CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM
2024/2025 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
Terms in this set (131)
A 35-year-old male patient B. Insertion of a nasogastric tube
presents at the emergency
department with symptoms Decompression of the bowel through a nasogastric tube
of a small bowel is necessary for all patients with small bowel obstruction.
obstruction. In Peripheral IV access is normally sufficient. Enemas,
collaboration with the suppositories, and laxatives are not indicated if an
primary care provider, what obstruction is present.
intervention should the
nurse prioritize?
A. Insertion of a central
venous catheter
B. Insertion of a nasogastric
tube
C. Administration of a
mineral oil enema
D. Administration of a
glycerin suppository and an
oral laxative
,A 45-year-old obese man B. Obstructive sleep apnea
arrives in a clinic with
complaints of daytime Obstructive sleep apnea occurs in men, especially those
sleepiness, difficulty going who are older and overweight. Symptoms include
to sleep at night, and excessive daytime sleepiness, insomnia, and snoring.
snoring. The nurse should Daytime sleepiness and difficulty going to sleep at night
recognize the are not indications of tonsillitis or adenoiditis. This
manifestations of what patient's symptoms are not suggestive of laryngeal
health problem? cancer.
A. Laryngeal cancer
B. Obstructive sleep apnea
C. Adenoiditis
D. Chronic tonsillitis
A 48-year-old man presents B. Begin ECG monitoring.
to the ED complaining of
severe substernal chest The 12-lead ECG provides information that assists in
pain radiating down his left ruling out or diagnosing an acute MI. It should be
arm. He is admitted to the obtained within 10 minutes from the time a patient
coronary care unit (CCU) reports pain or arrives in the ED. By monitoring serial
with a diagnosis of ECG changes over time, the location, evolution, and
myocardial infarction (MI). resolution of an MI can be identified and monitored; life-
What nursing assessment threatening arrhythmias are the leading cause of death
activity is a priority on in the first hours after an MI. Obtaining information about
admission to the CCU? family history of heart disease and whether the patient
smokes are not immediate priorities in the acute phase
A. Determine if the patient of MI. Data may be obtained from family members later.
smokes. Lung fields are auscultated after oxygenation and pain
B. Begin ECG monitoring. control needs are met.
C. Auscultate lung fields.
D. Obtain information about
family history of heart
disease.
,A 48-year-old patient has B. The patient needs to be assessed for MS.
been diagnosed with
trigeminal neuralgia Patients that develop trigeminal neuralgia before age 50
following recent episodes should be evaluated for the coexistent of MS because
of unilateral face pain. The trigeminal neuralgia occurs in approximately 5% of
nurse should recognize patients with MS. Treatment does not include
what implication of this anticholinergics and the disease is not self-limiting.
diagnosis? Trigeminal neuralgia is not associated with an increased
risk of myasthenia gravis.
A. The patient will likely
require lifelong treatment
with anticholinergic
medications.
B. The patient needs to be
assessed for MS.
C. The disease is self-
limiting and the patient will
achieve pain relief over
time.
D. The patient has a
disproportionate risk of
developing myasthenia
gravis later in life.
, An adult patient has sought B. "Are you exposed to any toxins or chemicals at work?"
care for the treatment of C. "What medications are you currently taking?"
headaches that have D. "How would you describe your ability to cope with
become increasingly severe stress?"
and frequent over the past E. "Does anyone else in your family struggle with
several months. Which of headaches?"
the following questions
addresses potential Headaches are multifactorial, and may involve
etiological factors? medications, exposure to toxins, family history, and
stress. Hospitalization is an unlikely contributor to
A. "When was the last time headaches.
you were hospitalized?"
B. "Are you exposed to any
toxins or chemicals at
work?"
C. "What medications are
you currently taking?"
D. "How would you
describe your ability to
cope with stress?"
E. "Does anyone else in
your family struggle with
headaches?"
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