Nclex Cardiovascular Exam Questions And
Answers 100% Pass.
The nurse is teaching the client with angina pectoris about disease management and lifestyle
changes that are necessary in order to control disease progression. Which statements by the client
indicate a need for further teaching? Select all that apply. - answer✔"I am going to switch to
electronic cigarettes."
"It is best to exercise once a week for an hour."
A client being seen in the emergency department for complaints of chest pain confides in the
nurse about regular use of cocaine as a recreational drug. The nurse takes which important action
in delivering holistic nursing care to this client? - answer✔Teaches about the effects of cocaine
on the heart and offers referral for further help
The nurse is caring for a client with coronary artery disease, and a topical nitrate is prescribed for
the client. Why is acetaminophen usually prescribed to be taken before the administration of the
topical nitrate? - answer✔Headache is a common side effect of nitrates.
The nurse is collecting data on a client with a diagnosis of right-sided heart failure. The nurse
should expect to note which specific characteristic of this condition? - answer✔Dependent
edema
The health care provider is discharging a client with a diagnosis of chronic heart failure. Which
health maintenance instructions should the nurse reinforce in the discharge teaching plan? Select
all that apply. - answer✔Obtain annual influenza vaccination.
Avoid adding salt to foods or in cooking.
Report a weight gain of 3 or more pounds in a week
A client has just returned from the cardiac catheterization laboratory. The left femoral vessel was
used as the access site. After returning the client to bed and conducting an initial assessment, the
nurse assisting in caring for the client expects the cardiologist to write a prescription for the
client to remain on bed rest. In which position should the bed be positioned? - answer✔With the
head of bed elevated no more than 30 degrees
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and
shortness of breath, and the client is visibly anxious. Which is a life-threatening complication
that could be occurring? - answer✔Pulmonary embolism
About which laboratory values should the nurse be immediately concerned because they could
cause cardiac arrest? Select all that apply. - answer✔Calcium 7.9 mg/L
Potassium 5.9 mEq/L
The nurse is checking the neurovascular status of a client who returned to the surgical nursing
unit 4 hours ago, after undergoing an aortoiliac bypass graft. The affected leg is warm, and the
nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission.
Based on this data, the nurse should make which determination about the client's neurovascular
status? - answer✔Normal, caused by increased blood flow through the leg
When preparing a client for a pericardiocentesis, in which position does the nurse place the
client? - answer✔Supine with the head of bed elevated at a 45- to 60-degree angle
The nurse has completed counseling about smoking cessation with a client with coronary artery
disease (CAD). The nurse determines that the client has understood the material best if the client
makes which statement? - answer✔"A smoker has twice the risk of having a heart attack as a
nonsmoker."
A client has received instructions about an upcoming cardiac catheterization. The nurse
determines that the client has the best understanding of the procedure if the client knows to
report which symptoms? - answer✔Chest pain
The clinic nurse is obtaining cardiovascular data on a client. The nurse prepares to check the
client's apical pulse and places the stethoscope in which position? - answer✔At the midclavicular
line at the fifth left intercostal space
A client is admitted with an arterial ischemic leg ulcer. The nurse expects to note that this ulcer
has which typical characteristic? - answer✔Deep and painful
The nurse carries out a standard prescription for a stat electrocardiogram (ECG) on a client who
has an episode of chest pain. The nurse should take which action next? - answer✔Give
sublingual nitroglycerin per the health care provider's prescriptions.
The nurse is assisting in caring for a client in the telemetry unit who is receiving an intravenous
infusion of 1000 mL 5% dextrose with 40 mEq of potassium chloride. Which occurrence
observed on the cardiac monitor indicates the presence of hyperkalemia? - answer✔Tall, peaked
T waves
The nurse is caring for a client with a new onset of atrial fibrillation. Which prescribed
treatments should the nurse expect? Select all that apply - answer✔Digoxin
Warfarin
Electrical cardioversion
The nurse has completed nutritional counseling with an overweight client about weight reduction
to modify the risk for coronary artery disease (CAD). The nurse should determine the teaching is
successful if the client states that which weight loss goal is safe? - answer✔Two pounds per
week
The nurse is collecting data on a client with a diagnosis of angina pectoris who takes
nitroglycerin for chest pain. During the admission, the client reports chest pain. The nurse
immediately asks the client which question? - answer✔"Where is the pain located?"
The nurse is planning adaptations needed for activities of daily living for a client with cardiac
disease. The nurse should incorporate which instruction in discussion with the client? -
answer✔Take in adequate daily fiber to prevent straining during a bowel movement.
The nurse is assisting a client who will wear a Holter monitor for continuous cardiac monitoring
over the next 24 hours. The nurse takes which action to assist the client? - answer✔Gives the
client a device holder to wear around the waist
The licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis of
myocardial infarction (MI). The client is experiencing chest pain that is unrelieved by the
administration of nitroglycerin. The registered nurse administers morphine sulfate to the client as
prescribed by the health care provider. Following administration of the morphine sulfate, the
LPN plans to monitor which indicator(s)? - answer✔Respirations and blood pressure
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