CARDIAC NCLEX PRACTICE SET 2 QUESTIONS
AND CORRECT ANSWERS
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?
Gives the client a device holder to wear around the waist
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?
Pericardial friction rub
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?
"I need to adhere to my dietary restrictions."
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:
Check the blood pressure and administer another nitroglycerin tablet
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:
,With the head of the bed elevated no more than 15 degrees
A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider?
Each rescue breath should be given over 1 second and should produce a visible chest rise.
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:
Blood pressure
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?
ST-segment depression
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?
Bilateral lung crackles
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?
Marking the location of the pedal pulses on the right leg
, 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:
Ingestion of coffee or chocolate
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:
Place the client in high-Fowler's position.
A nurse is using a stethoscope to listen to the client's heart and hears this sound. (Click on the
sound icon.) To assist in identifying the sound, the nurse should take which initial best
action?
Palpate the carotid pulse for a pulsation
A nurse is caring for a client with Buerger's disease. Which finding would the nurse determine
is a potential complication associated with this disease?
Numbness and tingling in the legs
A client has experienced several episodes of sickle cell crisis. Which instruction should be
included in the client's teaching plan to prevent recurrence?
Wear shoes and socks when walking outside to prevent damage to the feet.
AND CORRECT ANSWERS
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?
Gives the client a device holder to wear around the waist
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?
Pericardial friction rub
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?
"I need to adhere to my dietary restrictions."
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:
Check the blood pressure and administer another nitroglycerin tablet
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:
,With the head of the bed elevated no more than 15 degrees
A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider?
Each rescue breath should be given over 1 second and should produce a visible chest rise.
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:
Blood pressure
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?
ST-segment depression
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?
Bilateral lung crackles
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?
Marking the location of the pedal pulses on the right leg
, 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:
Ingestion of coffee or chocolate
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:
Place the client in high-Fowler's position.
A nurse is using a stethoscope to listen to the client's heart and hears this sound. (Click on the
sound icon.) To assist in identifying the sound, the nurse should take which initial best
action?
Palpate the carotid pulse for a pulsation
A nurse is caring for a client with Buerger's disease. Which finding would the nurse determine
is a potential complication associated with this disease?
Numbness and tingling in the legs
A client has experienced several episodes of sickle cell crisis. Which instruction should be
included in the client's teaching plan to prevent recurrence?
Wear shoes and socks when walking outside to prevent damage to the feet.
