CARDIAC NCLEX EXAM/NCLEX CARDIAC
EXAM 2024-2025 WITH ACTUAL
QUESTIONS, CORRECT VERIFIED AND
DETAILED ANSWERS GRADED A+
A client has driven himself to the ER. He is 50 years old, has a history
of hypertension, and informs the nurse that his father died of a heart
attack at 60 years of age. The client is presently complaining of
indigestion. The nurse connects him to an ECG monitor and begins
administering oxygen at 2 L/minute per NC. The nurse's next action
would be to:
1.Call for the doctor
2.Start an intravenous line
3.Obtain a portable chest radiograph
4.Draw blood for laboratory studies - Ans>2. .Start an intravenous line
Advanced cardiac life support recommends that at least one or two
intravenous lines be inserted in one or both of the antecubital
spaces. Calling the physician, obtaining a portable chest radiograph,
and drawing blood are important but secondary to starting the
intravenous line.
The nurse receives emergency laboratory results for a client with
chest pain and immediately informs the physician. An increased
myoglobin level suggests which of the following?
1.Cancer
,2.Hypertension
3.Liver disease
4.Myocardial infarction - Ans>4.
Detection of myoglobin is one diagnostic tool to determine whether
myocardial damage has occurred. Myoglobin is generally detected
about one hour after a heart attack is experienced and peaks within 4
to 6 hours after infarction (Remember, less than 90 mg/L is normal).
When teaching a client about propranolol hydrochloride, the nurse
should base the information on the knowledge that propranolol
hydrochloride:
1.Blocks beta-adrenergic stimulation and thus causes decreased
heart rate, myocardial contractility, and conduction.
2.Increases norepinephrine secretion and thus decreases blood
pressure and heart rate.
3.Is a potent arterial and venous vasodilator that reduces peripheral
vascular resistance and lowers blood pressure.
4.Is an angiotensin-converting enzyme inhibitor that reduces blood
pressure by blocking the conversion of angiotensin I to angiotensin II.
- Ans>1.
Propranolol hydrochloride is a beta-adrenergic blocking agent.
Actions of propranolol hydrochloride include reducing heart rate,
decreasing myocardial contractility, and slowing conduction.
The most important long-term goal for a client with hypertension
would be to:
1.Learn how to avoid stress
, 2.Explore a job change or early retirement
3.Make a commitment to long-term therapy
4.Control high blood pressure - Ans>.3.
Compliance is the most critical element of hypertensive therapy. In
most cases, hypertensive clients require lifelong treatment and their
hypertension cannot be managed successfully without drug therapy.
Stress management and weight management are important
components of hypertension therapy, but the priority goal is related
to compliance.
Hypertension is known as the silent killer. This phrase is associated
with the fact that hypertension often goes undetected until
symptoms of other system failures occur. This may occur in the form
of:
1.Cerebrovascular accident
2.Liver disease
3.Myocardial infarction
4.Pulmonary disease - Ans>1.
Hypertension is referred to as the silent killer for adults, because
until the adult has significant damage to other systems, the
hypertension may go undetected. CVA's can be related to long-term
hypertension. Liver or pulmonary disease is generally not associated
with hypertension. Myocardial infarction is generally related to
coronary artery disease.
During the previous few months, a 56-year-old woman felt brief
twinges of chest pain while working in her garden and has had
frequent episodes of indigestion. She comes to the hospital after
EXAM 2024-2025 WITH ACTUAL
QUESTIONS, CORRECT VERIFIED AND
DETAILED ANSWERS GRADED A+
A client has driven himself to the ER. He is 50 years old, has a history
of hypertension, and informs the nurse that his father died of a heart
attack at 60 years of age. The client is presently complaining of
indigestion. The nurse connects him to an ECG monitor and begins
administering oxygen at 2 L/minute per NC. The nurse's next action
would be to:
1.Call for the doctor
2.Start an intravenous line
3.Obtain a portable chest radiograph
4.Draw blood for laboratory studies - Ans>2. .Start an intravenous line
Advanced cardiac life support recommends that at least one or two
intravenous lines be inserted in one or both of the antecubital
spaces. Calling the physician, obtaining a portable chest radiograph,
and drawing blood are important but secondary to starting the
intravenous line.
The nurse receives emergency laboratory results for a client with
chest pain and immediately informs the physician. An increased
myoglobin level suggests which of the following?
1.Cancer
,2.Hypertension
3.Liver disease
4.Myocardial infarction - Ans>4.
Detection of myoglobin is one diagnostic tool to determine whether
myocardial damage has occurred. Myoglobin is generally detected
about one hour after a heart attack is experienced and peaks within 4
to 6 hours after infarction (Remember, less than 90 mg/L is normal).
When teaching a client about propranolol hydrochloride, the nurse
should base the information on the knowledge that propranolol
hydrochloride:
1.Blocks beta-adrenergic stimulation and thus causes decreased
heart rate, myocardial contractility, and conduction.
2.Increases norepinephrine secretion and thus decreases blood
pressure and heart rate.
3.Is a potent arterial and venous vasodilator that reduces peripheral
vascular resistance and lowers blood pressure.
4.Is an angiotensin-converting enzyme inhibitor that reduces blood
pressure by blocking the conversion of angiotensin I to angiotensin II.
- Ans>1.
Propranolol hydrochloride is a beta-adrenergic blocking agent.
Actions of propranolol hydrochloride include reducing heart rate,
decreasing myocardial contractility, and slowing conduction.
The most important long-term goal for a client with hypertension
would be to:
1.Learn how to avoid stress
, 2.Explore a job change or early retirement
3.Make a commitment to long-term therapy
4.Control high blood pressure - Ans>.3.
Compliance is the most critical element of hypertensive therapy. In
most cases, hypertensive clients require lifelong treatment and their
hypertension cannot be managed successfully without drug therapy.
Stress management and weight management are important
components of hypertension therapy, but the priority goal is related
to compliance.
Hypertension is known as the silent killer. This phrase is associated
with the fact that hypertension often goes undetected until
symptoms of other system failures occur. This may occur in the form
of:
1.Cerebrovascular accident
2.Liver disease
3.Myocardial infarction
4.Pulmonary disease - Ans>1.
Hypertension is referred to as the silent killer for adults, because
until the adult has significant damage to other systems, the
hypertension may go undetected. CVA's can be related to long-term
hypertension. Liver or pulmonary disease is generally not associated
with hypertension. Myocardial infarction is generally related to
coronary artery disease.
During the previous few months, a 56-year-old woman felt brief
twinges of chest pain while working in her garden and has had
frequent episodes of indigestion. She comes to the hospital after
