Medical-Surgical Nursing: Cardiovascular & Hematology
Disorders - 330 NCLEX Questions with Rationales
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
2. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
3. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
4. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
,Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
5. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
6. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
7. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
8. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
9. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
,10. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
11. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
12. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
13. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
14. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
, 15. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
16. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
17. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
18. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
19. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
20. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
Disorders - 330 NCLEX Questions with Rationales
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
2. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
3. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
4. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
,Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
5. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
6. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
7. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
8. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
9. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
,10. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
11. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
12. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
13. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
14. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
, 15. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
16. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
17. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
18. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
A. Administer morphine and call provider
B. Increase nitroglycerin dose
C. Document and recheck in 30 min
D. Have client ambulate
Correct Answer: A
Rationale: Unrelieved chest pain post-MI suggests ongoing ischemia/infarction. Give morphine, O2, stay with client,
notify provider and obtain ECG.
19. Client with heart failure has 2+ pitting edema and crackles. Which diuretic does nurse anticipate?
A. Furosemide
B. Spironolactone alone
C. Mannitol
D. Desmopressin
Correct Answer: A
Rationale: Loop diuretic furosemide is first-line for acute fluid overload in HF. Monitor K+ and daily weights.
20. After MI, client reports chest pain unrelieved by nitroglycerin. What is nurse's first action?
