CARDIAC NCLEX EXAM | QUESTIONS &
ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
,1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
1. Intake and output
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish
Correct Answer: 4. Allergy to iodine or shellfish
This procedure requires an informed consent because it involves injection of a
radiopaque dye into the blood vessel. The risk of allergic reaction and possible
anaphylaxis is serious and must be assessed before the procedure.
2) A client with no history of cardiovascular disease comes into the ambulatory clinic
with flulike symptoms. The client suddenly complains of chest pain. Which of the
following questions would best help a nurse to discriminate pain caused by a non-
cardiac problem?
1. "Have you ever had this pain before?"
,1
, 2. "Can you describe the pain to me?"
3. "Does the pain get worse when you breathe in?"
4. "Can you rate the pain on a scale of 1-10, with 10 being the worst?"
Correct Answer: 3."Does the pain get worse when you breathe in?"
Chest pain is assessed by using the standard pain assessment parameters. Options 1,
2, and 4 may or may not help discriminate the origin of pain. Pain of pleuropulmonary
origin usually worsens on inspiration.
3) A client with myocardial infarction has been transferred from a coronary care unit to a
general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for
which of the following client activities?
1. Strict bed rest for 24 hours after transfer
2. Bathroom privileges and self-care activities
3. Unsupervised hallway ambulation with distances under 200 feet
4. Ad lib activities because the client is monitored.
Correct Answer: 2. Bathroom privileges and self-care activities
On transfer from the CCU, the client is allowed self-care activities and bathroom
privileges. Supervised ambulation for brief distances are encouraged, with distances
gradually increased (50, 100, 200 feet).
ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
,1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
1. Intake and output
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish
Correct Answer: 4. Allergy to iodine or shellfish
This procedure requires an informed consent because it involves injection of a
radiopaque dye into the blood vessel. The risk of allergic reaction and possible
anaphylaxis is serious and must be assessed before the procedure.
2) A client with no history of cardiovascular disease comes into the ambulatory clinic
with flulike symptoms. The client suddenly complains of chest pain. Which of the
following questions would best help a nurse to discriminate pain caused by a non-
cardiac problem?
1. "Have you ever had this pain before?"
,1
, 2. "Can you describe the pain to me?"
3. "Does the pain get worse when you breathe in?"
4. "Can you rate the pain on a scale of 1-10, with 10 being the worst?"
Correct Answer: 3."Does the pain get worse when you breathe in?"
Chest pain is assessed by using the standard pain assessment parameters. Options 1,
2, and 4 may or may not help discriminate the origin of pain. Pain of pleuropulmonary
origin usually worsens on inspiration.
3) A client with myocardial infarction has been transferred from a coronary care unit to a
general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for
which of the following client activities?
1. Strict bed rest for 24 hours after transfer
2. Bathroom privileges and self-care activities
3. Unsupervised hallway ambulation with distances under 200 feet
4. Ad lib activities because the client is monitored.
Correct Answer: 2. Bathroom privileges and self-care activities
On transfer from the CCU, the client is allowed self-care activities and bathroom
privileges. Supervised ambulation for brief distances are encouraged, with distances
gradually increased (50, 100, 200 feet).
