CARDIAC NCLEX EXAM 2025
QUESTIONS AND ANSWERS
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? -
ANS 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? - ANS 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? -
ANS "I need to adhere to my dietary restrictions."
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: - ANS 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: -
ANS With the head of the bed elevated no more than 15 degrees
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, A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider? - ANS 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: - ANS 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? - ANS 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? - ANS 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? -
ANS Marking the location of the pedal pulses on the right leg
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: - ANS 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: - ANS 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? -
ANS Palpate the carotid pulse for a pulsation
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
QUESTIONS AND ANSWERS
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? -
ANS 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? - ANS 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? -
ANS "I need to adhere to my dietary restrictions."
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: - ANS 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: -
ANS With the head of the bed elevated no more than 15 degrees
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider? - ANS 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: - ANS 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? - ANS 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? - ANS 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? -
ANS Marking the location of the pedal pulses on the right leg
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: - ANS 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: - ANS 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? -
ANS Palpate the carotid pulse for a pulsation
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
