Cardiovascular NCLEX-PN Questions
A nurse is asked to assist another health care member in providing care to a client who is
placed in a modified Trendelenburg's position. The nurse interprets that the client is likely being
treated for which condition? - correct answer Shock
A client's serum calcium level is 7.9 mg/dL. The nurse is immediately concerned, knowing that
this level could lead to: - correct answer Cardiac arrest
A nurse is providing cardiopulmonary resuscitation (CPR) to an adult cardiac arrest victim. What
is the proper compression-to-ventilation ratio for one-person CPR? - correct answer
30:2
A nurse is assisting in the care of a client with myocardial infarction who should reduce intake
of saturated fat and cholesterol. The nurse should help the client comply with diet therapy by
selecting which of the following food items from the dietary menu? - correct answer
Baked haddock, steamed broccoli, herbed rice, sliced strawberries
A nurse is providing dietary instructions to a client with congestive heart failure (CHF). The
nurse determines that the client understands the instructions if the client states that which of
the following food items will be avoided - correct answer Catsup
A nurse is planning a dietary menu for a client with heart failure being treated with digoxin
(Lanoxin) and furosemide (Lasix). Which of the following would be the best dinner choice from
the daily menu? - correct answer aked pollack, mashed potatoes, and carrot-raisin
salad
A nurse is assisting in developing a plan of care for a client who will be returning to the nursing
unit following a cardiac catheterization via the femoral approach. Which nursing intervention
will be included in the post-procedure plan of care? - correct answer Encourage the
client to increase fluid intake.
A client with a history of angina pectoris complains of substernal chest pain. The nurse checks
the client's blood pressure and administers nitroglycerin grains 1/150 sublingually. Five minutes
later, the client is still experiencing chest pain. If the blood pressure is still stable, the nurse
should take which action next? - correct answer Administer another nitroglycerin
tablet.
A client with angina complains that the anginal pain is prolonged and severe and occurs at the
same time each day, most often in the morning. On further data collection, the nurse notes that
the pain occurs in the absence of precipitating factors. This type of anginal pain is best
described as: - correct answer Variant angina
A client is admitted to the hospital with a venous stasis leg ulcer. The nurse inspects the ulcer,
expecting to note that the ulcer: - correct answer Has a brownish or "brawny"
appearance
A nurse determines that which of the following clients is most likely to be a candidate for
cardioversion? - correct answer Client with unstable rapid atrial fibrillation
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger,
and begins coughing frothy, pink-tinged sputum. A nurse listens to breath sounds, expecting to
hear bilateral: - correct answer Crackles
A nurse is preparing to provide a therapeutic environment for a client who recently had a
myocardial infarction (MI). The nurse should alter the environment to ensure that it is: -
correct answer Low stimulus, low stress
A nurse working the 3:00 to 11:00 PM shift notes that a client with coronary artery disease
(CAD) has a prescription for serum lipid levels to be drawn in the morning. The nurse places the
client on which dietary preparation to ensure accurate test results? - correct answer
Fasting for 12 hours
A nurse is told during shift report that a client is having occasional ventricular dysrhythmias.
The nurse reviews the client's laboratory results, recalling that which electrolyte imbalance
could be responsible for this development? - correct answer Hypokalemia
A nurse is planning adaptations needed for activities of daily living for a client with cardiac
disease. The nurse would incorporate which of the following in discussions with the client? -
correct answer Take in adequate daily fiber to prevent straining during a bowel movement.
A client is at risk for developing disseminated intravascular coagulopathy (DIC). The nurse
should become concerned with which of the following fibrinogen levels? - correct answer
90 mg/dL
A nurse has reinforced home care instructions to a client who had a permanent pacemaker
inserted. Which educational outcome has the greatest impact on the client's long-term cardiac
health? - correct answer Ability to take an accurate pulse in either the wrist or neck
A client receiving parenteral nutrition (PN) has a history of congestive heart failure. The health
care provider has prescribed furosemide (Lasix) 40 mg orally daily to prevent fluid overload. The
nurse monitors which laboratory value to identify an adverse effect from this medication? -
correct answer Potassium
The nurse is caring for the client immediately after insertion of a permanent demand
pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention? - correct answer Limiting movement
and abduction of the right arm
A nurse is teaching the client with angina pectoris about disease management and lifestyle
changes that are necessary in order to control disease progression. Which statement by the
client indicates a need for further teaching? - correct answer "It is best to exercise once
a week for an hour."
A nurse is checking the neurovascular status of a client who returned to the surgical nursing
unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the
nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission.
The nurse interprets that the neurovascular status is: - correct answer Normal, caused
by increased blood flow through the leg
A nurse has completed counseling about smoking cessation with a client with coronary artery
disease. The nurse determines that the client has understood the material best if the client
states that: - correct answer "A smoker has twice the risk of having a heart attack than
a nonsmoker."
A nurse is assisting in the care of a client diagnosed with rheumatic heart disease. When
teaching the client about self-management of this health problem, the nurse reminds the client
to alert his dentist about the condition because: - correct answer The client requires
prophylactic antibiotics before treatment.
A nurse enters a client's room and finds the client slumped down in the chair. Breathing is
shallow and a pulse is present. Based on these data, the nurse determines that the priority
would be to: - correct answer Check the vital signs and level of consciousness.
A licensed practical nurse (LPN) is assisting in the care of a client who is having central venous
pressure (CVP) measurements taken by the registered nurse (RN). The LPN would assist the RN
by placing the bed in which of the following positions for the reading? - correct answer
Flat
A client with a history of angina pectoris tells the nurse that chest pain usually occurs after
going up two flights of stairs or after walking four blocks. The nurse interprets that the client is
experiencing which of the following types of angina? - correct answer Stable
A client with angina pectoris has just been started on medication therapy with nitroglycerin
(Nitrostat). In planning care for this client, the nurse would place priority on measuring: -
correct answer Vital S
A nurse is assisting a hospitalized client who is newly diagnosed with coronary artery disease
(CAD) to make appropriate selections from the dietary menu. The nurse encourages the client
to select which of the following meals? - correct answer Fresh strawberries, steamed
vegetables, and baked fish
A nurse has reinforced dietary instructions to a client with coronary artery disease. Which
statement by the client indicates an understanding of the dietary instructions? - correct
answer "I should routinely use polyunsaturated oils in my diet."
A nurse is assigned to assist with caring for a client after cardiac catheterization. The nurse
plans to maintain bedrest with: - correct answer Head elevation of no more than 30
degrees
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 answer
Eat a diet that is low in fat and cholesterol.
A nurse determines that a client with coronary artery disease (CAD) has the necessary
understanding of disease management if the client makes which statement? - correct
answer "I will walk for one-half hour daily."
A nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is assisting the
client in completing the diet menu. Which of the following beverages does the nurse instruct
the client to select from the menu? - correct answer Lemonade
A nurse notes that a client who is attached to a cardiac monitor suddenly develops atrial
fibrillation at a rate of 130. The nurse notifies the registered nurse immediately and prepares
the client for which initial intervention? - correct answer Administration of a calcium
channel blocker
A client seeks medical attention for intermittent episodes in which the fingers of both hands
become cold, pale, and numb. The client states that they then become reddened and swollen
with a throbbing, achy pain. The nurse further collects data on the client to see whether these
episodes occur with: - correct answer Ingestion of coffee or chocolate
A nurse determines that a client with coronary artery disease (CAD) understands disease
management if the client makes which of the following statements? - correct answer "I
will walk for one-half hour daily."
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 answer Has been
applied too tightly
A postcardiac surgery client with a blood urea nitrogen (BUN) level of 45 mg/dL and a serum
creatinine level of 2.2 mg/dL has a total 2-hour urine output of 25 mL. The nurse understands
that the client is at risk for: - correct answer Acute renal failure
A nurse finds a client tensing while lying in bed staring at the cardiac monitor. What is the
nurse's best response when the client states, "There sure are a lot of wires around there. I sure
hope we don't get hit by lightning!"? - correct answer "Yes, this equipment is a little
scary. Can we talk about how the cardiac monitor works?"
A client is at risk for complications of heart failure. What is the nurse's priority for early
detection of the most likely cause of complications with this client? - correct answer
Evaluating total body fluid
A nurse is caring for a client with coronary artery disease, and a topical nitrate is prescribed for
the client. The nurse provides medication instructions and tells the client that acetaminophen
(Tylenol) is usually prescribed to be taken before the administration of the topical nitrate
because: - correct answer Headache is a common side effect of nitrates.
A nurse has given simple instructions on preventing some of the complications of bedrest to a
client who experienced a myocardial infarction. The nurse would intervene if the client were
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