Cardiovascular NCLEX-PN Questions 2023 GRADED A+ (Provides Rationales For Each Question)

A nurse is asked to assist another health care member in providing care to a client who is placed in a modified Trendelenburg's position. The nurse interprets that the client is likely being treated for which condition? - ANSWER Shock 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 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 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 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 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 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. 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. 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 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 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 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 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 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 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 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. A client is at risk for developing disseminated intravascular coagulopathy (DIC). The nurse should become concerned