Cardiac NCLEX Questions with VERIFIED Answers (Guaranteed Success)
Q1: A client's serum calcium level is 7.9 mg/dL. The nurse is immediately concerned, knowing that this
level could lead to:
Answer: Cardiac arrest
Q2: A nurse is providing cardiopulmonary resuscitation (CPR) to an adult cardiac arrest victim. What is
the proper compression-to- ventilation ratio for one-person CPR?
Answer: 30:2
Q3: A nurse is assisting in the care of a client with myocardial infarction who should reduce intake of
saturated fat and cholesterol. The nurse should help the client comply with diet therapy by selecting
which of the following food items from the dietary menu?
Answer: Baked haddock, steamed broccoli, herbed rice, sliced strawberries
Q4: A nurse is providing dietary instructions to a client with congestive heart failure (CHF). The nurse
determines that the client understands the instructions if the client states that which of the following
food items will be avoided
Answer: Catsup
Q5: A nurse is planning a dietary menu for a client with heart failure being treated with digoxin
(Lanoxin) and furosemide (Lasix). Which of the following would be the best dinner choice from the
daily menu?
Answer: aked pollack, mashed potatoes, and carrot-raisin salad
Q6: A nurse is assisting in developing a plan of care for a client who will be returning to the nursing unit
following a cardiac catheterization via the femoral approach. Which nursing intervention will be
included in the post-procedure plan of care?
Answer: Encourage the client to increase fluid intake.
,Q7: A client with a history of angina pectoris complains of substernal chest pain. The nurse checks the
client's blood pressure and administers nitroglycerin grains 1/150 sublingually. Five minutes later, the
client is still experiencing chest pain. If the blood pressure is still stable, the nurse should take which
action next?
Answer: Administer another nitroglycerin tablet.
Q8: A client with angina complains that the anginal pain is prolonged and severe and occurs at the
same time each day, most often in the morning. On further data collection, the nurse notes that the
pain occurs in the absence of precipitating factors. This type of anginal pain is best described as:
Answer: Variant angina
Q9: A client is admitted to the hospital with a venous stasis leg ulcer. The nurse inspects the ulcer,
expecting to note that the ulcer:
Answer: Has a brownish or "brawny" appearance
Q10: A nurse determines that which of the following clients is most likely to be a candidate for
cardioversion?
Answer: Client with unstable rapid atrial fibrillation
Q11: A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and
begins coughing frothy, pink-tinged sputum. A nurse listens to breath sounds, expecting to hear
bilateral:
Answer: Crackles
Q12: A nurse is preparing to provide a therapeutic environment for a client who recently had a
myocardial infarction (MI). The nurse should alter the environment to ensure that it is:
Answer: Low stimulus, low stress
, Q13: A nurse working the 3:00 to 11:00 PM shift notes that a client with coronary artery disease (CAD)
has a prescription for serum lipid levels to be drawn in the morning. The nurse places the client on
which dietary preparation to ensure accurate test results?
Answer: Fasting for 12 hours
Q14: A nurse is told during shift report that a client is having occasional ventricular dysrhythmias. The
nurse reviews the client's laboratory results, recalling that which electrolyte imbalance could be
responsible for this development?
Answer: Hypokalemia
Q15: A nurse is planning adaptations needed for activities of daily living for a client with cardiac
disease. The nurse would incorporate which of the following in discussions with the client?
Answer: Take in adequate daily fiber to prevent straining during a bowel movement.
Q16: A client is at risk for developing disseminated intravascular coagulopathy (DIC). The nurse should
become concerned with which of the following fibrinogen levels?
Answer: 90 mg/dL
Q17: A 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?
Answer: Ability to take an accurate pulse in either the wrist or neck
Q18: A client receiving parenteral nutrition (PN) has a history of congestive heart failure. The health
care provider has prescribed furosemide (Lasix) 40 mg orally daily to prevent fluid overload. The nurse
monitors which laboratory value to identify an adverse effect from this medication?
Answer: Potassium
Q19: The nurse is caring for the client immediately after insertion of a permanent demand pacemaker
via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing
which intervention?
Answer: Limiting movement and abduction of the right arm
Q1: A client's serum calcium level is 7.9 mg/dL. The nurse is immediately concerned, knowing that this
level could lead to:
Answer: Cardiac arrest
Q2: A nurse is providing cardiopulmonary resuscitation (CPR) to an adult cardiac arrest victim. What is
the proper compression-to- ventilation ratio for one-person CPR?
Answer: 30:2
Q3: A nurse is assisting in the care of a client with myocardial infarction who should reduce intake of
saturated fat and cholesterol. The nurse should help the client comply with diet therapy by selecting
which of the following food items from the dietary menu?
Answer: Baked haddock, steamed broccoli, herbed rice, sliced strawberries
Q4: A nurse is providing dietary instructions to a client with congestive heart failure (CHF). The nurse
determines that the client understands the instructions if the client states that which of the following
food items will be avoided
Answer: Catsup
Q5: A nurse is planning a dietary menu for a client with heart failure being treated with digoxin
(Lanoxin) and furosemide (Lasix). Which of the following would be the best dinner choice from the
daily menu?
Answer: aked pollack, mashed potatoes, and carrot-raisin salad
Q6: A nurse is assisting in developing a plan of care for a client who will be returning to the nursing unit
following a cardiac catheterization via the femoral approach. Which nursing intervention will be
included in the post-procedure plan of care?
Answer: Encourage the client to increase fluid intake.
,Q7: A client with a history of angina pectoris complains of substernal chest pain. The nurse checks the
client's blood pressure and administers nitroglycerin grains 1/150 sublingually. Five minutes later, the
client is still experiencing chest pain. If the blood pressure is still stable, the nurse should take which
action next?
Answer: Administer another nitroglycerin tablet.
Q8: A client with angina complains that the anginal pain is prolonged and severe and occurs at the
same time each day, most often in the morning. On further data collection, the nurse notes that the
pain occurs in the absence of precipitating factors. This type of anginal pain is best described as:
Answer: Variant angina
Q9: A client is admitted to the hospital with a venous stasis leg ulcer. The nurse inspects the ulcer,
expecting to note that the ulcer:
Answer: Has a brownish or "brawny" appearance
Q10: A nurse determines that which of the following clients is most likely to be a candidate for
cardioversion?
Answer: Client with unstable rapid atrial fibrillation
Q11: A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and
begins coughing frothy, pink-tinged sputum. A nurse listens to breath sounds, expecting to hear
bilateral:
Answer: Crackles
Q12: A nurse is preparing to provide a therapeutic environment for a client who recently had a
myocardial infarction (MI). The nurse should alter the environment to ensure that it is:
Answer: Low stimulus, low stress
, Q13: A nurse working the 3:00 to 11:00 PM shift notes that a client with coronary artery disease (CAD)
has a prescription for serum lipid levels to be drawn in the morning. The nurse places the client on
which dietary preparation to ensure accurate test results?
Answer: Fasting for 12 hours
Q14: A nurse is told during shift report that a client is having occasional ventricular dysrhythmias. The
nurse reviews the client's laboratory results, recalling that which electrolyte imbalance could be
responsible for this development?
Answer: Hypokalemia
Q15: A nurse is planning adaptations needed for activities of daily living for a client with cardiac
disease. The nurse would incorporate which of the following in discussions with the client?
Answer: Take in adequate daily fiber to prevent straining during a bowel movement.
Q16: A client is at risk for developing disseminated intravascular coagulopathy (DIC). The nurse should
become concerned with which of the following fibrinogen levels?
Answer: 90 mg/dL
Q17: A 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?
Answer: Ability to take an accurate pulse in either the wrist or neck
Q18: A client receiving parenteral nutrition (PN) has a history of congestive heart failure. The health
care provider has prescribed furosemide (Lasix) 40 mg orally daily to prevent fluid overload. The nurse
monitors which laboratory value to identify an adverse effect from this medication?
Answer: Potassium
Q19: The nurse is caring for the client immediately after insertion of a permanent demand pacemaker
via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing
which intervention?
Answer: Limiting movement and abduction of the right arm
