Nclex Cardiovascular Exam – Q&ARASMUSSEN COLLEGE

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NCLEX RN Cardiovascular Q&As 1

Nclex Cardiovascular Exam 2025-2026 – Q&A
1. A Client Admitted To The Hospital With Chest Pain And A History Of Type 2 Diabetes

Mellitus Is Scheduled For Cardiac Catheterization. Which Medication Would Need To Be

Withheld For 24 Hours Before The Procedure And For 48 Hours After The Procedure?


1. Glipizide


2. Metformin

3. Repaglinide


4. Regular Insulin




2. A Client Who Had Cardiac Surgery 24 Hours Ago Has Had A Urine Output Averaging 20

Ml/Hour For 2 Hours. The Client Received A Single Bolus Of 500 Ml Of Intravenous Fluid.

Urine Output For The Subsequent Hour Was 25 Ml. Daily Laboratory Results Indicate That

The Blood Urea Nitrogen Level Is 45 Mg/Dl (16 Mmol/L) And The Serum Creatinine Level Is

2.2 Mg/Dl (194 Mcmol/L). On The Basis Of These Findings, The Nurse Would Anticipate That

The Client Is At Risk For Which Problem?


1. Hypovolemia


2.
Acute Injury
Kidney
3. Glomerulonephritis




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NCLEX RN Cardiovascular Q&As 2
4. Urinary Tract Infection
3. The Nurse Is Reviewing An Electrocardiogram Rhythm Strip. The P Waves And Qrs

Complexes Are Regular. The Pr Interval Is 0.16 Seconds, And Qrs Complexes Measure 0.06

Seconds. The Overall Heart Rate Is 64 Beats/Minute. Which Action Should The Nurse

Take?


1. Check Vital Signs.


2. Check Laboratory Test Results.


3. Notify The Health Care Provider.


4. Continue To Monitor For Any Rhythm Change.




4. A Client Is Wearing A Continuous Cardiac Monitor, Which Begins To Sound Its Alarm. The

Nurse Sees No Electrocardiographic Complexes On The Screen. Which Is The Pr ior ity

Nursing Action?


1. Call A Code.


2. Call The Health Care Provider.


3. Check The Client's Status And Lead Placement.


4. Press The Recorder Button On The Electrocardiogram Console.




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NCLEX RN Cardiovascular Q&As 3
5. The Nurse Is Evaluating A Client's Response To Cardioversion. Which Assessment Would Be

The Pr ior ity?


1. Blood Pressure


2. Status Of Airway


3. Oxygen Flow Rate


4. Level Of Consciousness
6. The Nurse Is Caring For A Client Who Has Just Had Implantation Of An Automatic Internal

Cardioverter-Defibrillator. The Nurse Should Assess Which Item Based On Pr ior ity?


1. Anxiety Level Of The Client And Family


2. Presence Of A Medic-Alert Card For The Client To Carry


3. Knowledge Of Restrictions On Post-Discharge Physical Activity


4. Activation Status Of The Device, Heart Rate Cutoff, And Number Of

Shocks It Is Programmed To Deliver




7. A Client's Electrocardiogram Strip Shows Atrial And Ventricular Rates Of 110 Beats/Minute.

The Pr Interval Is 0.14 Seconds, The Qrs Complex Measures 0.08 Seconds, And The Pp And Rr

Intervals Are Regular. How Should The Nurse Correctly Interpret This Rhythm?


1. Sinus Tachycardia




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NCLEX RN Cardiovascular Q&As 4
2. Sinus Bradycardia


3. Sinus Dysrhythmia


4. Normal Sinus Rhythm




8. The Nurse Is Assessing The Neurovascular Status Of A Client Who Returned To The Surgical

Nursing Unit 4 Hours Ago After Undergoing Aortoiliac Bypass Graft. The Affected Leg Is

Warm, And The Nurse Notes Redness And Edema. The Pedal Pulse Is Palpable And

Unchanged From Admission.


How Should The Nurse Correctly Interpret The Client's Neurovascular Status?


1. The Neurovascular Status Is Normal Because Of Increased Blood

Flow Through The Leg.

2. The Neurovascular Status Is Moderately Impaired, And The

Surgeon Should Be Called.


3. The Neurovascular Status Is Slightly Deteriorating And Should Be

Monitored For Another Hour.


4. The Neurovascular Status Is Adequate From An Arterial Approach,

But Venous Complications Are Arising.




9. The Nurse Is Evaluating The Condition Of A Client After Pericardiocentesis Performed To Treat



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