Page 1 of 63
“SAUNDERS NCLEX CARDIOVASCULAR EXAM
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
day 7
don't miss any practice text contact me +254111429458
Saunders NCLEX Cardiovascular
The nurse working in a long-term care facility is assessing a client who is
experiencing chest pain. The nurse should interpret that the pain is most likely
caused by myocardial infarction (MI) on the basis of what assessment finding?
1.
The client is not experiencing dyspnea.
2.
The client is not experiencing nausea or vomiting.
3.
The pain has not been relieved by rest and nitroglycerin tablets.
4.
The client says the pain began while she was trying to open a stuck dresser
drawer.
The pain has not been relieved by rest and nitroglycerin tablets.
The pain of MI is not relieved by rest and nitroglycerin and requires opioid
analgesics, such as morphine sulfate, for relief. The pain of angina may radiate to
the left shoulder, arm, neck, or jaw. It often is precipitated by exertion or stress, is
accompanied by few associated symptoms, and is relieved by rest and nitroglycerin.
The pain of MI also may radiate to the left arm, shoulder, jaw, and neck. It typically
begins spontaneously, lasts longer than 30 minutes, and frequently is accompanied
by associated symptoms (such as nausea, vomiting, dyspnea, diaphoresis, or
anxiety).
, Page 2 of 63
A client with myocardial infarction (MI) has been transferred from the coronary
care unit (CCU) to the general medical unit. What activity level should the
nurse encourage for the client immediately after transfer?
1.
Ad lib activities as tolerated
2.
Strict bed rest for 24 hours after transfer
3.
Bathroom privileges and self-care activities
4.
Unsupervised hallway ambulation for distances up to 200 feet (60 meters)
Bathroom privileges and self-care activities
On transfer from CCU to an intermediate care or general medical unit, the client is
allowed self-care activities and bathroom privileges. Activities ad lib as tolerated is
premature at this time and potentially harmful for this client. It is unnecessary and
possibly harmful to limit the client to bed rest. The client should ambulate with
supervision in the hall for brief distances, with the distances being gradually
increased to 50, 100, and 200 feet (15, 30 and 60 meters).
A client with no history of heart disease has experienced acute myocardial
infarction and has been given thrombolytic therapy with tissue plasminogen
activator. What assessment finding should the nurse identify as an indicator
that the client is experiencing complications of this therapy?
1.
Tarry stools
2.
Nausea and vomiting
3.
Orange-colored urine
4.
Decreased urine output
Tarry stools
Thrombolytic agents are used to dissolve existing thrombi, and the nurse should
monitor the client for obvious or occult signs of bleeding. This includes assessment
for obvious bleeding within the gastrointestinal (GI) tract, urinary system, and skin. It
also includes Hematest testing of secretions for occult blood. The correct option is
the only one that indicates the presence of blood.
The nurse is discussing smoking cessation with a client diagnosed with
coronary artery disease (CAD). Which statement should the nurse make to try
to motivate the client to quit smoking?
1.
"None of the cardiovascular effects are reversible, but quitting might prevent
lung cancer."
2.
"Because most of the damage has already been done, it will be all right to cut
, Page 3 of 63
down a little at a time."
3.
"If you totally quit smoking right now, you can cut your cardiovascular risk to
zero within a year."
4.
"If you quit now, your risk of cardiovascular disease will decrease to that of a
nonsmoker in 3 to 4 years."
"If you quit now, your risk of cardiovascular disease will decrease to that of a
nonsmoker in 3 to 4 years."
The risks to the cardiovascular system from smoking are noncumulative and are not
permanent. Three to 4 years after cessation, a client's cardiovascular risk is similar
to that of a person who never smoked. In addition, tobacco use and passive smoking
from "secondhand smoke" (also called environmental smoke) substantially reduce
blood flow in the coronary arteries. The statements in the remaining options are
incorrect.
A client has experienced an episode of pulmonary edema. The nurse
determines that the client's respiratory status is improving after this episode if
which breath sounds are noted?
1.
Rhonchi
2.
Wheezes
3.
Crackles in the bases
4.
Crackles throughout the lung fields
Crackles in the bases
Pulmonary edema is characterized by extreme breathlessness, dyspnea, air hunger,
and the production of frothy, pink-tinged sputum. As the client's condition improves,
the amount of fluid in the alveoli decreases, which may be detected by crackles in
the bases. (Clear lung sounds indicate full resolution of the episode.) Rhonchi and
wheezes are not associated with pulmonary edema. Auscultation of the lungs
reveals crackles throughout the lung fields.
A hospitalized client has been diagnosed with heart failure as a complication
of hypertension. In explaining the disease process to the client, the nurse
identifies which chamber of the heart as primarily responsible for the
symptoms?
1.
Left atrium
2.
Right atrium
3.
Left ventricle
, Page 4 of 63
4.
Right ventricle
Left ventricle
Hypertension increases the workload of the left ventricle because the ventricle has to
pump the stroke volume against increased resistance (afterload) in the major blood
vessels. Over time this causes the left ventricle to fail, leading to signs and
symptoms of heart failure. The remaining options are not the chambers that are
primarily responsible for this disease process, although these chambers may be
affected as the disease becomes more chronic.
The nurse has just completed education on myocardial infarction (MI) to a
group of new nurses. Which statement made by one of the nurses indicates
that the teaching has been effective?
1.
"Chest pain is caused by tissue hypoxia in the myocardium."
2.
"Chest pain is caused by tissue hypoxia in the vessels of the heart."
3.
"Chest pain is caused by tissue hypoxia in the parietal pericardium."
4.
"Chest pain is caused by tissue hypoxia in the visceral pericardium."
"Chest pain is caused by tissue hypoxia in the myocardium."
The myocardial layer of the heart is damaged when a client experiences an MI. This
is the middle layer that contains the striated muscle fibers responsible for the
contractile force of the heart. The obstruction, which causes the interruption in blood
flow and ensuing hypoxia, affects the myocardial layer. The endocardiumis the thin
inner layer of cardiac tissue. The parietal pericardium and visceral pericardium are
outer layers that protect the heart from injury and infection.
The registered nurse (RN) is educating a new nurse on mitral stenosis. Which
statement by the new nurse indicates that the teaching has been effective?
1.
"Left ventricle to aorta narrowing will impede flow of blood."
2.
"Left atrium to left ventricle narrowing will impede flow of blood."
3.
"Right atrium to right ventricle narrowing will impede flow of blood."
4.
"Right ventricle to pulmonary artery narrowing will impede flow of blood."
"Left atrium to left ventricle narrowing will impede flow of blood."
The mitral valve separates the left atrium from the left ventricle. The remaining
options describe impeded flow due to aortic, tricuspid, and pulmonic stenosis,
respectively.
The registered nurse (RN) is educating a new nurse about aortic regurgitation.
Which statement by the new nurse indicates that the teaching has been
effective?
“SAUNDERS NCLEX CARDIOVASCULAR EXAM
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
day 7
don't miss any practice text contact me +254111429458
Saunders NCLEX Cardiovascular
The nurse working in a long-term care facility is assessing a client who is
experiencing chest pain. The nurse should interpret that the pain is most likely
caused by myocardial infarction (MI) on the basis of what assessment finding?
1.
The client is not experiencing dyspnea.
2.
The client is not experiencing nausea or vomiting.
3.
The pain has not been relieved by rest and nitroglycerin tablets.
4.
The client says the pain began while she was trying to open a stuck dresser
drawer.
The pain has not been relieved by rest and nitroglycerin tablets.
The pain of MI is not relieved by rest and nitroglycerin and requires opioid
analgesics, such as morphine sulfate, for relief. The pain of angina may radiate to
the left shoulder, arm, neck, or jaw. It often is precipitated by exertion or stress, is
accompanied by few associated symptoms, and is relieved by rest and nitroglycerin.
The pain of MI also may radiate to the left arm, shoulder, jaw, and neck. It typically
begins spontaneously, lasts longer than 30 minutes, and frequently is accompanied
by associated symptoms (such as nausea, vomiting, dyspnea, diaphoresis, or
anxiety).
, Page 2 of 63
A client with myocardial infarction (MI) has been transferred from the coronary
care unit (CCU) to the general medical unit. What activity level should the
nurse encourage for the client immediately after transfer?
1.
Ad lib activities as tolerated
2.
Strict bed rest for 24 hours after transfer
3.
Bathroom privileges and self-care activities
4.
Unsupervised hallway ambulation for distances up to 200 feet (60 meters)
Bathroom privileges and self-care activities
On transfer from CCU to an intermediate care or general medical unit, the client is
allowed self-care activities and bathroom privileges. Activities ad lib as tolerated is
premature at this time and potentially harmful for this client. It is unnecessary and
possibly harmful to limit the client to bed rest. The client should ambulate with
supervision in the hall for brief distances, with the distances being gradually
increased to 50, 100, and 200 feet (15, 30 and 60 meters).
A client with no history of heart disease has experienced acute myocardial
infarction and has been given thrombolytic therapy with tissue plasminogen
activator. What assessment finding should the nurse identify as an indicator
that the client is experiencing complications of this therapy?
1.
Tarry stools
2.
Nausea and vomiting
3.
Orange-colored urine
4.
Decreased urine output
Tarry stools
Thrombolytic agents are used to dissolve existing thrombi, and the nurse should
monitor the client for obvious or occult signs of bleeding. This includes assessment
for obvious bleeding within the gastrointestinal (GI) tract, urinary system, and skin. It
also includes Hematest testing of secretions for occult blood. The correct option is
the only one that indicates the presence of blood.
The nurse is discussing smoking cessation with a client diagnosed with
coronary artery disease (CAD). Which statement should the nurse make to try
to motivate the client to quit smoking?
1.
"None of the cardiovascular effects are reversible, but quitting might prevent
lung cancer."
2.
"Because most of the damage has already been done, it will be all right to cut
, Page 3 of 63
down a little at a time."
3.
"If you totally quit smoking right now, you can cut your cardiovascular risk to
zero within a year."
4.
"If you quit now, your risk of cardiovascular disease will decrease to that of a
nonsmoker in 3 to 4 years."
"If you quit now, your risk of cardiovascular disease will decrease to that of a
nonsmoker in 3 to 4 years."
The risks to the cardiovascular system from smoking are noncumulative and are not
permanent. Three to 4 years after cessation, a client's cardiovascular risk is similar
to that of a person who never smoked. In addition, tobacco use and passive smoking
from "secondhand smoke" (also called environmental smoke) substantially reduce
blood flow in the coronary arteries. The statements in the remaining options are
incorrect.
A client has experienced an episode of pulmonary edema. The nurse
determines that the client's respiratory status is improving after this episode if
which breath sounds are noted?
1.
Rhonchi
2.
Wheezes
3.
Crackles in the bases
4.
Crackles throughout the lung fields
Crackles in the bases
Pulmonary edema is characterized by extreme breathlessness, dyspnea, air hunger,
and the production of frothy, pink-tinged sputum. As the client's condition improves,
the amount of fluid in the alveoli decreases, which may be detected by crackles in
the bases. (Clear lung sounds indicate full resolution of the episode.) Rhonchi and
wheezes are not associated with pulmonary edema. Auscultation of the lungs
reveals crackles throughout the lung fields.
A hospitalized client has been diagnosed with heart failure as a complication
of hypertension. In explaining the disease process to the client, the nurse
identifies which chamber of the heart as primarily responsible for the
symptoms?
1.
Left atrium
2.
Right atrium
3.
Left ventricle
, Page 4 of 63
4.
Right ventricle
Left ventricle
Hypertension increases the workload of the left ventricle because the ventricle has to
pump the stroke volume against increased resistance (afterload) in the major blood
vessels. Over time this causes the left ventricle to fail, leading to signs and
symptoms of heart failure. The remaining options are not the chambers that are
primarily responsible for this disease process, although these chambers may be
affected as the disease becomes more chronic.
The nurse has just completed education on myocardial infarction (MI) to a
group of new nurses. Which statement made by one of the nurses indicates
that the teaching has been effective?
1.
"Chest pain is caused by tissue hypoxia in the myocardium."
2.
"Chest pain is caused by tissue hypoxia in the vessels of the heart."
3.
"Chest pain is caused by tissue hypoxia in the parietal pericardium."
4.
"Chest pain is caused by tissue hypoxia in the visceral pericardium."
"Chest pain is caused by tissue hypoxia in the myocardium."
The myocardial layer of the heart is damaged when a client experiences an MI. This
is the middle layer that contains the striated muscle fibers responsible for the
contractile force of the heart. The obstruction, which causes the interruption in blood
flow and ensuing hypoxia, affects the myocardial layer. The endocardiumis the thin
inner layer of cardiac tissue. The parietal pericardium and visceral pericardium are
outer layers that protect the heart from injury and infection.
The registered nurse (RN) is educating a new nurse on mitral stenosis. Which
statement by the new nurse indicates that the teaching has been effective?
1.
"Left ventricle to aorta narrowing will impede flow of blood."
2.
"Left atrium to left ventricle narrowing will impede flow of blood."
3.
"Right atrium to right ventricle narrowing will impede flow of blood."
4.
"Right ventricle to pulmonary artery narrowing will impede flow of blood."
"Left atrium to left ventricle narrowing will impede flow of blood."
The mitral valve separates the left atrium from the left ventricle. The remaining
options describe impeded flow due to aortic, tricuspid, and pulmonic stenosis,
respectively.
The registered nurse (RN) is educating a new nurse about aortic regurgitation.
Which statement by the new nurse indicates that the teaching has been
effective?
