1. The nurse is teaching the client with angi- "I am going to switch to
na pectoris about disease management and electronic cigarettes."
lifestyle changes that are necessary in order to
control disease progression. Which statements "It is best to exercise
by the client indicate a need for further teach- once a week for an
ing? Select all that apply. hour."
2. A client being seen in the emergency depart- Teaches about the ef-
ment for complaints of chest pain confides in fects of cocaine on the
the nurse about regular use of cocaine as a heart and offers referral
recreational drug. The nurse takes which impor- for further help
tant action in delivering holistic nursing care to
this client?
3. The nurse is caring for a client with coronary Headache is a common
artery disease, and a topical nitrate is pre- side effect of nitrates.
scribed for the client. Why is acetaminophen
usually prescribed to be taken before the ad-
ministration of the topical nitrate?
4. The nurse is collecting data on a client with a Dependent edema
diagnosis of right-sided heart failure. The nurse
should expect to note which specific character-
istic of this condition?
5. The health care provider is discharging a client Obtain annual influenza
with a diagnosis of chronic heart failure. Which vaccination.
health maintenance instructions should the
nurse reinforce in the discharge teaching plan? Avoid adding salt to
Select all that apply. foods or in cooking.
Report a weight gain of
3 or more pounds in a
week
6. A client has just returned from the cardiac With the head of bed el-
catheterization laboratory. The left femoral ves- evated no more than 30
sel was used as the access site. After return- degrees
ing the client to bed and conducting an initial
,NCLEX Cardiovascular Test Questions with 100% Verified Answers
assessment, the nurse assisting in caring for
the client expects the cardiologist to write a pre-
scription for the client to remain on bed rest. In
which position should the bed be positioned?
7. A client diagnosed with thrombophlebitis 1 day Pulmonary embolism
ago suddenly complains of chest pain and
shortness of breath, and the client is visibly
anxious. Which is a life-threatening complica-
tion that could be occurring?
8. About which laboratory values should the Calcium 7.9 mg/L
nurse be immediately concerned because they
could cause cardiac arrest? Select all that ap- Potassium 5.9 mEq/L
ply.
9. The nurse is checking the neurovascular status Normal, caused by in-
of a client who returned to the surgical nursing creased blood flow
unit 4 hours ago, after undergoing an aortoili- through the leg
ac bypass graft. The affected leg is warm, and
the nurse notes redness and edema. The ped-
al pulse is palpable and unchanged from ad-
mission. Based on this data, the nurse should
make which determination about the client's
neurovascular status?
10. When preparing a client for a pericardiocente- Supine with the head of
sis, in which position does the nurse place the bed elevated at a 45- to
client? 60-degree angle
11. The nurse has completed counseling about "A smoker has twice the
smoking cessation with a client with coronary risk of having a heart at-
artery disease (CAD). The nurse determines that tack as a nonsmoker."
the client has understood the material best if
the client makes which statement?
12. A client has received instructions about an up- Chest pain
coming cardiac catheterization. The nurse de-
termines that the client has the best under-
, NCLEX Cardiovascular Test Questions with 100% Verified Answers
standing of the procedure if the client knows to
report which symptoms?
13. The clinic nurse is obtaining cardiovascular At the midclavicular line
data on a client. The nurse prepares to check the at the fifth left intercostal
client's apical pulse and places the stethoscope space
in which position?
14. A client is admitted with an arterial ischemic leg Deep and painful
ulcer. The nurse expects to note that this ulcer
has which typical characteristic?
15. The nurse carries out a standard prescription Give sublingual nitro-
for a stat electrocardiogram (ECG) on a client glycerin per the health
who has an episode of chest pain. The nurse care provider's prescrip-
should take which action next? tions.
16. The nurse is assisting in caring for a client in Tall, peaked T waves
the telemetry unit who is receiving an intra-
venous infusion of 1000 mL 5% dextrose with 40
mEq of potassium chloride. Which occurrence
observed on the cardiac monitor indicates the
presence of hyperkalemia?
17. The nurse is caring for a client with a new on- Digoxin
set of atrial fibrillation. Which prescribed treat-
ments should the nurse expect? Select all that Warfarin
apply
Electrical cardioversion
18. The nurse has completed nutritional counsel- Two pounds per week
ing with an overweight client about weight re-
duction to modify the risk for coronary artery
disease (CAD). The nurse should determine the
teaching is successful if the client states that
which weight loss goal is safe?
19. The nurse is collecting data on a client with a "Where is the pain locat-
diagnosis of angina pectoris who takes nitro- ed?"
glycerin for chest pain. During the admission,