CARDIAC NCLEX EXAM 1 QUESTIONS & ANSWERS
1. A client admitted to the hospital with coronary artery disease complains of dyspnea at rest. The nurse caring for the client uses which item as the best means to monitor respiratory status on an ongoing basis?
Apnea monitor Oxygen flowmeter
...
1. A client admitted to the hospital with coronary artery disease complains of dyspnea at rest.
The nurse caring for the client uses which item as the best means to monitor respiratory status
on an ongoing basis?
2. A client complains of calf tenderness, and thrombophlebitis is suspected. The nurse
should next assess the client for which finding?
Bilateral edema
Increased calf circumference
Diminished distal peripheral
pulses Coolness and pallor of the
affected limb
3. A client has developed uncontrolled atrial fibrillation with a ventricular rate of 150
beats/min. What manifestation should the nurse observe for when performing the client's
focused assessment
Flat neck veins
Nausea and
vomiting
Hypotension and dizziness
Clubbed fingertips and
headache
4. A client has experienced a myocardial infarction. The nurse plans care for the client,
knowing that the person's chest pain is caused by tissue hypoxia in which layer of the heart?
Myocardium
Endocardium
Parietal
pericardium
Visceral
pericardium
5. A client has experienced an episode of pulmonary edema. The nurse determines that the
client's respiratory status is improving after this episode if which breath sounds are
noted? Rhonchi
Wheezes
Crackles in the bases
Crackles throughout the lung fields
6.A client has received antidysrhythmic therapy for the treatment of premature ventricular
contractions (PVCs). The nurse evaluates this therapy as most effective if the client's
PVCs continued to exhibit which finding?
Occur in pairs
Appear to be multifocal
Fall on the second half of the T wave
Decrease to a frequency of less than 6 per minute
7. A client is admitted to the hospital with a diagnosis of aortic regurgitation. The nurse plans
care for the client, knowing that the failure of the aortic valve to close completely allows blood to
flow retrograde through which structures?
,Aorta to left ventricle
, Left ventricle to left
atrium Right ventricle to
right atrium
Pulmonary artery to right ventricle
10. A client is admitted to the hospital with a diagnosis of mitral stenosis. The narrowing of
this valve will impede circulation of blood through which structures?
Left ventricle to aorta
Left atrium to left
ventricle
Right atrium to right ventricle
Right ventricle to pulmonary
artery
11. A client is admitted to the hospital with a diagnosis of pericarditis. The nurse should
assess the client for which manifestation that differentiates pericarditis from other
cardiopulmonary problems?
Anterior chest pain
Pericardial friction
rub Weakness and
irritability
Chest pain that worsens on inspiration
12. A client is admitted to the visiting nurse service for assessment and follow-up after being
discharged from the hospital with new-onset heart failure (HF). The nurse teaches the client
about the dietary restrictions required with HF. Which statement by the client indicates that
further teaching is needed?
"I'm not supposed to eat cold cuts."
"I can have most fresh fruits and vegetables."
"I'm going to weigh myself daily to be sure I don't gain too much fluid."
"I'm going to have a ham and cheese sandwich and potato chips for lunch."
13. A client is having frequent premature ventricular contractions. The nurse should place
priority on assessment of which item?
Sensation of palpitations
Causative factors, such as
caffeine
Precipitating factors, such as
infection Blood pressure and
oxygen saturation
14. A client is scheduled for a cardiac catheterization to diagnose the extent of coronary
artery disease. The nurse places highest priority on telling the client to report which sensation
during the procedure?
Chest pain
Urge to
cough
Warm, flushed feeling
Pressure at the insertion
site
15. A client is seen in the emergency department for complaints of chest pain that began 3 hours
ago. The nurse should suspect myocardial injury or infarction if which laboratory value came
back elevated?
Myoglobin
Cardiac
troponin C-
reactive
protein
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