8/11/25, 7:15 PM CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WI…
CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL
EXAM 300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALE
A nurse notes 2+ bilateral 1.Review the intake and output records for the last 2 days
edema in the lower
extremities of a client with Edema, the accumulation of excess fluid in the
myocardial infarction who interstitial spaces, can be measured by intake greater
was admitted 2 days ago. than output and by a sudden increase in weight.
The nurse would plan to Diuretics should be given in the morning whenever
do which of the following possible to avoid nocturia. Strict sodium restrictions
next? are reserved for clients with severe symptoms.
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.
A client is wearing a 1. Check the client status and lead placement
continuous cardiac
monitor, which begins to Sudden loss of electrocardiogram complexes indicates
sound its alarm. A nurse ventricular asystole or
sees no electrocardiogram possible electrode displacement. Accurate assessment of
complexes on the screen. The the client and equipment is necessary to determine the
first action of the nurse is to: cause and identify the appropriate intervention.
1. Check the client
status and lead
placement
2. Press the recorder
button on the
electrocardiogram
… 1/25
,8/11/25, 7:15 PM CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WI…
console.
3. Call the physician
4. Call a code blue
A nurse is assessing the blood 4.Taking a blood pressure within 15 minutes after nicotine or
pressure of a client diagnosed caffeine ingestion
with primary
hypertension. The nurse BP should be taken with the client seated with the arm bared,
ensures accurate positioned with support and at heart level. The client should sit with
measurement by avoiding the legs on the floor, feet
which of the uncrossed, and not speak during the recording. The client should not
following? have smoked tobacco or taken in caffeine in the 30 minutes
1. Seating the client preceding the measurement. The
with arm bared, client should rest quietly for 5 minutes before the reading is taken.
The cuff bladder should encircle at least 80% of the limb being
supported, and at measured. Gauges other than a
heart level. mercury sphygmomanometer should be calibrated every 6 months
2. Measuring the blood to ensure accuracy
pressure after the client
has been seated quietly
for 5
minutes.
3. Using a cuff with a
rubber bladder that
encircles at least 80% of
the limb.
4. Taking a blood pressure
within 15 minutes after
nicotine or caffeine
ingestion.
… 2/25
, 8/11/25, 7:15 PM CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WI…
IV heparin therapy is ordered 4. Protamine sulfate
for a client.
While implementing this order, The antidote to heparin is protamine sulfate and should
a nurse ensures that which be readily available for use if excessive bleeding or
of the following hemorrhage should occur. Vitamin K is an antidote
medications is available on for warfarin.
the nursing unit?
1. Vitamin K
2. Aminocapor
ic acid
3.Potassium
chloride
4.Protamine
sulfate
A client is at risk for 3. Within the therapeutic range (11 x 1.5=16.5)
pulmonary embolism and is The therapeutic range for prothrombin time is 1.5 to 2
on anticoagulant therapy times the control for clients at risk for thrombus. Based
with warfarin (Coumadin). on the client's control value, the therapeutic range for
The client's this
prothrombin time is 20 individual would be 16.5 to 22 seconds. Therefore the
seconds, with a
control of 11 seconds. The result is within therapeutic range
nurse assesses that this
result is:
1. The same as the client's
own baseline level
2. Lower than the needed
therapeutic level
3. Within the therapeutic range
4. Higher than the therapeutic
range
… 3/25
CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL
EXAM 300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALE
A nurse notes 2+ bilateral 1.Review the intake and output records for the last 2 days
edema in the lower
extremities of a client with Edema, the accumulation of excess fluid in the
myocardial infarction who interstitial spaces, can be measured by intake greater
was admitted 2 days ago. than output and by a sudden increase in weight.
The nurse would plan to Diuretics should be given in the morning whenever
do which of the following possible to avoid nocturia. Strict sodium restrictions
next? are reserved for clients with severe symptoms.
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.
A client is wearing a 1. Check the client status and lead placement
continuous cardiac
monitor, which begins to Sudden loss of electrocardiogram complexes indicates
sound its alarm. A nurse ventricular asystole or
sees no electrocardiogram possible electrode displacement. Accurate assessment of
complexes on the screen. The the client and equipment is necessary to determine the
first action of the nurse is to: cause and identify the appropriate intervention.
1. Check the client
status and lead
placement
2. Press the recorder
button on the
electrocardiogram
… 1/25
,8/11/25, 7:15 PM CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WI…
console.
3. Call the physician
4. Call a code blue
A nurse is assessing the blood 4.Taking a blood pressure within 15 minutes after nicotine or
pressure of a client diagnosed caffeine ingestion
with primary
hypertension. The nurse BP should be taken with the client seated with the arm bared,
ensures accurate positioned with support and at heart level. The client should sit with
measurement by avoiding the legs on the floor, feet
which of the uncrossed, and not speak during the recording. The client should not
following? have smoked tobacco or taken in caffeine in the 30 minutes
1. Seating the client preceding the measurement. The
with arm bared, client should rest quietly for 5 minutes before the reading is taken.
The cuff bladder should encircle at least 80% of the limb being
supported, and at measured. Gauges other than a
heart level. mercury sphygmomanometer should be calibrated every 6 months
2. Measuring the blood to ensure accuracy
pressure after the client
has been seated quietly
for 5
minutes.
3. Using a cuff with a
rubber bladder that
encircles at least 80% of
the limb.
4. Taking a blood pressure
within 15 minutes after
nicotine or caffeine
ingestion.
… 2/25
, 8/11/25, 7:15 PM CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WI…
IV heparin therapy is ordered 4. Protamine sulfate
for a client.
While implementing this order, The antidote to heparin is protamine sulfate and should
a nurse ensures that which be readily available for use if excessive bleeding or
of the following hemorrhage should occur. Vitamin K is an antidote
medications is available on for warfarin.
the nursing unit?
1. Vitamin K
2. Aminocapor
ic acid
3.Potassium
chloride
4.Protamine
sulfate
A client is at risk for 3. Within the therapeutic range (11 x 1.5=16.5)
pulmonary embolism and is The therapeutic range for prothrombin time is 1.5 to 2
on anticoagulant therapy times the control for clients at risk for thrombus. Based
with warfarin (Coumadin). on the client's control value, the therapeutic range for
The client's this
prothrombin time is 20 individual would be 16.5 to 22 seconds. Therefore the
seconds, with a
control of 11 seconds. The result is within therapeutic range
nurse assesses that this
result is:
1. The same as the client's
own baseline level
2. Lower than the needed
therapeutic level
3. Within the therapeutic range
4. Higher than the therapeutic
range
… 3/25
