CARDIOVASCULAR NCLEX EVALUATION TEST
QUESTIONS AND ANSWERS SURE A+
✔✔The auscultatory area in the left midclavicular line at the level of the fifth ICS is the
A. aortic area.
B. mitral area.
C. tricuspid area.
D. pulmonic area. - ✔✔B. mitral area.
✔✔When assessing the patient, the nurse notes a palpable precordial thrill. This finding
may be caused by
A. heart murmurs.
B. gallop rhythms.
C. pulmonary edema.
D. right ventricular hypertrophy. - ✔✔A. heart murmurs.
✔✔When assessing the cardiovascular system of a 79-year-old patient, the nurse
expects to find
A. a narrowed pulse pressure.
B. diminished carotid artery pulses.
, C. difficulty in isolating the apical pulse.
D. an increased heart rate in response to stress. - ✔✔C. difficulty in isolating the apical
pulse.
✔✔An important nursing responsibility for a patient having an invasive cardiovascular
diagnostic study is
A. checking the peripheral pulses and percutaneous site.
B. instructing the patient about radioactive isotope injection.
C. informing the patient that general anesthesia will be given.
D. assisting the patient to do a surgical scrub of the insertion site. - ✔✔A. checking the
peripheral pulses and percutaneous site.
✔✔A P wave on an ECG represents an impulse
A. arising at the SA node and repolarizing the atria.
B. arising at the SA node and depolarizing the atria.
C. arising at the AV node and depolarizing the atria.
D. arising at the AV node and spreading to the bundle of His. - ✔✔B. arising at the SA
node and depolarizing the atria.
✔✔If a patient has decreased cardiac output caused by fluid volume deficit and marked
vasodilation, the regulatory mechanism that will increase the blood pressure by
improving both of these is
A. release of antidiuretic hormone (ADH).
B. secretion of prostaglandins PGE
C. stimulation of the sympathetic nervous system.
D. activation of the renin-angiotensin-aldosterone system. - ✔✔D. activation of the
renin-angiotensin-aldosterone system.Q
✔✔While obtaining subjective assessment data from a patient with hypertension, the
nurse recognizes that a modifiable risk factor for the development of hypertension is
A. hyperlipidemia.
B. excessive alcohol intake.
C. a family history of hypertension.
D. consumption of a high-carbohydrate, high-calcium diet - ✔✔B. excessive alcohol
intake.
✔✔Target organ damage that can occur from hypertension includes
A. headache and dizziness.
B. retinopathy and diabetes.
C. hypercholesterolemia and renal dysfunction.
QUESTIONS AND ANSWERS SURE A+
✔✔The auscultatory area in the left midclavicular line at the level of the fifth ICS is the
A. aortic area.
B. mitral area.
C. tricuspid area.
D. pulmonic area. - ✔✔B. mitral area.
✔✔When assessing the patient, the nurse notes a palpable precordial thrill. This finding
may be caused by
A. heart murmurs.
B. gallop rhythms.
C. pulmonary edema.
D. right ventricular hypertrophy. - ✔✔A. heart murmurs.
✔✔When assessing the cardiovascular system of a 79-year-old patient, the nurse
expects to find
A. a narrowed pulse pressure.
B. diminished carotid artery pulses.
, C. difficulty in isolating the apical pulse.
D. an increased heart rate in response to stress. - ✔✔C. difficulty in isolating the apical
pulse.
✔✔An important nursing responsibility for a patient having an invasive cardiovascular
diagnostic study is
A. checking the peripheral pulses and percutaneous site.
B. instructing the patient about radioactive isotope injection.
C. informing the patient that general anesthesia will be given.
D. assisting the patient to do a surgical scrub of the insertion site. - ✔✔A. checking the
peripheral pulses and percutaneous site.
✔✔A P wave on an ECG represents an impulse
A. arising at the SA node and repolarizing the atria.
B. arising at the SA node and depolarizing the atria.
C. arising at the AV node and depolarizing the atria.
D. arising at the AV node and spreading to the bundle of His. - ✔✔B. arising at the SA
node and depolarizing the atria.
✔✔If a patient has decreased cardiac output caused by fluid volume deficit and marked
vasodilation, the regulatory mechanism that will increase the blood pressure by
improving both of these is
A. release of antidiuretic hormone (ADH).
B. secretion of prostaglandins PGE
C. stimulation of the sympathetic nervous system.
D. activation of the renin-angiotensin-aldosterone system. - ✔✔D. activation of the
renin-angiotensin-aldosterone system.Q
✔✔While obtaining subjective assessment data from a patient with hypertension, the
nurse recognizes that a modifiable risk factor for the development of hypertension is
A. hyperlipidemia.
B. excessive alcohol intake.
C. a family history of hypertension.
D. consumption of a high-carbohydrate, high-calcium diet - ✔✔B. excessive alcohol
intake.
✔✔Target organ damage that can occur from hypertension includes
A. headache and dizziness.
B. retinopathy and diabetes.
C. hypercholesterolemia and renal dysfunction.
