CARDIAC NCLEX FINAL EXAM PREP 2025/2026
ACCURATE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% SURE PASS
[LATEST UPDATE]
A nurse is caring for a client with a diagnosis of myocardial infarction (MI). The
client reports chest pain. When the administration of a sublingual nitroglycerin
tablet as prescribed does not relieve the chest pain, the next nursing action is to: -
ANSWER Check the blood pressure and administer another nitroglycerin tablet
A client has just returned from the cardiac catheterization laboratory. The left
femoral vessel was used as the access site. After returning the client to bed and
collecting initial data, the nurse places a sign above the bed stating that the client
should remain on bedrest: - ANSWER With the head of the bed elevated no more
than 15 degrees
A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider? - ANSWER Each
rescue breath should be given over 1 second and should produce a visible chest
rise.
A client complaining of chest pain has an as-needed (PRN) prescription for
sublingual nitroglycerin (Nitrostat). Before administering the medication to the
client, the nurse should first check the client's: - ANSWER Blood pressure
A nurse is assisting in caring for a client in the telemetry unit and is monitoring the
client for cardiac changes indicative of hypokalemia. Which occurrence noted on
the cardiac monitor indicates the presence of hypokalemia? - ANSWER ST-
segment depression
,A client has a history of left-sided heart failure. The nurse would look for the
presence of which of the following to determine whether the problem is currently
active? - ANSWER Bilateral lung crackles
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? - ANSWER Marking the location of the pedal
pulses on the right leg
A nurse is assisting a client who will wear a Holter monitor for continuous cardiac
monitoring over the next 24 hours. The nurse takes which of the following actions
to assist this client? - ANSWER Gives the client a device holder to wear around the
waist
A client is admitted to the hospital with a diagnosis of pericarditis. The nurse
reviews the client's record for which manifestation that differentiates pericarditis
from other cardiopulmonary problems? - ANSWER Pericardial friction rub
A client diagnosed with angina pectoris returns to the nursing unit after
experiencing an angioplasty. The nurse reinforces instructions to the client
regarding the procedure and home care measures. Which statement by the client
indicates an understanding of the instructions? - ANSWER "I need to adhere to my
dietary restrictions."
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. The nurse further collects data
on the client to see whether these episodes occur with: - ANSWER Ingestion of
coffee or chocolate
,A nurse is caring for a client who is developing pulmonary edema. The client
exhibits respiratory distress, but the blood pressure is unchanged from the client's
baseline. As an immediate action before help arrives, the nurse would: - ANSWER
Place the client in high-Fowler's position.
A nurse is using a stethoscope to listen to the client's heart and hears this sound.
(Click on the sound icon.) To assist in identifying the sound, the nurse should take
which initial best action? - ANSWER Palpate the carotid pulse for a pulsation
A nurse is caring for a client with Buerger's disease. Which finding would the
nurse determine is a potential complication associated with this disease? -
ANSWER Numbness and tingling in the legs
A client has experienced several episodes of sickle cell crisis. Which instruction
should be included in the client's teaching plan to prevent recurrence? - ANSWER
Wear shoes and socks when walking outside to prevent damage to the feet.
A nurse is planning to teach a client with peripheral arterial disease about
measures to limit disease progression. The nurse should include which items on a
list of suggestions to be given to the client? Select all that apply. - ANSWER Cut
down on the amount of fats consumed in the diet
Walk each day to increase circulation to the legs.
Be careful not to injure the legs or feet.
Eat a well-balanced diet every day.
A client with myocardial infarction suddenly becomes tachycardic, shows signs of
air hunger, and begins coughing frothy, pink-tinged sputum. A nurse listens to
breath sounds, expecting to hear bilateral: - ANSWER Crackles
, A nurse has reinforced dietary instructions to a client with coronary artery disease.
Which statement by the client indicates an understanding of the dietary
instructions? - ANSWER "I should routinely use polyunsaturated oils in my diet."
A client has received instructions about an upcoming cardiac catheterization. The
nurse determines that the client has the best understanding of the procedure if the
client knows to report which of the following items? - ANSWER Chest pain
A 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? - ANSWER
Hypokalemia
A nurse is assisting in the care of a client diagnosed with rheumatic heart disease.
When teaching the client about self-management of this health problem, the nurse
reminds the client to alert his dentist about the condition because: - ANSWER The
client requires prophylactic antibiotics before treatment.
A nurse is preparing to ambulate a postoperative client after cardiac surgery. The
nurse plans to do which of the following to enable the client to best tolerate the
ambulation? - ANSWER Premedicate the client with an analgesic before
ambulating.
A client with a diagnosis of myocardial infarction has a new activity prescription
allowing the client to have bathroom privileges. As the nurse stands and begins to
walk, the client begins to complain of chest pain. The nurse should initially take
which action? - ANSWER Assist the client to get back into bed.
A client in a long-term care facility who has a history of angina pectoris wants to
go for a short walk outside with a family member. It is a sunny but chilly
December day. The nurse should do which of the following to care for this client in
ACCURATE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% SURE PASS
[LATEST UPDATE]
A nurse is caring for a client with a diagnosis of myocardial infarction (MI). The
client reports chest pain. When the administration of a sublingual nitroglycerin
tablet as prescribed does not relieve the chest pain, the next nursing action is to: -
ANSWER Check the blood pressure and administer another nitroglycerin tablet
A client has just returned from the cardiac catheterization laboratory. The left
femoral vessel was used as the access site. After returning the client to bed and
collecting initial data, the nurse places a sign above the bed stating that the client
should remain on bedrest: - ANSWER With the head of the bed elevated no more
than 15 degrees
A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider? - ANSWER Each
rescue breath should be given over 1 second and should produce a visible chest
rise.
A client complaining of chest pain has an as-needed (PRN) prescription for
sublingual nitroglycerin (Nitrostat). Before administering the medication to the
client, the nurse should first check the client's: - ANSWER Blood pressure
A nurse is assisting in caring for a client in the telemetry unit and is monitoring the
client for cardiac changes indicative of hypokalemia. Which occurrence noted on
the cardiac monitor indicates the presence of hypokalemia? - ANSWER ST-
segment depression
,A client has a history of left-sided heart failure. The nurse would look for the
presence of which of the following to determine whether the problem is currently
active? - ANSWER Bilateral lung crackles
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? - ANSWER Marking the location of the pedal
pulses on the right leg
A nurse is assisting a client who will wear a Holter monitor for continuous cardiac
monitoring over the next 24 hours. The nurse takes which of the following actions
to assist this client? - ANSWER Gives the client a device holder to wear around the
waist
A client is admitted to the hospital with a diagnosis of pericarditis. The nurse
reviews the client's record for which manifestation that differentiates pericarditis
from other cardiopulmonary problems? - ANSWER Pericardial friction rub
A client diagnosed with angina pectoris returns to the nursing unit after
experiencing an angioplasty. The nurse reinforces instructions to the client
regarding the procedure and home care measures. Which statement by the client
indicates an understanding of the instructions? - ANSWER "I need to adhere to my
dietary restrictions."
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. The nurse further collects data
on the client to see whether these episodes occur with: - ANSWER Ingestion of
coffee or chocolate
,A nurse is caring for a client who is developing pulmonary edema. The client
exhibits respiratory distress, but the blood pressure is unchanged from the client's
baseline. As an immediate action before help arrives, the nurse would: - ANSWER
Place the client in high-Fowler's position.
A nurse is using a stethoscope to listen to the client's heart and hears this sound.
(Click on the sound icon.) To assist in identifying the sound, the nurse should take
which initial best action? - ANSWER Palpate the carotid pulse for a pulsation
A nurse is caring for a client with Buerger's disease. Which finding would the
nurse determine is a potential complication associated with this disease? -
ANSWER Numbness and tingling in the legs
A client has experienced several episodes of sickle cell crisis. Which instruction
should be included in the client's teaching plan to prevent recurrence? - ANSWER
Wear shoes and socks when walking outside to prevent damage to the feet.
A nurse is planning to teach a client with peripheral arterial disease about
measures to limit disease progression. The nurse should include which items on a
list of suggestions to be given to the client? Select all that apply. - ANSWER Cut
down on the amount of fats consumed in the diet
Walk each day to increase circulation to the legs.
Be careful not to injure the legs or feet.
Eat a well-balanced diet every day.
A client with myocardial infarction suddenly becomes tachycardic, shows signs of
air hunger, and begins coughing frothy, pink-tinged sputum. A nurse listens to
breath sounds, expecting to hear bilateral: - ANSWER Crackles
, A nurse has reinforced dietary instructions to a client with coronary artery disease.
Which statement by the client indicates an understanding of the dietary
instructions? - ANSWER "I should routinely use polyunsaturated oils in my diet."
A client has received instructions about an upcoming cardiac catheterization. The
nurse determines that the client has the best understanding of the procedure if the
client knows to report which of the following items? - ANSWER Chest pain
A 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? - ANSWER
Hypokalemia
A nurse is assisting in the care of a client diagnosed with rheumatic heart disease.
When teaching the client about self-management of this health problem, the nurse
reminds the client to alert his dentist about the condition because: - ANSWER The
client requires prophylactic antibiotics before treatment.
A nurse is preparing to ambulate a postoperative client after cardiac surgery. The
nurse plans to do which of the following to enable the client to best tolerate the
ambulation? - ANSWER Premedicate the client with an analgesic before
ambulating.
A client with a diagnosis of myocardial infarction has a new activity prescription
allowing the client to have bathroom privileges. As the nurse stands and begins to
walk, the client begins to complain of chest pain. The nurse should initially take
which action? - ANSWER Assist the client to get back into bed.
A client in a long-term care facility who has a history of angina pectoris wants to
go for a short walk outside with a family member. It is a sunny but chilly
December day. The nurse should do which of the following to care for this client in
