NCLEX 10000 Cardiovascular |240 questions| with
correct answers
An 80-year-old client is admitted with nausea and vomiting. The client
has a history of heart failure and is being treated with digoxin. The client
has been nauseated for a week and began vomiting 2 days ago.
Laboratory values indicate hypokalemia. Because of these clinical
findings, the nurse should assess the client carefully for: Correct
Answer-digoxin toxicity
A client is admitted to the hospital through the emergency department
with chest pain. Which intervention is the priority? Correct Answer-
assessing troponin 1 levels
A client is receiving nitroglycerin ointment to treat angina pectoris. The
nurse evaluates the therapeutic effectiveness of this drug by assessing
the client's response and checking for adverse effects. Which vital sign is
most likely to reflect an adverse effect of nitroglycerin? Correct Answer-
blood pressure 84/52 mm Hg
An older adult takes two 81-mg aspirin tablets daily to prevent a heart
attack. The client reports having a constant "ringing" in both ears. How
should the nurse respond to the client's comment? Correct Answer-
explain to the client that the "ringing" may be related to the aspirin
A client who has been experiencing angina has a new prescription for
nitroglycerin. The nurse should instruct the client to report having which
potential side effect of nitroglycerin? Correct Answer-headache
,The nurse is taking a nursing history from a client prior to surgery.
Which information in the client's history would have a significant impact
on the client's recovery postoperatively? The client: Correct Answer-has
smoked 1 pack of cigarettes a day for 12 years
A client has been diagnosed with atrial fibrillation. The health care
provider (HCP) prescribed warfarin to be taken on a daily basis. The
nurse instructs the client to avoid using which over-the-counter
medication while taking warfarin? Correct Answer-aspirin
A 68-year-old client on day 2 after hip surgery has no cardiac history but
reports having chest heaviness. The nurse should first: Correct Answer-
inquire about the onset, duration, severity, and precipitating factors of
the heaviness
What is a priority nursing assessment in the first 24 hours after
admission of the client with a thrombotic stroke? Correct Answer-pupil
size and pupillary response
What mechanical device increases coronary perfusion and cardiac output
and decreases myocardial workload and oxygen consumption in a client
with cardiogenic shock? Correct Answer-intra-aortic balloon pump
A client with a history of coronary artery disease (CAD) has been
diagnosed with peripheral arterial disease. The health care provider
(HCP) started the client on pentoxifylline once daily. Approximately 1
hour after receiving the initial dose of pentoxifylline, the client reports
,having chest pain. The nurse should first: Correct Answer-inform the
HCP
A nurse is caring for a client with type 2 diabetes who has had a
myocardial infarction (MI) and is reporting nausea, vomiting, dyspnea,
and substernal chest pain. Which of the following is the priority
intervention? Correct Answer-control the pain and support breathing and
oxygenation
Which information about sublingual nitroglycerin tablets should the
nurse include when instructing the client with angina? Correct Answer-
store the tablets in a tight, light-resistant container.
A client with left-sided heart failure complains of increasing shortness of
breath and is agitated and coughing up pink-tinged, foamy sputum. The
nurse should recognize these findings as signs and symptoms of: Correct
Answer-acute pulmonary edema
Which symptom should the nurse teach the client with unstable angina
to report immediately to the health care provider (HCP)? Correct
Answer-a change in the pattern of the chest pain
A nurse is evaluating a client who had a myocardial infarction (MI) 7
days earlier. Which outcome indicates that the client is responding
favorably to therapy? Correct Answer-the client demonstrates ability to
tolerate more activity without chest pain
, Which food should the nurse teach a client with heart failure to limit
when following a 2-gram sodium diet? Correct Answer-canned tomato
juice
The nurse is assessing a cliet who has a history of peripheral vascular
disease. The nurse observes that the left great toe is black. The
discoloration is likely a result of: Correct Answer-gangrene
A physician admits a client to the health care facility for treatment of an
abdominal aortic aneurysm. When planning this client's care, which goal
should the nurse keep in mind as she formulates interventions? Correct
Answer-stabilizing heart rate and blood pressure and easing anxiety
What is the expected outcome of thrombolytic drug therapy for stroke?
Correct Answer-dissolved emboli
A client is receiving pentoxifylline for intermittent claudication. The
nurse should determine the effectiveness of the drug by asking if the
client: Correct Answer-has less pain in the legs
A client is taking spironolactone to control her hypertension. Her serum
potassium level is [6 mEq/L (56mmol/L)]. For this client, the nurse's
priority should be to assess her: Correct Answer-ECG results
A client is discharged after an aortic aneurysm repair with a synthetic
graft to replace part of the aorta. The nurse should instruct the client to
correct answers
An 80-year-old client is admitted with nausea and vomiting. The client
has a history of heart failure and is being treated with digoxin. The client
has been nauseated for a week and began vomiting 2 days ago.
Laboratory values indicate hypokalemia. Because of these clinical
findings, the nurse should assess the client carefully for: Correct
Answer-digoxin toxicity
A client is admitted to the hospital through the emergency department
with chest pain. Which intervention is the priority? Correct Answer-
assessing troponin 1 levels
A client is receiving nitroglycerin ointment to treat angina pectoris. The
nurse evaluates the therapeutic effectiveness of this drug by assessing
the client's response and checking for adverse effects. Which vital sign is
most likely to reflect an adverse effect of nitroglycerin? Correct Answer-
blood pressure 84/52 mm Hg
An older adult takes two 81-mg aspirin tablets daily to prevent a heart
attack. The client reports having a constant "ringing" in both ears. How
should the nurse respond to the client's comment? Correct Answer-
explain to the client that the "ringing" may be related to the aspirin
A client who has been experiencing angina has a new prescription for
nitroglycerin. The nurse should instruct the client to report having which
potential side effect of nitroglycerin? Correct Answer-headache
,The nurse is taking a nursing history from a client prior to surgery.
Which information in the client's history would have a significant impact
on the client's recovery postoperatively? The client: Correct Answer-has
smoked 1 pack of cigarettes a day for 12 years
A client has been diagnosed with atrial fibrillation. The health care
provider (HCP) prescribed warfarin to be taken on a daily basis. The
nurse instructs the client to avoid using which over-the-counter
medication while taking warfarin? Correct Answer-aspirin
A 68-year-old client on day 2 after hip surgery has no cardiac history but
reports having chest heaviness. The nurse should first: Correct Answer-
inquire about the onset, duration, severity, and precipitating factors of
the heaviness
What is a priority nursing assessment in the first 24 hours after
admission of the client with a thrombotic stroke? Correct Answer-pupil
size and pupillary response
What mechanical device increases coronary perfusion and cardiac output
and decreases myocardial workload and oxygen consumption in a client
with cardiogenic shock? Correct Answer-intra-aortic balloon pump
A client with a history of coronary artery disease (CAD) has been
diagnosed with peripheral arterial disease. The health care provider
(HCP) started the client on pentoxifylline once daily. Approximately 1
hour after receiving the initial dose of pentoxifylline, the client reports
,having chest pain. The nurse should first: Correct Answer-inform the
HCP
A nurse is caring for a client with type 2 diabetes who has had a
myocardial infarction (MI) and is reporting nausea, vomiting, dyspnea,
and substernal chest pain. Which of the following is the priority
intervention? Correct Answer-control the pain and support breathing and
oxygenation
Which information about sublingual nitroglycerin tablets should the
nurse include when instructing the client with angina? Correct Answer-
store the tablets in a tight, light-resistant container.
A client with left-sided heart failure complains of increasing shortness of
breath and is agitated and coughing up pink-tinged, foamy sputum. The
nurse should recognize these findings as signs and symptoms of: Correct
Answer-acute pulmonary edema
Which symptom should the nurse teach the client with unstable angina
to report immediately to the health care provider (HCP)? Correct
Answer-a change in the pattern of the chest pain
A nurse is evaluating a client who had a myocardial infarction (MI) 7
days earlier. Which outcome indicates that the client is responding
favorably to therapy? Correct Answer-the client demonstrates ability to
tolerate more activity without chest pain
, Which food should the nurse teach a client with heart failure to limit
when following a 2-gram sodium diet? Correct Answer-canned tomato
juice
The nurse is assessing a cliet who has a history of peripheral vascular
disease. The nurse observes that the left great toe is black. The
discoloration is likely a result of: Correct Answer-gangrene
A physician admits a client to the health care facility for treatment of an
abdominal aortic aneurysm. When planning this client's care, which goal
should the nurse keep in mind as she formulates interventions? Correct
Answer-stabilizing heart rate and blood pressure and easing anxiety
What is the expected outcome of thrombolytic drug therapy for stroke?
Correct Answer-dissolved emboli
A client is receiving pentoxifylline for intermittent claudication. The
nurse should determine the effectiveness of the drug by asking if the
client: Correct Answer-has less pain in the legs
A client is taking spironolactone to control her hypertension. Her serum
potassium level is [6 mEq/L (56mmol/L)]. For this client, the nurse's
priority should be to assess her: Correct Answer-ECG results
A client is discharged after an aortic aneurysm repair with a synthetic
graft to replace part of the aorta. The nurse should instruct the client to
