NCLEX NGN Med-Surg Topic #1 (Cardiovascular) | Questions
with 100% Verified Answers | Latest Update 2026/2027
Question: Which finding would the nurse expect when assessing a client with peripheral arterial disease (PAD)?
Select all that apply. One, some, or all responses may be correct. Pallor of feet Warm extremities Ulcers on the
toes Delayed capillary refill Thick, hardened skin Hair loss to lower extremities Muscle atrophy Intermittent
claudication
Answer: Pallor of feet Ulcers on the toes Delayed capillary refill Hair loss to lower extremities Muscle atrophy
Intermittent claudication
Question: Which clinical manifestations will the nurse expect when caring for a client with a diagnosis of
pulmonary edema? Select all that apply. One, some, or all responses may be correct. Crackles Coughing
Orthopnea Yellow sputum Anxiety Dependent edema Restlessness Lethargy
Answer: Crackles Coughing Orthopnea Anxiety Restlessness Lethargy
Question: When a client develops internal bleeding after abdominal surgery, which clinical manifestation would
the nurse expect the client to exhibit? Select all that apply. One, some, or all responses may be correct. Pallor
Polyuria Decreased mean arterial pressure (MAP) Bradypnea Tachycardia Hypertension Increased pulse
pressure Warm skin temperature
Answer: Pallor Decreased mean arterial pressure (MAP) Tachycardia
Question: When assessing a client with varicose veins, which clinical manifestation would the nurse expect to
find? Select all that apply. One, some, or all responses may be correct. Presence of ankle edema Increased leg
fatigue Diminished peripheral pulses Report of leg fullness and pruritus Leg pain with activity that resolves with
rest No hair on lower extremities Thickened toenails Pallor to bilateral lower extremities
Answer: Presence of ankle edema Increased leg fatigue Report of leg fullness and Pruritis
Question: When a client with heart failure is seen in the clinic with new onset ankle edema, the nurse would
question the client about which lifestyle factor that may have contributed to the ankle swelling? Select all that
apply. One, some, or all responses may be correct. Intake of salty foods Increased fluid consumption Dietary
fat intake Medication compliance Family stresses Recent travel Alcohol intake Increased physical activity
Answer: Intake of salty foods Increased fluid consumption Medication compliance Recent travel Alcohol intake
Question: Based on the information over the time period provided, review the changes in assessment data and
click to highlight the findings that would indicate the client is progressing as expected. 0900: Assessment
findings revealed the following: Cardiovascular: Sinus tachycardia with occasional premature ventricular
contractions. No murmur noted Respiratory: Tachypnea, inspiratory crackles auscultated throughout bilateral
lung fields, dyspnea with mild exertion, orthopnea, nonproductive chronic cough Gastrointestinal: Active bowel
sounds Genitourinary: Clear yellow urine, urinary frequency and nocturia Peripheral: +4 pitting edema in
bilateral lower extremities Vital signs: Temperature 98.6°F, (37C), heart rate of 120 bpm, respiratory rate of 26
breaths per minute, blood pressure of 152/90 mmHg, and pulse oximetry reading of 93%. NEW ASSESSMENT
--> 1500: Change of shift assessment complete: Cardiovascular: Sinus tachycardia without any arrhythmias.
No murmur noted Respiratory: Tachypnea, Few crackles noted in right lower lung field, Dyspnea with mild
exertion, Orthopnea, Nonproductive chronic cough Gastrointestinal: Active bowel sounds Genitourinary: mL
clear yellow urine in indwelling urinary catheter. Peripheral: +3 pitting edema in bilateral lower extremities
Vital signs: Temperature 96.8°F (37C), heart rate 102 of bpm, respiratory rate of 21 breaths per minute, blood
pressure of 138/80 mmHg, and pulse oximetry reading of 95%.
Answer: Sinus tachycardia without any arrhythmias Few crackles noted in right lower lung field +3 pitting
edema in bilateral lower extremities heart rate 102 of bpm blood pressure of 138/80 mmHg
with 100% Verified Answers | Latest Update 2026/2027
Question: Which finding would the nurse expect when assessing a client with peripheral arterial disease (PAD)?
Select all that apply. One, some, or all responses may be correct. Pallor of feet Warm extremities Ulcers on the
toes Delayed capillary refill Thick, hardened skin Hair loss to lower extremities Muscle atrophy Intermittent
claudication
Answer: Pallor of feet Ulcers on the toes Delayed capillary refill Hair loss to lower extremities Muscle atrophy
Intermittent claudication
Question: Which clinical manifestations will the nurse expect when caring for a client with a diagnosis of
pulmonary edema? Select all that apply. One, some, or all responses may be correct. Crackles Coughing
Orthopnea Yellow sputum Anxiety Dependent edema Restlessness Lethargy
Answer: Crackles Coughing Orthopnea Anxiety Restlessness Lethargy
Question: When a client develops internal bleeding after abdominal surgery, which clinical manifestation would
the nurse expect the client to exhibit? Select all that apply. One, some, or all responses may be correct. Pallor
Polyuria Decreased mean arterial pressure (MAP) Bradypnea Tachycardia Hypertension Increased pulse
pressure Warm skin temperature
Answer: Pallor Decreased mean arterial pressure (MAP) Tachycardia
Question: When assessing a client with varicose veins, which clinical manifestation would the nurse expect to
find? Select all that apply. One, some, or all responses may be correct. Presence of ankle edema Increased leg
fatigue Diminished peripheral pulses Report of leg fullness and pruritus Leg pain with activity that resolves with
rest No hair on lower extremities Thickened toenails Pallor to bilateral lower extremities
Answer: Presence of ankle edema Increased leg fatigue Report of leg fullness and Pruritis
Question: When a client with heart failure is seen in the clinic with new onset ankle edema, the nurse would
question the client about which lifestyle factor that may have contributed to the ankle swelling? Select all that
apply. One, some, or all responses may be correct. Intake of salty foods Increased fluid consumption Dietary
fat intake Medication compliance Family stresses Recent travel Alcohol intake Increased physical activity
Answer: Intake of salty foods Increased fluid consumption Medication compliance Recent travel Alcohol intake
Question: Based on the information over the time period provided, review the changes in assessment data and
click to highlight the findings that would indicate the client is progressing as expected. 0900: Assessment
findings revealed the following: Cardiovascular: Sinus tachycardia with occasional premature ventricular
contractions. No murmur noted Respiratory: Tachypnea, inspiratory crackles auscultated throughout bilateral
lung fields, dyspnea with mild exertion, orthopnea, nonproductive chronic cough Gastrointestinal: Active bowel
sounds Genitourinary: Clear yellow urine, urinary frequency and nocturia Peripheral: +4 pitting edema in
bilateral lower extremities Vital signs: Temperature 98.6°F, (37C), heart rate of 120 bpm, respiratory rate of 26
breaths per minute, blood pressure of 152/90 mmHg, and pulse oximetry reading of 93%. NEW ASSESSMENT
--> 1500: Change of shift assessment complete: Cardiovascular: Sinus tachycardia without any arrhythmias.
No murmur noted Respiratory: Tachypnea, Few crackles noted in right lower lung field, Dyspnea with mild
exertion, Orthopnea, Nonproductive chronic cough Gastrointestinal: Active bowel sounds Genitourinary: mL
clear yellow urine in indwelling urinary catheter. Peripheral: +3 pitting edema in bilateral lower extremities
Vital signs: Temperature 96.8°F (37C), heart rate 102 of bpm, respiratory rate of 21 breaths per minute, blood
pressure of 138/80 mmHg, and pulse oximetry reading of 95%.
Answer: Sinus tachycardia without any arrhythmias Few crackles noted in right lower lung field +3 pitting
edema in bilateral lower extremities heart rate 102 of bpm blood pressure of 138/80 mmHg
