Cardiac NCLEX Study Questions with accurate
detailed solutions
A client with a history of venous disorders complains of severe pain in the leg. Which of the
following is the priority nursing action?
a. Listen to the heart
b. Palpate and assess legs
c. Palpate carotid artery pulse
d. Place compression stockings on client
b. Palpate and assess legs
The legs are the priority. The client has a history of venous disorders, so the nurse should
look for edema, varicose veins, redness, and wounds.
The nurse knows that which signs and symptoms of a client indicate a venous disorder?
a. Red, painful skin with a distinct border on arm
b. Edema and hyperpigmented skin of the lower extremities
c. Generalized edema and shortness of breath
d. Shortness of breath and strong pulses
b. Edema and hyperpigmented skin of the lower extremities
Venous disorders are characterized by hyperpigmented skin due to the capillaries bursting
due to high venous pressure. Edema is also present and can be either pitting or non-pitting.
The nurse is caring for a client with a hypertensive crisis. The nurse is monitoring for signs
and symptoms that would indicate either an urgent or an emergent situation. Which of the
following signs indicate an emergent situation? Select all that apply.
a. Slurred speech
b. Confusion
c. Crackles in the lungs
d. Anxiety
, e. Shortness of breath
a, b, c,
Slurred Speech: This is a stroke-like symptom and indicates a medical emergency. Other
stroke symptoms include facial drooping, one sided weakness, and confusion.
Confusion: This is a stroke-like symptom and indicates a medical emergency. Other stroke
symptoms include facial drooping, one sided weakness, and slurred speech.
Crackles in the lungs: This indicates increased pulmonary hypertension and is a sign that
the hypertensive crisis has progressed to an emergent situation.
At a clinic visit, a nurse is checking a client's vital signs. The client's blood pressure is
141/92 mmHg. Which of the following statements from the nurse is correct?
a. This level indicates prehypertension
b. This level indicates stage 2 hypertension
c. Your blood pressure is well regulated
d. This level indicates stage 1 hypertension
b. This level indicates stage 2 hypertension
A nurse is caring for a client who is taking enalapril (Vasotec) 10 mg per day for high blood
pressure. She notes that the physician has changed the dose to 40 mg per day. Which
response of the nurse is most appropriate?
a. Contact the provider for clarification
b. Administer the dose as ordered
c. Provide precautions to prevent orthostatic hypotension
d. Check the client's blood pressure
a. Contact the provider for clarification
What type of diagnostic tests will the physician most likely order (at first) for a patient
experiencing angina with periods of activity? Select all that apply.
a. EKG
b. Stress test
c. Heart catheterization
d. Balloon angioplasty
a, b
detailed solutions
A client with a history of venous disorders complains of severe pain in the leg. Which of the
following is the priority nursing action?
a. Listen to the heart
b. Palpate and assess legs
c. Palpate carotid artery pulse
d. Place compression stockings on client
b. Palpate and assess legs
The legs are the priority. The client has a history of venous disorders, so the nurse should
look for edema, varicose veins, redness, and wounds.
The nurse knows that which signs and symptoms of a client indicate a venous disorder?
a. Red, painful skin with a distinct border on arm
b. Edema and hyperpigmented skin of the lower extremities
c. Generalized edema and shortness of breath
d. Shortness of breath and strong pulses
b. Edema and hyperpigmented skin of the lower extremities
Venous disorders are characterized by hyperpigmented skin due to the capillaries bursting
due to high venous pressure. Edema is also present and can be either pitting or non-pitting.
The nurse is caring for a client with a hypertensive crisis. The nurse is monitoring for signs
and symptoms that would indicate either an urgent or an emergent situation. Which of the
following signs indicate an emergent situation? Select all that apply.
a. Slurred speech
b. Confusion
c. Crackles in the lungs
d. Anxiety
, e. Shortness of breath
a, b, c,
Slurred Speech: This is a stroke-like symptom and indicates a medical emergency. Other
stroke symptoms include facial drooping, one sided weakness, and confusion.
Confusion: This is a stroke-like symptom and indicates a medical emergency. Other stroke
symptoms include facial drooping, one sided weakness, and slurred speech.
Crackles in the lungs: This indicates increased pulmonary hypertension and is a sign that
the hypertensive crisis has progressed to an emergent situation.
At a clinic visit, a nurse is checking a client's vital signs. The client's blood pressure is
141/92 mmHg. Which of the following statements from the nurse is correct?
a. This level indicates prehypertension
b. This level indicates stage 2 hypertension
c. Your blood pressure is well regulated
d. This level indicates stage 1 hypertension
b. This level indicates stage 2 hypertension
A nurse is caring for a client who is taking enalapril (Vasotec) 10 mg per day for high blood
pressure. She notes that the physician has changed the dose to 40 mg per day. Which
response of the nurse is most appropriate?
a. Contact the provider for clarification
b. Administer the dose as ordered
c. Provide precautions to prevent orthostatic hypotension
d. Check the client's blood pressure
a. Contact the provider for clarification
What type of diagnostic tests will the physician most likely order (at first) for a patient
experiencing angina with periods of activity? Select all that apply.
a. EKG
b. Stress test
c. Heart catheterization
d. Balloon angioplasty
a, b
