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NCLEX 10000 Cardiovascular Actual Exam-A Grade | Questions & Correct Answers
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NCLEX 10000 Cardiovascular Actual Exam-A Grade | Questions & Correct Answers
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NCLEX 10000 Cardiovascular Actual Exam-AGrade | Questions & Correct Answers
A client with peripheral vascular disease has undergone a right femoral-popliteal bypass graft.
The blood pressure has decreased from 124/80 mm Hg to 88/62 mm Hg. What should the nurse
assess first? - ✔✔pedal pulses
A client has a history of heart failure and has been prescribed furosemide, digoxin, and
potassium chloride. The client has nausea, blurred vision, headache, and weakness. The nurse
notes that the client is confused. The telemetry strip shows first-degree atrioventricular block.
The nurse should assess the client for signs of - ✔✔digoxin toxicity
A visiting nurse is teaching a client with heart failure about taking his medications. The client
requires six different medications that are taken at four different times per day. The client is
confused about when to take each medication. How should the nurse intervene? - ✔✔teach
a family member to fill a medication compliance aid once per week
The nurse is preparing to defibrillate a client on a cardiac monitor who is in ventricular
fibrillation (see photo). What should the nurse do? - ✔✔after pressing the change button
and calling all clear push the shock button
A client has acute arterial occlusion. The health care provider (HCP) has prescribed IV heparin.
Before starting the medication, the nurse should - ✔✔review the blood coagulation lab
values
The client has had a myocardial infarction, and the nurse has instructed the client to prevent
Valsalva's maneuver. The nurse determines the client is following the instructions when the
client: - ✔✔avoids holding the breath during activity
The nurse is assessing a client admitted with a myocardial infarction with the following
assessment: dyspnea, heart rate of 140 bpm, and crackles in the posterior chest. The nurse
,would interpret these findings as which of the following? - ✔✔development of congestive
heart failure
The nurse teaches a client who has recently been diagnosed with hypertension about following
a low-calorie, low-fat, low-sodium diet. Which menu selection would best meet the client's
needs? - ✔✔baked chicken, and apple, and a slice of white bread
As an initial step in treating a client with angina, the health care provider (HCP) prescribes
nitroglycerin tablets, 0.3 mg given sublingually. This drug's principal effects are produced by -
✔✔vasodilation of peripheral vasculature
A client with heart failure is receiving furosemide, 40 mg I.V. The physician orders [40 mEq (40
mmol/L)] of potassium chloride in 100 ml of dextrose 5% in water to infuse over 4 hours. The
client's most recent serum potassium level is [3.0 mEq/L (3.0 mmol/L)]. At what infusion rate
should the nurse set the I.V. pump? - ✔✔25 ml/hr
A client with migraine headaches and a history of angina asks the nurse why the physician does
not prescribe one of the newer medications for migraine, such as sumatriptan. The nurse
responds that - ✔✔sumatriptan is contraindicated in clients with angina
The nurse is caring for a client who has been diagnosed with deep vein thrombosis. When
assessing the client's vital signs, the nurse notes an apical pulse of 150 bpm, a respiratory rate
of 46 breaths/minute, and blood pressure of 100/60 mm Hg. The client appears anxious and
restless. What should be the nurse's first course of action? - ✔✔notify the health care
provider
A client with known coronary artery disease reports intermittent chest pain, usually on
exertion. The physician diagnoses angina pectoris and orders sublingual nitroglycerin to treat
acute angina episodes. When teaching the client about nitroglycerin administration, which
instruction should the nurse provide? - ✔✔be sure to take after precautions because nitro
may cause dizziness when you stand up
,A nurse is instructing a client about using antiembolism stockings. Antiembolism stockings help
prevent deep vein thrombosis (DVT) by: - ✔✔forcing blood into the deep venous system
A nurse is performing discharge teaching with a client who has an implantable cardioverter
defibrillator (ICD) placed. Which client statement indicates effective teaching? - ✔✔ill keep a
log of each time my ICD discharges
The client with peripheral artery disease reports both legs hurt when walking. What should the
nurse instruct the client to do? - ✔✔enroll in a supervised exercise training program
Which indicates hypovolemic shock in a client who has had a 15% blood loss? - ✔✔systolic
blood pressure less than 90 mm Hg
A client with heart failure has assessment findings of jugular vein distension (JVD) when lying
flat in bed. Which of the following is the best nursing intervention? - ✔✔elevate the head of
the bed to 30 to 45 degrees and reassess JVD
The nurse is assessing a client who has a long history of uncontrolled hypertension. The nurse
should assess the client for damage in which area of the eye? - ✔✔retina
Which medication should a nurse have on hand when removing a sheath after cardiac
catheterization? - ✔✔Atropine
A client had a repair of a thoracoabdominal aneurysm 2 days ago. Which finding should the
nurse consider unexpected and report to the health care provider (HCP) immediately? -
✔✔weakness and numbness in he lower extremities
A nurse is reviewing self-care measures for a client with peripheral vascular disease. Which
statement indicates proper self-care measures? - ✔✔i have my wife look at the soles of my
feet each day
, In a client with chronic bronchitis, which sign would lead the nurse to suspect right-sided heart
failure? - ✔✔leg edema
A client is admitted to the emergency department reporting severe abdominal pain. A
radiograph reveals a large abdominal aortic aneurysm. The primary goal at this time is to: -
✔✔prepare the client for emergency surgery
While auscultating the heart sounds of a client with heart failure, the nurse hears an extra heart
sound immediately after the second heart sound (S2). The nurse should document this as: -
✔✔a third heart sound S3
A client is talking with the nurse about unsightly varicose veins and their discomfort. What
information should the nurse provide to the client? - ✔✔keep the legs elevated when sitting
or laying down
A nurse on the telemetry unit is faced with various monitor rhythms. Which rhythm takes
priority? - ✔✔a client cardiac rhythm suddenly changes from normal sinus rhythm
The nurse is preparing to administer 0.1 mg of digoxin intravenously. Digoxin comes in a
concentration of 0.5 mg/2 ml. How many milliliters should the nurse administer? Record your
answer using one decimal place. - ✔✔0.4
Which client admitted to the emergency department should the nurse see first? A client: -
✔✔experiencing a "ripping" sensation in the chest
Which is the most important initial postprocedure nursing assessment for a client who has had
a cardiac catheterization? - ✔✔observe the puncture site for swelling and bleeding
Which statement would lead the nurse to determine that a client lacks understanding of her
acute cardiac illness and the ability to make changes in her lifestyle? - ✔✔i already have my
airline ticket
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