Cardiac NCLEX Exam Questions and
Answers Graded A+
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? - Correct answer-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? - Correct answer-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? - Correct answer-"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
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,tablet as prescribed does not relieve the chest pain, the next nursing action is to: -
Correct answer-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: - Correct answer-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? - Correct answer-
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: - Correct answer-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? - Correct answer-ST-
segment depression
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, 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? - Correct answer-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? - Correct answer-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: - Correct answer-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: - Correct
answer-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? - Correct answer-Palpate the carotid pulse for a pulsation
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Answers Graded A+
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? - Correct answer-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? - Correct answer-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? - Correct answer-"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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,tablet as prescribed does not relieve the chest pain, the next nursing action is to: -
Correct answer-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: - Correct answer-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? - Correct answer-
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: - Correct answer-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? - Correct answer-ST-
segment depression
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, 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? - Correct answer-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? - Correct answer-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: - Correct answer-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: - Correct
answer-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? - Correct answer-Palpate the carotid pulse for a pulsation
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
