Cardiac NCLEX questions

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  1. You are performing an initial assessment on a 93-year-old male admitted to the ED. Upon admission, he states that he feels fatigued, short of breath when walking short distances, and that he has had no desire to eat. His peripheral pulses are weak/ thready, he has edema in his lower legs, and he is assuming the tripod position. What is the client experiencing?

    A. Left-Sided Heart Failure
    B. Valvular Heart Disease
    C. Pulmonary Edema
    D. Right-Sided Heart Failure
    D. Right-Sided Heart Failure
    (this multiple choice question has been scrambled)
  2. A client with a history of HF is prescribed Spironolactone, a potassium sparing diuretic, to treat their condition. Which of the following lab results is concerning and may be indicative that the client is experiencing an adverse drug reaction?

    A. Na+ serum level of 141mEq/L
    B.  K+ serum level of 2.9mEq/L
    C.  Na+ serum level of 136mEq/L
    D.  K+ serum level of 5.7mEq/L
    D.  K+ serum level of 5.7mEq/L
    (this multiple choice question has been scrambled)
  3. A 56-year-old male patient with a history of CAD and HTN complains of feeling fatigued and short of breath. He has a history of smoking 1 pack a day for 20 years, does not exercise, and states, “my chest feels very tight every time I go get the mail”. His respiratory rate is 26 and his radial pulse 90bpm. What is he likely experiencing?

    A.  Unstable Angina
    B.  Stable Angina
    C.  Myocardial Infarction
    D.  Acute Coronary Syndrome
    B.  Stable Angina
    (this multiple choice question has been scrambled)
  4. A 64-year old white female came into the ER with a BP of 170/88 and a blood glucose of 109 mg/dl. What order by the physician should the nurse question?

    A.  Amlodipine (Norvasc) 2.5 mg PO QD
    B.  Hydrochlorothiazide (HCTZ) 25 mg PO Qam
    C.  Sodium nitroprusside (Nipride) 3 mcg/kg
    D.  IV push Lisinopril (Zestril) 5 mg PO QD
    C.  Sodium nitroprusside (Nipride) 3 mcg/kg
    (this multiple choice question has been scrambled)
  5. You are the attending nurse for a 55-year old male who just returned back from a successful CABG surgery 2 hours ago. The surgical physician used grafts from the clients’ left radial artery to perform the bypass. What task can you delegate to the UAP?

    a  Assessing incision sites for bleeding
    b.  Checking distal pulses and motor function on the clients left hand
    c.  Obtaining warm blankets to help restore temperature
    d.  Educating the client on how to use his incentive spirometer
    c.  Obtaining warm blankets to help restore temperature
  6. A nurse is providing discharge education to a 75-year old African American woman with heart failure. The nurse decides additional education is required when the client states?

    A.  “If I gain 3 lbs over 2 days I should contact my doctor.”
    B.  “As soon as I feel better I can stop taking my medications.”
    C.  “I need to reduce my intake of salt to no more than 2,000 mg per day.”
    D.  “I should alternate activity with rest to conserve my energy.
    B.  “As soon as I feel better I can stop taking my medications.”
    (this multiple choice question has been scrambled)
  7. During shift change, you receive the following information on your clients. Which of the clients below should the nurse round on first?

    A.  The 68 year old man with COPD and historically smokes a pack a day and was admitted with a BP of 155/112
    B.  The 29 year old post-operative ACL allograft female client with peripheral edema
    C.  The 48 year old man complaining of SOB with a familial history of stroke
    C.  The 48 year old man complaining of SOB with a familial history of stroke
    (this multiple choice question has been scrambled)
  8. The client arrives in the ED, presenting with dry cough, a slightly elevated BP and states that he is having a hard time breathing. The priority nursing intervention for the nurse would be which of the following:

    A.  Obtain baseline vitals and ECG readings
    B.  Apply Oxygen
    C.  Administer a nebulizer treatment, as ordered by the physician
    D.  Reposition the client to an upright position
    B.  Apply Oxygen
    (this multiple choice question has been scrambled)
  9. An obese, elderly man arrives in your clinic with decreased urinary output, a BP of 148/109 and has been previously diagnosed with Diabetes Mellitus Type II but is unmanaged. Which of the following collaborative care nursing interventions should be the highest priority for the nurse?

    A.  Reduce the client’s blood pressure to at least 130/88 prior to discharge
    B.  Obtain a referral for a dietitian to help the client manage his type II diabetes
    C.  Help the client increase his daily physical activity during this admission
    D.  Get a taxi voucher for discharge
    A.  Reduce the client’s blood pressure to at least 130/88 prior to discharge
    (this multiple choice question has been scrambled)
  10. You are caring for a patient with heart failure who begins to have paroxysmal nocturnal dyspnea. What intervention would be most appropriate to implement?

    A.  Request an order for a diuretic from the attending physician
    B.  Raise the head of the bed to 45 degrees at night
    C.  Place the patient on a low sodium diet
    D.  Place the patient on 4L 02 via nasal cannula and monitor oxygen saturation
    B.  Raise the head of the bed to 45 degrees at night
    (this multiple choice question has been scrambled)
  11. A patient with a history of hypertension comes into the clinic where you work for a routine check-up. Her blood pressure reading is 174/94 and she reports that she hasn’t been taking her blood pressure medication because she “feels fine without it”. Select the most appropriate nursing diagnosis for this patient.

    A.  Knowledge Deficit related to patient stating blood pressure reading of 174/94 as manifested by patient stating “I feels fine without it.”
    B.  Ineffective self-health management related to lack of knowledge of pathology, complications and management of hypertension as evidenced by blood pressure of 174/90
    C.  Risk for decreased cardiac tissue perfusion related to lack of knowledge of modifiable risk factors
    D.  Ineffective denial related to high blood pressure as evidenced by the statement, “I feel fine without it”
    A.  Knowledge Deficit related to patient stating blood pressure reading of 174/94 as manifested by patient stating “I feels fine without it.”
    (this multiple choice question has been scrambled)
  12. You are preparing discharge education for a female patient who has just been hospitalized for a myocardial infarction. Which statement by the patient indicates a need for further education?

    a.  “If I experience mild chest pain, I should immediately seek medical attention
    b.  “I shouldn’t be too concerned if I experience fatigue or shortness of breath throughout the day because I work long days teaching 2nd graders”
    c.  “I should cut down how often I smoke cigarettes”
    d.  “I should avoid putting extra salt on my food”
    • b.  “I shouldn’t be too concerned if I experience fatigue or shortness
    • of breath throughout the day because I work long days teaching 2nd
    • graders”
  13. A nurse teaches a class on valve replacements. The nurse knows her students understands the differences between types of valves when they state

    A.  “Only mechanical valves can leak and cause endocarditis.”
    B.  “Biologic valves are made from artificial materials and metal alloys.”
    C.  “Biologic valves last longer than mechanical valves.”
    D.  “Mechanical valves have a higher chance of thromboembolism.”
    D.  “Mechanical valves have a higher chance of thromboembolism.”
    (this multiple choice question has been scrambled)
  14. A patient with severe liver disease is receiving the angiotensin converting enzyme (ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is which characteristic?

    A.  Captopril is not a prodrug and does not need to be metabolized by the liver before becoming active.
    B.  Captopril is a prodrug and is metabolized by the liver before becoming active.
    C.  Captopril has little effect on electrolyte levels.
    D.  Captopril rarely causes first-dose hypotensive effects.
    A.  Captopril is not a prodrug and does not need to be metabolized by the liver before becoming active.
    (this multiple choice question has been scrambled)
  15. The nurse has a patient on a calcium channel blocker. The nurse should be concerned about all of the following except:

    A.  The patient drinking grapefruit juice
    B.  Digoxin levels
    C.  Cough
    D.  Allergy to sulfa
    C.  Cough
    (this multiple choice question has been scrambled)
  16. When discharging an elderly patient with CHF, the nurse instructs them on how to take their prescribed atenolol (Tenormin). Which statement by the patient indicates the need for further instruction?

    A.  “I should stop this medication until my next check-up if it makes me feel nauseous.”
    B.  “Erectile dysfunction is a possible side effect when taking this medication.”
    C.  “I should monitor my HR and hold my medication if it is at less than 50 beats/min.”
    D.  “This medication will improve my condition by slowing down my heart.”
    A.  “I should stop this medication until my next check-up if it makes me feel nauseous.”
    (this multiple choice question has been scrambled)
  17. When administering calcium channel blockers, an important nursing consideration is:

    A.  It is the only anti-dysrhythmic medication that is safe for use with digoxin.
    B.  It is important to administer the medication right before bed.
    C.  Consumption of grapefruit juice while taking this medication can lead to complications.
    D.  Co-administration with potassium-sparing diuretics will cause an additive effect.
    C.  Consumption of grapefruit juice while taking this medication can lead to complications.
    (this multiple choice question has been scrambled)
  18. The nurse is reviewing the orders for a patient and notes a new order for an angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class?

    A.  Diuretics
    B.  Calcium channel blockers
    C.  Nitrates
    D.  Nonsteroidal antiinflammatory drugs
    D.  Nonsteroidal antiinflammatory drugs
    (this multiple choice question has been scrambled)
  19. Which of the following patients has the greatest risk for developing infective endocarditis?

    A.  A 36 year old man who is an IV drug user
    B.  An 84 year old woman with aortic stenosis
    C.  A 55 year old man with a prosthetic mitral valve
    D.  A 50 year old woman on renal dialysis
    A.  A 36 year old man who is an IV drug user
    (this multiple choice question has been scrambled)
  20. A recent immigrant has come into the ER with cardiac enlargement and heart murmurs, and states he had rheumatic fever as a child. He is currently experiencing fatigue, weakness, and anorexia. The client is most likely experiencing symptoms of:

    A.  Decreased ejection fraction
    B.  Mitral valve prolapse
    C.  Endocarditis
    D.  Coronary artery disease
    C.  Endocarditis
    (this multiple choice question has been scrambled)
  21. A client comes onto the unit floor and is anxious, pale, and cyanotic, with cold clammy skin. He is complaining of dyspnea, have a respiratory rate of 36, and coughing with a frothy, bloody sputum. Auscultation of the lungs reveals crackles, wheezes, and rhonchi. He is likely experiencing:

    A.  Angina
    B.  Pulmonary edema
    C.  Hepatomegaly
    D.  Valvular heart disease
    B.  Pulmonary edema
    (this multiple choice question has been scrambled)
  22. An RN comes on shift and has the following patients. Who should they asses first?

    A.  55 year old male with history of DVT complaining of SOB
    B.  66 year old female with CHF complaining of SOB
    C.  60 year old female on lasix therapy reporting 2 kg weight increase over the past week
    D.  75 year old male with PAD screaming due to a painful foot ulcer
    A.  55 year old male with history of DVT complaining of SOB
    (this multiple choice question has been scrambled)
  23. When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD), the nurse determines a need for further instruction when the patient says, "I will:

    A.  use a heating pad on my feet at night to increase the circulation and warmth in my feet.
    B.  change my position every hour and avoid long periods of sitting with my legs crossed.
    C.  "walk to the point of pain, rest, and walk again until the pain returns for at least 30 minutes 3 times a week."
    D.  "have to buy some loose clothes that do not bind across my legs or waist."
    A.  use a heating pad on my feet at night to increase the circulation and warmth in my feet.
    (this multiple choice question has been scrambled)
  24. A 56 year old male is hooked up to a 12-lead EKG, and it shows an atrial rate of 400, and the P-wave is replaced by chaotic, fibrillary waves. He is likely experiencing:

    A.  AV-blockBJunctional
    B.  Atrial fibrillation
    C.  Supraventricular tachycardia
    D.  Dysrhythmias
    B.  Atrial fibrillation
    (this multiple choice question has been scrambled)
  25. The RN would need to assess which patient who is on digoxin for toxicity?

    A.  42 year old male on loop diuretics
    B.  46 year old male on aspirin therapy
    C.  40 year old woman on warfarin therapy
    D.  32 year old female on beta blockers
    A.  42 year old male on loop diuretics
    (this multiple choice question has been scrambled)
  26. What task can an RN delegate to a UAP?

    A.  Coumadin therapy
    B.  Review discharge instructions with patient in for routine follow upTake vitals on chest pain patient
    C.  Place leads on a patient getting ready for surgery
    D.  Teach patient about
    C.  Place leads on a patient getting ready for surgery
    (this multiple choice question has been scrambled)
  27. A client with heart failure is taking Furosemide (Lasix). Which of the following statements, made by a client, warrants more education?

    A.  “I should include more foods such as bananas, apricots, and legumes in my diet”
    B.  “I should not take the pill with food”
    C.  “My blood pressure will change over time”
    D.  “I should take the drug before bedtime”
    D.  “I should take the drug before bedtime”
    (this multiple choice question has been scrambled)
  28. Your patient is showing initial signs of acute coronary syndrome. The patient’s airway is clear, RR is 33 and skin is cold and clammy. What is the first priority for the nurse?

    A.  Obtain portable chest X-Ray
    B.  Obtain a 12-Lead ECG.
    C.  Assess and record response to medications and remediate medications as needed.
    D.  Position patient upright and administer O2 by nasal cannula or non-rebreather mask
    D.  Position patient upright and administer O2 by nasal cannula or non-rebreather mask
    (this multiple choice question has been scrambled)
  29. A nurse is caring for a 56 year old male patient with a previous diagnoses of gout and has a BP of 152/93. Which of the following new medication order should the nurse question?

    A.  Tissue Plasminogen activator (TPA)
    B.  Norvasc (Amlodipine)
    C.  Procardia (Nifedipine)
    D.  Cozaar (Losartan)
    D.  Cozaar (Losartan)
    (this multiple choice question has been scrambled)
  30. You have just started your shift and received report from the previous nurse on duty. Which of the following clients should you check on first?

    A.  A 46 yr. old male 1 day post op reporting a pain level of 7/10.
    B.  A 61 yr. old male with a history of CAD complaining of chest pain
    C.  A 71 yr. old female with a history of COPD with a SpO2 of 88%.
    D.  A 27 yr. old female receiving IV furosemide (Lasix) with a potassium level of 3.2mEq/L
    B.  A 61 yr. old male with a history of CAD complaining of chest pain
    (this multiple choice question has been scrambled)
  31. The nurse has taken a complete set of vital signs prior to administering the beta blocker metoprolol to a patient with stable angina. Which of the following would cause the nurse to hold the medication and notify the physician?

    A.  Respiratory rate of 26
    B.  SpO2 88%.
    C.  Apical heart rate 59
    D.  BP 101/60
    C.  Apical heart rate 59
    (this multiple choice question has been scrambled)
  32. The physician has ordered aspirin for your patient with acute coronary syndrome. When administering the medication the patient asks what the aspirin is for. Which of the following is the best response.

    A.  “The aspirin helps reduce inflammation which will protect your heart from further damage.”
    B.  “The aspirin is the best analgesic for your type of chest pain.”
    C.  “The aspirin will prevent the formation of blood clots.”
    D.  “The aspirin will dilate the blood vessels in your heart allowing it to receive more oxygen.”
    C.  “The aspirin will prevent the formation of blood clots.”
    (this multiple choice question has been scrambled)
  33. Your client is undergoing a cardiac catheterization procedure. What statement by the client shows understanding of the procedure?

    A.  This procedure is a very invasive surgery
    B.  I should not have this procedure if I am allergic to iodine
    C.  I can eat right before the procedure
    D.  This procedure is like an XRAY
    B.  I should not have this procedure if I am allergic to iodine
    (this multiple choice question has been scrambled)
  34. You arrive for your shift on a med-surg floor and receive report from the night shift nurse about your patients. Which patient will you assess first?

    A.  A patient that is supposed to be discharged this morning at 0800 and no one started the discharge paperwork yet
    B.  A renal failure patient on dialysis 3 days a week, who has only voided 88ml in the last 24 hrs
    C.  A patient with who is in the hospital with exacerbation of COPD and on 2L of oxygen with an O2 level of 93%
    D.  A patient newly diagnosed with heart failure that just turned on his call light to say he feels “funny”
    D.  A patient newly diagnosed with heart failure that just turned on his call light to say he feels “funny”
    (this multiple choice question has been scrambled)
Author:
swasdo
ID:
313989
Card Set:
Cardiac NCLEX questions
Updated:
2016-01-11 22:14:06
Tags:
nursing
Folders:
n101
Description:
cardiac questions--student NCLEX questions
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