1
CARDIAC NCLEX EXAM /NCLEX CARDIAC
EXAM ACTUAL EXAM 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES✓
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
Ans: 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?"
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?"
Pretest - Stuvia US
,2
Ans: 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.
Ans: 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).
A nurse notes 2+ bilateral edema in the lower extremities of a client with
myocardial infarction who was admitted 2 days ago. The nurse would plan to
do which of the following next?
1.Review the intake and output records for the last 2 days
2.Change the time of diuretic administration from morning to evening
3.Request a sodium restriction of 1 g/day from the physician.
4.Order daily weights starting the following morning.
Pretest - Stuvia US
, 3
Ans: 1.Review the intake and output records for the last 2 days
Edema, the accumulation of excess fluid in the interstitial spaces, can be
measured by intake greater than output and by a sudden increase in weight.
Diuretics should be given in the morning whenever possible to avoid nocturia.
Strict sodium restrictions are reserved for clients with severe symptoms.
A client is wearing a continuous cardiac monitor, which begins to sound its
alarm. A nurse sees no electrocardiogram complexes on the screen. The first
action of the nurse is to:
1.Check the client status and lead placement
2.Press the recorder button on the electrocardiogram console.
3.Call the physician
4.Call a code blue
Ans: 1. Check the client status and lead placement
Sudden loss of electrocardiogram complexes indicates ventricular asystole or
possible electrode displacement. Accurate assessment of the client and
equipment is necessary to determine the cause and identify the appropriate
intervention.
6) A nurse is assessing the blood pressure of a client diagnosed with primary
hypertension. The nurse ensures accurate measurement by avoiding which of
the following?
1.Seating the client with arm bared, supported, and at heart level.
2.Measuring the blood pressure after the client has been seated quietly for 5
minutes.
Pretest - Stuvia US
CARDIAC NCLEX EXAM /NCLEX CARDIAC
EXAM ACTUAL EXAM 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES✓
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
Ans: 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?"
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?"
Pretest - Stuvia US
,2
Ans: 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.
Ans: 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).
A nurse notes 2+ bilateral edema in the lower extremities of a client with
myocardial infarction who was admitted 2 days ago. The nurse would plan to
do which of the following next?
1.Review the intake and output records for the last 2 days
2.Change the time of diuretic administration from morning to evening
3.Request a sodium restriction of 1 g/day from the physician.
4.Order daily weights starting the following morning.
Pretest - Stuvia US
, 3
Ans: 1.Review the intake and output records for the last 2 days
Edema, the accumulation of excess fluid in the interstitial spaces, can be
measured by intake greater than output and by a sudden increase in weight.
Diuretics should be given in the morning whenever possible to avoid nocturia.
Strict sodium restrictions are reserved for clients with severe symptoms.
A client is wearing a continuous cardiac monitor, which begins to sound its
alarm. A nurse sees no electrocardiogram complexes on the screen. The first
action of the nurse is to:
1.Check the client status and lead placement
2.Press the recorder button on the electrocardiogram console.
3.Call the physician
4.Call a code blue
Ans: 1. Check the client status and lead placement
Sudden loss of electrocardiogram complexes indicates ventricular asystole or
possible electrode displacement. Accurate assessment of the client and
equipment is necessary to determine the cause and identify the appropriate
intervention.
6) A nurse is assessing the blood pressure of a client diagnosed with primary
hypertension. The nurse ensures accurate measurement by avoiding which of
the following?
1.Seating the client with arm bared, supported, and at heart level.
2.Measuring the blood pressure after the client has been seated quietly for 5
minutes.
Pretest - Stuvia US
