Cardiac NCLEX Practice Questions
The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to self-administer
nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasize? select all that apply
A. stop all activities immediately and sit down if chest pain occurs
B. if the pain is unrelieved after three NTG tablets, continue to rest and call the prescriber right away
C. After discharge, keep NTG tablets on your bedside table day and night
D. immediately after chest pain begins, notify your personal prescriber
E. the NTG tablet should tingle when placed under the tongue *** A,B,E
the pt states, "I always put my nitroglycerine patch in the same place so I do not forget to take it off."
Which of the following is the best response by the nurse?
A. change the patch every 24 hours
B. massage into the skin if ointment comes in contact with your hands
C. rotate the NTG patch to a different hairless area each day
D. after removing the patch, scrub the are vigorously with soap and water *** C
A healthcare provider orders NTG to be administered by IV drip. The nurse carrying out the order would
monitor for which of the following as a priority specific to medication?
A. shortness of breath when raising head of bed
B. urine output
C. blood pressure and heart rate
D. facial flushing and headache *** C
Before a pt receives metoprolol (Lopressor) for hypertension, the nurse should ask the pt about a history
of which of the following?
A. bronchospasms
,B. seizures
C. peripheral vascular disease
D. myasthenia gravis *** A
The nurse provides discharge instructions to a pt about the use of amiodarone. Which of the following
statements indicates that the pt has the knowledge necessary to safely administer the drug?
A. as soon as the physician says I can stop taking this medication, I will be able to enjoy the sun again
B. the side effects of this med may not begin to show up for several weeks or even months after I start
taking it
C. If my pulse drops below 100 beats/minute, I should call the physician right away
D. If I miss a dose of me, I should take it as soon as I remember it *** B
The nurse is scheduled to administer a dose of digoxin to and adult pt with atrial fibrillation. The pt has a
potassium level of 4.3 mEq/L. The nurse should perform which of the following activities next?
A. withhold dose only for that day
B. obtain order for dose of potassium before giving digoxin
C. withhold dose and notify prescriber
D. administer dose as ordered *** D
A pt is taking digoxin and furosemide (Lasix) to manage congestive heart failure. The nurse determiens
that the pt understands diet therapy when the pt makes which meal choice?
A. veggie beef soup, mac and cheese, and a roll
B. beef ravioli w/ bread
C. baked white fish, mashed potatoes, and carrot salad
D. roasted chicken, brown rice, and stewed tomatoes *** C
, After a healthcare provider prescribed propranolol for a pt with frequent premature ventricular
contractions, the nurse should include with of the following in the care plan?
A. inform pt that excessive respiratory response to activity should gradually decrease
B. measure heart rate daily before taking dose
C. Pt will have increased resistance to infection
D. current skin eruptions will improve within 30 days *** B
A pt with atrial fibrillation is receiving continuous heparin infusion at 1000 units/hr. The nurse would
determine that the pt is receiving the therapeutic effect based on which of the following results?
A. prothrombin time of 12.5 seconds
B. apt time of 60 seconds
C. apt time of 28 seconds
D. apt time longer than 120 sec *** B
A nurse provides discharge instructions to a post op pt who is taking warfarin sodium (Coumadin).
Which statement, if made by the pt, reflects the need for further teaching?
A. I will take my pills every day at the same time
B. I will be certain to limit my alcohol consumption
C. I have already called my family to pick up my Medic-Alert bracelet
D. I will take enteric-coated Aspirin for my headaches *** D
A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab study will be
prescribed to monitor the therapeutic effect of heparin?
A. hematocrit
B. hemoglobin
C. prothrombin time
D. activated partial thromboplastin time *** D
The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to self-administer
nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasize? select all that apply
A. stop all activities immediately and sit down if chest pain occurs
B. if the pain is unrelieved after three NTG tablets, continue to rest and call the prescriber right away
C. After discharge, keep NTG tablets on your bedside table day and night
D. immediately after chest pain begins, notify your personal prescriber
E. the NTG tablet should tingle when placed under the tongue *** A,B,E
the pt states, "I always put my nitroglycerine patch in the same place so I do not forget to take it off."
Which of the following is the best response by the nurse?
A. change the patch every 24 hours
B. massage into the skin if ointment comes in contact with your hands
C. rotate the NTG patch to a different hairless area each day
D. after removing the patch, scrub the are vigorously with soap and water *** C
A healthcare provider orders NTG to be administered by IV drip. The nurse carrying out the order would
monitor for which of the following as a priority specific to medication?
A. shortness of breath when raising head of bed
B. urine output
C. blood pressure and heart rate
D. facial flushing and headache *** C
Before a pt receives metoprolol (Lopressor) for hypertension, the nurse should ask the pt about a history
of which of the following?
A. bronchospasms
,B. seizures
C. peripheral vascular disease
D. myasthenia gravis *** A
The nurse provides discharge instructions to a pt about the use of amiodarone. Which of the following
statements indicates that the pt has the knowledge necessary to safely administer the drug?
A. as soon as the physician says I can stop taking this medication, I will be able to enjoy the sun again
B. the side effects of this med may not begin to show up for several weeks or even months after I start
taking it
C. If my pulse drops below 100 beats/minute, I should call the physician right away
D. If I miss a dose of me, I should take it as soon as I remember it *** B
The nurse is scheduled to administer a dose of digoxin to and adult pt with atrial fibrillation. The pt has a
potassium level of 4.3 mEq/L. The nurse should perform which of the following activities next?
A. withhold dose only for that day
B. obtain order for dose of potassium before giving digoxin
C. withhold dose and notify prescriber
D. administer dose as ordered *** D
A pt is taking digoxin and furosemide (Lasix) to manage congestive heart failure. The nurse determiens
that the pt understands diet therapy when the pt makes which meal choice?
A. veggie beef soup, mac and cheese, and a roll
B. beef ravioli w/ bread
C. baked white fish, mashed potatoes, and carrot salad
D. roasted chicken, brown rice, and stewed tomatoes *** C
, After a healthcare provider prescribed propranolol for a pt with frequent premature ventricular
contractions, the nurse should include with of the following in the care plan?
A. inform pt that excessive respiratory response to activity should gradually decrease
B. measure heart rate daily before taking dose
C. Pt will have increased resistance to infection
D. current skin eruptions will improve within 30 days *** B
A pt with atrial fibrillation is receiving continuous heparin infusion at 1000 units/hr. The nurse would
determine that the pt is receiving the therapeutic effect based on which of the following results?
A. prothrombin time of 12.5 seconds
B. apt time of 60 seconds
C. apt time of 28 seconds
D. apt time longer than 120 sec *** B
A nurse provides discharge instructions to a post op pt who is taking warfarin sodium (Coumadin).
Which statement, if made by the pt, reflects the need for further teaching?
A. I will take my pills every day at the same time
B. I will be certain to limit my alcohol consumption
C. I have already called my family to pick up my Medic-Alert bracelet
D. I will take enteric-coated Aspirin for my headaches *** D
A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab study will be
prescribed to monitor the therapeutic effect of heparin?
A. hematocrit
B. hemoglobin
C. prothrombin time
D. activated partial thromboplastin time *** D
