Cardiovascular NCLEX-PN Questions With Complete
Solutions
A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes
superficial thrombophlebitis of the lower leg. The nurse would
next check the client for: Correct Answers Smoking History
A client admitted to the hospital with a diagnosis of myocardial
infarction (MI) tells the nurse that the pain likely resulted from
the fried chicken sandwich that the client had for lunch. The
nurse responds to the client, using the knowledge that: Correct
Answers Denial is a common occurrence early after MI.
A client admitted to the hospital with coronary artery disease
complains of dyspnea at rest. The nurse determines that which
of the following items would be of most help to the client?
Correct Answers Elevating the head of the bed to at least 45
degrees
A client complaining of chest pain has an as-needed (PRN)
prescription for sublingual nitroglycerin (Nitrostat). Before
administering the medication to the client, the nurse should first
check the client's: Correct Answers Blood pressure
A client diagnosed with angina pectoris returns to the nursing
unit after experiencing an angioplasty. The nurse reinforces
instructions to the client regarding the procedure and home care
measures. Which statement by the client indicates an
understanding of the instructions? Correct Answers "I need to
adhere to my dietary restrictions."
,A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client is
visibly anxious. The nurse understands that a life-threatening
complication of this condition is: Correct Answers Pulmonary
Embolism
A client had an aortic valve replacement 2 days ago. This
morning, the client says to the nurse, "I don't feel any better than
I did before surgery." The appropriate response by the nurse is:
Correct Answers "You are concerned that you don't feel any
better after surgery?"
A client has a history of left-sided heart failure. The nurse would
look for the presence of which of the following to determine
whether the problem is currently active? Correct Answers
Bilateral lung crackles
A client has an inoperable abdominal aortic aneurysm (AAA).
The nurse teaches the client about the need for: Correct
Answers Antihypertensives
A client has an Unna boot applied for treatment of a venous
stasis leg ulcer. The nurse notes that the client's toes are mottled
and cool, and the client verbalizes some numbness and tingling
of the foot. The nurse interprets that the boot: Correct Answers
Has been applied too tightly
A client has experienced an episode of pulmonary edema. The
nurse determines that the client's respiratory status is improving
, if which of the following breath sounds are noted? Correct
Answers Crackles in the lung bases
A client has experienced several episodes of sickle cell crisis.
Which instruction should be included in the client's teaching
plan to prevent recurrence? Correct Answers Wear shoes and
socks when walking outside to prevent damage to the feet.
A client has just completed an information session about
measures to minimize the progression of coronary artery disease
(CAD). The nurse determines that the client indicates an initial
understanding of lifestyle alterations if the client states an
intention to: Correct Answers Eat a diet that is low in fat and
cholesterol.
A client has just returned from the cardiac catheterization
laboratory. The left femoral vessel was used as the access site.
After returning the client to bed and collecting initial data, the
nurse places a sign above the bed stating that the client should
remain on bedrest: Correct Answers With the head of the bed
elevated no more than 15 degrees
A client in a long-term care facility who has a history of angina
pectoris wants to go for a short walk outside with a family
member. It is a sunny but chilly December day. The nurse
should do which of the following to care for this client in a
holistic manner? Correct Answers Instruct the family member
to dress the client warmly before going outside.
A client is admitted to the hospital with a diagnosis of
pericarditis. The nurse reviews the client's record for which
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