CARDIOVASCULAR NCLEX 2024 STYLE
QUESTIONS WITH VERIFIED ANSWERS
| 100% CORRECT | GRADE A
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that
apply.
a. Start CPR.
b. Prepare to administer the antidysrhythmic adenosine IVP.
c. Prepare to defibrillate the client.
d. Bring crash cart to the bedside.
e. Prepare to administer antidysrhythmic aniodarone IVP. - Correct answer.a. Start CPR.
c. Prepare to defibrillate the client.
d. Bring crash cart to the bedside.
e. Prepare to administer antidysrhythmic aniodarone IVP.
Which cardiac enzyme would the nurse expect to elevate first in a client diagnosed with myocardial
infarction?
a. Creatine kinase (CK-MB)
b. Lactate dehydrogenase (LDH)
c. Troponin
d. WBC - Correct answer.c. Troponin
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to students - Correct answer.
The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the
bathroom. Which action should the nurse implement first?
a. Administer sublingual NTG
b. Obtain a STAT ECG
,c. Have the client sit down immediately
d. Assess the client's VS - Correct answer.c. Have the client sit down immediately
The nurse is caring for a client diagnosed with a MI who is experiencing chest pain. Which interventions
should the nurse implement? Select all that apply.
a. Administer morphine intramuscularly
b. Administer an aspirin orally
c. Apply oxygen via NC
d. Place the client in a supine position
e. Administer NTG subcutaneously - Correct answer.b. Administer an aspirin orally
c. Apply oxygen via NC
The client who has had a MI is admitted to the telemetry unit from ICU. Which referral would be most
appropriate for the client?
a. Social worker
b. Physical therapy
c. Cardiac rehab
d. Occupational therapy - Correct answer.c. Cardiac rehab
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that
the client is experiencing a MI?
a. Midepigastric pain and pyrosis
b. Diaphoresis and cool clammy skin
c. Intermittent claudication and pallor
d. JVD and dependent edema - Correct answer.b. Diaphoresis and cool clammy skin
The client is 1 day postoperative coronary artery bypass surgery. The client complains of chest pain.
Which intervention should the nurse implement first?
a. Medicate the client with IV morphine.
b. Assess the client's chest dressing and VS.
,c. Encourage the client to turn from side to side.
d. Check the client's tele. - Correct answer.b. Assess the clients chest dressing and VS.
The client diagnosed with a MI is 6 hrs post-right femoral percutaneous transluminal coronary
angioplasty (PTCA), also known as balloon surgery. Which assessment data should require immediate
intervention by the nurse?
a. The client is keeping the affected extremity straight.
b. The pressure dressing to the right femoral area is intact.
c. The client is complaining of numbness in the right foot.
d. The client's right pedal pulse is 3+ and bounding. - Correct answer.c. The client is complaining of
numbness in the right foot.
The intensive care department nurse is assessing the client who is 12 hrs post-myocardial infarction. The
nurse assesses an S3 heart sound. Which intervention should the nurse implement?
a. Notify the health care provider immediately.
b. Elevate the HOB.
c. Document this is a normal and expected finding.
d. Administer IV morphine. - Correct answer.a. Notify the HCP immediately.
The nurse is administering a calcium channel blocker to the client diagnosed with a MI. Which
assessment data would cause the nurse to question administering this medication?
a. The client's apical pulse is 64.
b. The client's calcium level is elevated.
c. The client's tele shows occasional PVCs.
d. The client's BP is 90/62. - Correct answer.d. The client's BP is 90/62
The client diagnosed with a MI is on bedrest. The UAP is encouraging the client to move his legs. Which
action should the nurse implement?
a. Instruct the UAP to stop encouraging leg movements.
b. Report this behavior to the charge nurse ASAP.
c. Praise the UAP for encouraging the client to move legs.
, d. Take no action concerning the UAP's behavior. - Correct answer.c. Praise the UAP for encouraging the
client to move legs.
The client diagnosed with a MI asks the nurse, "Why do I have to rest and take it easy? My chest doesn't
hurt anymore." Which statement would be the nurse's best response?
a. "Your heart is damaged and needs about 4-6 weeks to heal."
b. "There is necrotic myocardial tissue that puts you at risk for dysrhythmias."
c. "Your doctor has ordered bedrest. Therefore, you must stay in the bed."
d. "Just because your chest doesn't hurt anymore doesn't mean you are out of danger." - Correct
answer.b. "There is necrotic myocardial tissue that puts you at risk for dysrhythmias."
The client has just returned from cardiac catheterization. Which assessment data would warrant
immediate intervention from the nurse?
a. The client's BP is 110/70 and pulse is 90.
b. The client's groin dressing is dry and intact.
c. The client refuses to keep the leg straight.
d. The client denies any numbness and tingling. - Correct answer.c. The client refuses to keep the leg
straight.
The male client is diagnosed with CAD and is prescribed sublingual NTG. Which statement indicates the
client needs more teaching?
a. "I should keep the tablets in the dark colored bottle they came in."
b. "If the tablets do not burn under my tongue, they are not effective.
c. "I should keep the bottle with me in my pocket at all times."
d. "If my chest pain is not gone with one tablet, I will go to the ER." - Correct answer.d. "If my chest pain
is not gone with one tablet, I will go to the ER."
*3 tablets
The client with CAD asks the nurse, "Why do I get chest pain?" Which statement would be the most
appropriate response by the nurse?
a. "Chest pain is caused by decreased oxygen to the heart muscle."
QUESTIONS WITH VERIFIED ANSWERS
| 100% CORRECT | GRADE A
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that
apply.
a. Start CPR.
b. Prepare to administer the antidysrhythmic adenosine IVP.
c. Prepare to defibrillate the client.
d. Bring crash cart to the bedside.
e. Prepare to administer antidysrhythmic aniodarone IVP. - Correct answer.a. Start CPR.
c. Prepare to defibrillate the client.
d. Bring crash cart to the bedside.
e. Prepare to administer antidysrhythmic aniodarone IVP.
Which cardiac enzyme would the nurse expect to elevate first in a client diagnosed with myocardial
infarction?
a. Creatine kinase (CK-MB)
b. Lactate dehydrogenase (LDH)
c. Troponin
d. WBC - Correct answer.c. Troponin
To get more questions with correct answers, email or follow
assignmenthelpdesk001 on Instagram. We also provide Test banks, Upcoming Exams and other E books
to students - Correct answer.
The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the
bathroom. Which action should the nurse implement first?
a. Administer sublingual NTG
b. Obtain a STAT ECG
,c. Have the client sit down immediately
d. Assess the client's VS - Correct answer.c. Have the client sit down immediately
The nurse is caring for a client diagnosed with a MI who is experiencing chest pain. Which interventions
should the nurse implement? Select all that apply.
a. Administer morphine intramuscularly
b. Administer an aspirin orally
c. Apply oxygen via NC
d. Place the client in a supine position
e. Administer NTG subcutaneously - Correct answer.b. Administer an aspirin orally
c. Apply oxygen via NC
The client who has had a MI is admitted to the telemetry unit from ICU. Which referral would be most
appropriate for the client?
a. Social worker
b. Physical therapy
c. Cardiac rehab
d. Occupational therapy - Correct answer.c. Cardiac rehab
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that
the client is experiencing a MI?
a. Midepigastric pain and pyrosis
b. Diaphoresis and cool clammy skin
c. Intermittent claudication and pallor
d. JVD and dependent edema - Correct answer.b. Diaphoresis and cool clammy skin
The client is 1 day postoperative coronary artery bypass surgery. The client complains of chest pain.
Which intervention should the nurse implement first?
a. Medicate the client with IV morphine.
b. Assess the client's chest dressing and VS.
,c. Encourage the client to turn from side to side.
d. Check the client's tele. - Correct answer.b. Assess the clients chest dressing and VS.
The client diagnosed with a MI is 6 hrs post-right femoral percutaneous transluminal coronary
angioplasty (PTCA), also known as balloon surgery. Which assessment data should require immediate
intervention by the nurse?
a. The client is keeping the affected extremity straight.
b. The pressure dressing to the right femoral area is intact.
c. The client is complaining of numbness in the right foot.
d. The client's right pedal pulse is 3+ and bounding. - Correct answer.c. The client is complaining of
numbness in the right foot.
The intensive care department nurse is assessing the client who is 12 hrs post-myocardial infarction. The
nurse assesses an S3 heart sound. Which intervention should the nurse implement?
a. Notify the health care provider immediately.
b. Elevate the HOB.
c. Document this is a normal and expected finding.
d. Administer IV morphine. - Correct answer.a. Notify the HCP immediately.
The nurse is administering a calcium channel blocker to the client diagnosed with a MI. Which
assessment data would cause the nurse to question administering this medication?
a. The client's apical pulse is 64.
b. The client's calcium level is elevated.
c. The client's tele shows occasional PVCs.
d. The client's BP is 90/62. - Correct answer.d. The client's BP is 90/62
The client diagnosed with a MI is on bedrest. The UAP is encouraging the client to move his legs. Which
action should the nurse implement?
a. Instruct the UAP to stop encouraging leg movements.
b. Report this behavior to the charge nurse ASAP.
c. Praise the UAP for encouraging the client to move legs.
, d. Take no action concerning the UAP's behavior. - Correct answer.c. Praise the UAP for encouraging the
client to move legs.
The client diagnosed with a MI asks the nurse, "Why do I have to rest and take it easy? My chest doesn't
hurt anymore." Which statement would be the nurse's best response?
a. "Your heart is damaged and needs about 4-6 weeks to heal."
b. "There is necrotic myocardial tissue that puts you at risk for dysrhythmias."
c. "Your doctor has ordered bedrest. Therefore, you must stay in the bed."
d. "Just because your chest doesn't hurt anymore doesn't mean you are out of danger." - Correct
answer.b. "There is necrotic myocardial tissue that puts you at risk for dysrhythmias."
The client has just returned from cardiac catheterization. Which assessment data would warrant
immediate intervention from the nurse?
a. The client's BP is 110/70 and pulse is 90.
b. The client's groin dressing is dry and intact.
c. The client refuses to keep the leg straight.
d. The client denies any numbness and tingling. - Correct answer.c. The client refuses to keep the leg
straight.
The male client is diagnosed with CAD and is prescribed sublingual NTG. Which statement indicates the
client needs more teaching?
a. "I should keep the tablets in the dark colored bottle they came in."
b. "If the tablets do not burn under my tongue, they are not effective.
c. "I should keep the bottle with me in my pocket at all times."
d. "If my chest pain is not gone with one tablet, I will go to the ER." - Correct answer.d. "If my chest pain
is not gone with one tablet, I will go to the ER."
*3 tablets
The client with CAD asks the nurse, "Why do I get chest pain?" Which statement would be the most
appropriate response by the nurse?
a. "Chest pain is caused by decreased oxygen to the heart muscle."
