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Cardiovascular NCLEX-PN Actual Exam-A Grade | Questions & Correct Answers
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Cardiovascular NCLEX-PN Actual Exam-A Grade | Questions & Correct Answers
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Cardiovascular NCLEX-PN Actual Exam-AGrade | Questions & Correct Answers
The nurse is assisting in developing a plan of care for a client who will be returning to the
nursing unit following a cardiac catheterization via the femoral approach. Which nursing
intervention should be included in the postprocedure plan of care? - ✔✔Encourage the
client to increase fluid intake
While the nurse is involved in preparing a client for a cardiac catheterization, the client says, "I
don't want to talk with you. You're only the nurse. I want my doctor." Which response by the
nurse should be therapeutic? - ✔✔"So you're saying that you want to talk to your health
care provider?"
A client is admitted with an arterial ischemic leg ulcer. The nurse expects to note that this ulcer
has which typical characteristic? - ✔✔Deep and painful
The nurse finds a client tensing while lying in bed staring at the cardiac monitor. Which is the
nurse's best response when the client states, "There sure are a lot of wires around there. I sure
hope we don't get hit by lightning!"? - ✔✔"Yes, this equipment is a little scary. Can we talk
about how cardiac monitor works?"
The nurse is caring for a client with left-sided heart failure. Which clinical signs are most
important for the nurse to communicate to the health care provider? Select all that apply. -
✔✔Pink-tinged frothy sputum
Increase in respiratory rate
Auscultation of crackles throughout the lungs
,The nurse is preparing to care for a client who will be arriving from the recovery room after an
above-the-knee amputation. The nurse ensures that which priority item is available for
emergency use? - ✔✔Surgical tourniquet
The nurse is discussing smoking cessation with a client diagnosed with coronary artery disease
(CAD). Which statement should the nurse make to the client to try to motivate the client to quit
smoking? - ✔✔"If you quit now, your risk of cardiovascular disease will decrease to that of a
nonsmoker in 3 to 4 years."
A client who experienced a myocardial infarction (MI) tells the nurse that he is fearful about not
being able to return to a normal life. Which action by the nurse is therapeutic at this time? -
✔✔Explore the specific concerns with the client.
A client complaining of chest pain has an as-needed (PRN) prescription for sublingual
nitroglycerin (Nitrostat). Before administering the medication to the client, the nurse should
first check which? - ✔✔Blood pressure
The nurse is caring for a client who is developing pulmonary edema. The client exhibits
respiratory distress, but the blood pressure is unchanged from the client's baseline. As an
immediate action before help arrives, the nurse should perform which action? - ✔✔Place
the client in high-Fowler's position
A 24-year-old man seeks medical attention for complaints of claudication in the arch of the
foot. The nurse also notes superficial thrombophlebitis of the lower leg. The nurse should check
the client for which next? - ✔✔Smoking history
A client in a long-term care facility who has a history of angina pectoris wants to go for a short
walk outside with a family member. It is a sunny but chilly December day. The nurse should
perform which intervention to care for this client in a holistic manner? - ✔✔Instruct the
family member to dress the client warmly before going outside.
A client who has undergone femoropopliteal bypass grafting says to the nurse, "I hope I don't
have any more problems that could make me lose my leg. I'm so afraid that I'll have gone
, through this for nothing." Which is an appropriate nursing response? - ✔✔"You are
concerned about losing your leg?"
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? - ✔✔"Where is the pain located?"
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, the nurse places a sign above the
bed stating that the client should remain on bed rest and in which position? - ✔✔With the
head of the bed elevated no more than 15 degrees
A client is admitted to the hospital with possible rheumatic endocarditis. The nurse should
check for a history of which type of infection? - ✔✔Streptococcal infection
The nurse is working with a client who has been diagnosed with Prinzmetal's (variant) angina.
The nurse plans to reinforce which information about this type of angina when teaching the
client? - ✔✔Prinzmetal's angina is generally treated with calcium channel blocking agents.
The client scheduled for a right femoropopliteal bypass graft is at risk for compromised tissue
perfusion to the extremity. The nurse takes which action before surgery to address this risk? -
✔✔Marking the location of the pedal pulses on the right leg
A client with a diagnosis of heart failure (HF) is preparing for discharge to home from the
hospital. Which condition indicates the client is ready for discharge to home? - ✔✔The client
can verbally describe the daily medications, doses, and times to be administered
An adult client just admitted to the hospital with heart failure also has a history of diabetes
mellitus. The nurse calls the health care provider to verify a prescription for which medication
that the client was taking before admission? - ✔✔Chlorpropamide
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