@PROFDOCDIGITALLIBRARIES
Cardiovascular Disorders exam with
correct answers 2025
A visiting nurse is teaching a client with heart failure about taking their
medications. The client requires six different medications that are taken at four
different times per day. The client is confused about when to take each
medication. How should the nurse intervene? - ANSWER-Teach a family
member to fill a medication compliance aid once per week so the client can
independently take their medications.
PR
The nurse is assessing a client who has a long history of uncontrolled
hypertension. The nurse should assess the client for damage in which area of
the eye? - ANSWER-retina
O
A client is recovering from coronary artery bypass graft (CABG) surgery and
begins to experience chest pain, shortness of breath, and tachycardia. Further
FD
assessment reveals a widened QRS complex and an elevated ST segment.
Which nursing diagnosis takes highest priority at this time? - ANSWER-
Decreased cardiac output related to depressed myocardial function
O
A nurse in the emergency department is caring for a client with acute heart
failure. Which laboratory value is most important for the nurse to check before
C
administering medications to treat heart failure? - ANSWER-potassium
A client is taking spironolactone to control hypertension. The client's serum
potassium level is [6 mEq/L (56mmol/L)]. For this client, the nurse's priority
should be to assess their - ANSWER-electrocardiogram (ECG) results.
The nurse is caring for a client post myocardial infarction (MI). Orders include
strict bed rest and a clear, liquid diet. What is the nurse's best response to the
client who is inquiring about the purpose of the new diet? - ANSWER-to reduce
the metabolic workload of digestion
,@PROFDOCDIGITALLIBRARIES
A nurse is teaching a client how to take nitroglycerin to treat angina pectoris.
What should the nurse include in the instructions? - ANSWER-Call emergency
medical services immediately if chest pain does not subside within 15 minutes.
A client arrives in the emergency department reporting intense pain in the
abdomen and tells the nurse that it feels like a heartbeat in the abdomen.
Which nursing assessment would indicate potential rupture of an aortic
aneurysm? - ANSWER-The client reports increasing severe back pain.
A client has been diagnosed with right-sided heart failure. The nurse should
PR
assess the client further for: - ANSWER-Dependent edema.
The client asks the nurse, "Why won't the health care provider tell me exactly
O
how much of my leg he is going to take off? Don't you think I should know
that?" On which information should the nurse base the response? - ANSWER-
FD
the adequacy of the blood supply to the tissues
A client with peripheral artery disease has femoral-popliteal bypass surgery.
What goal should the nurse establish with the client immediately after surgery?
O
- ANSWER-Maintain circulation.
C
A white male, age 43, with a tentative diagnosis of infective endocarditis is
admitted to an acute care facility. His medical history reveals diabetes mellitus,
hypertension, and pernicious anemia; he underwent an appendectomy 20
years earlier and an aortic valve replacement 2 years before this admission.
Which history finding is a major risk factor for infective endocarditis? -
ANSWER-history of aortic valve replacement
Which activity is least effective in preventing sensory deprivation during a
client's stay in the cardiac care unit? - ANSWER-keeping the door closed to
provide privacy
, @PROFDOCDIGITALLIBRARIES
The nurse is concerned about the risks of hypoxemia and metabolic acidosis in
a client who is in shock. What finding should the nurse analyze for evidence of
hypoxemia and metabolic acidosis in a client with shock? - ANSWER-arterial
blood gas (ABG) findings
Following a myocardial infarction, a client develops an arrhythmia and requires
a continuous infusion of lidocaine. To monitor the effectiveness of the
intervention, the nurse should focus primarily on the client's: - ANSWER-
electrocardiogram (ECG).
PR
A client comes to the emergency department reporting severe substernal chest
pain radiating down the left arm. The client is admitted to the coronary care
unit with a diagnosis of myocardial infarction (MI). Which should the nurse do
first when the client is admitted to the coronary care unit? - ANSWER-Begin
O
telemetry monitoring.
FD
The nurse is caring for an older adult man who walks 2 miles every morning.
The nurse notes that during his morning walk, he called his child and stated
that he thought that he was having a heart attack. Which symptom, identified
O
by the client, is the most common and consistent with that of a heart attack
(myocardial infarction)? - ANSWER-sternal pain
C
A client with heart failure is taking furosemide, digoxin, and potassium
chloride. The client has nausea, blurred vision, headache, and weakness. The
nurse notes that the client is confused. The telemetry strip shows first-degree
atrioventricular block. What other sign should the nurse assess next? -
ANSWER-digoxin toxicity.
A client has been diagnosed with peripheral arterial occlusive disease. In order
to promote circulation to the extremities, the nurse should instruct the client
to: - ANSWER-participate in a regular walking program.
Cardiovascular Disorders exam with
correct answers 2025
A visiting nurse is teaching a client with heart failure about taking their
medications. The client requires six different medications that are taken at four
different times per day. The client is confused about when to take each
medication. How should the nurse intervene? - ANSWER-Teach a family
member to fill a medication compliance aid once per week so the client can
independently take their medications.
PR
The nurse is assessing a client who has a long history of uncontrolled
hypertension. The nurse should assess the client for damage in which area of
the eye? - ANSWER-retina
O
A client is recovering from coronary artery bypass graft (CABG) surgery and
begins to experience chest pain, shortness of breath, and tachycardia. Further
FD
assessment reveals a widened QRS complex and an elevated ST segment.
Which nursing diagnosis takes highest priority at this time? - ANSWER-
Decreased cardiac output related to depressed myocardial function
O
A nurse in the emergency department is caring for a client with acute heart
failure. Which laboratory value is most important for the nurse to check before
C
administering medications to treat heart failure? - ANSWER-potassium
A client is taking spironolactone to control hypertension. The client's serum
potassium level is [6 mEq/L (56mmol/L)]. For this client, the nurse's priority
should be to assess their - ANSWER-electrocardiogram (ECG) results.
The nurse is caring for a client post myocardial infarction (MI). Orders include
strict bed rest and a clear, liquid diet. What is the nurse's best response to the
client who is inquiring about the purpose of the new diet? - ANSWER-to reduce
the metabolic workload of digestion
,@PROFDOCDIGITALLIBRARIES
A nurse is teaching a client how to take nitroglycerin to treat angina pectoris.
What should the nurse include in the instructions? - ANSWER-Call emergency
medical services immediately if chest pain does not subside within 15 minutes.
A client arrives in the emergency department reporting intense pain in the
abdomen and tells the nurse that it feels like a heartbeat in the abdomen.
Which nursing assessment would indicate potential rupture of an aortic
aneurysm? - ANSWER-The client reports increasing severe back pain.
A client has been diagnosed with right-sided heart failure. The nurse should
PR
assess the client further for: - ANSWER-Dependent edema.
The client asks the nurse, "Why won't the health care provider tell me exactly
O
how much of my leg he is going to take off? Don't you think I should know
that?" On which information should the nurse base the response? - ANSWER-
FD
the adequacy of the blood supply to the tissues
A client with peripheral artery disease has femoral-popliteal bypass surgery.
What goal should the nurse establish with the client immediately after surgery?
O
- ANSWER-Maintain circulation.
C
A white male, age 43, with a tentative diagnosis of infective endocarditis is
admitted to an acute care facility. His medical history reveals diabetes mellitus,
hypertension, and pernicious anemia; he underwent an appendectomy 20
years earlier and an aortic valve replacement 2 years before this admission.
Which history finding is a major risk factor for infective endocarditis? -
ANSWER-history of aortic valve replacement
Which activity is least effective in preventing sensory deprivation during a
client's stay in the cardiac care unit? - ANSWER-keeping the door closed to
provide privacy
, @PROFDOCDIGITALLIBRARIES
The nurse is concerned about the risks of hypoxemia and metabolic acidosis in
a client who is in shock. What finding should the nurse analyze for evidence of
hypoxemia and metabolic acidosis in a client with shock? - ANSWER-arterial
blood gas (ABG) findings
Following a myocardial infarction, a client develops an arrhythmia and requires
a continuous infusion of lidocaine. To monitor the effectiveness of the
intervention, the nurse should focus primarily on the client's: - ANSWER-
electrocardiogram (ECG).
PR
A client comes to the emergency department reporting severe substernal chest
pain radiating down the left arm. The client is admitted to the coronary care
unit with a diagnosis of myocardial infarction (MI). Which should the nurse do
first when the client is admitted to the coronary care unit? - ANSWER-Begin
O
telemetry monitoring.
FD
The nurse is caring for an older adult man who walks 2 miles every morning.
The nurse notes that during his morning walk, he called his child and stated
that he thought that he was having a heart attack. Which symptom, identified
O
by the client, is the most common and consistent with that of a heart attack
(myocardial infarction)? - ANSWER-sternal pain
C
A client with heart failure is taking furosemide, digoxin, and potassium
chloride. The client has nausea, blurred vision, headache, and weakness. The
nurse notes that the client is confused. The telemetry strip shows first-degree
atrioventricular block. What other sign should the nurse assess next? -
ANSWER-digoxin toxicity.
A client has been diagnosed with peripheral arterial occlusive disease. In order
to promote circulation to the extremities, the nurse should instruct the client
to: - ANSWER-participate in a regular walking program.
