Cardiovascular NCLEX questions/ Key Questions
with 100% Correct Answers.
Terms in this set (121)
Which of the following are Mental status changes
most likely to be early signs Agitation
of cardiac problems in older Frequent falls
persons? (Select all that Rationale: Many cardiovascular functions are complicated in
apply.) that they involve many other systems. Mental status
changes, agitation, and falls can be early signs of cardiac
problems in the older person. Changes in function in the GI
Mental status changes system are not typical signs of a cardiac problem.
Agitation
Frequent falls
Sudden changes in GI
function
Right atrium
A patient has been diagnosed Rationale: The right atrium is a thin-walled structure that
receives deoxygenated blood from all the peripheral tissues
with RightSided Congestive
by way of the superior and inferior vena cava and from the
Heart Failure, and is confused heart muscle by way of the coronary sinus.
about return of
deoxygenated blood from
the tissue. To clarify the
confusion, which chamber of
the heart receives blood from
systemic circulation?
Left atrium
Right atrium
Right ventricle
Left ventricle
,It is important that the Evaluate blood flow to peripheral tissues.
nurse be knowledgeable
about cardiac output in Rationale: Blood flow to the tissues is measured clinically as
order to: the cardiac output, and assists to predict tissue perfusion.
Electrical activity is evaluated more effectively by EKG. While
Evaluate blood flow to the cardiac output is important for perfusion and
peripheral tissues. oxygenation of tissues, the oxygen saturation would provide
Determine the electrical more valuable information. Nutritional changes would be
activity of the targeted to sodium and would depend on symptoms of
myocardium. disease.
Provide information on the
immediate need for oxygen. Integrated Process: Nursing Process; Planning
Implement nutritional Cognitive Level: Evaluation
changes. NCLEX-RN Test Plan: Health Promotion and
Maintenance
Nurses can best help older
How to maintain a normal blood pressure.
clients prevent hypertension
by teaching:
Rationale: Hypertension is a major risk factor for other
cardiovascular conditions. In persons older than 50, systolic
Low-fat, low-cholesterol blood pressure greater than 140 mm Hg is a much more
diets. important cardiovascular disease risk factor than is diastolic
The importance of exercise. blood pressure. The risk of cardiovascular disease, beginning
How to handle stressful at 115/75 mm Hg, doubles with each increment of 20/10
mm Hg. Answers 1, 2, and 3 are important elements to
situations.
include in education of a patient with blood pressure
How to maintain a normal elevation, and are included in the correct answer.
blood pressure.
,Modification of lifestyle Alcohol intake with meals
behaviors to help manage \
hypertension does not Rationale: Weight loss of even 10 pounds; fruits, vegetables,
include which of the and whole grains; the DASH diet; and a daily exercise
regimen will help reduce high blood pressure. Alcohol intake
following? (Select all that
with meals should be reduced to help manage high blood
apply.) pressure.
Weight loss of even 10
pounds The DASH diet
Fruits, vegetables, and whole
grains
Alcohol intake with meals
Controlling lower-density lipoprotein.
A patient receiving the drug
simvastatin (Zocor) should Rationale: The Heart Protective Study has also shown that
be taught this medication controlling low-density lipoprotein (LDL) with simvastatin
helps to prevent coronary (Zocor) assists in the prevention of coronary heart disease by
raising HDL. Responses 1, 3, and 4 are incorrect.
heart disease by:
Increasing lower-density
lipoprotein.
Controlling lower-density
lipoprotein.
Increasing triglycerides.
Increasing very lowdensity
lipoprotein.
, Which of the following are Aortic stenosis
direct causes of chronic Acid reflux
ischemic pain? (Select all Pulmonary embolus
that apply.) Rationale: Herpes zoster (shingles) manifests as a
vesicular rash along a dermatome, not chronic
Aortic stenosis ischemic pain.
Acid reflux Integrated Process: Nursing Process; Evaluation
Pulmonary embolus Cognitive Level: Evaluation
Herpes zoster (shingles) NCLEX-RN Test Plan: Physiological Integrity;
Physiological Adaptation
Rationale: Herpes zoster (shingles) manifests as a
vesicular rash along a dermatome, not chronic
ischemic pain.
Sublingual nitroglycerin
Older clients experiencing
anginal pain with complaints
Rationale: Angina frequently is managed with sublingual
of fatigue or weakness nitroglycerin, which causes vasodilation and increases blood
usually are medicated with flow to the coronary arteries. Cardiac glycosides are used to
which of the following types treat heart failure, and morphine is used to treat myocardial
infarction. The HMG-CoA reductase inhibitors are used for
of medication?
patients with type 2 diabetes mellitus.
Sublingual nitroglycerin
Cardiac glycosides HMG-CoA
reductase
inhibitors
Morphine sulfate
with 100% Correct Answers.
Terms in this set (121)
Which of the following are Mental status changes
most likely to be early signs Agitation
of cardiac problems in older Frequent falls
persons? (Select all that Rationale: Many cardiovascular functions are complicated in
apply.) that they involve many other systems. Mental status
changes, agitation, and falls can be early signs of cardiac
problems in the older person. Changes in function in the GI
Mental status changes system are not typical signs of a cardiac problem.
Agitation
Frequent falls
Sudden changes in GI
function
Right atrium
A patient has been diagnosed Rationale: The right atrium is a thin-walled structure that
receives deoxygenated blood from all the peripheral tissues
with RightSided Congestive
by way of the superior and inferior vena cava and from the
Heart Failure, and is confused heart muscle by way of the coronary sinus.
about return of
deoxygenated blood from
the tissue. To clarify the
confusion, which chamber of
the heart receives blood from
systemic circulation?
Left atrium
Right atrium
Right ventricle
Left ventricle
,It is important that the Evaluate blood flow to peripheral tissues.
nurse be knowledgeable
about cardiac output in Rationale: Blood flow to the tissues is measured clinically as
order to: the cardiac output, and assists to predict tissue perfusion.
Electrical activity is evaluated more effectively by EKG. While
Evaluate blood flow to the cardiac output is important for perfusion and
peripheral tissues. oxygenation of tissues, the oxygen saturation would provide
Determine the electrical more valuable information. Nutritional changes would be
activity of the targeted to sodium and would depend on symptoms of
myocardium. disease.
Provide information on the
immediate need for oxygen. Integrated Process: Nursing Process; Planning
Implement nutritional Cognitive Level: Evaluation
changes. NCLEX-RN Test Plan: Health Promotion and
Maintenance
Nurses can best help older
How to maintain a normal blood pressure.
clients prevent hypertension
by teaching:
Rationale: Hypertension is a major risk factor for other
cardiovascular conditions. In persons older than 50, systolic
Low-fat, low-cholesterol blood pressure greater than 140 mm Hg is a much more
diets. important cardiovascular disease risk factor than is diastolic
The importance of exercise. blood pressure. The risk of cardiovascular disease, beginning
How to handle stressful at 115/75 mm Hg, doubles with each increment of 20/10
mm Hg. Answers 1, 2, and 3 are important elements to
situations.
include in education of a patient with blood pressure
How to maintain a normal elevation, and are included in the correct answer.
blood pressure.
,Modification of lifestyle Alcohol intake with meals
behaviors to help manage \
hypertension does not Rationale: Weight loss of even 10 pounds; fruits, vegetables,
include which of the and whole grains; the DASH diet; and a daily exercise
regimen will help reduce high blood pressure. Alcohol intake
following? (Select all that
with meals should be reduced to help manage high blood
apply.) pressure.
Weight loss of even 10
pounds The DASH diet
Fruits, vegetables, and whole
grains
Alcohol intake with meals
Controlling lower-density lipoprotein.
A patient receiving the drug
simvastatin (Zocor) should Rationale: The Heart Protective Study has also shown that
be taught this medication controlling low-density lipoprotein (LDL) with simvastatin
helps to prevent coronary (Zocor) assists in the prevention of coronary heart disease by
raising HDL. Responses 1, 3, and 4 are incorrect.
heart disease by:
Increasing lower-density
lipoprotein.
Controlling lower-density
lipoprotein.
Increasing triglycerides.
Increasing very lowdensity
lipoprotein.
, Which of the following are Aortic stenosis
direct causes of chronic Acid reflux
ischemic pain? (Select all Pulmonary embolus
that apply.) Rationale: Herpes zoster (shingles) manifests as a
vesicular rash along a dermatome, not chronic
Aortic stenosis ischemic pain.
Acid reflux Integrated Process: Nursing Process; Evaluation
Pulmonary embolus Cognitive Level: Evaluation
Herpes zoster (shingles) NCLEX-RN Test Plan: Physiological Integrity;
Physiological Adaptation
Rationale: Herpes zoster (shingles) manifests as a
vesicular rash along a dermatome, not chronic
ischemic pain.
Sublingual nitroglycerin
Older clients experiencing
anginal pain with complaints
Rationale: Angina frequently is managed with sublingual
of fatigue or weakness nitroglycerin, which causes vasodilation and increases blood
usually are medicated with flow to the coronary arteries. Cardiac glycosides are used to
which of the following types treat heart failure, and morphine is used to treat myocardial
infarction. The HMG-CoA reductase inhibitors are used for
of medication?
patients with type 2 diabetes mellitus.
Sublingual nitroglycerin
Cardiac glycosides HMG-CoA
reductase
inhibitors
Morphine sulfate
