Cardiovascular NCLEX-PN Actual
Exam-A Grade | Questions & Correct
Answers
A client is admitted to the hospital with possible rheumatic endocarditis. The nurse should
check for a history of which type of infection? - ✔✔Streptococcal infection
The nurse is working with a client who has been diagnosed with Prinzmetal's (variant) angina.
The nurse plans to reinforce which information about this type of angina when teaching the
client? - ✔✔Prinzmetal's angina is generally treated with calcium channel blocking agents.
The client scheduled for a right femoropopliteal bypass graft is at risk for compromised tissue
perfusion to the extremity. The nurse takes which action before surgery to address this risk? -
✔✔Marking the location of the pedal pulses on the right leg
A client with a diagnosis of heart failure (HF) is preparing for discharge to home from the
hospital. Which condition indicates the client is ready for discharge to home? - ✔✔The
client can verbally describe the daily medications, doses, and times to be administered
An adult client just admitted to the hospital with heart failure also has a history of diabetes
mellitus. The nurse calls the health care provider to verify a prescription for which
medication that the client was taking before admission? - ✔✔Chlorpropamide
,An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The
client suddenly develops chest pain. Which question best assists the nurse to discriminate
pain caused by a noncardiac problem? - ✔✔"Does the pain get worse when you breathe
in?"
The nurse has completed nutritional counseling with an overweight client about weight
reduction to modify the risk for coronary artery disease (CAD). The nurse should determine
the teaching is successful if the client states that which weight loss goal is safe? - ✔✔Two
pounds per week
A client being seen in the emergency department for complaints of chest pain confides in the
nurse about regular use of cocaine as a recreational drug. The nurse takes which important
action in delivering holistic nursing care to this client? - ✔✔Teaches about the effects of
cocaine on the heart and offers referral for further help
The nurse is caring for a client who has a malignant lung neoplasm and has developed
cardiopulmonary complications. On auscultation, the nurse hears these breath sounds over
the left lower sternal border (over the apical area) and interprets the sounds as which? (Refer
to audio.)
Play Sound - ✔✔Pericardial friction rub
The health care provider is discharging a client with a diagnosis of chronic heart failure.
Which health maintenance instructions should the nurse reinforce in the discharge teaching
plan? Select all that apply. - ✔✔Obtain annual influenza vaccination
Avoid adding salt to foods or in cooking
Report a weight gain of 3 or more pounds in a week
, The nurse is auscultating a client's heart sounds and hears these sounds. (Refer to audio.)
The nurse identifies these as being produced during which phase of the cardiac cycle?
Play Sound - ✔✔Passive filling phase of ventricles
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which statement by the client indicates understanding of this stress
reduction measure? - ✔✔"The best thing about this is that I can use it anywhere,
anytime."
The nurse is told during shift report that a client is having occasional ventricular
dysrhythmias. The nurse reviews the client's laboratory results, recalling that which
electrolyte imbalance could be responsible for this development? - ✔✔Hypokalemia
The nurse is monitoring a client following cardioversion. Which observations should be
of highest priority to the nurse? - ✔✔Status of airway
A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care
provider is going to perform carotid massage. The nurse responds that this procedure
may stimulate which? - ✔✔Vagus nerve to slow the heart rate
A client seeks medical attention for intermittent episodes in which the fingers of both hands
become cold, pale, and numb. The client states that they then become reddened and swollen
with a throbbing, achy pain and Raynaud's disease is diagnosed. Which factor would
precipitate these episodes? - ✔✔Ingestion of coffee or chocolate
The nurse is caring for a client diagnosed with Buerger's disease. Which finding should the
nurse determine is a potential complication associated with this disease? -
✔✔Numbness and tingling in the legs
Exam-A Grade | Questions & Correct
Answers
A client is admitted to the hospital with possible rheumatic endocarditis. The nurse should
check for a history of which type of infection? - ✔✔Streptococcal infection
The nurse is working with a client who has been diagnosed with Prinzmetal's (variant) angina.
The nurse plans to reinforce which information about this type of angina when teaching the
client? - ✔✔Prinzmetal's angina is generally treated with calcium channel blocking agents.
The client scheduled for a right femoropopliteal bypass graft is at risk for compromised tissue
perfusion to the extremity. The nurse takes which action before surgery to address this risk? -
✔✔Marking the location of the pedal pulses on the right leg
A client with a diagnosis of heart failure (HF) is preparing for discharge to home from the
hospital. Which condition indicates the client is ready for discharge to home? - ✔✔The
client can verbally describe the daily medications, doses, and times to be administered
An adult client just admitted to the hospital with heart failure also has a history of diabetes
mellitus. The nurse calls the health care provider to verify a prescription for which
medication that the client was taking before admission? - ✔✔Chlorpropamide
,An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The
client suddenly develops chest pain. Which question best assists the nurse to discriminate
pain caused by a noncardiac problem? - ✔✔"Does the pain get worse when you breathe
in?"
The nurse has completed nutritional counseling with an overweight client about weight
reduction to modify the risk for coronary artery disease (CAD). The nurse should determine
the teaching is successful if the client states that which weight loss goal is safe? - ✔✔Two
pounds per week
A client being seen in the emergency department for complaints of chest pain confides in the
nurse about regular use of cocaine as a recreational drug. The nurse takes which important
action in delivering holistic nursing care to this client? - ✔✔Teaches about the effects of
cocaine on the heart and offers referral for further help
The nurse is caring for a client who has a malignant lung neoplasm and has developed
cardiopulmonary complications. On auscultation, the nurse hears these breath sounds over
the left lower sternal border (over the apical area) and interprets the sounds as which? (Refer
to audio.)
Play Sound - ✔✔Pericardial friction rub
The health care provider is discharging a client with a diagnosis of chronic heart failure.
Which health maintenance instructions should the nurse reinforce in the discharge teaching
plan? Select all that apply. - ✔✔Obtain annual influenza vaccination
Avoid adding salt to foods or in cooking
Report a weight gain of 3 or more pounds in a week
, The nurse is auscultating a client's heart sounds and hears these sounds. (Refer to audio.)
The nurse identifies these as being produced during which phase of the cardiac cycle?
Play Sound - ✔✔Passive filling phase of ventricles
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which statement by the client indicates understanding of this stress
reduction measure? - ✔✔"The best thing about this is that I can use it anywhere,
anytime."
The nurse is told during shift report that a client is having occasional ventricular
dysrhythmias. The nurse reviews the client's laboratory results, recalling that which
electrolyte imbalance could be responsible for this development? - ✔✔Hypokalemia
The nurse is monitoring a client following cardioversion. Which observations should be
of highest priority to the nurse? - ✔✔Status of airway
A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care
provider is going to perform carotid massage. The nurse responds that this procedure
may stimulate which? - ✔✔Vagus nerve to slow the heart rate
A client seeks medical attention for intermittent episodes in which the fingers of both hands
become cold, pale, and numb. The client states that they then become reddened and swollen
with a throbbing, achy pain and Raynaud's disease is diagnosed. Which factor would
precipitate these episodes? - ✔✔Ingestion of coffee or chocolate
The nurse is caring for a client diagnosed with Buerger's disease. Which finding should the
nurse determine is a potential complication associated with this disease? -
✔✔Numbness and tingling in the legs
