Cardiac NCLEX (with Accurate Answers)

Which of the following are most likely to be early signs of cardiac problems in older persons? (Select all that apply.) Mental status changes Agitation Frequent falls Sudden changes in GI function correct answers Mental status changes Agitation Frequent falls Rationale: Many cardiova...

The nurse is assessing a pt w/ chronic heart failure. Which abnormal chest sound would the nurse most likely auscultate? 1. expiratory wheezes 2. friction rub 3. harsh vesicular 4. crackles correct answers Answer: 4 Rationale 1, 2, 3: Expiratory wheezes, friction rub, & harsh vesicular sounds a...

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4+ pitting edema of feet. 2. Thick white sputum and crackles that clea...

A nurse assesses clients on a cardiac unit. Which client should the nurse identify as being at greatest risk for the development of left-sided heart failure? a. A 36-year-old woman with aortic stenosis b. A 42-year-old man with pulmonary hypertension c. A 59-year-old woman who smokes cigarettes...

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics? 1.Sinus brad...

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4+ pitting edema of feet. 2. Thick white sputum and crackles that clea...

The nurse in the telemetry unit explains two nonpharmacological treatments such as ___________, or ___________, can be used to treat dysrhythmias. A) ECG; pacemaker B) Cardioversion; defibrillation C) Aspirin; Plavix D) Exercise; stress test correct answers B) Cardioversion; defibrillation ...

When evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse determines that additional teaching is needed when the patient says which of the following? a. "They will circulate my ...

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics? 1. Sinus...

A nurse is assisting a client who will wear a Holter monitor for continuous cardiac monitoring over the next 24 hours. The nurse takes which of the following actions to assist this client? correct answers Gives the client a device holder to wear around the waist A client is admitted to the hospit...

A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a prothrombin time (PT) of 35 seconds. On the basis of these laboratory values, the nurse anticipates which action? A. adding a dose of heparin sodium B. holding the next dose of warfarin C. increasing...

Which nursing action is most important when caring for a client after a cardiac catheterization? 1. Provide for rest 2. Administer oxygen 3. Check a pulse distal to the insertion site 4. Assess the electrocardiogram every fifteen minutes correct answers 3 For which complication of myocardial ...

The nurse prepares to administer digoxin to a client with heart failure and notes the following information: Temperature: 99.8 Pulse: 48 and irregular Respirations: 20 Potassium level: 3.2 mEq/L What action does the nurse take? a. Give digoxin; reassess the heart rate in 30 minutes. b. Give t...

1. The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4 pitting edema of feet. 2. Thick white sputum and crackles that cl...