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CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM 2024/2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM 2024/2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES The student nurse is preparing a teaching plan for a patient being discharged status post MI. What should the student include in the teaching plan? (Mark all that apply.) A. ...

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  • 18 septembre 2024
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  • 2024/2025
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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM 2024/2025
ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES


The student nurse is preparing a teaching plan for a patient being discharged status

post MI. What should the student include in the teaching plan? (Mark all that apply.)




A. Need for increased fluid intake

B. Need for early resumption of prediagnosis activity

C. Need for careful monitoring for cardiac symptoms

D. Need for dietary modifications

E. Need for carefully regulated exercise - Answer✔️✔️-C. Need for careful monitoring for

cardiac symptoms

D. Need for dietary modifications

E. Need for carefully regulated exercise



Dietary modifications, exercise, weight loss, and careful monitoring are important

strategies for managing three major cardiovascular risk factors: hyperlipidemia,

hypertension, and diabetes. There is no need to increase fluid intake and activity should

be slowly and deliberately increased

The nurse is caring for an 84-year-old man who has just returned from the OR after

inguinal hernia repair. The OR report indicates that the patient received large volumes

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
of IV fluids during surgery and the nurse recognizes that the patient is at risk for left-

sided heart failure. What signs and symptoms would indicate left-sided heart failure?



A. Jugular vein distention

B. Bibasilar fine crackles

C. Right upper quadrant pain

D. Dependent edema - Answer✔️✔️-B. Bibasilar fine crackles



Bibasilar fine crackles are a sign of alveolar fluid, a sequela of left ventricular fluid, or

pressure overload. Jugular vein distention, right upper quadrant pain (hepatomegaly),

and dependent edema are caused by right-sided heart failure, usually a chronic

condition.

The nurse is reviewing a newly admitted patient's electronic health record, which notes

a history of orthopnea? What nursing action is most clearly indicated?



A. Avoid positioning the patient supine.

B. Limit the patient's activity level.

C. Teach the patient deep breathing and coughing exercises.

D. Administer supplemental oxygen at all times. - Answer✔️✔️-A. Avoid positioning the

patient supine.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Orthopnea is defined as difficulty breathing while lying flat. This is a possible

complication of HF and, consequently, the nurse should avoid positioning the patient

supine. Oxygen supplementation may or may not be necessary and activity does not

always need to be curtailed. Deep breathing and coughing exercises do not directly

address this symptom.

The nurse is caring for an adult patient with HF who is prescribed digoxin. When

assessing the patient for adverse effects, the nurse should assess for which of the

following signs and symptoms?



A. Numbness and tingling in the extremities

B. Confusion and bradycardia

C. Uncontrolled diuresis and tachycardia

D. Chest pain and shortness of breath - Answer✔️✔️-B. Confusion and bradycardia



A key concern associated with digitalis therapy is digitalis toxicity. Symptoms include

anorexia, nausea, visual disturbances, confusion, and bradycardia. The other listed

signs and symptoms are not characteristic of digitalis toxicity.

The ED nurse is caring for a patient with a suspected MI. What drug should the nurse

anticipate administering to this patient?



A. Warfarin

B. Oxycodone

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
C. Morphine

D. Acetaminophen - Answer✔️✔️-C. Morphine



The patient with suspected MI is given aspirin, nitroglycerin, morphine, an IV beta-

blocker, and other medications, as indicated, while the diagnosis is being confirmed.

Tylenol, warfarin, and oxycodone are not typically used.

A patient is admitted to the critical care unit (CCU) with a diagnosis of cardiomyopathy.

When reviewing the patient's most recent laboratory results, the nurse should prioritize

assessment of which of the following?



A. Sodium

B. AST, ALT, and bilirubin

C. BUN

D. White blood cell differential - Answer✔️✔️-A. Sodium



Sodium is the major electrolyte involved with cardiomyopathy. Cardiomyopathy often

leads to heart failure which develops, in part, from fluid overload. Fluid overload is often

associated with elevated sodium levels. Consequently, sodium levels are followed more

closely than other important laboratory values, including BUN, leukocytes, and liver

function tests.

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