Cardiac NCLEX Exam Questions and Answers 100% Solved| Latest Update Graded A+
A nurse is preparing to provide a therapeutic environment for a client who recently had a
myocardial infarction (MI). The nurse should alter the environment to ensure that it is: Low
stimulus, low stress
The nurse observes the following rhythm on the cardiac monitor. (Refer to the figure.) Which
action should the nurse take first? Evaluate the client for hypotension and assess mental
status.
A nurse is setting up the bedside unit for a client being admitted to the nursing unit from the
emergency department with a diagnosis of coronary artery disease (CAD). The nurse should
place highest priority on making sure that which of the following is available at the bedside?
Oxygen tubing and flowmeter
A nurse is collecting data on a client who was just admitted to the hospital with a diagnosis of
coronary artery disease (CAD). The client reveals having been under a great deal of stress
recently. Based on this finding, the nurse should: Explore with the client the sources of
stress in life.
A nurse is planning adaptations needed for activities of daily living for a client with cardiac
disease. The nurse would incorporate which of the following in discussions with the client?
Take in adequate daily fiber to prevent straining during a bowel movement
A client with a diagnosis of congestive heart failure is preparing for discharge to home from the
hospital. The nurse determines that the client is ready for discharge to home if the client can:
Verbally describe the daily medications, doses, and times to be administered.
A client returns to the nursing unit after an above-the-knee amputation of the right leg. The
nurse positions the client: With the foot of the bed elevated
, A nurse is assisting in caring for a client in the telemetry unit who is receiving an intravenous
infusion of 1000 mL 5% dextrose with 40 mEq of potassium chloride. Which occurrence
observed on the cardiac monitor indicates the presence of hyperkalemia? Tall, peaked T
waves
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which statement by the client indicates the best understanding of this
stress reduction measure? "The best thing about this is that I can use it anywhere, anytime."
A client with no history of heart disease has experienced an acute myocardial infarction and has
been given thrombolytic therapy with tissue plasminogen activator (t-PA). The nurse interprets
that the client is likely experiencing a complication of this therapy if which of the following
occurs? Tarry stools
A hospitalized client with a history of angina pectoris is ambulating in the corridor. The client
suddenly complains of severe substernal chest pain. The nurse should take which action first?
Assist the client to sit or lie down.
A client with chronic atrial fibrillation is being started on amiodarone (Cordarone) as
maintenance therapy for dysrhythmia suppression. A nurse provides instructions to the client
about the medication. Which statement by the client indicates a need for further instruction?
"I will stop taking the prescribed anticoagulant after starting this new medication."
A client is admitted to the hospital with possible rheumatic endocarditis. The nurse would
check the client for signs and symptoms of concurrent: Streptococcal infection
A nurse carries out a standard prescription for a stat electrocardiogram (ECG) on a client who
has an episode of chest pain. The nurse should take which action next? Give sublingual
nitroglycerin (Nitrostat) per the health care provider's prescriptions.
A nurse is preparing to provide a therapeutic environment for a client who recently had a
myocardial infarction (MI). The nurse should alter the environment to ensure that it is: Low
stimulus, low stress
The nurse observes the following rhythm on the cardiac monitor. (Refer to the figure.) Which
action should the nurse take first? Evaluate the client for hypotension and assess mental
status.
A nurse is setting up the bedside unit for a client being admitted to the nursing unit from the
emergency department with a diagnosis of coronary artery disease (CAD). The nurse should
place highest priority on making sure that which of the following is available at the bedside?
Oxygen tubing and flowmeter
A nurse is collecting data on a client who was just admitted to the hospital with a diagnosis of
coronary artery disease (CAD). The client reveals having been under a great deal of stress
recently. Based on this finding, the nurse should: Explore with the client the sources of
stress in life.
A nurse is planning adaptations needed for activities of daily living for a client with cardiac
disease. The nurse would incorporate which of the following in discussions with the client?
Take in adequate daily fiber to prevent straining during a bowel movement
A client with a diagnosis of congestive heart failure is preparing for discharge to home from the
hospital. The nurse determines that the client is ready for discharge to home if the client can:
Verbally describe the daily medications, doses, and times to be administered.
A client returns to the nursing unit after an above-the-knee amputation of the right leg. The
nurse positions the client: With the foot of the bed elevated
, A nurse is assisting in caring for a client in the telemetry unit who is receiving an intravenous
infusion of 1000 mL 5% dextrose with 40 mEq of potassium chloride. Which occurrence
observed on the cardiac monitor indicates the presence of hyperkalemia? Tall, peaked T
waves
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which statement by the client indicates the best understanding of this
stress reduction measure? "The best thing about this is that I can use it anywhere, anytime."
A client with no history of heart disease has experienced an acute myocardial infarction and has
been given thrombolytic therapy with tissue plasminogen activator (t-PA). The nurse interprets
that the client is likely experiencing a complication of this therapy if which of the following
occurs? Tarry stools
A hospitalized client with a history of angina pectoris is ambulating in the corridor. The client
suddenly complains of severe substernal chest pain. The nurse should take which action first?
Assist the client to sit or lie down.
A client with chronic atrial fibrillation is being started on amiodarone (Cordarone) as
maintenance therapy for dysrhythmia suppression. A nurse provides instructions to the client
about the medication. Which statement by the client indicates a need for further instruction?
"I will stop taking the prescribed anticoagulant after starting this new medication."
A client is admitted to the hospital with possible rheumatic endocarditis. The nurse would
check the client for signs and symptoms of concurrent: Streptococcal infection
A nurse carries out a standard prescription for a stat electrocardiogram (ECG) on a client who
has an episode of chest pain. The nurse should take which action next? Give sublingual
nitroglycerin (Nitrostat) per the health care provider's prescriptions.
