Practice NCLEX Cardiac Questions and Answers Already Passed
Practice NCLEX Cardiac Questions and Answers Already Passed The nurse hears a heart murmur on a client and wants to grade this soft but very audible sound. How should this heart murmur be described? a. Grade 3 b. Grade 2 c. Grade 4 d. Grade 1 B A client has been diagnosed with a myocardial infarction that has damaged a part of the right atrium. Which of the following could happen as a result of this damage?a. Increase in collateral circulation b. Nothing c. A change in the rate and rhythm of the client's heartbeat d. Onset of aortic regurgitation C A nurse, explaining the cardiac circulation to cardiac rehabilitation clients, wants to include the oxygenation of the heart muscle. Which of the following structures carries deoxygenated blood to the lungs?a. Right main coronary vein b. Pulmonary vein c. Pulmonary artery d. Great cardiac vein C The nurse notes a client's PR interval upon ECG is greater than 0.20 seconds. What can this information suggest to the nurse? a. The client's sinoatrial node is not pacing correctly. b. There is an elongated ventricular depolarization. c. It takes longer for the blood to leave the lungs and return to the heart. d. The client elongated ventricular is filling. A The nurse is calculating the cardiac output for a client with a heart rate of 88 beats per minute. What other measurements does the nurse need to complete this calculation? a. Cardiac index b. QT interval c. T wave d. Stroke volume D The nurse finds a 76-year-old client's point of maximum impulse farther away from the fifth intercostal space, midclavicular line. What does this finding suggest to the nurse? a. The client has hypertension. b. The client had pneumonia. c. The client has benign prostatic hypertrophy. d. The client had a heart attack. A During the cardiac focused interview, the client tells the nurse he has smoked for 30 years. Which of the following would be appropriate for the nurse to respond to this client? a. High dose vitamin therapy reduces the risks of smoking. b. Exercise reduces the harmful effects of smoking. c. Do you also take recreational drugs? d. Smoking has been linked to high blood pressure and other heart problems. D During the cardiac assessment, the nurse finds a client has jugular vein distention. What does this mean to the nurse? a. The client is fine. b. The client is dehydrated. c. The client has an infection. d. The client could have fluid overload. D The nurse feels pulsations on a client's right sternal border, second space. What does this finding suggest to the nurse? a. A prolapsed mitral valve b. Aortic stenosis c. Nothing. This is a normal finding. d. Tricuspid valve regurgitation B The nurse is instructing a client about his high cholesterol level and wants to include behavioral considerations. Which of the following should be included in this instruction? a. The need for annual flu inoculation b. The need for an annual cholesterol panel c. The need to stop smoking d. The need to reduce stress C Which of the following are least likely to be early signs of cardiac problems in older persons? (Select all that apply.) a. Mental status changes b. Agitation c. Frequent falls d. Sudden changes in GI function A, B, C A patient has been diagnosed with Right-Sided Congestive
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