2025 LATEST EDITION | (Complete) Cardiovascular NCLEX-RN
Comprehensive Questions and Correct Answers 100% Verified Latest Update|
NCLEX CARDIOVASCULAR
A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours
before the procedure and for 48 hours after the procedure?
1. Regular insulin
2. Glipizide (Glucotrol)
3. Repaglinide (Prandin)
4. Metformin (Glucophage) - (answers)ANS: 4
主题的中文文章？
Rationale: Metformin (Glucophage) needs to be withheld 24 hours before and for 48 hours after
cardiac catheterization because of the injection of contrast medium during the procedure. If the
contrast medium affects kidney function, with metformin in the system, the client would be at
increased risk for lactic acidosis. The medications in the remaining options do not need to be
withheld 24 hours before and 48
hours after cardiac catheterization.
The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops
extreme dyspnea, tachycardia, and lung crackles and the nurse suspects pulmonary edema. The
nurse immediately asks another nurse to contact the health care provider and prepares to
implement which priority interventions? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low Fowler's side-lying positio - (answers)ANS: 1, 2, 3, 4
, Rationale: Pulmonary edema is a life-threatening event that can result from severe heart failure.
In pulmonary edema, the left ventricle fails to eject sufficient blood, and pressure increases in the
lungs because of the accumulated blood. Oxygen is always prescribed, and the client is placed in
a high Fowler's position to ease the work of breathing. Furosemide, a rapid-acting diuretic, will
eliminate accumulated fluid. A Foley catheter is inserted to measure output accurately.
Intravenously administered morphine sulfate reduces venous return (preload), decreases anxiety,
and also reduces the work of breathing. Transporting the client to the coronary care unit is not a
priority intervention. In fact, this may not be necessary at all if the client's response to treatment
is successful.
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger,
and begins coughing frothy, pink-tinged sputum. Which finding would the nurse anticipate when
auscultating the client's breath sounds?
1. Stridor
主题的中文文章？
2. Crackles
3. Scattered rhonchi
4. Diminished breath sounds - (answers)ANS: 2
Rationale: Pulmonary edema is characterized by extreme breathlessness, dyspnea, air hunger,
and the production of frothy, pink-tinged
sputum. Auscultation of the lungs reveals crackles. Rhonchi and diminished breath sounds are
not associated with pulmonary edema.
Stridor is a crowing sound associated with laryngospasm or edema of the upper airway.
A client with myocardial infarction is developing cardiogenic shock. Because of the risk of
myocardial ischemia, what condition should the nurse carefully assess the client for?
700
1. Bradycardia
2. Ventricular dysrhythmias
3. Rising diastolic blood pressure
4. Falling central venous pressure - (answers)ANS: 2
Rationale: Classic signs of cardiogenic shock as they relate to myocardial ischemia include low
blood pressure and tachycardia. The
Comprehensive Questions and Correct Answers 100% Verified Latest Update|
NCLEX CARDIOVASCULAR
A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours
before the procedure and for 48 hours after the procedure?
1. Regular insulin
2. Glipizide (Glucotrol)
3. Repaglinide (Prandin)
4. Metformin (Glucophage) - (answers)ANS: 4
主题的中文文章？
Rationale: Metformin (Glucophage) needs to be withheld 24 hours before and for 48 hours after
cardiac catheterization because of the injection of contrast medium during the procedure. If the
contrast medium affects kidney function, with metformin in the system, the client would be at
increased risk for lactic acidosis. The medications in the remaining options do not need to be
withheld 24 hours before and 48
hours after cardiac catheterization.
The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops
extreme dyspnea, tachycardia, and lung crackles and the nurse suspects pulmonary edema. The
nurse immediately asks another nurse to contact the health care provider and prepares to
implement which priority interventions? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low Fowler's side-lying positio - (answers)ANS: 1, 2, 3, 4
, Rationale: Pulmonary edema is a life-threatening event that can result from severe heart failure.
In pulmonary edema, the left ventricle fails to eject sufficient blood, and pressure increases in the
lungs because of the accumulated blood. Oxygen is always prescribed, and the client is placed in
a high Fowler's position to ease the work of breathing. Furosemide, a rapid-acting diuretic, will
eliminate accumulated fluid. A Foley catheter is inserted to measure output accurately.
Intravenously administered morphine sulfate reduces venous return (preload), decreases anxiety,
and also reduces the work of breathing. Transporting the client to the coronary care unit is not a
priority intervention. In fact, this may not be necessary at all if the client's response to treatment
is successful.
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger,
and begins coughing frothy, pink-tinged sputum. Which finding would the nurse anticipate when
auscultating the client's breath sounds?
1. Stridor
主题的中文文章？
2. Crackles
3. Scattered rhonchi
4. Diminished breath sounds - (answers)ANS: 2
Rationale: Pulmonary edema is characterized by extreme breathlessness, dyspnea, air hunger,
and the production of frothy, pink-tinged
sputum. Auscultation of the lungs reveals crackles. Rhonchi and diminished breath sounds are
not associated with pulmonary edema.
Stridor is a crowing sound associated with laryngospasm or edema of the upper airway.
A client with myocardial infarction is developing cardiogenic shock. Because of the risk of
myocardial ischemia, what condition should the nurse carefully assess the client for?
700
1. Bradycardia
2. Ventricular dysrhythmias
3. Rising diastolic blood pressure
4. Falling central venous pressure - (answers)ANS: 2
Rationale: Classic signs of cardiogenic shock as they relate to myocardial ischemia include low
blood pressure and tachycardia. The
