Cardiac NCLEX (100% Correct Answers)

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics? 1. Sinus...

The nurse is assessing a pt w/ chronic heart failure. Which abnormal chest sound would the nurse most likely auscultate? 1. expiratory wheezes 2. friction rub 3. harsh vesicular 4. crackles correct answers Answer: 4 Rationale 1, 2, 3: Expiratory wheezes, friction rub, & harsh vesicular sounds a...

The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to self-administer nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasize? select all that apply A. stop all activities immediately and sit down if chest pain occurs B. if the pain is unrelieved afte...

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4+ pitting edema of feet. 2. Thick white sputum and crackles that clea...

Which nursing action is most important when caring for a client after a cardiac catheterization? 1. Provide for rest 2. Administer oxygen 3. Check a pulse distal to the insertion site 4. Assess the electrocardiogram every fifteen minutes correct answers 3 For which complication of myocardial ...

The nurse prepares to administer digoxin to a client with heart failure and notes the following information: Temperature: 99.8 Pulse: 48 and irregular Respirations: 20 Potassium level: 3.2 mEq/L What action does the nurse take? a. Give digoxin; reassess the heart rate in 30 minutes. b. Give t...

1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the following assessments is most critical before the procedure? 1.Intake and output 2.Baseline peripheral pulse rates 3.Height and weight 4.Allergy to iodine or shellfish correct answers 4. Allergy to iodine o...

A nurse is assisting a client who will wear a Holter monitor for continuous cardiac monitoring over the next 24 hours. The nurse takes which of the following actions to assist this client? correct answers Gives the client a device holder to wear around the waist A client is admitted to the hospit...

A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a prothrombin time (PT) of 35 seconds. On the basis of these laboratory values, the nurse anticipates which action? A. adding a dose of heparin sodium B. holding the next dose of warfarin C. increasing...

The home care nurse is teaching the patient how to best monitor his edema. What is the best method for a patient at home to monitor his peripheral edema? A. Checking for pitting B. Measuring the extremity C. Measuring intake and output D. Taking daily weight measurements correct answers D. t...

When a client comes to the emergency department complaining of chest pain, what question is most important for the nurse to ask initially? correct answers when did your pain begin A hospitalized client takes in anti-hypertensive medication and complains of being lightheaded when getting out of be...

A 65-year-old male develops blockage in the pulmonary artery. As a result of the blockage, blood would first back up into the: a. Aorta b. Left ventricle c. Pulmonary veins d. Right ventricle correct answers d. Right ventricle A nurse is teaching about the heart. Which information should th...

Which of the following are most likely to be early signs of cardiac problems in older persons? (Select all that apply.) Mental status changes Agitation Frequent falls Sudden changes in GI function correct answers Mental status changes Agitation Frequent falls Rationale: Many cardiova...

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4+ pitting edema of feet. 2. Thick white sputum and crackles that clea...