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NCLEX 10000 CARDIOVASCULAR FINAL EXAM QUESTIONS WITH VERIFIED ANSWERS 100%
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NCLEX 10000CARDIOVASCULAR FINAL
EXAM QUESTIONS WITH
VERIFIED ANSWERS 100%
An 80-year-old client is admi3ed with nausea and vomi8ng. The client has a
history of heart failure and is being treated with digoxin. The client has been
nauseated for a week and began vomi8ng 2 days ago. Laboratory values
indicate hypokalemia. Because of these clinical findings, the nurse should
assess the client carefully for:
Digoxin toxicity
A client is admi3ed to the hospital through the emergency department with
chest pain. Which interven8on is the priority?
Assessing troponin 1 levels
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse
evaluates the therapeu8c effec8veness of this drug by assessing the client's
response and checking for adverse effects. Which vital sign is most likely to
reflect an adverse effect of nitroglycerin?
Blood pressure 84/52 mm Hg
An older adult takes two 81-mg aspirin tablets daily to prevent a heart a3ack.
The client reports having a constant "ringing" in both ears. How should the
nurse respond to the client's comment?
Explain to the client that the "ringing" may be related to the aspirin
,A client who has been experiencing angina has a new prescrip8on for
nitroglycerin. The nurse should instruct the client to report having which
poten8al side effect of nitroglycerin?
Headache
The nurse is taking a nursing history from a client prior to surgery. Which
informa8on in the client's history would have a significant impact on the
client's recovery postopera8vely? The client:
Has smoked 1 pack of cigare3es a day for 12 years
A client has been diagnosed with atrial fibrilla8on. The health care provider
(HCP) prescribed warfarin to be taken on a daily basis. The nurse instructs the
client to avoid using which over-the-counter medica8on while taking warfarin?
Aspirin
A 68-year-old client on day 2 aYer hip surgery has no cardiac history but
reports having chest heaviness. The nurse should first:
Inquire about the onset, dura8on, severity, and precipita8ng factors of the
heaviness
What is a priority nursing assessment in the first 24 hours aYer admission of
the client with a thrombo8c stroke?
Pupil size and pupillary response
What mechanical device increases coronary perfusion and cardiac output and
decreases myocardial workload and oxygen consump8on in a client with
cardiogenic shock?
Intra-aor8c balloon pump
A client with a history of coronary artery disease (CAD) has been diagnosed
with peripheral arterial disease. The health care provider (HCP) started the
client on pentoxifylline once daily. Approximately 1 hour aYer receiving the
,ini8al dose of pentoxifylline, the client reports having chest pain. The nurse
should first:
Inform the HCP
A nurse is caring for a client with type 2 diabetes who has had a myocardial
infarc8on (MI) and is repor8ng nausea, vomi8ng, dyspnea, and substernal
chest pain. Which of the following is the priority interven8on?
Control the pain and support breathing and oxygena8on
Which informa8on about sublingual nitroglycerin tablets should the nurse
include when instruc8ng the client with angina?
Store the tablets in a 8ght, light-resistant container.
A client with leY-sided heart failure complains of increasing shortness of breath
and is agitated and coughing up pink-8nged, foamy sputum. The nurse should
recognize these findings as signs and symptoms of:
Acute pulmonary edema
Which symptom should the nurse teach the client with unstable angina to
report immediately to the health care provider (HCP)?
A change in the pa3ern of the chest pain
A nurse is evalua8ng a client who had a myocardial infarc8on (MI) 7 days
earlier. Which outcome indicates that the client is responding favorably to
therapy?
The client demonstrates ability to tolerate more ac8vity without chest pain
Which food should the nurse teach a client with heart failure to limit when
following a 2-gram sodium diet?
Canned tomato juice
The nurse is assessing a cliet who has a history of peripheral vascular disease.
The nurse observes that the leY great toe is black. The discolora8on is likely a
result of:
, Gangrene
A physician admits a client to the health care facility for treatment of an
abdominal aor8c aneurysm. When planning this client's care, which goal
should the nurse keep in mind as she formulates interven8ons?
Stabilizing heart rate and blood pressure and easing anxiety
What is the expected outcome of thromboly8c drug therapy for stroke?
Dissolved emboli
A client is receiving pentoxifylline for intermi3ent claudica8on. The nurse
should determine the effec8veness of the drug by asking if the client:
Has less pain in the legs
A client is taking spironolactone to control her hypertension. Her serum
potassium level is [6 meq/L (56mmol/L)]. For this client, the nurse's priority
should be to assess her:
ECG results
A client is discharged aYer an aor8c aneurysm repair with a synthe8c graY to
replace part of the aorta. The nurse should instruct the client to no8fy the
health care provider (HCP) before having:
Major dental work
A nurse is caring for a client who had a three-vessel coronary bypass graY 4
days earlier. His cholesterol profile is as follows: total cholesterol 265 mg/dl
(6.845 mmol/L), low-density lipoprotein (LDL) 139 mg/dl (3.603 mmol/L), and
high-density lipoprotein (HDL) 32 mg/dl (0.829 mmol/L). The client asks the
nurse how to lower his cholesterol. The nurse should tell the client that:
Shell ask the die88an to talk with him about modifying his diet
A client is in hypovolemic shock. In which posi8on should the nurse place the
client?
Supine with the legs elevated 15 degrees
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