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NCLEX CARDIOVASCULAR EXAM 2020 - QUESTIONS AND (100% CORRECT ANSWERS) A+ GRADE ASSURED
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NCLEX CARDIOVASCULAR EXAM 2020 - QUESTIONS AND (100% CORRECT ANSWERS) A+ GRADE ASSURED
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NCLEX CARDIOVASCULAR EXAM 2020- QUESTIONS AND (100% CORRECT
ANSWERS) /A+ GRADE ASSURED
1. A patient admitted to the hospital with chest pain and a history of type 2
diabetes mellitus is scheduled for cardiac catheterization. Which
medication would need to be withheld for 24 hours before the procedure
and for 48 hours after the procedure?
• Glipizide
• Metformin
• Repaglinide
• Regular insulin
2. A patient who had cardiac surgery 24 hours ago has had a urine output
averaging 20 mL/hour for 2 hours. The patient received a single bolus of 500
mL of intravenous fluid. Urine output for the subsequent hour was 25 mL.
Daily laboratory results indicate that the blood urea nitrogen level is 45 mg/dL
(16 mmol/L) and the serum creatinine level is 2.2 mg/dL (194 mcmol/L). On
the basis of these findings, the nurse would anticipate that the patient is at risk
for which problem?
• Hypovolemia
• Acute kidney injury
,• Glomerulonephritis
• Urinary tract infection
3. The nurse is reviewing an electrocardiogram rhythm strip. The P waves and
QRS complexes are regular. The PR interval is 0.16 seconds, and QRS
complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute.
Which action should the nurse take?
• Check vital signs.
• Check laboratory test results.
• Notify the health care provider.
• Continue to monitor for any rhythm change.
4. A patient is wearing a continuous cardiac monitor, which begins to sound its
alarm. The nursesees no electrocardiographic complexes on the screen. Which
is the priority nursing action?
• Call a code.
• Call the health care provider.
• Check the patient's status and lead placement.
• Press the recorder button on the electrocardiogram console.
, • The nurse is evaluating a patient's response to cardioversion. Which assessment
would be the
priority?
• Blood pressure
• Status of airway
• Oxygen flow rate
• Level of consciousness
6. The nurse is caring for a patient who has just had implantation of an
automatic internalcardioverter-defibrillator. The nurse should assess
which item based on priority?
• Anxiety level of the patient and family
• Presence of a Medic-Alert card for the patient to carry
• Knowledge of restrictions on post-discharge physical activity
• Activation status of the device, heart rate
cutoff, and number ofshocks it is programmed
to deliver
7. A patient's electrocardiogram strip shows atrial and ventricular rates of 110
beats/minute. ThePR interval is 0.14 seconds, the QRS complex measures
0.08 seconds, and the PP and RR intervals are regular. How should the nurse
correctly interpret this rhythm?
, • Sinus tachycardia
• Sinus bradycardia
• Sinus dysrhythmia
• Normal sinus rhythm
8. The nurse is assessing the neurovascular status of a patient who returned to the
surgical nursingunit 4 hours ago after undergoing aortoiliac bypass graft. The
affected leg is warm, and the nurse notes redness and edema. The pedal pulse
is palpable and unchanged from admission. How should the nurse correctly
interpret the patient's neurovascular status?
• The neurovascular status is normal because of
increased blood flow through the leg.
• The neurovascular status is moderately impaired,
and the surgeonshould be called.
• The neurovascular status is slightly
deteriorating and should be monitored for
another hour.
• The neurovascular status is adequate from an
arterial approach,but venous complications are
arising.
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