CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM
2024/2025 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
Terms in this set (131)
The student nurse is C. Need for careful monitoring for cardiac symptoms
preparing a teaching plan D. Need for dietary modifications
for a patient being E. Need for carefully regulated exercise
discharged status post MI.
What should the student Dietary modifications, exercise, weight loss, and careful
include in the teaching monitoring are important strategies for managing three
plan? (Mark all that apply.) major cardiovascular risk factors: hyperlipidemia,
hypertension, and diabetes. There is no need to increase
A. Need for increased fluid fluid intake and activity should be slowly and
intake deliberately increased
B. Need for early
resumption of prediagnosis
activity
C. Need for careful
monitoring for cardiac
symptoms
D. Need for dietary
modifications
E. Need for carefully
regulated exercise
,The nurse is caring for an B. Bibasilar fine crackles
84-year-old man who has
just returned from the OR Bibasilar fine crackles are a sign of alveolar fluid, a
after inguinal hernia repair. sequela of left ventricular fluid, or pressure overload.
The OR report indicates that Jugular vein distention, right upper quadrant pain
the patient received large (hepatomegaly), and dependent edema are caused by
volumes of IV fluids during right-sided heart failure, usually a chronic condition.
surgery and the nurse
recognizes that the patient
is at risk for left-sided heart
failure. What signs and
symptoms would indicate
left-sided heart failure?
A. Jugular vein distention
B. Bibasilar fine crackles
C. Right upper quadrant
pain
D. Dependent edema
The nurse is reviewing a A. Avoid positioning the patient supine.
newly admitted patient's
electronic health record, Orthopnea is defined as difficulty breathing while lying
which notes a history of flat. This is a possible complication of HF and,
orthopnea? What nursing consequently, the nurse should avoid positioning the
action is most clearly patient supine. Oxygen supplementation may or may not
indicated? be necessary and activity does not always need to be
curtailed. Deep breathing and coughing exercises do
A. Avoid positioning the not directly address this symptom.
patient supine.
B. Limit the patient's activity
level.
C. Teach the patient deep
breathing and coughing
exercises.
D. Administer supplemental
oxygen at all times.
,The nurse is caring for an B. Confusion and bradycardia
adult patient with HF who is
prescribed digoxin. When A key concern associated with digitalis therapy is
assessing the patient for digitalis toxicity. Symptoms include anorexia, nausea,
adverse effects, the nurse visual disturbances, confusion, and bradycardia. The
should assess for which of other listed signs and symptoms are not characteristic of
the following signs and digitalis toxicity.
symptoms?
A. Numbness and tingling in
the extremities
B. Confusion and
bradycardia
C. Uncontrolled diuresis
and tachycardia
D. Chest pain and shortness
of breath
The ED nurse is caring for a C. Morphine
patient with a suspected MI.
What drug should the nurse The patient with suspected MI is given aspirin,
anticipate administering to nitroglycerin, morphine, an IV beta- blocker, and other
this patient? medications, as indicated, while the diagnosis is being
confirmed. Tylenol, warfarin, and oxycodone are not
A. Warfarin typically used.
B. Oxycodone
C. Morphine
D. Acetaminophen
, A patient is admitted to the A. Sodium
critical care unit (CCU) with
a diagnosis of Sodium is the major electrolyte involved with
cardiomyopathy. When cardiomyopathy. Cardiomyopathy often leads to heart
reviewing the patient's most failure which develops, in part, from fluid overload. Fluid
recent laboratory results, overload is often associated with elevated sodium
the nurse should prioritize levels. Consequently, sodium levels are followed more
assessment of which of the closely than other important laboratory values, including
following? BUN, leukocytes, and liver function tests.
A. Sodium
B. AST, ALT, and bilirubin
C. BUN
D. White blood cell
differential
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