NCLEX 10000 Cardiovascular Exam Questions With
Complete Solutions
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
A client arrives at the emergency department with a heart rate of
210 beats/minute and the following pattern on the cardiac
monitor. The nurse is correct to alert the health care provider to
the presence of which disorder? Correct Answer atrial flutter
A client arrives in the emergency department reporting intense
pain in the abdomen and tells the nurse that it feels like a
heartbeat in the abdomen. Which nursing assessment would
indicate potential rupture of an aortic aneurysm? Correct
Answer the client reports increasing severe back pain
A client arrives in the emergency department with an ischemic
stroke. Because the health care team is considering
administering tissue plasminogen activator (t-PA)
administration, the nurse should first: Correct Answer identify
the time of the onset of the stroke
A client comes to the emergency department complaining of
chest pain. An electrocardiogram (ECG) reveals myocardial
ischemia and an anterior-wall myocardial infarction (MI).
Which ECG characteristic does the nurse expect to see? Correct
Answer elevated ST segment
,A client comes to the physician's office for a follow-up visit 4
weeks after suffering a myocardial infarction (MI). The nurse
takes this opportunity to evaluate the client's knowledge of the
ordered cardiac rehabilitation program. Which evaluation
statement suggests that the client needs more instruction?
Correct Answer client walks 4 miles in 1 hours every day
A client had a repair of a thoracoabdominal aneurysm 2 days
ago. Which finding should the nurse consider unexpected and
report to the health care provider (HCP) immediately? Correct
Answer weakness and numbness in he lower extremities
A client has a blockage in the proximal portion of a coronary
artery. After learning about treatment options, the client decides
to undergo percutaneous transluminal coronary angioplasty
(PTCA). During this procedure, the nurse expects to administer
an: Correct Answer anticoagulant
A client has a heart rate of 170 beats/minute. The physician
diagnoses ventricular tachycardia and orders lidocaine
hydrochloride, an initial I.V. bolus of 50 mg followed in 5
minutes by a second 50-mg bolus, then continuous I.V. infusion
at 2 mg/minute. The nurse can expect the client to begin
experiencing an antiarrhythmic effect within: Correct Answer 1
-2 min after IV bolus admin
A client has a history of heart failure and has been prescribed
furosemide, digoxin, and potassium chloride. The client has
nausea, blurred vision, headache, and weakness. The nurse notes
that the client is confused. The telemetry strip shows first-degree
,atrioventricular block. The nurse should assess the client for
signs of Correct Answer digoxin toxicity
A client has a history of heart failure and has been prescribed
furosemide, digoxin, and potassium chloride. The client has
nausea, blurred vision, headache, and weakness. The nurse notes
that the client is confused. The telemetry strip shows first-degree
atrioventricular block. The nurse should assess the client for
signs of: Correct Answer digoxin toxicity
A client has a total serum cholesterol level of 326 mg/dL (8.44
mmol/L). The nurse explains to the client that this level: Correct
Answer is high and will require dietary modification
A client has acute arterial occlusion. The health care provider
(HCP) has prescribed IV heparin. Before starting the
medication, the nurse should Correct Answer review the blood
coagulation lab values
A client has acute arterial occlusion. The health care provider
(HCP) has prescribed IV heparin. Before starting the
medication, the nurse should: Correct Answer review the blood
coagulation lab values
A client has atrial fibrillation and a heart rate of 165 bpm. In
which order from first to last should the nurse implement these
prescriptions? All options must be used. Correct Answer
administer oxygen via nasal cannula
place client on ECG
obtain vital signs
gather supplies
, 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 client has been diagnosed with peripheral arterial occlusive
disease. In order to promote circulation to the extremities, the
nurse should instruct the client to Correct Answer participate in
a regular walking program
A client has been diagnosed with right-sided heart failure. The
nurse should assess the client further for: Correct Answer
dependent edema
A client has sudden, severe pain in the back and chest,
accompanied by shortness of breath. The client describes the
pain as a "tearing" sensation. The health care provider (HCP)
suspects the client is experiencing a dissecting aortic aneurysm.
The emergency supply cart is brought into the room because one
complication of a dissecting aneurysm is: Correct Answer
cardiac tamponade
A client has undergone an amputation of three toes and a
femoral-popliteal bypass. The nurse should teach the client that
after surgery which leg position is contraindicated while sitting
in a chair? Correct Answer crossing the legs
A client in the emergency department complains of squeezing
substernal pain that radiates to the left shoulder and jaw. He also
Complete Solutions
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
A client arrives at the emergency department with a heart rate of
210 beats/minute and the following pattern on the cardiac
monitor. The nurse is correct to alert the health care provider to
the presence of which disorder? Correct Answer atrial flutter
A client arrives in the emergency department reporting intense
pain in the abdomen and tells the nurse that it feels like a
heartbeat in the abdomen. Which nursing assessment would
indicate potential rupture of an aortic aneurysm? Correct
Answer the client reports increasing severe back pain
A client arrives in the emergency department with an ischemic
stroke. Because the health care team is considering
administering tissue plasminogen activator (t-PA)
administration, the nurse should first: Correct Answer identify
the time of the onset of the stroke
A client comes to the emergency department complaining of
chest pain. An electrocardiogram (ECG) reveals myocardial
ischemia and an anterior-wall myocardial infarction (MI).
Which ECG characteristic does the nurse expect to see? Correct
Answer elevated ST segment
,A client comes to the physician's office for a follow-up visit 4
weeks after suffering a myocardial infarction (MI). The nurse
takes this opportunity to evaluate the client's knowledge of the
ordered cardiac rehabilitation program. Which evaluation
statement suggests that the client needs more instruction?
Correct Answer client walks 4 miles in 1 hours every day
A client had a repair of a thoracoabdominal aneurysm 2 days
ago. Which finding should the nurse consider unexpected and
report to the health care provider (HCP) immediately? Correct
Answer weakness and numbness in he lower extremities
A client has a blockage in the proximal portion of a coronary
artery. After learning about treatment options, the client decides
to undergo percutaneous transluminal coronary angioplasty
(PTCA). During this procedure, the nurse expects to administer
an: Correct Answer anticoagulant
A client has a heart rate of 170 beats/minute. The physician
diagnoses ventricular tachycardia and orders lidocaine
hydrochloride, an initial I.V. bolus of 50 mg followed in 5
minutes by a second 50-mg bolus, then continuous I.V. infusion
at 2 mg/minute. The nurse can expect the client to begin
experiencing an antiarrhythmic effect within: Correct Answer 1
-2 min after IV bolus admin
A client has a history of heart failure and has been prescribed
furosemide, digoxin, and potassium chloride. The client has
nausea, blurred vision, headache, and weakness. The nurse notes
that the client is confused. The telemetry strip shows first-degree
,atrioventricular block. The nurse should assess the client for
signs of Correct Answer digoxin toxicity
A client has a history of heart failure and has been prescribed
furosemide, digoxin, and potassium chloride. The client has
nausea, blurred vision, headache, and weakness. The nurse notes
that the client is confused. The telemetry strip shows first-degree
atrioventricular block. The nurse should assess the client for
signs of: Correct Answer digoxin toxicity
A client has a total serum cholesterol level of 326 mg/dL (8.44
mmol/L). The nurse explains to the client that this level: Correct
Answer is high and will require dietary modification
A client has acute arterial occlusion. The health care provider
(HCP) has prescribed IV heparin. Before starting the
medication, the nurse should Correct Answer review the blood
coagulation lab values
A client has acute arterial occlusion. The health care provider
(HCP) has prescribed IV heparin. Before starting the
medication, the nurse should: Correct Answer review the blood
coagulation lab values
A client has atrial fibrillation and a heart rate of 165 bpm. In
which order from first to last should the nurse implement these
prescriptions? All options must be used. Correct Answer
administer oxygen via nasal cannula
place client on ECG
obtain vital signs
gather supplies
, 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 client has been diagnosed with peripheral arterial occlusive
disease. In order to promote circulation to the extremities, the
nurse should instruct the client to Correct Answer participate in
a regular walking program
A client has been diagnosed with right-sided heart failure. The
nurse should assess the client further for: Correct Answer
dependent edema
A client has sudden, severe pain in the back and chest,
accompanied by shortness of breath. The client describes the
pain as a "tearing" sensation. The health care provider (HCP)
suspects the client is experiencing a dissecting aortic aneurysm.
The emergency supply cart is brought into the room because one
complication of a dissecting aneurysm is: Correct Answer
cardiac tamponade
A client has undergone an amputation of three toes and a
femoral-popliteal bypass. The nurse should teach the client that
after surgery which leg position is contraindicated while sitting
in a chair? Correct Answer crossing the legs
A client in the emergency department complains of squeezing
substernal pain that radiates to the left shoulder and jaw. He also
