CARDIAC NCLEX PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

CARDIAC NCLEX PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1. A nurse has reinforced dietary instructions to a client with coronary artery disease. Which statement by the client indicates an understanding of the dietary instructions? - ANSWER "I should routinely use polyunsaturated oils in my diet." 2. A client has received instructions about an upcoming cardiac catheterization. The nurse determines that the client has the best understanding of the procedure if the client knows to report which of the following items? - ANSWER Chest pain 3. A nurse is told during shift report that a client is having occasional ventricular dysrhythmias. The nurse reviews the client's laboratory results, recalling that which electrolyte imbalance could be responsible for this development? - ANSWER Hypokalemia 4. A nurse is assisting in the care of a client diagnosed with rheumatic heart disease. When teaching the client about self-management of this health problem, the nurse reminds the client to alert his dentist about the condition because: - ANSWER The client requires prophylactic antibiotics before treatment. 5. A nurse is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which of the following to enable the client to best tolerate the ambulation? - ANSWER Premedicate the client with an analgesic before ambulating. 6. A client with a diagnosis of myocardial infarction has a new activity prescription allowing the client to have bathroom privileges. As the nurse stands and begins to walk, the client begins to complain of chest pain. The nurse should initially take which action? - ANSWER Assist the client to get back into bed. 7. A client in a long-term care facility who has a history of angina pectoris wants to go for a short walk outside with a family member. It is a sunny but chilly December day. The nurse should do which of the following to care for this client in a holistic manner? - ANSWER Instruct the family member to dress the client warmly before going outside. 8. A nurse is collecting data on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain. During the admission, the client reports chest pain. The nurse immediately asks the client which of the following questions? - ANSWER "Where is the pain located?" 9. A nurse is checking the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is: - ANSWER Normal, caused by increased blood flow through the leg 10. A client who has undergone femoropopliteal bypass grafting says to the nurse, "I hope I don't have any more problems that could make me lose my leg. I'm so afraid that i'll have gone through this for nothing." The appropriate nursing response is which of the following? - ANSWER "You are concerned about losing your leg?" 11. A licensed practical nurse (LPN) is assisting in the care of a client who is having central venous pressure (CVP) measurements taken by the registered nurse (RN). The LPN would assist the RN by placing the bed in which of the following positions for the reading? - ANSWER Flat 12. For a client diagnosed with pulmonary edema, the nurse establishes a goal to have the client participate in activities that reduce cardiac workload. Which of the following client activities will contribute to achieving this goal? - ANSWER Using a bedside commode for stools 13. An older client with ischemic heart disease has experienced an episode of dizziness and shortness of breath. The nurse reviews the plan of care and notes documentation of decreased cardiac output, dyspnea, and syncopal episodes. The nurse plans to take which important action in the care of the client? - ANSWER Place the client on a cardiac monitor. 14. A nurse assisting in caring for a client hospitalized with acute pericarditis is monitoring the client for signs of cardiac tamponade. The nurse determines that which finding is unrelated to possible cardiac tamponade? - ANSWER Pulse rate of 58 beats per minute 15. A client is receiving a continuous intravenous (IV) infusion of heparin in the treatment of deep vein thrombosis. The nurse is told that the client's activated partial thromboplastin time (aptt) level is 65 seconds and that the client's baseline before the initiation of therapy was 30 seconds. The nurse identifies these results as: - ANSWER Within the therapeutic range 16. A nurse monitors the laboratory data on a client at risk for coronary artery disease. A fasting blood glucose reading of 200 mg/dl is recorded on the chart. The nurse analyzes this result as: - ANSWER Elevated, signaling the presence of diabetes mellitus, a risk factor of coronary artery disease 17. A client with a history of angina pectoris complains of substernal chest pain. The nurse checks the client's blood pressure and administers nitroglycerin grains 1/150 sublingually. Five minutes later, the client is still experiencing chest pain. If the blood pressure is still stable, the nurse should take which action next? - ANSWER Administer another nitroglycerin tablet 18. A nurse is beginning to ambulate a client with activity intolerance caused by bacterial endocarditis. The nurse determines that the client is best tolerating ambulation if which parameter is noted? - ANSWER Blood pressure that increases from 114/82 to 118/86 mm Hg 19. The nurse is caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention? - ANSWER Limiting movement and abduction of the right arm 20. A nurse is asked to assist another health care member in providing care to a client who is placed in a modified Trendelenburg's position. The nurse interprets that the client is likely being treated for which condition? - ANSWER Shock 21. When preparing a client for a pericardiocentesis, how does the nurse position the client? - ANSWER Supine with the head of bed elevated at a 45- to 60-degree angle 22. Acetylsalicylic acid (Aspirin) is prescribed for a client before a percutaneous transluminal coronary angioplasty (PTCA). When the nurse takes the aspirin to the client, the client asks the nurse about its purpose. The nurse informs the client that the aspirin will: - ANSWER Prevent the formation of clots 23. A nurse determines that a client with coronary artery disease (CAD) understands disease management if the client makes which of the following statements? - ANSWER "I will walk for one-half hour daily." 24. The client's B-type natriuretic peptide (BNP) level is 691 pg/ml. Which of the following should the nurse institute when providing care for the client? - ANSWER Take daily weights and monitor trends. 25. A client is admitted to the hospital with possible rheumatic heart disease. The nurse collects data from the client and checks the client for which signs or symptoms? - ANSWER Fever and sore throat 26. A nurse has completed nutritional counseling with an overweight client about weight reduction to modify the risk for coronary artery disease. The nurse would determine the teaching as successful if the client stated that a safe weight loss goal is: - ANSWER Two pounds per week 27. A postcardiac surgery client with a blood urea nitrogen (BUN) level of 45 mg/dl and a serum creatinine level of 2.2 mg/dl has a total 2-hour urine output of 25 ml. The nurse understands that the client is at risk for: - ANSWER Acute renal failure 28. While a nurse is involved in preparing a client for a cardiac catheterization, the client says, "I don't want to talk with you. You're only a nurse. I want my doctor." Which response by the nurse would be therapeutic? - ANSWER "So you're saying that you want to talk to your health care provider?" 29. A client is scheduled for a cardiac catheterization using a radiopaque dye. The nurse checks which most critical item before the procedure? - ANSWER Allergy to iodine or shellfish 30. A nurse is planning to use an external cardiac defibrillator on a client. Which one of the following actions should the nurse perform to check the cardiac rhythm? - ANSWER Applying the adhesive patch electrodes to the skin and moving away from the client 31. A client with heart failure is scheduled to be discharged to home with digoxin (Lanoxin) and furosemide (Lasix) as ongoing prescribed medications. The nurse teaches the client to report which sign that indicates that the medications are not having the intended effect? - ANSWER Weight gain of 2 to 3 pounds in a few days 32. A nurse is assigned to assist with caring for a client after cardiac catheterization. The nurse plans to maintain bedrest with: - ANSWER Head elevation of no more than 30 degrees 33. In order to assess the dorsalis pedis pulse of a client diagnosed with arterial vascular disease, the nurse palpates which anatomical location? Refer to figure. - ANSWER Top of the foot 34. A client admitted to the hospital with a diagnosis of myocardial infarction (MI) tells the nurse that the pain likely resulted from the fried chicken sandwich that the client had for lunch. The nurse responds to the client, using the knowledge that: - ANSWER Denial is a common occurrence early after MI. 35. A client admitted to the hospital with coronary artery disease complains of dyspnea at rest. The nurse determines that which of the following items would be of most help to the client? - ANSWER Elevating the head of the bed to at least 45 degrees 36. The student nurse is preparing a teaching plan for a patient being discharged status post MI. What should the student include in the teaching plan? (Mark all that apply.) A. Need for increased fluid intake B. Need for early resumption of prediagnosis activity C. Need for careful monitoring for cardiac symptoms D. Need for dietary modifications E. Need for carefully regulated exercise - ANSWER C. Need for careful monitoring for cardiac symptoms D. Need for dietary modifications E. Need for carefully regulated exercise 37. Dietary modifications, exercise, weight loss, and careful monitoring are important strategies for managing three major cardiovascular risk factors: hyperlipidemia, hypertension, and diabetes. There is no need to increase fluid intake and activity should be slowly and deliberately increased 38. A patient in the cardiac step-down unit has begun bleeding from the percutaneous coronary intervention (PCI) access site in her femoral region. What is the nurse's most appropriate action? A. Reposition the patient's leg in a nondependent position. B. Call for assistance and initiate cardiopulmonary resuscitation. C. Promptly remove the femoral sheath. D. Call for help and apply pressure to the access site. - ANSWER D. Call for help and apply pressure to the access site. 39. A nurse is assisting a client who will wear a Holter monitor for continuous cardiac monitoring over the next 24 hours. The nurse takes which of the following actions to assist this client? - ANSWER Gives the client a device holder to wear around the waist 40. A client is admitted to the hospital with a diagnosis of pericarditis. The nurse reviews the client's record for which manifestation that differentiates pericarditis from other cardiopulmonary problems? - ANSWER Pericardial friction rub 41. A client diagnosed with angina pectoris returns to the nursing unit after experiencing an angioplasty. The nurse reinforces instructions to the client regarding the procedure and home care measures. Which statement by the client indicates an understanding of the instructions? - ANSWER "I need to adhere to my dietary restrictions." 42. A nurse is caring for a client with a diagnosis of myocardial infarction (MI). The client reports chest pain. When the administration of a sublingual nitroglycerin tablet as prescribed does not relieve the chest pain, the next nursing action is to: - ANSWER Check the blood pressure and administer another nitroglycerin tablet 43. A client has just returned from the cardiac catheterization laboratory. The left femoral vessel was used as the access site. After returning the client to bed and collecting initial data, the nurse places a sign above the bed stating that the client should remain on bedrest: - ANSWER With the head of the bed elevated no more than 15 degrees 44. A nurse understands that which of the following is a correct guideline for adult cardiopulmonary resuscitation (CPR) for a health care provider? - ANSWER Each rescue breath should be given over 1 second and should produce a visible chest rise. 45. A client complaining of chest pain has an as-needed (PRN) prescription for sublingual nitroglycerin (Nitrostat). Before administering the medication to the client, the nurse should first check the client's: - ANSWER Blood pressure 46. A nurse is assisting in caring for a client in the telemetry unit and is monitoring the client for cardiac changes indicative of hypokalemia. Which occurrence noted on the cardiac monitor indicates the presence of hypokalemia? - ANSWER ST-segment depression 47. A client has a history of left-sided heart failure. The nurse would look for the presence of which of the following to determine whether the problem is currently active? - ANSWER Bilateral lung crackles 48. The client scheduled for a right femoropopliteal bypass graft is at risk for compromised tissue perfusion to the extremity. The nurse takes which action before surgery to address this risk? - ANSWER Marking the location of the pedal pulses on the right leg 49. A client seeks medical attention for intermittent episodes in which the fingers of both hands become cold, pale, and numb. The client states that they then become reddened and swollen with a throbbing, achy pain. The nurse further collects data on the client to see whether these episodes occur with: - ANSWER Ingestion of coffee or chocolate 50. A nurse is caring for a client who is developing pulmonary edema. The client exhibits respiratory distress, but the blood pressure is unchanged from the client's baseline. As an immediate action before help arrives, the nurse would: - ANSWER Place the client in high-Fowler's position.