NCLEX Cardiovascular exam with 100%
accurate correct answers 2024/2025
A client hospitalized for heart failure is receiving digoxin and will continue taking
the drug after discharge. What should be included in the plan of care for the next
few days?
A. Monitoring vital signs and encouraging a vigorous aerobic exercise program
B. Providing written material on the adverse effects of the medication
C. Contacting Social Services for a home health nursing consultation
D. Teaching the client how to count the pulse - ANSWER- D. Teaching the client
how to count the pulse
A nurse is caring for a client who had a splenectomy. Which complication in the
immediate postoperative period is priority for the nurse to assess for in this
client?
A. Infection
B. Peritonitis
C. Hemorrhage
D. Intestinal obstruction - ANSWER- C. Hemorrhage
What is the most essential nursing care for a client who just had a cardiac
catheterization?
A. Maintain the semi-Fowler position.
B. Monitor the apical pulse and blood pressure.
C. Take the temperature hourly until it stabilizes.
D. Encourage frequent coughing and deep breathing. - ANSWER- B. Monitor the
apical pulse and blood pressure.
, When receiving chemotherapy for non-Hodgkin lymphoma, a client states, "I get
so sick to my stomach. The medication is useless." What is the best response by
the nurse that uses the technique of paraphrasing?
A. "You get sick to your stomach."
B. "Tell me more about how you feel."
C. "I'll get a prescription for an antiemetic."
D. "You don't think the medication is helping you." - ANSWER- D. "You don't
think the medication is helping you."
How does the human body conserve heat? Select all that apply.
A. By decreasing muscle activity in the body
B. Through peripheral vasodilation in the body
C. Through peripheral vasoconstriction in body
D. By shunting blood to superficial body tissues
E. By shunting blood away from the skin surface - ANSWER- A. By decreasing
muscle activity in the body
C. Through peripheral vasoconstriction in body
E. By shunting blood away from the skin surface
When assessing the client with peripheral arterial disease, the nurse anticipates
the presence of which clinical manifestations? Select all that apply.
A. Dependent rubor
B. Warm extremities
C. Ulcers on the toes
D. Thick, hardened skin
E. Delayed capillary refill - ANSWER- A. Dependent rubor
C. Ulcers on the toes
E. Delayed capillary refill
The nurse is assessing a client with the diagnosis of chronic heart failure. Which
clinical finding should the nurse expect the client to experience?
A. Dependent edema in the evening
B. Chest pain that decreases with rest
C. Palpitations in the chest when resting
D. Frequent coughing with yellow sputum - ANSWER- A. Dependent edema in the
evening
accurate correct answers 2024/2025
A client hospitalized for heart failure is receiving digoxin and will continue taking
the drug after discharge. What should be included in the plan of care for the next
few days?
A. Monitoring vital signs and encouraging a vigorous aerobic exercise program
B. Providing written material on the adverse effects of the medication
C. Contacting Social Services for a home health nursing consultation
D. Teaching the client how to count the pulse - ANSWER- D. Teaching the client
how to count the pulse
A nurse is caring for a client who had a splenectomy. Which complication in the
immediate postoperative period is priority for the nurse to assess for in this
client?
A. Infection
B. Peritonitis
C. Hemorrhage
D. Intestinal obstruction - ANSWER- C. Hemorrhage
What is the most essential nursing care for a client who just had a cardiac
catheterization?
A. Maintain the semi-Fowler position.
B. Monitor the apical pulse and blood pressure.
C. Take the temperature hourly until it stabilizes.
D. Encourage frequent coughing and deep breathing. - ANSWER- B. Monitor the
apical pulse and blood pressure.
, When receiving chemotherapy for non-Hodgkin lymphoma, a client states, "I get
so sick to my stomach. The medication is useless." What is the best response by
the nurse that uses the technique of paraphrasing?
A. "You get sick to your stomach."
B. "Tell me more about how you feel."
C. "I'll get a prescription for an antiemetic."
D. "You don't think the medication is helping you." - ANSWER- D. "You don't
think the medication is helping you."
How does the human body conserve heat? Select all that apply.
A. By decreasing muscle activity in the body
B. Through peripheral vasodilation in the body
C. Through peripheral vasoconstriction in body
D. By shunting blood to superficial body tissues
E. By shunting blood away from the skin surface - ANSWER- A. By decreasing
muscle activity in the body
C. Through peripheral vasoconstriction in body
E. By shunting blood away from the skin surface
When assessing the client with peripheral arterial disease, the nurse anticipates
the presence of which clinical manifestations? Select all that apply.
A. Dependent rubor
B. Warm extremities
C. Ulcers on the toes
D. Thick, hardened skin
E. Delayed capillary refill - ANSWER- A. Dependent rubor
C. Ulcers on the toes
E. Delayed capillary refill
The nurse is assessing a client with the diagnosis of chronic heart failure. Which
clinical finding should the nurse expect the client to experience?
A. Dependent edema in the evening
B. Chest pain that decreases with rest
C. Palpitations in the chest when resting
D. Frequent coughing with yellow sputum - ANSWER- A. Dependent edema in the
evening
