Cardiovascular NCLEX-PN Questions
NEW VERSION|ACCURATE QUESTIONS|
VERIFIED ANSWERS|GUARANTEED
PASS|GRADED A.
A client with a history of angina pectoris tells the nurse that chest pain usually occurs
after going up two flights of stairs or after walking four blocks. The nurse interprets that
the client is experiencing which of the following types of angina?
- Ans - Stable
A client with angina pectoris has just been started on medication therapy with
nitroglycerin (Nitrostat). In planning care for this client, the nurse would place priority on
measuring:
- Ans - Vital S
A nurse is assisting a hospitalized client who is newly diagnosed with coronary artery
disease (CAD) to make appropriate selections from the dietary menu. The nurse
encourages the client to select which of the following meals?
- Ans - Fresh strawberries, steamed vegetables, and baked fish
A nurse has reinforced dietary instructions to a client with coronary artery disease.
Which statement by the client indicates an understanding of the dietary instructions? -
Ans - "I should routinely use polyunsaturated oils in my diet."
A nurse is assigned to assist with caring for a client after cardiac catheterization. The
nurse plans to maintain bedrest with:
- Ans - Head elevation of no more than 30 degrees
A client has just completed an information session about measures to minimize the
progression of coronary artery disease (CAD). The nurse determines that the client
indicates an initial understanding of lifestyle alterations if the client states an intention to:
- Ans - Eat a diet that is low in fat and cholesterol.
A nurse determines that a client with coronary artery disease (CAD) has the necessary
understanding of disease management if the client makes which statement?
- Ans - "I will walk for one-half hour daily."
A nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is
assisting the client in completing the diet menu. Which of the following beverages does
the nurse instruct the client to select from the menu?
- Ans - Lemonade
,A nurse notes that a client who is attached to a cardiac monitor suddenly develops atrial
fibrillation at a rate of 130. The nurse notifies the registered nurse immediately and
prepares the client for which initial intervention?
- Ans - Administration of a calcium channel blocker
A client seeks medical attention for intermittent episodes in which the fingers of both
hands become cold, pale, and numb. The client states that they then become reddened
and swollen with a throbbing, achy pain. The nurse further collects data on the client to
see whether these episodes occur with:
- Ans - Ingestion of coffee or chocolate
A nurse determines that a client with coronary artery disease (CAD) understands
disease management if the client makes which of the following statements?
- Ans - "I will walk for one-half hour daily."
A client has an Unna boot applied for treatment of a venous stasis leg ulcer. The nurse
notes that the client's toes are mottled and cool, and the client verbalizes some
numbness and tingling of the foot. The nurse interprets that the boot:
- Ans - Has been applied too tightly
A postcardiac surgery client with a blood urea nitrogen (BUN) level of 45 mg/dL and a
serum creatinine level of 2.2 mg/dL has a total 2-hour urine output of 25 mL. The nurse
understands that the client is at risk for:
- Ans - Acute renal failure
A nurse finds a client tensing while lying in bed staring at the cardiac monitor. What 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!"?
- Ans - "Yes, this equipment is a little scary. Can we talk about how the cardiac monitor
works?"
A client is at risk for complications of heart failure. What is the nurse's priority for early
detection of the most likely cause of complications with this client?
- Ans - Evaluating total body fluid
A nurse is caring for a client with coronary artery disease, and a topical nitrate is
prescribed for the client. The nurse provides medication instructions and tells the client
that acetaminophen (Tylenol) is usually prescribed to be taken before the administration
of the topical nitrate because
: - Ans - Headache is a common side effect of nitrates.
A nurse has given simple instructions on preventing some of the complications of
bedrest to a client who experienced a myocardial infarction. The nurse would intervene
if the client were performing which of these activities, which would be contraindicated? -
Ans - Isometric exercises of the arms and legs
, A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin
sodium (Coumadin). The nurse is told that the client's prothrombin time is 18 seconds
with a control of 11 seconds. The nurse plans to
: - Ans - Administer the next dose of warfarin sodium.
A nurse has completed nutritional counseling with an overweight client about weight
reduction to modify the risk for coronary artery disease. The nurse would determine the
teaching as successful if the client stated that a safe weight loss goal is:
- Ans - Two pounds per week
A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider?
- Ans - Each rescue breath should be given over 1 second and should produce a visible
chest rise.
A 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? -
Ans - Give sublingual nitroglycerin (Nitrostat) per the health care provider's
prescriptions.
In order to assess the dorsalis pedis pulse of a client diagnosed with arterial vascular
disease, the nurse palpates which anatomical location? Refer to figure - Ans - Top of
the foot
A nurse is beginning to ambulate a client with activity intolerance caused by bacterial
endocarditis. The nurse determines that the client is best tolerating ambulation if which
parameter is noted?
- Ans - Blood pressure that increases from 114/82 to 118/86 mm Hg
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." The appropriate nursing response is which of the
following?
- Ans - "You are concerned about losing your leg?"
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 do which of the following to care for this client in a holistic manner?
- Ans - Instruct the family member to dress the client warmly before going outside.
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain
and shortness of breath, and the client is visibly anxious. The nurse understands that a
life-threatening complication of this condition is:
- Ans - Pulmonary Embolism
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