CARDIAC NCLEX EXAM 2026 UPDATE QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
1.Intake and output
2.Baseline peripheral pulse rates
3.Height and weight
4.Allergy to iodine or shellfish - ANS-4. Allergy to iodine or shellfish
This procedure requires an informed consent because it involves injection of a radiopaque dye
into the blood vessel. The risk of allergic reaction and possible anaphylaxis is serious and must
be assessed before the procedure.
2) A client with no history of cardiovascular disease comes into the ambulatory clinic with flulike
symptoms. The client suddenly complains of chest pain. Which of the following questions would
best help a nurse to discriminate pain caused by a non-cardiac problem?
1."Have you ever had this pain before?"
2."Can you describe the pain to me?"
3."Does the pain get worse when you breathe in?"
4."Can you rate the pain on a scale of 1-10, with 10 being the worst?" - ANS-3."Does the pain
get worse when you breathe in?"
Chest pain is assessed by using the standard pain assessment parameters. Options 1, 2, and 4
may or may not help discriminate the origin of pain. Pain of pleuropulmonary origin usually
worsens on inspiration.
,3) A client with myocardial infarction has been transferred from a coronary care unit to a
general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of
the following client activities?
1.Strict bed rest for 24 hours after transfer
2.Bathroom privileges and self-care activities
3.Unsupervised hallway ambulation with distances under 200 feet
4.Ad lib activities because the client is monitored. - ANS-2. Bathroom privileges and self-care
activities
On transfer from the CCU, the client is allowed self-care activities and bathroom privileges.
Supervised ambulation for brief distances are encouraged, with distances gradually increased
(50, 100, 200 feet).
A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction
who was admitted 2 days ago. The nurse would plan to do which of the following next?
1.Review the intake and output records for the last 2 days
2.Change the time of diuretic administration from morning to evening
3.Request a sodium restriction of 1 g/day from the physician.
4.Order daily weights starting the following morning. - ANS-1.Review the intake and output
records for the last 2 days
Edema, the accumulation of excess fluid in the interstitial spaces, can be measured by intake
greater than output and by a sudden increase in weight. Diuretics should be given in the
morning whenever possible to avoid nocturia. Strict sodium restrictions are reserved for
clients with severe symptoms.
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees
no electrocardiogram complexes on the screen. The first action of the nurse is to:
, 1.Check the client status and lead placement
2.Press the recorder button on the electrocardiogram console.
3.Call the physician
4.Call a code blue - ANS-1. Check the client status and lead placement
Sudden loss of electrocardiogram complexes indicates ventricular asystole or possible
electrode displacement. Accurate assessment of the client and equipment is necessary to
determine the cause and identify the appropriate intervention.
6) A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The
nurse ensures accurate measurement by avoiding which of the following?
1.Seating the client with arm bared, supported, and at heart level.
2.Measuring the blood pressure after the client has been seated quietly for 5 minutes.
3.Using a cuff with a rubber bladder that encircles at least 80% of the limb.
4.Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion. - ANS-4.Taking
a blood pressure within 15 minutes after nicotine or caffeine ingestion
BP should be taken with the client seated with the arm bared, positioned with support and at
heart level. The client should sit with the legs on the floor, feet uncrossed, and not speak
during the recording. The client should not have smoked tobacco or taken in caffeine in the 30
minutes preceding the measurement. The client should rest quietly for 5 minutes before the
reading is taken. The cuff bladder should encircle at least 80% of the limb being measured.
Gauges other than a mercury sphygmomanometer should be calibrated every 6 months to
ensure accuracy
7) IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that
which of the following medications is available on the nursing unit?
1.Vitamin K
2.Aminocaporic acid
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
1.Intake and output
2.Baseline peripheral pulse rates
3.Height and weight
4.Allergy to iodine or shellfish - ANS-4. Allergy to iodine or shellfish
This procedure requires an informed consent because it involves injection of a radiopaque dye
into the blood vessel. The risk of allergic reaction and possible anaphylaxis is serious and must
be assessed before the procedure.
2) A client with no history of cardiovascular disease comes into the ambulatory clinic with flulike
symptoms. The client suddenly complains of chest pain. Which of the following questions would
best help a nurse to discriminate pain caused by a non-cardiac problem?
1."Have you ever had this pain before?"
2."Can you describe the pain to me?"
3."Does the pain get worse when you breathe in?"
4."Can you rate the pain on a scale of 1-10, with 10 being the worst?" - ANS-3."Does the pain
get worse when you breathe in?"
Chest pain is assessed by using the standard pain assessment parameters. Options 1, 2, and 4
may or may not help discriminate the origin of pain. Pain of pleuropulmonary origin usually
worsens on inspiration.
,3) A client with myocardial infarction has been transferred from a coronary care unit to a
general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of
the following client activities?
1.Strict bed rest for 24 hours after transfer
2.Bathroom privileges and self-care activities
3.Unsupervised hallway ambulation with distances under 200 feet
4.Ad lib activities because the client is monitored. - ANS-2. Bathroom privileges and self-care
activities
On transfer from the CCU, the client is allowed self-care activities and bathroom privileges.
Supervised ambulation for brief distances are encouraged, with distances gradually increased
(50, 100, 200 feet).
A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction
who was admitted 2 days ago. The nurse would plan to do which of the following next?
1.Review the intake and output records for the last 2 days
2.Change the time of diuretic administration from morning to evening
3.Request a sodium restriction of 1 g/day from the physician.
4.Order daily weights starting the following morning. - ANS-1.Review the intake and output
records for the last 2 days
Edema, the accumulation of excess fluid in the interstitial spaces, can be measured by intake
greater than output and by a sudden increase in weight. Diuretics should be given in the
morning whenever possible to avoid nocturia. Strict sodium restrictions are reserved for
clients with severe symptoms.
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees
no electrocardiogram complexes on the screen. The first action of the nurse is to:
, 1.Check the client status and lead placement
2.Press the recorder button on the electrocardiogram console.
3.Call the physician
4.Call a code blue - ANS-1. Check the client status and lead placement
Sudden loss of electrocardiogram complexes indicates ventricular asystole or possible
electrode displacement. Accurate assessment of the client and equipment is necessary to
determine the cause and identify the appropriate intervention.
6) A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The
nurse ensures accurate measurement by avoiding which of the following?
1.Seating the client with arm bared, supported, and at heart level.
2.Measuring the blood pressure after the client has been seated quietly for 5 minutes.
3.Using a cuff with a rubber bladder that encircles at least 80% of the limb.
4.Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion. - ANS-4.Taking
a blood pressure within 15 minutes after nicotine or caffeine ingestion
BP should be taken with the client seated with the arm bared, positioned with support and at
heart level. The client should sit with the legs on the floor, feet uncrossed, and not speak
during the recording. The client should not have smoked tobacco or taken in caffeine in the 30
minutes preceding the measurement. The client should rest quietly for 5 minutes before the
reading is taken. The cuff bladder should encircle at least 80% of the limb being measured.
Gauges other than a mercury sphygmomanometer should be calibrated every 6 months to
ensure accuracy
7) IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that
which of the following medications is available on the nursing unit?
1.Vitamin K
2.Aminocaporic acid
