Cardiac NCLEX Questions with VERIFIED Answers (Guaranteed Success)
Q1: A patient has been diagnosed with Right-Sided Congestive Heart Failure, and is confused about
return of deoxygenated blood from the tissue. To clarify the confusion, which chamber of the heart
receives blood from systemic circulation?
A. Left atrium
B. Right atrium
C. Right ventricle
D. Left ventricle.
Answer: B. Right atrium
Q2: It is important that the nurse be knowledgeable about cardiac output in order to: Evaluate blood
flow to peripheral tissues. Determine the electrical activity of the myocardium. Provide information on
the immediate need for oxygen. Implement nutritional changes..
Answer: Evaluate blood flow to peripheral tissues.
Q3: Nurses can best help older clients prevent hypertension by teaching: Low-fat, low-cholesterol diets.
The importance of exercise. How to handle stressful situations. How to maintain a normal blood
pressure..
Answer: How to maintain a normal blood pressure.
Q4: Modification of lifestyle behaviors to help manage hypertension does not include which of the
following? (Select all that apply.)
A. Weight loss of even 10 pounds
B. The DASH diet
C. Fruits, vegetables, and whole grains
D. Alcohol intake with meals.
Answer: D. Alcohol intake with meals.
,Q5: A patient receiving the drug simvastatin (Zocor) should be taught this medication helps to prevent
coronary heart disease by: Increasing lower-density lipoprotein. Controlling lower-density lipoprotein.
Increasing triglycerides. Increasing very low-density lipoprotein..
Answer: Controlling lower- density lipoprotein.
Q6: Which of the following are direct causes of chronic ischemic pain? (Select all that apply.) Aortic
stenosis Acid reflux Pulmonary embolus Herpes zoster (shingles).
Answer: Aortic stenosis Acid reflux Pulmonary embolus
Q7: Older clients experiencing anginal pain with complaints of fatigue or weakness usually are
medicated with which of the following types of medication?
A. Sublingual nitroglycerin
B. Cardiac glycosides
C. HMG-CoA reductase inhibitors
D. Morphine sulfate.
Answer: A. Sublingual nitroglycerin
Q8: Which of the following diagnostic studies most likely would confirm a myocardial infarction?
A. Serum myoglobin level
B. Creatinine kinase (CK)
C. White blood cell count (WBC)
D. Troponin T levels.
Answer: D. Troponin T levels.
,Q9: A client with post-myocardial infarction develops acute bacterial pericarditis. Which of the
following medications would the physician most likely prescribe as the primary drug?
A. Ticarcillin disodium (Ticar)
B. Acetaminophen (Tylenol)
C. Ibuprofen (Motrin)
D. Trioxsalen (Trisoralen).
Answer: A. Ticarcillin disodium (Ticar)
Q10: Which of the following diagnostic tests is preferred for evaluating heart valve function?
A. Chest x-ray
B. Duplex Doppler
C. Echocardiogram
D. Electrocardiogram.
Answer: C. Echocardiogram
Q11: An elderly client is being monitored for evidence of congestive heart failure. To detect early signs
of heart failure, the nurse would instruct the certified nursing attendant (CNA) to do which of the
following during care of the patient?
A. Observe electrocardiogram readings and report deviations to the
B. nurse.
C. Assist the client with ambulation three times during the shift.
D. Monitor vital signs every 15 minutes and report each reading to the
E. nurse.
F. Accurately weigh the patient, and report and record the readings..
Answer: F. Accurately weigh the patient, and report and record the readings..
Q12: Which of the following drug classifications should the nurse question if prescribed for a person
with congested heart failure (CHF)? Angiotensin-converting enzyme (ACE) inhibitor Beta-adrenergic
blocker Alpha adrenergic antagonist Rosiglitazone (Avandia).
Answer: Rosiglitazone (Avandia)
, Q13: A common arrhythmia found in some older clients is chronic atrial fibrillation. Based on the
nurse's knowledge of the disease pathology, which of the following prescriptions should the nurse
expect to be ordered?
A. Aspirin (acetylsalicylic acid)
B. Warfarin sodium (Coumadin)
C. Simvastatin (Zocor)
D. Vinorelbine tartrate (Navelbine).
Answer: B. Warfarin sodium (Coumadin)
Q14: Which of the following assessments would be an important finding for a patient with arterial
disease?
A. Intermittent claudication with exercise
B. Brownish discoloration around the ankles
C. Non-pitting edema on the lower extremities
D. Altered sensation to touch.
Answer: A. Intermittent claudication with exercise
Q15: 1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the following
assessments is most critical before the procedure? Intake and output Baseline peripheral pulse rates
Height and weight Allergy to iodine or shellfish.
Answer: 4. 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.
Q1: A patient has been diagnosed with Right-Sided Congestive Heart Failure, and is confused about
return of deoxygenated blood from the tissue. To clarify the confusion, which chamber of the heart
receives blood from systemic circulation?
A. Left atrium
B. Right atrium
C. Right ventricle
D. Left ventricle.
Answer: B. Right atrium
Q2: It is important that the nurse be knowledgeable about cardiac output in order to: Evaluate blood
flow to peripheral tissues. Determine the electrical activity of the myocardium. Provide information on
the immediate need for oxygen. Implement nutritional changes..
Answer: Evaluate blood flow to peripheral tissues.
Q3: Nurses can best help older clients prevent hypertension by teaching: Low-fat, low-cholesterol diets.
The importance of exercise. How to handle stressful situations. How to maintain a normal blood
pressure..
Answer: How to maintain a normal blood pressure.
Q4: Modification of lifestyle behaviors to help manage hypertension does not include which of the
following? (Select all that apply.)
A. Weight loss of even 10 pounds
B. The DASH diet
C. Fruits, vegetables, and whole grains
D. Alcohol intake with meals.
Answer: D. Alcohol intake with meals.
,Q5: A patient receiving the drug simvastatin (Zocor) should be taught this medication helps to prevent
coronary heart disease by: Increasing lower-density lipoprotein. Controlling lower-density lipoprotein.
Increasing triglycerides. Increasing very low-density lipoprotein..
Answer: Controlling lower- density lipoprotein.
Q6: Which of the following are direct causes of chronic ischemic pain? (Select all that apply.) Aortic
stenosis Acid reflux Pulmonary embolus Herpes zoster (shingles).
Answer: Aortic stenosis Acid reflux Pulmonary embolus
Q7: Older clients experiencing anginal pain with complaints of fatigue or weakness usually are
medicated with which of the following types of medication?
A. Sublingual nitroglycerin
B. Cardiac glycosides
C. HMG-CoA reductase inhibitors
D. Morphine sulfate.
Answer: A. Sublingual nitroglycerin
Q8: Which of the following diagnostic studies most likely would confirm a myocardial infarction?
A. Serum myoglobin level
B. Creatinine kinase (CK)
C. White blood cell count (WBC)
D. Troponin T levels.
Answer: D. Troponin T levels.
,Q9: A client with post-myocardial infarction develops acute bacterial pericarditis. Which of the
following medications would the physician most likely prescribe as the primary drug?
A. Ticarcillin disodium (Ticar)
B. Acetaminophen (Tylenol)
C. Ibuprofen (Motrin)
D. Trioxsalen (Trisoralen).
Answer: A. Ticarcillin disodium (Ticar)
Q10: Which of the following diagnostic tests is preferred for evaluating heart valve function?
A. Chest x-ray
B. Duplex Doppler
C. Echocardiogram
D. Electrocardiogram.
Answer: C. Echocardiogram
Q11: An elderly client is being monitored for evidence of congestive heart failure. To detect early signs
of heart failure, the nurse would instruct the certified nursing attendant (CNA) to do which of the
following during care of the patient?
A. Observe electrocardiogram readings and report deviations to the
B. nurse.
C. Assist the client with ambulation three times during the shift.
D. Monitor vital signs every 15 minutes and report each reading to the
E. nurse.
F. Accurately weigh the patient, and report and record the readings..
Answer: F. Accurately weigh the patient, and report and record the readings..
Q12: Which of the following drug classifications should the nurse question if prescribed for a person
with congested heart failure (CHF)? Angiotensin-converting enzyme (ACE) inhibitor Beta-adrenergic
blocker Alpha adrenergic antagonist Rosiglitazone (Avandia).
Answer: Rosiglitazone (Avandia)
, Q13: A common arrhythmia found in some older clients is chronic atrial fibrillation. Based on the
nurse's knowledge of the disease pathology, which of the following prescriptions should the nurse
expect to be ordered?
A. Aspirin (acetylsalicylic acid)
B. Warfarin sodium (Coumadin)
C. Simvastatin (Zocor)
D. Vinorelbine tartrate (Navelbine).
Answer: B. Warfarin sodium (Coumadin)
Q14: Which of the following assessments would be an important finding for a patient with arterial
disease?
A. Intermittent claudication with exercise
B. Brownish discoloration around the ankles
C. Non-pitting edema on the lower extremities
D. Altered sensation to touch.
Answer: A. Intermittent claudication with exercise
Q15: 1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the following
assessments is most critical before the procedure? Intake and output Baseline peripheral pulse rates
Height and weight Allergy to iodine or shellfish.
Answer: 4. 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.
