1|Page
SAUNDERS NCLEX CARDIOVASCULAR
ACTUAL EXAM PREP 2026 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
The nurse is providing instructions to a client with a diagnosis of
hypertension regarding high-sodium items to be avoided. The nurse
instructs the client to avoid consuming which item?
1.
Bananas
2.
Broccoli
3.
Antacids
4.
Cantaloupe - ANSWER- Antacids
The sodium level can increase with the use of several types of
products, including toothpaste and mouthwash; over-the-counter
medications such as analgesics, antacids, laxatives, and sedatives;
and softened water and mineral water. Clients are instructed to read
labels for sodium content. Water that is bottled, distilled, deionized,
,2|Page
or demineralized may be used for drinking and cooking. Fresh
fruits and vegetables are low in sodium.
The nurse is preparing discharge instructions for a client with Raynaud's
disease. The nurse should plan to provide which instruction to the client?
1.
Use nail polish to protect the nail beds from injury.
2.
Wear gloves for all activities involving the use of both hands.
3.
Stop smoking because it causes cutaneous blood vessel spasm.
4.
Always wear warm clothing, even in warm climates, to prevent
vasoconstriction. - ANSWER- Stop smoking because it causes
cutaneous blood vessel spasm.
Raynaud's disease is peripheral vascular disease characterized by
abnormal vasoconstriction in the extremities. Smoking cessation is
one of the most important lifestyle changes that the client must
make. The nurse should emphasize the effects of tobacco on the
blood vessels and the principles involved in stopping smoking. The
nurse needs to provide information to the client about smoking
cessation programs available in the community. It is not necessary
to wear gloves for all activities, nor should warm clothing be worn in
warm climates.
,3|Page
The nurse is developing a plan of care for a client with varicose veins in
whom skin breakdown occurred over the varicosities as a result of
secondary infection. Which is a priority intervention?
1.
Keep the legs aligned with the heart.
2.
Elevate the legs higher than the heart.
3.
Clean the skin with alcohol every hour.
4.
Position the client onto the side during every shift. - ANSWER- Elevate
the legs higher than the heart.
In the client with a venous disorder, the legs are elevated above the
level of the heart to assist with the return of venous blood to the
heart. Alcohol is very irritating and drying to tissues and should not
be used in areas of skin breakdown. Option 4 specifies infrequent
care intervals, so it is not the priority intervention.
The nurse in the medical unit is reviewing the laboratory test results for
a client who has been transferred from the intensive care unit (ICU). The
nurse notes that a cardiac troponin T assay was performed while the
client was in the ICU. The nurse determines that this test was performed
to assist in diagnosing which condition?
, 4|Page
1.
Heart failure
2.
Atrial fibrillation
3.
Myocardial infarction
4.
Ventricular tachycardia - ANSWER- Myocardial infarction
Cardiac troponin T or cardiac troponin I have been found to be a
protein marker in the detection of myocardial infarction, and assay
for this protein is used in some institutions to aid in the diagnosis of
a myocardial infarction. The test is not used to diagnose heart
failure, ventricular tachycardia, or atrial fibrillation.
The nurse is caring for a client with cardiac disease who has been placed
on a cardiac monitor. The nurse notes that the client has developed atrial
fibrillation and has a rapid ventricular rate of 150 beats/minute. The
nurse should next assess the client for which finding?
1.
Hypotension
2.
SAUNDERS NCLEX CARDIOVASCULAR
ACTUAL EXAM PREP 2026 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
The nurse is providing instructions to a client with a diagnosis of
hypertension regarding high-sodium items to be avoided. The nurse
instructs the client to avoid consuming which item?
1.
Bananas
2.
Broccoli
3.
Antacids
4.
Cantaloupe - ANSWER- Antacids
The sodium level can increase with the use of several types of
products, including toothpaste and mouthwash; over-the-counter
medications such as analgesics, antacids, laxatives, and sedatives;
and softened water and mineral water. Clients are instructed to read
labels for sodium content. Water that is bottled, distilled, deionized,
,2|Page
or demineralized may be used for drinking and cooking. Fresh
fruits and vegetables are low in sodium.
The nurse is preparing discharge instructions for a client with Raynaud's
disease. The nurse should plan to provide which instruction to the client?
1.
Use nail polish to protect the nail beds from injury.
2.
Wear gloves for all activities involving the use of both hands.
3.
Stop smoking because it causes cutaneous blood vessel spasm.
4.
Always wear warm clothing, even in warm climates, to prevent
vasoconstriction. - ANSWER- Stop smoking because it causes
cutaneous blood vessel spasm.
Raynaud's disease is peripheral vascular disease characterized by
abnormal vasoconstriction in the extremities. Smoking cessation is
one of the most important lifestyle changes that the client must
make. The nurse should emphasize the effects of tobacco on the
blood vessels and the principles involved in stopping smoking. The
nurse needs to provide information to the client about smoking
cessation programs available in the community. It is not necessary
to wear gloves for all activities, nor should warm clothing be worn in
warm climates.
,3|Page
The nurse is developing a plan of care for a client with varicose veins in
whom skin breakdown occurred over the varicosities as a result of
secondary infection. Which is a priority intervention?
1.
Keep the legs aligned with the heart.
2.
Elevate the legs higher than the heart.
3.
Clean the skin with alcohol every hour.
4.
Position the client onto the side during every shift. - ANSWER- Elevate
the legs higher than the heart.
In the client with a venous disorder, the legs are elevated above the
level of the heart to assist with the return of venous blood to the
heart. Alcohol is very irritating and drying to tissues and should not
be used in areas of skin breakdown. Option 4 specifies infrequent
care intervals, so it is not the priority intervention.
The nurse in the medical unit is reviewing the laboratory test results for
a client who has been transferred from the intensive care unit (ICU). The
nurse notes that a cardiac troponin T assay was performed while the
client was in the ICU. The nurse determines that this test was performed
to assist in diagnosing which condition?
, 4|Page
1.
Heart failure
2.
Atrial fibrillation
3.
Myocardial infarction
4.
Ventricular tachycardia - ANSWER- Myocardial infarction
Cardiac troponin T or cardiac troponin I have been found to be a
protein marker in the detection of myocardial infarction, and assay
for this protein is used in some institutions to aid in the diagnosis of
a myocardial infarction. The test is not used to diagnose heart
failure, ventricular tachycardia, or atrial fibrillation.
The nurse is caring for a client with cardiac disease who has been placed
on a cardiac monitor. The nurse notes that the client has developed atrial
fibrillation and has a rapid ventricular rate of 150 beats/minute. The
nurse should next assess the client for which finding?
1.
Hypotension
2.
