Cardiac NCLEX Practice
Questions with Accurate
Answers
A 50 y/o pt is prescribed to take nitrate each day for his condition. You
know the result of nitrate administration is:
A. decreased myocardial oxygen demand
B. increased myocardial oxygen demand
C. increased left ventricular end-diastolic volume
D. increased atrial pressure correct answer A
A 56 y/o man started antihypertensive drug therapy 3 months earlier
and is in the office for a follow-up visit. While the nurse is taking his BP,
he informs the nurse that he has had some problems with sexual
intercourse. Which of the following would be the most appropriate
response by the nurse:
A. not to worry. Tolerance will develop
B. the physician can work with you on changing the dose or drug
C. sexual dysfunction happens with this therapy, and you must lean to
accept it
D. this is an unusual occurrence, but it is important to stay on your
meds correct answer B
,A 62 y/o male pt has nitroglycerin (Nitrostat) added to his med
regimen. Which statement made by this pt indicates that further
education is needed?
A. I will take this med if I have an episode of chest pain
B. I will wait at least 1 hour after I take my sildanefil (Viagra) before
using Nitrostat
C. I can take up to 3 tablets every 5 minutes if my angina occurs
D. I know that I must put this tablet under my tongue for it to work
correct answer B
a 68 y/o male is experiencing severe hypotension after receiving IV
nitroglycerin. What is the most probable cause for this reaction?
A. pt is having a MI
B. the pt has a high potassium level
C. the pt routinely exercises, but has not be active in over a week
D. the pt failed to report that he is on Viagra correct answer D
A 68 y/o man has been taking the nitrate isosorbide for 2 years for
angina. He recently has been experiencing erectile dysfunction and
wants a prescription for sildenafil (Viagra). Which response would the
nurse most likely hear from the prescriber?
A. He will have to be switched to isosorbide mononitrate if he wants to
take sildenafil
B. taking sildenafil with the nitrate may result in severe hypotension
,C. I'll write a prescription, but if he uses it, he needs to stop talking the
isosorbide for one dose
D. these drugs are compatible with each other, and so I'll write a
prescription correct answer B
A client receives a dose of furosemid (Lasix) 120 mg intravenously for
treatment of congestive heart failure. Which symptom indicates that an
adverse reaction is most likely occurring?
A. bradycardia
B. weight gain
C. hypotension
D. crackles correct answer C
a client who has been taking warfarin (Coumadin) is admitted with
coffee-ground emesis. What is the nurse's primary action?
A. Administer vitamin E
B. Administer vitamin K
C. Administer protamine sulfate
D. Administer calcium gluconate correct answer B
A healthcare provider orders NTG to be administered by IV drip. The
nurse carrying out the order would monitor for which of the following
as a priority specific to medication?
A. shortness of breath when raising head of bed
, B. urine output
C. blood pressure and heart rate
D. facial flushing and headache correct answer C
A home health nurse instructs a pt about the use of a nitrate patch. The
nurse tells the pt that which of the following will prevent pt tolerance
to nitrates?
A. do not remove the patches
B. have a 12-hr no-nitrate time
C. have a 24-hr no-nitrate time
D. keep nitrates on 48 hrs, then off 24 hrs correct answer B
a nurse gives a subq injection of heparin sodium (heparin). Which is a
true statement regarding this injection?
A. massage the area after heparin is administered subq
B. aspiration before injection can cause hematoma formation
C. give the injection each time in the same general area
D. hold the skin taut when giving the injection correct answer B
A nurse is caring for a pt receiving heparin IV. The nurse anticipates that
which lab study will be prescribed to monitor the therapeutic effect of
heparin?
A. hematocrit
Questions with Accurate
Answers
A 50 y/o pt is prescribed to take nitrate each day for his condition. You
know the result of nitrate administration is:
A. decreased myocardial oxygen demand
B. increased myocardial oxygen demand
C. increased left ventricular end-diastolic volume
D. increased atrial pressure correct answer A
A 56 y/o man started antihypertensive drug therapy 3 months earlier
and is in the office for a follow-up visit. While the nurse is taking his BP,
he informs the nurse that he has had some problems with sexual
intercourse. Which of the following would be the most appropriate
response by the nurse:
A. not to worry. Tolerance will develop
B. the physician can work with you on changing the dose or drug
C. sexual dysfunction happens with this therapy, and you must lean to
accept it
D. this is an unusual occurrence, but it is important to stay on your
meds correct answer B
,A 62 y/o male pt has nitroglycerin (Nitrostat) added to his med
regimen. Which statement made by this pt indicates that further
education is needed?
A. I will take this med if I have an episode of chest pain
B. I will wait at least 1 hour after I take my sildanefil (Viagra) before
using Nitrostat
C. I can take up to 3 tablets every 5 minutes if my angina occurs
D. I know that I must put this tablet under my tongue for it to work
correct answer B
a 68 y/o male is experiencing severe hypotension after receiving IV
nitroglycerin. What is the most probable cause for this reaction?
A. pt is having a MI
B. the pt has a high potassium level
C. the pt routinely exercises, but has not be active in over a week
D. the pt failed to report that he is on Viagra correct answer D
A 68 y/o man has been taking the nitrate isosorbide for 2 years for
angina. He recently has been experiencing erectile dysfunction and
wants a prescription for sildenafil (Viagra). Which response would the
nurse most likely hear from the prescriber?
A. He will have to be switched to isosorbide mononitrate if he wants to
take sildenafil
B. taking sildenafil with the nitrate may result in severe hypotension
,C. I'll write a prescription, but if he uses it, he needs to stop talking the
isosorbide for one dose
D. these drugs are compatible with each other, and so I'll write a
prescription correct answer B
A client receives a dose of furosemid (Lasix) 120 mg intravenously for
treatment of congestive heart failure. Which symptom indicates that an
adverse reaction is most likely occurring?
A. bradycardia
B. weight gain
C. hypotension
D. crackles correct answer C
a client who has been taking warfarin (Coumadin) is admitted with
coffee-ground emesis. What is the nurse's primary action?
A. Administer vitamin E
B. Administer vitamin K
C. Administer protamine sulfate
D. Administer calcium gluconate correct answer B
A healthcare provider orders NTG to be administered by IV drip. The
nurse carrying out the order would monitor for which of the following
as a priority specific to medication?
A. shortness of breath when raising head of bed
, B. urine output
C. blood pressure and heart rate
D. facial flushing and headache correct answer C
A home health nurse instructs a pt about the use of a nitrate patch. The
nurse tells the pt that which of the following will prevent pt tolerance
to nitrates?
A. do not remove the patches
B. have a 12-hr no-nitrate time
C. have a 24-hr no-nitrate time
D. keep nitrates on 48 hrs, then off 24 hrs correct answer B
a nurse gives a subq injection of heparin sodium (heparin). Which is a
true statement regarding this injection?
A. massage the area after heparin is administered subq
B. aspiration before injection can cause hematoma formation
C. give the injection each time in the same general area
D. hold the skin taut when giving the injection correct answer B
A nurse is caring for a pt receiving heparin IV. The nurse anticipates that
which lab study will be prescribed to monitor the therapeutic effect of
heparin?
A. hematocrit
