NCLEX-RN: Cardiovascular Practices Questions
and answers EXAM, SOLUTIONS (MULTIPLE
CHOICES) 100% correct 2025!!
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A nurse assesses clients a. A 36-year-old woman with aortic stenosis
on a cardiac unit. Which
client should the nurse Although most people with heart failure will have
identify as being at failure that progresses from left to right, it is possible
greatest risk for the to have left-sided failure alone for a short period. It is
development of left-sided also possible to have heart failure that progresses
heart failure? from right to left. Causes of left ventricular failure
include mitral or aortic valve disease, coronary artery
a. A 36-year-old woman disease, and hypertension. Pulmonary hypertension
with aortic stenosis and chronic cigarette smoking are risk factors for right
b. A 42-year-old man with ventricular failure. A cerebral vascular accident does
pulmonary hypertension not increase the risk of heart failure.
c. A 59-year-old woman
who smokes cigarettes
daily
d. A 70-year-old man who
had a cerebral vascular
accident
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A nurse assesses a client in c. I must stop halfway up the stairs to catch my breath.
an outpatient clinic. Which
statement alerts the nurse Clients with left-sided heart failure report weakness
to the possibility of left- or fatigue while performing normal activities of daily
sided heart failure? living, as well as difficulty breathing, or catching their
breath. This occurs as fluid moves into the alveoli.
a. I have been drinking Nocturia is often seen with right-sided heart failure.
more water than usual. Thirst and blurred vision are not related to heart
b. I am awakened by the failure.
need to urinate at night.
c. I must stop halfway up
the stairs to catch my
breath.
d. I have experienced
blurred vision on several
occasions.
A nurse assesses a client b. My shoes fit really tight lately.
admitted to the cardiac
unit. Which statement by Signs of systemic congestion occur with right-sided
the client alerts the nurse heart failure. Fluid is retained, pressure builds in the
to the possibility of right- venous system, and peripheral edema develops. Left-
sided heart failure? sided heart failure symptoms include respiratory
symptoms. Orthopnea, coughing, and difficulty
a. I sleep with four pillows breathing all could be results of left-sided heart
at night. failure.
b. My shoes fit really tight
lately.
c. I wake up coughing
every night.
d. I have trouble catching
my breath.
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While assessing a client on a. Assess for symptoms of left-sided heart failure.
a cardiac unit, a nurse
identifies the presence of The presence of an S3 gallop is an early diastolic
an S3 gallop. Which action filling sound indicative of increasing left ventricular
should the nurse take pressure and left ventricular failure. The other actions
next? are not warranted.
a. Assess for symptoms of
left-sided heart failure.
b. Document this as a
normal finding.
c. Call the health care
provider immediately.
d. Transfer the client to the
intensive care unit.
A nurse cares for a client a. Weight is the best indication that you are gaining or
with right-sided heart losing fluid.
failure. The client asks,
Why do I need to weigh Daily weights are needed to document fluid retention
myself every day? How or fluid loss. One liter of fluid equals 2.2 pounds. The
should the nurse respond? other responses do not address the importance of
monitoring fluid retention or loss.
a. Weight is the best
indication that you are
gaining or losing fluid.
b. Daily weights will help
us make sure that you're
eating properly.
c. The hospital requires
that all inpatients be
weighed daily.
d. You need to lose weight
to decrease the incidence
of heart failure.
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A nurse is teaching a client a. Avoid using salt substitutes.
with heart failure who has
been prescribed enalapril Angiotensin-converting enzyme (ACE) inhibitors such
(Vasotec). Which as enalapril inhibit the excretion of potassium.
statement should the Hyperkalemia can be a life-threatening side effect,
nurse include in this clients and clients should be taught to limit potassium intake.
teaching? Salt substitutes are composed of potassium chloride.
ACE inhibitors do not need to be taken with food and
a. Avoid using salt have no impact on the clients pulse rate. Aspirin is
substitutes. often prescribed in conjunction with ACE inhibitors
b. Take your medication and is not contraindicated.
with food.
c. Avoid using aspirin-
containing products.
d. Check your pulse daily.
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