CARDIAC NCLEX QUESTIONS (WITH COMPLETE SOLUTIONS)

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 correct answers 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?" correct answers 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. correct answers 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.