NCLEX CARDIAC EXAM/ CARDIAC NCLEX
| NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
During the previous few months, a 56-year-old woman felt brief
twinges of chest pain while working in her garden and has had frequent
episodes of indigestion. She comes to the hospital after experiencing
severe anterior chest pain while raking leaves. Her evaluation confirms
a diagnosis of stable angina pectoris. After stabilization and treatment,
the client is discharged from the hospital. At her follow-up
appointment, she is discouraged because she is experiencing pain with
increasing frequency. She states that she is visiting an invalid friend
twice a week and now cannot walk up the second flight of steps to the
friend's apartment without pain. Which of the following measures that
the nurse could suggest would most likely help the client deal with this
problem?
1.Visit her friend earlier in the day.
2.Rest for at least an hour before climbing the stairs.
3.Take a nitroglycerin tablet before climbing the stairs - ✔✔✔ Correct
Answer > 3. Take a nitroglycerin tablet before climbing the stairs.
,Nitroglycerin may be used prophylactically before stressful physical
activities such as stair climbing to help the client remain pain free.
Visiting her friend early in the day would have no impact on decreasing
pain episodes. Resting before or after an activity is not as likely to help
prevent an activity-related pain episode.
Abnormalities of the pulmonic valve are auscultated at the second left
intercostal space along the left sternal border. Aortic valve
abnormalities are heard at the second intercostal space, to the right of
the sternum. Mitral valve abnormalities are heard at the fifth
intercostal space in the midclavicular line. Tricupsid valve abnormalities
are heard at the 3rd and 4th intercostal spaces along the sternal
border.
Which of the following blood tests is most indicative of cardiac
damage?
1.Lactate dehydrogenase
2.Complete blood count (CBC)
3.Troponin I
4.Creatine kinase (CK) - ✔✔✔ Correct Answer > 3. Troponin I
Troponin I levels rise rapidly and are detectable within 1 hour of
myocardial injury. Troponin levels aren't detectable in people without
cardiac injury.
, Which of the following symptoms should the nurse teach the client
with unstable angina to report immediately to her physician?
1.A change in the pattern of her pain
2.Pain during sex
3.Pain during an argument with her husband
4.Pain during or after an activity such as lawnmowing - ✔✔✔ Correct
Answer > 1. A change in the pattern of her pain
The client should report a change in the pattern of chest pain. It may
indicate increasing severity of CAD.
Which of the following arteries primarily feeds the anterior wall of the
heart?
1.Circumflex artery
2.Internal mammary artery
3.Left anterior descending artery
4.Right coronary artery - ✔✔✔ Correct Answer > 3. Left anterior
descending artery
The left anterior descending artery is the primary source of blood flow
for the anterior wall of the heart. The circumflex artery supplies the
lateral wall, the internal mammary supplies the mammary, and the
right coronary artery supplies the inferior wall of the heart.
| NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
During the previous few months, a 56-year-old woman felt brief
twinges of chest pain while working in her garden and has had frequent
episodes of indigestion. She comes to the hospital after experiencing
severe anterior chest pain while raking leaves. Her evaluation confirms
a diagnosis of stable angina pectoris. After stabilization and treatment,
the client is discharged from the hospital. At her follow-up
appointment, she is discouraged because she is experiencing pain with
increasing frequency. She states that she is visiting an invalid friend
twice a week and now cannot walk up the second flight of steps to the
friend's apartment without pain. Which of the following measures that
the nurse could suggest would most likely help the client deal with this
problem?
1.Visit her friend earlier in the day.
2.Rest for at least an hour before climbing the stairs.
3.Take a nitroglycerin tablet before climbing the stairs - ✔✔✔ Correct
Answer > 3. Take a nitroglycerin tablet before climbing the stairs.
,Nitroglycerin may be used prophylactically before stressful physical
activities such as stair climbing to help the client remain pain free.
Visiting her friend early in the day would have no impact on decreasing
pain episodes. Resting before or after an activity is not as likely to help
prevent an activity-related pain episode.
Abnormalities of the pulmonic valve are auscultated at the second left
intercostal space along the left sternal border. Aortic valve
abnormalities are heard at the second intercostal space, to the right of
the sternum. Mitral valve abnormalities are heard at the fifth
intercostal space in the midclavicular line. Tricupsid valve abnormalities
are heard at the 3rd and 4th intercostal spaces along the sternal
border.
Which of the following blood tests is most indicative of cardiac
damage?
1.Lactate dehydrogenase
2.Complete blood count (CBC)
3.Troponin I
4.Creatine kinase (CK) - ✔✔✔ Correct Answer > 3. Troponin I
Troponin I levels rise rapidly and are detectable within 1 hour of
myocardial injury. Troponin levels aren't detectable in people without
cardiac injury.
, Which of the following symptoms should the nurse teach the client
with unstable angina to report immediately to her physician?
1.A change in the pattern of her pain
2.Pain during sex
3.Pain during an argument with her husband
4.Pain during or after an activity such as lawnmowing - ✔✔✔ Correct
Answer > 1. A change in the pattern of her pain
The client should report a change in the pattern of chest pain. It may
indicate increasing severity of CAD.
Which of the following arteries primarily feeds the anterior wall of the
heart?
1.Circumflex artery
2.Internal mammary artery
3.Left anterior descending artery
4.Right coronary artery - ✔✔✔ Correct Answer > 3. Left anterior
descending artery
The left anterior descending artery is the primary source of blood flow
for the anterior wall of the heart. The circumflex artery supplies the
lateral wall, the internal mammary supplies the mammary, and the
right coronary artery supplies the inferior wall of the heart.
