CARDIOVASCULAR NCLEX EXAM QUESTIONS AND ANSWERS 100% PASS
1. A client has been di- aspirin
agnosed with atrial fib-
rillation. The health care Aspirin is an antiplatelet medication. The use of
provider prescribed war- aspirin is contraindicated while taking warfarin
farin to be taken on a daily because it will potentiate the drug's effects.
basis. The nurse instructs
the client to avoid us-
ing which over-the-counter
medication while taking
warfarin?
2. The nurse has complet- confusion, urine output 15 mL over the last 2
ed an assessment on a hours, orthopnea
client with a decreased
cardiac output. Which find- A low urine output and confusion are signs of
ings should receive the decreased tissue perfusion. Orthopnea is a sign
highest priority? of left-sided heart failure.
3. In preparing the client and The client will receive medication to relieve pain.
the family for a postop-
erative stay in the inten- Management of postoperative pain is a priority
sive care unit (ICU) after for the client after surgery, including valve re-
open-heart surgery, what placement surgery. The client and family should
should the nurse tell the be informed that pain will be assessed by the
family? nurse and medications will be given to relieve
the pain. The client will stay in the ICU as long
as monitoring and intensive care are needed.
4. The nurse is assigned to heart failure
a client in the ICU. During
the initial assessment, the Elevated venous pressure, exhibited as jugular
nurse notes jugular vein vein distention, indicates the heart's failure to
distention and recognizes pump.
that the plan of care will
follow which disorder?
5. The nurse is preparing creatinine level and liver function tests
the client newly diagnosed
with peripheral arterial dis- Atorvastatin has serious adverse reactions of
,CARDIOVASCULAR NCLEX EXAM QUESTIONS AND ANSWERS 100% PASS
ease for discharge with hepatotoxicity and acute renal failure, so it is
the medication atorvas- recommended that creatinine level and liver
tatin. What laboratory work function tests be performed at baseline as a
should the nurse obtain to monitoring parameter.
establish a baseline before
starting the medication?
6. An anxious client who suf- "We will try to assign you the same nurse as
fered an acute myocar- often as possible."
dial infarction is trans-
ferred from the coronary
care unit to the telemetry
unit. The client asks the
charge nurse if they can
have the same nurse care
for them every day. How
should the charge nurse
respond?
7. A client who has a histo- Be sure the dentist prescribes a prophylactic
ry of bacterial endocarditis antibiotic prior to the oral surgery.
is scheduled to have oral
surgery to remove a tooth.
What should the nurse in-
struct the client to do?
8. A nurse is caring for the nurse will ask the dietitian to talk with the
a client who had a client about modifying their diet.
three-vessel coronary by-
pass graft 4 days earli-
er. The client's cholesterol
profile is as follows: to-
tal cholesterol 265 mg/dl
(6.845 mmol/L), low-densi-
ty lipoprotein (LDL) 139
mg/dl (3.603 mmol/L),
and high-density lipopro-
tein (HDL) 32 mg/dl (0.829
mmol/L). The client asks
, CARDIOVASCULAR NCLEX EXAM QUESTIONS AND ANSWERS 100% PASS
the nurse how to low-
er their cholesterol. The
nurse should tell the client
that
9. A nurse is caring for assess the client for bleeding around the gums
a client receiving war- or in the stool and notify the physician of the lab-
farin therapy following a oratory results and most recent administration
mechanical valve replace- of warfarin.
ment. The nurse complet-
ed the client's prothrom- For a client taking warfarin following a valve
bin time and International replacement, the INR should be between 2 and
Normalized Ratio (INR) at 3.5. The nurse should notify the physician of
7 a.m. (0700), before the an elevated INR level and communicate as-
morning meal. The client sessment data regarding possible bleeding. The
had an INR reading of 4. nurse shouldn't administer medication such as
The nurse's first priority warfarin or vitamin K without a physician's order.
should be to
10. A client is taking spirono- Avoid eating foods high in potassium.
lactone. Which change in
the diet should the nurse =Spironolactone is a potassium-sparing diuret-
teach the client to make ic that causes excretion of sodium. When tak-
when taking this drug? ing this drug, it is important that the client not
eat foods high in potassium to avoid elevating
serum potassium levels.
=The client does not need to restrict sodium
intake as the drug promotes sodium excretion.
11. A visiting nurse is teaching Teach a family member to fill a medication com-
a client with heart failure pliance aid once per week so the client can
about taking their medica- independently take their medications.
tions. The client requires
six different medications
that are taken at four dif-
ferent times per day. The
client is confused about
when to take each medica-
1. A client has been di- aspirin
agnosed with atrial fib-
rillation. The health care Aspirin is an antiplatelet medication. The use of
provider prescribed war- aspirin is contraindicated while taking warfarin
farin to be taken on a daily because it will potentiate the drug's effects.
basis. The nurse instructs
the client to avoid us-
ing which over-the-counter
medication while taking
warfarin?
2. The nurse has complet- confusion, urine output 15 mL over the last 2
ed an assessment on a hours, orthopnea
client with a decreased
cardiac output. Which find- A low urine output and confusion are signs of
ings should receive the decreased tissue perfusion. Orthopnea is a sign
highest priority? of left-sided heart failure.
3. In preparing the client and The client will receive medication to relieve pain.
the family for a postop-
erative stay in the inten- Management of postoperative pain is a priority
sive care unit (ICU) after for the client after surgery, including valve re-
open-heart surgery, what placement surgery. The client and family should
should the nurse tell the be informed that pain will be assessed by the
family? nurse and medications will be given to relieve
the pain. The client will stay in the ICU as long
as monitoring and intensive care are needed.
4. The nurse is assigned to heart failure
a client in the ICU. During
the initial assessment, the Elevated venous pressure, exhibited as jugular
nurse notes jugular vein vein distention, indicates the heart's failure to
distention and recognizes pump.
that the plan of care will
follow which disorder?
5. The nurse is preparing creatinine level and liver function tests
the client newly diagnosed
with peripheral arterial dis- Atorvastatin has serious adverse reactions of
,CARDIOVASCULAR NCLEX EXAM QUESTIONS AND ANSWERS 100% PASS
ease for discharge with hepatotoxicity and acute renal failure, so it is
the medication atorvas- recommended that creatinine level and liver
tatin. What laboratory work function tests be performed at baseline as a
should the nurse obtain to monitoring parameter.
establish a baseline before
starting the medication?
6. An anxious client who suf- "We will try to assign you the same nurse as
fered an acute myocar- often as possible."
dial infarction is trans-
ferred from the coronary
care unit to the telemetry
unit. The client asks the
charge nurse if they can
have the same nurse care
for them every day. How
should the charge nurse
respond?
7. A client who has a histo- Be sure the dentist prescribes a prophylactic
ry of bacterial endocarditis antibiotic prior to the oral surgery.
is scheduled to have oral
surgery to remove a tooth.
What should the nurse in-
struct the client to do?
8. A nurse is caring for the nurse will ask the dietitian to talk with the
a client who had a client about modifying their diet.
three-vessel coronary by-
pass graft 4 days earli-
er. The client's cholesterol
profile is as follows: to-
tal cholesterol 265 mg/dl
(6.845 mmol/L), low-densi-
ty lipoprotein (LDL) 139
mg/dl (3.603 mmol/L),
and high-density lipopro-
tein (HDL) 32 mg/dl (0.829
mmol/L). The client asks
, CARDIOVASCULAR NCLEX EXAM QUESTIONS AND ANSWERS 100% PASS
the nurse how to low-
er their cholesterol. The
nurse should tell the client
that
9. A nurse is caring for assess the client for bleeding around the gums
a client receiving war- or in the stool and notify the physician of the lab-
farin therapy following a oratory results and most recent administration
mechanical valve replace- of warfarin.
ment. The nurse complet-
ed the client's prothrom- For a client taking warfarin following a valve
bin time and International replacement, the INR should be between 2 and
Normalized Ratio (INR) at 3.5. The nurse should notify the physician of
7 a.m. (0700), before the an elevated INR level and communicate as-
morning meal. The client sessment data regarding possible bleeding. The
had an INR reading of 4. nurse shouldn't administer medication such as
The nurse's first priority warfarin or vitamin K without a physician's order.
should be to
10. A client is taking spirono- Avoid eating foods high in potassium.
lactone. Which change in
the diet should the nurse =Spironolactone is a potassium-sparing diuret-
teach the client to make ic that causes excretion of sodium. When tak-
when taking this drug? ing this drug, it is important that the client not
eat foods high in potassium to avoid elevating
serum potassium levels.
=The client does not need to restrict sodium
intake as the drug promotes sodium excretion.
11. A visiting nurse is teaching Teach a family member to fill a medication com-
a client with heart failure pliance aid once per week so the client can
about taking their medica- independently take their medications.
tions. The client requires
six different medications
that are taken at four dif-
ferent times per day. The
client is confused about
when to take each medica-
