©THEBRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
NCLEX 10000 Cardiovascular Exam
Questions And Answers 100% Pass.
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: - answer✔digoxin toxicity
A client is admitted to the hospital through the emergency department with chest pain. Which
intervention is the priority? - 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? -
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?
- 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? -
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: - 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? - 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: - answer✔inquire about the onset, duration, severity, and
precipitating factors of the heaviness
, ©THEBRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
What is a priority nursing assessment in the first 24 hours after admission of the client with a
thrombotic stroke? - 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? -
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: - 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? - 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? - 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: - answer✔acute pulmonary edema
Which symptom should the nurse teach the client with unstable angina to report immediately to
the health care provider (HCP)? - 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? - 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? - 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: - 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? - answer✔stabilizing heart rate and blood pressure and easing anxiety
What is the expected outcome of thrombolytic drug therapy for stroke? - answer✔dissolved
emboli
, ©THEBRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
A client is receiving pentoxifylline for intermittent claudication. The nurse should determine the
effectiveness of the drug by asking if the client: - 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: - 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 notify the health care provider (HCP) before having:
- answer✔major dental work
A nurse is caring for a client who had a three-vessel coronary bypass graft 4 days earlier. His
cholesterol profile is as follows: total cholesterol 265 mg/dl (6.845 mmol/L), low-density
lipoprotein (LDL) 139 mg/dl (3.603 mmol/L), and high-density lipoprotein (HDL) 32 mg/dl
(0.829 mmol/L). The client asks the nurse how to lower his cholesterol. The nurse should tell the
client that: - answer✔shell ask the dietitian to talk with him about modifying his diet
A client is in hypovolemic shock. In which position should the nurse place the client? -
answer✔supine with the legs elevated 15 degrees
A client with peripheral vascular disease has undergone a right femoral-popliteal bypass graft.
The blood pressure has decreased from 124/80 mm Hg to 88/62 mm Hg. What should the nurse
assess first? - answer✔pedal pulses
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 - answer✔digoxin toxicity
A visiting nurse is teaching a client with heart failure about taking his medications. The client
requires six different medications that are taken at four different times per day. The client is
confused about when to take each medication. How should the nurse intervene? - answer✔teach
a family member to fill a medication compliance aid once per week
The nurse is preparing to defibrillate a client on a cardiac monitor who is in ventricular
fibrillation (see photo). What should the nurse do? - answer✔after pressing the change button
and calling all clear push the shock button
A client has acute arterial occlusion. The health care provider (HCP) has prescribed IV heparin.
Before starting the medication, the nurse should - answer✔review the blood coagulation lab
values
10/21/2024 9:24 PM
NCLEX 10000 Cardiovascular Exam
Questions And Answers 100% Pass.
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: - answer✔digoxin toxicity
A client is admitted to the hospital through the emergency department with chest pain. Which
intervention is the priority? - 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? -
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?
- 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? -
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: - 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? - 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: - answer✔inquire about the onset, duration, severity, and
precipitating factors of the heaviness
, ©THEBRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
What is a priority nursing assessment in the first 24 hours after admission of the client with a
thrombotic stroke? - 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? -
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: - 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? - 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? - 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: - answer✔acute pulmonary edema
Which symptom should the nurse teach the client with unstable angina to report immediately to
the health care provider (HCP)? - 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? - 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? - 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: - 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? - answer✔stabilizing heart rate and blood pressure and easing anxiety
What is the expected outcome of thrombolytic drug therapy for stroke? - answer✔dissolved
emboli
, ©THEBRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
A client is receiving pentoxifylline for intermittent claudication. The nurse should determine the
effectiveness of the drug by asking if the client: - 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: - 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 notify the health care provider (HCP) before having:
- answer✔major dental work
A nurse is caring for a client who had a three-vessel coronary bypass graft 4 days earlier. His
cholesterol profile is as follows: total cholesterol 265 mg/dl (6.845 mmol/L), low-density
lipoprotein (LDL) 139 mg/dl (3.603 mmol/L), and high-density lipoprotein (HDL) 32 mg/dl
(0.829 mmol/L). The client asks the nurse how to lower his cholesterol. The nurse should tell the
client that: - answer✔shell ask the dietitian to talk with him about modifying his diet
A client is in hypovolemic shock. In which position should the nurse place the client? -
answer✔supine with the legs elevated 15 degrees
A client with peripheral vascular disease has undergone a right femoral-popliteal bypass graft.
The blood pressure has decreased from 124/80 mm Hg to 88/62 mm Hg. What should the nurse
assess first? - answer✔pedal pulses
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 - answer✔digoxin toxicity
A visiting nurse is teaching a client with heart failure about taking his medications. The client
requires six different medications that are taken at four different times per day. The client is
confused about when to take each medication. How should the nurse intervene? - answer✔teach
a family member to fill a medication compliance aid once per week
The nurse is preparing to defibrillate a client on a cardiac monitor who is in ventricular
fibrillation (see photo). What should the nurse do? - answer✔after pressing the change button
and calling all clear push the shock button
A client has acute arterial occlusion. The health care provider (HCP) has prescribed IV heparin.
Before starting the medication, the nurse should - answer✔review the blood coagulation lab
values
