Exam: NCLEX Test Bank & Study Guide
Description:
Struggling to master cardiovascular nursing concepts for your upcoming final or the NCLEX-
RN? This comprehensive 2026 test bank is your ultimate study partner. We've compiled essential
practice questions with detailed rationales covering heart failure, EKG interpretation,
myocardial infarction (MI) management, cardiac catheterization post-op care, and
arrhythmia treatment.
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, Cardiovascular Nursing Exam 2026: Test Bank & Study Guide
1. What are the primary cardiovascular effects of tobacco use?
a. Vasodilation and decreased heart rate
b. Bronchoconstriction and increased lung capacity
c. Narrowing of blood vessels and damage to arterial walls
d. Reduced blood pressure and improved circulation
Answer: c. Narrowing of blood vessels and damage to arterial walls
Explanation: Smoking introduces toxins that cause vasoconstriction, directly injure the
endothelial lining of arteries, promote inflammation, and accelerate the development of
atherosclerosis. This significantly increases the risk of hypertension, blood clot formation, and
coronary artery disease.
2. Identify the correct sequence of electrical conduction through the heart.
a. AV node → SA node → Bundle of His → Purkinje fibers
b. SA node → Atrial tissue → AV node → Bundle of His → Bundle branches → Purkinje fibers
c. Purkinje fibers → AV node → Bundle branches → SA node
d. Bundle of His → SA node → Purkinje fibers → AV node
Answer: b. SA node → Atrial tissue → AV node → Bundle of His → Bundle branches →
Purkinje fibers
Explanation: The cardiac electrical impulse is initiated at the sinoatrial (SA) node, depolarizing
the atria. It then converges at the atrioventricular (AV) node, proceeds down the Bundle of His,
splits into the right and left bundle branches, and finally spreads through the Purkinje fiber
network to trigger ventricular contraction.
3. A patient has just returned to the unit after a left-sided cardiac catheterization. What is the nurse's
priority assessment?
a) Assessing for hunger and thirst
b) Checking the patient's preference for television shows
c) Monitoring the groin site for bleeding or hematoma formation
d) Asking about the patient's family history of heart disease