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Nclex Cardiovascular Questions and
Answers Already Passed
The nurse is teaching the client with angina pectoris about disease management and lifestyle changes that are necessary in order to control disease progression. Which statements by the client indicate a need for further teaching? Select all that apply. ✔✔"I am going to switch to electronic cigarettes."
"It is best to exercise once a week for an hour."
A client being seen in the emergency department for complaints of chest pain confides in the nurse about regular use of cocaine as a recreational drug. The nurse takes which important action in delivering holistic nursing care to this client? ✔✔Teaches about the effects of cocaine on the heart and offers referral for further help
The nurse is caring for a client with coronary artery disease, and a topical nitrate is prescribed for the client. Why is acetaminophen usually prescribed to be taken before the administration of the topical nitrate? ✔✔Headache is a common side effect of nitrates.
The nurse is collecting data on a client with a diagnosis of right-sided heart failure. The nurse should expect to note which specific characteristic of this condition? ✔✔Dependent edema
The health care provider is discharging a client with a diagnosis of chronic heart failure. Which health maintenance instructions should the nurse reinforce in the discharge teaching plan? Select all that apply. ✔✔Obtain annual influenza vaccination.
Avoid adding salt to foods or in cooking.
Report a weight gain of 3 or more pounds in a week
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 and conducting an initial assessment, the nurse assisting in caring for the client expects the cardiologist to write a prescription for the client to remain on bed rest. In which position should the bed be positioned? ✔✔With the head of bed elevated no more than 30 degrees
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and the client is visibly anxious. Which is a life-threatening complication that could be occurring? ✔✔Pulmonary embolism
A client has received instructions about an upcoming cardiac catheterization. The nurse determines that the client has the best understanding of the procedure if the client knows to report which symptoms? ✔✔Chest pain
The clinic nurse is obtaining cardiovascular data on a client. The nurse prepares to check the client's apical pulse and places the stethoscope in which position? ✔✔At the midclavicular line at the fifth left intercostal space
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 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? ✔✔Give sublingual nitroglycerin per the health care provider's prescriptions.
The nurse is assisting in caring for a client in the telemetry unit who is receiving an intravenous infusion of 1000 mL 5% dextrose with 40 mEq of potassium chloride. Which occurrence observed on the cardiac monitor indicates the presence of hyperkalemia? ✔✔Tall, peaked T waves
The nurse is caring for a client with a new onset of atrial fibrillation. Which prescribed treatments should the nurse expect? Select all that apply ✔✔Digoxin
Warfarin
Electrical cardioversion
The nurse has completed nutritional counseling with an overweight client about weight reduction to modify the risk for coronary artery disease (CAD). The nurse should determine the teaching is successful if the client states that which weight loss goal is safe? ✔✔Two pounds per week
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?"
The nurse is planning adaptations needed for activities of daily living for a client with cardiac disease. The nurse should incorporate which instruction in discussion with the client? ✔✔Take in adequate daily fiber to prevent straining during a bowel movement.
immediate action before help arrives, the nurse should perform which action? ✔✔Place the client in high-Fowler's position.
A client with left-sided heart failure has been admitted to the hospital. The nurse is reviewing the medical record and notes which signs and symptoms? Select all that apply. ✔✔Orthopnea
Sleep apnea
Pink frothy sputum
An emergency department client who complains of slightly improved but unrelieved chest pain for 2 days is reluctant to take a nitroglycerin sublingual tablet offered by the nurse. The client states, "I don't need that—my dad takes that for his heart. There's nothing wrong with my heart." Which description best describes the client's response? ✔✔Denial
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. The nurse listens to breath sounds expecting to hear which breath sounds bilaterally? ✔✔Crackles
The nurse is caring for a client who has been admitted to the hospital with a diagnosis of angina pectoris. What are included in the discharge plan? Select all that apply. ✔✔Smoking cessation
Get a flue vaccination
Limit activity in cold weather
Check blood pressure and pulse
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."
The 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 meal? ✔✔Fresh strawberries, steamed vegetables, and baked fish
An older client with ischemic heart disease has experienced an episode of dizziness and shortness of breath. The nurse reviews the plan of care and notices documentation of decreased
The nurse finds a client tensing while lying in bed staring at the cardiac monitor. The client states, "There sure are a lot of wires around there. I sure hope we don't get hit by lightning!" Which is the nurse's best response? ✔✔"Yes, this equipment is a little scary. Can we talk about how the cardiac monitor works?"
The nurse is caring for a client in the cardiac care unit with heart disease. The nurse knows that the direction of blood flows through the heart and lungs in which order? Please arrange the blood flow in the direction of flow. All options must be used. ✔✔Blood flows to the right atrium from the superior and inferior vena cava.
Blood flows from the right atrium to the right ventricle via the tricuspid valve.
Blood flows from the right ventricle to the lungs for oxygenation.
Blood flows from the lungs to the left atrium.
Blood flows from the left atrium via the mitral valve to the left ventricle.
Blood flows from the left ventricle to the aorta and then to the systemic circulation.
Acetylsalicylic acid is prescribed for a client before a percutaneous transluminal coronary angioplasty (PTCA). When the nurse takes the aspirin to the client, the client asks the nurse about its purpose. What is the purpose of the aspirin? ✔✔To prevent the formation of clots
The nurse is caring for a client who has a malignant lung neoplasm and has developed cardiopulmonary complications. On auscultation, the nurse hears these breath sounds over the left lower sternal border (over the apical area) and interprets the sounds as which? (Refer to audio.) ✔✔Pericardial friction rub
An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The client suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a noncardiac problem? ✔✔"Does the pain get worse when you breathe in?"
The nurse has reinforced instructions to the family of an older client who seems anxious about being discharged after cardiac surgery. The nurse understands further teaching is needed if a family member makes which statement? ✔✔"A daily, half-mile-long, brisk walk generally helps people bounce back more quickly and provides more of a sense of control."
Happens at the same time each day
A client is scheduled for a cardiac catheterization using a radiopaque dye. The nurse checks which most critical item before the procedure? ✔✔Prior reaction to contrast media
The nurse has reinforced home care instructions to a client who had a permanent pacemaker inserted. Which educational outcome has the greatest impact on the client's long-term cardiac health? ✔✔The ability to take an accurate pulse in either the wrist or neck
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
A client with heart failure is scheduled to be discharged to home with digoxin and furosemide as ongoing prescribed medications. The nurse teaches the client to report which sign/symptom that indicates the medications are not producing the intended effect? ✔✔Weight gain of 2 to 3 pounds in a few days
The nurse is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably unrelated to the AAA? ✔✔Hyperactive bowel sounds in the area
A client with hyperlipidemia is seen in the clinic for a follow-up visit. Which dietary modifications should the nurse include to lower the risk of coronary heart disease? Select all that apply. ✔✔Use liquid vegetable oil.
Increase intake of fruits.
Choose whole grain foods.
Remove skin from poultry.
The nurse is assigned to assist with caring for a client after cardiac catheterization performed through the left femoral artery. The nurse should plan to maintain bed rest for this client in which position? ✔✔Supine with head elevation no greater than 30 degrees
The nurse is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? ✔✔Premedicate the client with an analgesic before ambulating.
A client has just completed an information session about measures to minimize the progression of coronary artery disease (CAD). Which statement indicates an initial understanding of lifestyle alterations? ✔✔I should eat a diet that is low in fat and cholesterol.
The nurse has given simple instructions on preventing some of the complications of bed rest to a client who experienced a myocardial infarction. The nurse should intervene if the client were performing which of these contraindicated activities? ✔✔Isometric exercises of the arms and legs
A female client complains of an "odd, left-sided, twinge-like pain" along the anterior axillary line and states she has had this feeling for the past 3 days. Which is the initial action? ✔✔Determine if the pain is cardiac in origin.
A client is seen in the health care provider's office for a physical examination after experiencing unusual fatigue over the last several weeks. Height is 5 feet, 8 inches, with a weight of 220 pounds. Vital signs are temperature 98.6° F oral, pulse 86 beats per minute, respirations 18 breaths per minute, and blood pressure 184/96 mm Hg. Random blood glucose is 110 mg/dL. In order to best collect relevant data, which question should the nurse ask the client first? ✔✔"When was the last time you had your blood pressure checked?"
The health care provider is discharging a client with a diagnosis of primary hypertension. Which health maintenance instructions should the nurse reinforce in the discharge teaching plan? Select all that apply. ✔✔Monitor the blood pressure at home.
Restrict sodium intake as prescribed.
Eye examinations with an ophthalmoscope should be routine.
Follow-up appointments for blood pressure checks are important.
The nurse is talking with a client with angina about factors that can precipitate an angina attack. Which statement by the client indicates an understanding of the precipitating events? ✔✔"I will pay my neighbor to shovel my snow this winter."
A client asks the nurse about metabolic syndrome and what it means. The teaching plan should include which characteristics that define metabolic syndrome? Select all that apply. ✔✔Blood pressure is elevated with systolic values greater than 130 mm Hg and diastolic values greater than 85 mm Hg.
Decreased hemoglobin
Decreased fibrinogen level
The nurse is monitoring a client following cardioversion. Which observations should be of highest priority to the nurse? ✔✔Status of airway
A client diagnosed with angina pectoris returns to the nursing unit after experiencing an angioplasty. The nurse reinforces instructions to the client regarding the procedure and home care measures. Which statement by the client indicates an understanding of the instructions? ✔✔"I need to adhere to my dietary restrictions."
The nurse is teaching a hospitalized client who has had aortoiliac bypass grafting about measures to improve circulation. The nurse should tell the client to do which? ✔✔Keep the ankles uncrossed.
The nurse is planning a dietary menu for a client with heart failure who is being treated with digoxin and furosemide. Which would be the best dinner choice from the daily menu? ✔✔Baked fish, mashed potatoes, and carrot-raisin salad
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. ✔✔D
The nurse is providing discharge teaching for a post-myocardial infarction (MI) client who will be taking 1 baby aspirin a day. The nurse determines that the client understands the use of this medication if the client makes which statement? ✔✔"I will take this medication every day."
The nurse is caring for a client diagnosed with Buerger's disease. Which finding should the nurse determine is a potential complication associated with this disease? ✔✔Numbness and tingling in the legs
The nurse monitors the laboratory data on a client at risk for coronary artery disease. A fasting blood glucose reading of 200 mg/dL is recorded on the chart. The nurse analyzes this result as indicative of which finding? ✔✔Elevated, signaling the presence of diabetes mellitus, a risk factor of coronary artery disease
The nurse is planning measures to decrease the incidence of chest pain for a client with angina pectoris. The nurse should do which intervention to effectively accomplish this goal? ✔✔Provide a quiet and low-stimulus environment.
