HYPOTEN-
SION?: ANGIOTENSION CONVERTING ENZYME (ACE) INHIBITORS
14. THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG
IV PUSH FOR SYMPTOMATIC BRADYCARDIA: ATROPINE
15. CHEST PAIN RELIEVED BY REST IS REFERRED TO AS: STABLE ANGINA
16. NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD: HYPERLIPI-
DEMIA
CIGARETTE SMOKING/TOBACCO USE
HTN
DM
OBESITY
,NUR 254 TEST 1 REVIEW QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATE 2026-2027 GUARANTEED PASS
ATHEROGENIC DIET
ORAL CONTRACEPTIVES (HRT)
PHYSICAL INACTIVITY
METABOLIC SYNDROME
17. ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR
CORONARY ARTERY DISEASE IS:: 30 minutes per day most days (5-6 days a
week)
18. MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS
WHOLE GRAINS. NAME TWO (2) FOODS THAT WOULD BE CONSIDERED
COMPLEX CARBOHYDRATES.: WHOLE GRAIN BREADS/PASTA, LEGUMES,
POTATOES, RICE, STARCHY VEGETABLES.
19. USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART
TRANSPLANT: ventricular assistive device
20. THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE
THAN TYPICAL ANGINA, LASTS GREATER THAN 15 MINUTES, INDICATES
MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO MYOCARDIAL IN-
FARCTION?: ACS- acute coronary syndrome
21. CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST
3):: UNRELIEVED BY REST/NITROGLYCERIN, OCCURS AT REST, RADIATING,
CRUSHING/SQUEEZING, ASSOCIATED FACTORS (DYSPNEA, DIAPHORESIS)
22. WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED
HEART TONES, CT DRAINAGE ABRUPTLY SUBSIDING, HYPOTENSION AND
TACHYCARDIA?: cardiac tamponade
23. WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTER-
VAL?: 0.12- 0.20 seconds
24. WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COM-
PLEX?: 0.6-0.10 seconds
25. THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARC-
TION.: ST ELEVATION AND PATHOLOGIC Q WAVES***
26. A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PRO-
GRESSED TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE
PRIORITY INTERVENTION?: pacemaker
27. WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA?: FEVER,
HYPOXIA, ANEMIA, HYPOVOLEMIA, PAIN/ANXIETY
28. WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLA-
TION, THAT HAS THE GREATEST IMPACT ON SURVIVAL RATE?: defib
29. A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENO-
SINE OR CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVEN-
TION FOR PSVT?: ELICIT VAGAL RESPONSE/VALSALVA MANEUVER
,NUR 254 TEST 1 REVIEW QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATE 2026-2027 GUARANTEED PASS
30. WHAT DIAGNOSTIC TEST IS ESSENTIAL IN THE DIAGNOSIS OF STEMI (ST
ELEVATION MYOCARDIAL INFARCTION)?: EKG
31. WHAT DIAGNOSTIC TEST IS ESSENTIAL IN THE DIAGNOSIS OF STEMI (ST
ELEVATION MYOCARDIAL INFARCTION)?: echocardiogram
32. WHAT IS THE MOST LIKELY IMMEDIATE COMPLICATION FOLLOWING
CARDIAC CATHETERIZATION SHEATH REMOVAL?: bleeding
33. Shock is a SYNDROME resulting from a decrease in
a. , that causes inadequate
b. resulting in ischemic organs/tissues that cannot carry out
cellular metabolism.: a. blood flow
b. oxygenation
34. When monitoring for effectiveness of treatment, which value is often used
to titrate medications such as norepinepherine, as it is an indicator of tissue
perfusion.: MAP
35. Which findings indicates progression from early (I) to intermediate (II)?
1. decreased U/O
2. increased lactic acid/ hyperkalemia
3. fluid shift from interstitial space INTO capillaries
4. MAP drop 12 mmHg: 2. increased lactic acid/ hyperkalemia
36. if norepinephrine, dobutamine or dopamine infiltrates in a peripheral site
which medication should be used as an antidote?: Phentolamine
37. Four factors necessary to maintain cellular metabolism. When one of these
is disrupted, shock occurs.: 1. Cardiac output
2. Vessel diameter and tone
3. Blood volume
4. Tissues ability to extract and use O2
38. All of the manifestations of shock can be directly related to the body's
attempts to maintain .: Perfusion of vital organs (heart and brain)
39. In stage I of shock, compensatory mechanisms begin when there is a vol-
ume loss of approximately 1000 mL which causes a MAP drop of
mmHg: 10-15 mmhg
40. A patient is involved in a MVC. Which finding would indicate neruogenic
shock as opposed to hypovolvemic shock?
1. Decreased hgb and hct
