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NCLEX-RN: Cardiovascular Practice Questions and answers

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NCLEX-RN: Cardiovascular Practice Questions and answers

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NCLEX-RN CARDIOVASCULAR PRACTICE QUESTIONS AND
mk mk mk mk



ANSWERS
mk




A mknurse mkassesses mkclients mkon mka mkcardiac mkunit. mkWhich mkclient mkshould mkthe mknurse mkidentify mkas
mkbeing mkat mkgreatest mkrisk mkfor mkthe mkdevelopment mkof mkleft-sided mkheart mkfailure?




a. mkA mk36-year-old mkwoman mkwith mkaortic mkstenosis
b. mkA mk42-year-old mkman mkwith mkpulmonary mkhypertension
c. mkA mk59-year-old mkwoman mkwho mksmokes mkcigarettes mkdaily
d. mkA mk70-year-old mkman mkwho mkhad mka mkcerebral mkvascular mkaccident a. mkA mk36-year-old
mkwoman mkwith mkaortic mkstenosis




Although mkmost mkpeople mkwith mkheart mkfailure mkwill mkhave mkfailure mkthat mkprogresses mkfrom mkleft mkto
mkright, mkit mkis mkpossible mkto mkhave mkleft-sided mkfailure mkalone mkfor mka mkshort mkperiod. mkIt mkis mkalso

mkpossible mkto mkhave mkheart mkfailure mkthat mkprogresses mkfrom mkright mkto mkleft. mkCauses mkof mkleft

mkventricular mkfailure mkinclude mkmitral mkor mkaortic mkvalve mkdisease, mkcoronary mkartery mkdisease, mkand

mkhypertension. mkPulmonary mkhypertension mkand mkchronic mkcigarette mksmoking mkare mkrisk mkfactors

mkfor mkright mkventricular mkfailure. mkA mkcerebral mkvascular mkaccident mkdoes mknot mkincrease mkthe mkrisk

mkof mkheart mkfailure.

A mknurse mkassesses mka mkclient mkin mkan mkoutpatient mkclinic. mkWhich mkstatement mkalerts mkthe mknurse mkto
mkthe mkpossibility mkof mkleft-sided mkheart mkfailure?




a. mkI mkhave mkbeen mkdrinking mkmore mkwater mkthan mkusual.
b. mkI mkam mkawakened mkby mkthe mkneed mkto mkurinate mkat mknight.
c. mkI mkmust mkstop mkhalfway mkup mkthe mkstairs mkto mkcatch mkmy mkbreath.
d. mkI mkhave mkexperienced mkblurred mkvision mkon mkseveral mkoccasions. c. mkI mkmust mkstop mkhalfway mkup
mkthe mkstairs mkto mkcatch mkmy mkbreath.




Clients mkwith mkleft-sided mkheart mkfailure mkreport mkweakness mkor mkfatigue mkwhile mkperforming
mknormal mkactivities mkof mkdaily mkliving, mkas mkwell mkas mkdifficulty mkbreathing, mkor mkcatching mktheir

mkbreath. mkThis mkoccurs mkas mkfluid mkmoves mkinto mkthe mkalveoli. mkNocturia mkis mkoften mkseen mkwith

mkright-sided mkheart mkfailure. mkThirst mkand mkblurred mkvision mkare mknot mkrelated mkto mkheart mkfailure.

A mknurse mkassesses mka mkclient mkadmitted mkto mkthe mkcardiac mkunit. mkWhich mkstatement mkby mkthe mkclient
mkalerts mkthe mknurse mkto mkthe mkpossibility mkof mkright-sided mkheart mkfailure?




a. mkI mksleep mkwith mkfour mkpillows mkat mknight.
b. mkMy mkshoes mkfit mkreally mktight mklately.
c. mkI mkwake mkup mkcoughing mkevery mknight. mk
d. mkI mkhave mktrouble mkcatching mkmy mkbreath. b. mkMy mkshoes mkfit mkreally mktight mklately.

Signs mkof mksystemic mkcongestion mkoccur mkwith mkright-sided mkheart mkfailure. mkFluid mkis mkretained,
mkpressure mkbuilds mkin mkthe mkvenous mksystem, mkand mkperipheral mkedema mkdevelops. mkLeft-sided

mkheart mkfailure mksymptoms mkinclude mkrespiratory mksymptoms. mkOrthopnea, mkcoughing, mkand

mkdifficulty mkbreathing mkall mkcould mkbe mkresults mkof mkleft-sided mkheart mkfailure.

While mkassessing mka mkclient mkon mka mkcardiac mkunit, mka mknurse mkidentifies mkthe mkpresence mkof mkan mkS3
mkgallop. mkWhich mkaction mkshould mkthe mknurse mktake mknext?

,NCLEX-RN CARDIOVASCULAR PRACTICE QUESTIONS AND
mk mk mk mk



ANSWERS
mk




a. mkAssess mkfor mksymptoms mkof mkleft-sided mkheart mkfailure. mk
b. mkDocument mkthis mkas mka mknormal mkfinding.
c. mkCall mkthe mkhealth mkcare mkprovider mkimmediately.
d. mkTransfer mkthe mkclient mkto mkthe mkintensive mkcare mkunit. a. mkAssess mkfor mksymptoms mkof mkleft-
sided mkheart mkfailure. mk

The mkpresence mkof mkan mkS3 mkgallop mkis mkan mkearly mkdiastolic mkfilling mksound mkindicative mkof
mkincreasing mkleft mkventricular mkpressure mkand mkleft mkventricular mkfailure. mkThe mkother mkactions mkare

mknot mkwarranted.

A mknurse mkcares mkfor mka mkclient mkwith mkright-sided mkheart mkfailure. mkThe mkclient mkasks, mkWhy mkdo mkI
mkneed mkto mkweigh mkmyself mkevery mkday? mkHow mkshould mkthe mknurse mkrespond?




a. mkWeight mkis mkthe mkbest mkindication mkthat mkyou mkare mkgaining mkor mklosing mkfluid.
b. mkDaily mkweights mkwill mkhelp mkus mkmake mksure mkthat mkyou're mkeating mkproperly.
c. mkThe mkhospital mkrequires mkthat mkall mkinpatients mkbe mkweighed mkdaily.
d. mkYou mkneed mkto mklose mkweight mkto mkdecrease mkthe mkincidence mkof mkheart mkfailure. a. mkWeight mkis
mkthe mkbest mkindication mkthat mkyou mkare mkgaining mkor mklosing mkfluid.




Daily mkweights mkare mkneeded mkto mkdocument mkfluid mkretention mkor mkfluid mkloss. mkOne mkliter mkof mkfluid
mkequals mk2.2 mkpounds. mkThe mkother mkresponses mkdo mknot mkaddress mkthe mkimportance mkof mkmonitoring

mkfluid mkretention mkor mkloss.

A mknurse mkis mkteaching mka mkclient mkwith mkheart mkfailure mkwho mkhas mkbeen mkprescribed mkenalapril
mk(Vasotec). mkWhich mkstatement mkshould mkthe mknurse mkinclude mkin mkthis mkclients mkteaching?




a. mkAvoid mkusing mksalt mksubstitutes.
b. mkTake mkyour mkmedication mkwith mkfood.
c. mkAvoid mkusing mkaspirin-containing mkproducts. mk
d. mkCheck mkyour mkpulse mkdaily. a. mkAvoid mkusing mksalt mksubstitutes.

Angiotensin-converting mkenzyme mk(ACE) mkinhibitors mksuch mkas mkenalapril mkinhibit mkthe mkexcretion
mkof mkpotassium. mkHyperkalemia mkcan mkbe mka mklife-threatening mkside mkeffect, mkand mkclients mkshould

mkbe mktaught mkto mklimit mkpotassium mkintake. mkSalt mksubstitutes mkare mkcomposed mkof mkpotassium

mkchloride. mkACE mkinhibitors mkdo mknot mkneed mkto mkbe mktaken mkwith mkfood mkand mkhave mkno mkimpact mkon

mkthe mkclients mkpulse mkrate. mkAspirin mkis mkoften mkprescribed mkin mkconjunction mkwith mkACE mkinhibitors

mkand mkis mknot mkcontraindicated.

After mkadministering mknewly mkprescribed mkcaptopril mk(Capoten) mkto mka mkclient mkwith mkheart mkfailure,
mkthe mknurse mkimplements mkinterventions mkto mkdecrease mkcomplications. mkWhich mkpriority

mkintervention mkshould mkthe mknurse mkimplement mkfor mkthis mkclient?




a. mkProvide mkfood mkto mkdecrease mknausea mkand mkaid mkin mkabsorption.
b. mkInstruct mkthe mkclient mkto mkask mkfor mkassistance mkwhen mkrising mkfrom mkbed.
c. mkCollaborate mkwith mkunlicensed mkassistive mkpersonnel mkto mkbathe mkthe mkclient. mk

, NCLEX-RN CARDIOVASCULAR PRACTICE QUESTIONS AND
mk mk mk mk



ANSWERS
mk




d. mkMonitor mkpotassium mklevels mkand mkcheck mkfor mksymptoms mkof mkhypokalemia. b. mkInstruct
mkthe mkclient mkto mkask mkfor mkassistance mkwhen mkrising mkfrom mkbed.




Administration mkof mkthe mkfirst mkdose mkof mkangiotensin-converting mkenzyme mk(ACE) mkinhibitors mkis
mkoften mkassociated mkwith mkhypotension, mkusually mktermed mkfirst-dose mkeffect. mkThe mknurse mkshould

mkinstruct mkthe mkclient mkto mkseek mkassistance mkbefore mkarising mkfrom mkbed mkto mkprevent mkinjury mkfrom

mkpostural mkhypotension. mkACE mkinhibitors mkdo mknot mkneed mkto mkbe mktaken mkwith mkfood.

mkCollaboration mkwith mkunlicensed mkassistive mkpersonnel mkto mkprovide mkhygiene mkis mknot mka mkpriority.

mkThe mkclient mkshould mkbe mkencouraged mkto mkcomplete mkactivities mkof mkdaily mkliving mkas

mkindependently mkas mkpossible. mkThe mknurse mkshould mkmonitor mkfor mkhyperkalemia, mknot

mkhypokalemia, mkespecially mkif mkthe mkclient mkhas mkrenal mkinsufficiency mksecondary mkto mkheart

mkfailure.

A mknurse mkassesses mka mkclient mkafter mkadministering mkisosorbide mkmononitrate mk(Imdur). mkThe
mkclient mkreports mka mkheadache. mkWhich mkaction mkshould mkthe mknurse mktake?




a. mkInitiate mkoxygen mktherapy.
b. mkHold mkthe mknext mkdose mkof mkImdur.
c. mkInstruct mkthe mkclient mkto mkdrink mkwater.
d. mkAdminister mkPRN mkacetaminophen. d. mkAdminister mkPRN mkacetaminophen.

The mkvasodilating mkeffects mkof mkisosorbide mkmononitrate mkfrequently mkcause mkclients mkto mkhave
mkheadaches mkduring mkthe mkinitial mkperiod mkof mktherapy. mkClients mkshould mkbe mktold mkabout mkthis mkside

mkeffect mkand mkencouraged mkto mktake mkthe mkmedication mkwith mkfood. mkSome mkclients mkobtain mkrelief

mkwith mkmild mkanalgesics, mksuch mkas mkacetaminophen. mkThe mkclients mkheadache mkis mknot mkrelated mkto

mkhypoxia mkor mkdehydration; mktherefore, mkthese mkinterventions mkwould mknot mkhelp. mkThe mkclient

mkneeds mkto mktake mkthe mkmedication mkas mkprescribed mkto mkprevent mkangina; mkthe mkmedication mkshould

mknot mkbe mkheld.

A mknurse mkteaches mka mkclient mkwho mkis mkprescribed mkdigoxin mk(Lanoxin) mktherapy. mkWhich
mkstatement mkshould mkthe mknurse mkinclude mkin mkthis mkclients mkteaching?




a. mkAvoid mktaking mkaspirin mkor mkaspirin-containing mkproducts.
b. mkIncrease mkyour mkintake mkof mkfoods mkthat mkare mkhigh mkin mkpotassium.
c. mkHold mkthis mkmedication mkif mkyour mkpulse mkrate mkis mkbelow mk80 mkbeats/min.
d. mkDo mknot mktake mkthis mkmedication mkwithin mk1 mkhour mkof mktaking mkan mkantacid. d. mkDo mknot
mktake mkthis mkmedication mkwithin mk1 mkhour mkof mktaking mkan mkantacid.




Gastrointestinal mkabsorption mkof mkdigoxin mkis mkerratic. mkMany mkmedications, mkespecially mkantacids,
mkinterfere mkwith mkits mkabsorption. mkClients mkare mktaught mkto mkhold mktheir mkdigoxin mkfor mkbradycardia;

mka mkheart mkrate mkof mk80 mkbeats/min mkis mktoo mkhigh mkfor mkthis mkcutoff. mkPotassium mkand mkaspirin mkhave

mkno mkimpact mkon mkdigoxin mkabsorption, mknor mkdo mkthese mkstatements mkdecrease mkcomplications mkof

mkdigoxin mktherapy.

A mknurse mkteaches mka mkclient mkwho mkhas mka mkhistory mkof mkheart mkfailure. mkWhich mkstatement mkshould
mkthe mknurse mkinclude mkin mkthis mkclients mkdischarge mkteaching?

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September 9, 2026
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