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NCLEX Cardio
Cardiovascular
| Question | Answer |
|---|---|
| 1.A patient reveals diabetes mellitus, hypertension, and pernicious anemia, he underwent an appendectomy 20 years ago and an aortic valve replacement 2 years ago, What history finding is major risk factor for ineffective endocarditis | History of aortic valve replacement |
| 2.Which ECG reveals myocardial ischemia | Elevated ST segment |
| 3.Explain use of transdermal nitroglycerin (Transderm-Nitro) twice daily. The client demonstrates understanding when he states | “my wife should be careful not to touch the patch with her finger if she helps me” |
| 4.35 mg oral, once per day, the label reads 50 mg/5ml Calculate | 35mg/x; x=3.5ml |
| 5.The nurse informs the client that nitroglycerin may cause | headache, hypotension, dizziness, and flushing |
| 6.Before nurse can eliminate the nursing diagnosis of activity intolerance, the client must meet which outcome measurement criterion | Erythrocyte sedimentation rate returns to normal |
| 7.Client recovering with CABG surgery. Which nursing diagnosis takes highest priority at this time | Decreased cardiac output related to depressed myocardial function, deficient fluid volume, or impaired electrical conduction |
| 8.Which of the following signs and symptoms should the nurse expect to find in a client with angina | Chest tightness, chest pressure, jaw pain |
| 9.Patient underwent surgery for insertion of a permanent pacemaker. Which instructions should the nurse include in the teaching plan | Check the heart rate for 1 minute daily; Report redness, swelling, or discharge at insertion site; Avoid MRI diagnostic studies |
| 10.Severe angina and electrocardiogram, the nurse can expect which lab test to be ordered | Troponin |
| 11.Propranolol for atrial arrhythmia. The sumpathomimetics at beta receptor sites are located | heart |
| 12.A client with a diagnosis with myocardial infarction. Which data collections findings indicate that the client has developed left-sided heart failure | Orthopnea, cough, crackles |
| 13.An increase in the creatine, kinase-MB isoenzyme, CK-MB can be caused by | myocardial necrosis |
| 14.An elderly client underwent total hip replacement exhibits a red painful area on the calf of the affected leg. What test validates presence of thromboembolism | Homan’s |
| 15.A client takes Laxis. What lab values should be taken | complete blood count, serum potassium |
| 16.The nurse is teaching client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize | Lie down or sit in a chair for 5-10 minutes after taking the drug |
| 17.Where is the best auscultation for the pulmonic valve | |
| 18.A client with no known history of peripheral vascular disease comes to the ER department complaining of sudden onset of lower leg pain. Inspection and palpation reveal absent pulses, paresthesia, and a mottled, cyanotic, and cold left calf. Which the p | keep the affected leg level or slightly dependent |
| 19.The nurse is preparing to begin one-person cardiopulmonary resuscitation. The nurse should first | establish unresponsiveness |
| 20.Which interventions are appropriate when caring for a client with acute thromboplebitis | Apply warm soaks and elevate the client’s legs higher than the level of the heart |
| 21.A client is being discharged with permanent cardiac pacemaker that is set at 72 beats per minute. The nurse should instruct the client to report which pulse immediately to the physician | 64 beats per minute |
| 22.How long after oral administration can the nurse expect to see digoxins (Lanoxin) peak effect | 2-6 hours |
| 23.A male client has arteriosclerosis with intermittent claudication. The nurse has worked with him to develop a walking program. Which statement by the client indicates that he understands the program | “I should walk until pain occurs, then rest” |
| 24.Nurse is instructing a client about the use of antiembolism stockings. “Antiembolism stockings help prevent deep vein thrombosis (DVT) by | forcing blood into the deep venous system |
| 25.Client admitted to the hospital with diagnosis of angina. As part of the discharge plan, a nurse should include which of the following instructions to reduce the risk of angina | Take frequent rest breaks during the day |
| 26.A client with a forceful pounding heart rate is diagnosed with mitral valve prolapse. This client should be instructed to avoid | caffeine containing products |
| 27.The nurse is assessing a client who is at risk for cardiac tamponade due to chest trauma sustained in a motorcycle accident. What is the client’s pulse pressure if his blood pressure 108/82 mmHg | 26 |
| 28.Client suffered blunt chest trauma in car accident and complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub- a classic sign of acute pericarditis. The physician confirms acute | Leaning forward while sitting |
| 29.The nurse is admitting a client with substernal chest pain. Which diagnostic test does the nurse anticipate will receive to confirm or rule out a diagnosis of MI | serum troponin, serum myoglobin |
| 30.A nurse discovers a client with pulse rate 40 beats/min, B/P is 80/50mmHg and he complains of dizziness. Which medication would the RN use to treat this | Atropine |
| 31.Client has a blockage in the proximal portion of coronary artery. Client will undergo PTCA. During this procedure, the nurse expects which medication to be administered to the patient | Anticoagulant |
| 32.Client with new diagnosis with heart failure is place on bed rest. Most appropriate rationale for this action | to reduce the heart’s workload |
| 33.Nurse evaluating a client who had MI 7 days ago. Which outcome indicates client is responding favorably to therapy | Client demonstrates the ability to tolerate increase activity without chest pain |
Created by:
Gastelum07