CARDIAC NCLEX CORE EXAMINATION MAIN
QUESTIONS AND ANSWERS SURE A+
✔✔After a healthcare provider prescribed propranolol for a pt with frequent premature
ventricular contractions, the nurse should include with of the following in the care plan?
A. inform pt that excessive respiratory response to activity should gradually decrease
B. measure heart rate daily before taking dose
C. Pt will have increased resistance to infection
D. current skin eruptions will improve within 30 days - ✔✔B
✔✔A pt with atrial fibrillation is receiving continuous heparin infusion at 1000 units/hr.
The nurse would determine that the pt is receiving the therapeutic effect based on which
of the following results?
A. prothrombin time of 12.5 seconds
B. apt time of 60 seconds
C. apt time of 28 seconds
D. apt time longer than 120 sec - ✔✔B
✔✔A nurse provides discharge instructions to a post op pt who is taking warfarin
sodium (Coumadin). Which statement, if made by the pt, reflects the need for further
teaching?
A. I will take my pills every day at the same time
B. I will be certain to limit my alcohol consumption
,C. I have already called my family to pick up my Medic-Alert bracelet
D. I will take enteric-coated Aspirin for my headaches - ✔✔D
✔✔A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab
study will be prescribed to monitor the therapeutic effect of heparin?
A. hematocrit
B. hemoglobin
C. prothrombin time
D. activated partial thromboplastin time - ✔✔D
✔✔A pt is diagnosed with an acute myocardial infarction and is receiving tissue
plasminogen activator, alteplase (Activase). Which of the following is a priority nursing
intervention?
A. monitor for renal failure
B. monitor for psychosocial status
C. monitor for signs of bleeding
D. have heparin sodium available - ✔✔C
✔✔A home health nurse instructs a pt about the use of a nitrate patch. The nurse tells
the pt that which of the following will prevent pt tolerance to nitrates?
A. do not remove the patches
B. have a 12-hr no-nitrate time
C. have a 24-hr no-nitrate time
D. keep nitrates on 48 hrs, then off 24 hrs - ✔✔B
✔✔a pt is receiving thrombolytic therapy with a continuous infusion of streptokinase.
The pt suddenly becomes extremely anxious with complaints of itching. A nurse hears
stridor and on examination of the pt notes generalized urticarial and hypotension. Which
of the following should be the priority action?
A. administer oxygen and protamine sulfate
B. stop the infusion and call the physician
C. cut the infusion rate in half and sit the pt up in bed
D. administer benadryl and continue the infusion slowly - ✔✔B
✔✔Which of the following pts is at greatest risk for digital toxicity?
A. a 25 y/o pt with congestive heart disease
B. a 50 y/o pt with CHF
C. a 60 y/o pt who had an MI
D. an 80 y/o pt with CHF - ✔✔D
✔✔Which of the following is a contraindication for digoxin administration?
A. BP of 140/90
B. HR>80
C. HR<60
, D. RR>18 - ✔✔C
✔✔The action of medication is inotropic when it:
A. decreases afterload
B. increases heart rate
C. increases the force of contraction
D. is uses to treat CHF - ✔✔C'
✔✔Which is the most important action for the nurse to take before administering
digoxin?
A. monitor the potassium level
B. assess the BP
C. evaluate urinary output
D. avoid giving with a thiazide diuretic - ✔✔A
✔✔The therapeutic drug level for digoxin is:
A. 0.1-2.0
B. 1.0-2.0
C. 0.1-0.5
D. 0.5-2.0 - ✔✔D
✔✔Blurred vision or halos are signs of:
A. beta blocker toxicity
B. digoxin toxicity
C. diuretic toxicity
D. ACE inhibitor toxicity - ✔✔B
✔✔beta blockers should be avoided in which of the following conditions:
A. bronchoconstriction
B. hypertension
C. Angina
D. myocardial infarction - ✔✔A
✔✔You know that the action of nitrates is:
A. smooth muscle contraction
B. vasoconstriction
C. smooth muscle relaxation
D. increase preload - ✔✔C
✔✔A 50 y/o pt is prescribed to take nitrate each day for his condition. You know the
result of nitrate administration is:
A. decreased myocardial oxygen demand
B. increased myocardial oxygen demand
C. increased left ventricular end-diastolic volume
QUESTIONS AND ANSWERS SURE A+
✔✔After a healthcare provider prescribed propranolol for a pt with frequent premature
ventricular contractions, the nurse should include with of the following in the care plan?
A. inform pt that excessive respiratory response to activity should gradually decrease
B. measure heart rate daily before taking dose
C. Pt will have increased resistance to infection
D. current skin eruptions will improve within 30 days - ✔✔B
✔✔A pt with atrial fibrillation is receiving continuous heparin infusion at 1000 units/hr.
The nurse would determine that the pt is receiving the therapeutic effect based on which
of the following results?
A. prothrombin time of 12.5 seconds
B. apt time of 60 seconds
C. apt time of 28 seconds
D. apt time longer than 120 sec - ✔✔B
✔✔A nurse provides discharge instructions to a post op pt who is taking warfarin
sodium (Coumadin). Which statement, if made by the pt, reflects the need for further
teaching?
A. I will take my pills every day at the same time
B. I will be certain to limit my alcohol consumption
,C. I have already called my family to pick up my Medic-Alert bracelet
D. I will take enteric-coated Aspirin for my headaches - ✔✔D
✔✔A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab
study will be prescribed to monitor the therapeutic effect of heparin?
A. hematocrit
B. hemoglobin
C. prothrombin time
D. activated partial thromboplastin time - ✔✔D
✔✔A pt is diagnosed with an acute myocardial infarction and is receiving tissue
plasminogen activator, alteplase (Activase). Which of the following is a priority nursing
intervention?
A. monitor for renal failure
B. monitor for psychosocial status
C. monitor for signs of bleeding
D. have heparin sodium available - ✔✔C
✔✔A home health nurse instructs a pt about the use of a nitrate patch. The nurse tells
the pt that which of the following will prevent pt tolerance to nitrates?
A. do not remove the patches
B. have a 12-hr no-nitrate time
C. have a 24-hr no-nitrate time
D. keep nitrates on 48 hrs, then off 24 hrs - ✔✔B
✔✔a pt is receiving thrombolytic therapy with a continuous infusion of streptokinase.
The pt suddenly becomes extremely anxious with complaints of itching. A nurse hears
stridor and on examination of the pt notes generalized urticarial and hypotension. Which
of the following should be the priority action?
A. administer oxygen and protamine sulfate
B. stop the infusion and call the physician
C. cut the infusion rate in half and sit the pt up in bed
D. administer benadryl and continue the infusion slowly - ✔✔B
✔✔Which of the following pts is at greatest risk for digital toxicity?
A. a 25 y/o pt with congestive heart disease
B. a 50 y/o pt with CHF
C. a 60 y/o pt who had an MI
D. an 80 y/o pt with CHF - ✔✔D
✔✔Which of the following is a contraindication for digoxin administration?
A. BP of 140/90
B. HR>80
C. HR<60
, D. RR>18 - ✔✔C
✔✔The action of medication is inotropic when it:
A. decreases afterload
B. increases heart rate
C. increases the force of contraction
D. is uses to treat CHF - ✔✔C'
✔✔Which is the most important action for the nurse to take before administering
digoxin?
A. monitor the potassium level
B. assess the BP
C. evaluate urinary output
D. avoid giving with a thiazide diuretic - ✔✔A
✔✔The therapeutic drug level for digoxin is:
A. 0.1-2.0
B. 1.0-2.0
C. 0.1-0.5
D. 0.5-2.0 - ✔✔D
✔✔Blurred vision or halos are signs of:
A. beta blocker toxicity
B. digoxin toxicity
C. diuretic toxicity
D. ACE inhibitor toxicity - ✔✔B
✔✔beta blockers should be avoided in which of the following conditions:
A. bronchoconstriction
B. hypertension
C. Angina
D. myocardial infarction - ✔✔A
✔✔You know that the action of nitrates is:
A. smooth muscle contraction
B. vasoconstriction
C. smooth muscle relaxation
D. increase preload - ✔✔C
✔✔A 50 y/o pt is prescribed to take nitrate each day for his condition. You know the
result of nitrate administration is:
A. decreased myocardial oxygen demand
B. increased myocardial oxygen demand
C. increased left ventricular end-diastolic volume
